Smile Little Angel

Sign-in and Sign-out Logs Maintained

“The sign in and out log had 11 children signed in. The provider reported 1 child had left and was no longer in care. Another child is no longer enrolled. Both were still signed in. Note: The provider corrected this during the inspection.”

Rule 747.635(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 3, 2022.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“An indvidual who was present in the home during the inspection does not have an active and eligible background check. Note: This was corrected when the individual left the home.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 19, 2022.

Basic Requirements for Infants - Free from Choking Objects

“An infant was observed in a Pack and Play with a pacifier that contained an attachment to their clothing. Note: This was corrected during the inspection.”

Rule 747.2301(5). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 19, 2022.

Child/Caregiver Ratio - Licensed Child Care Home

“12 children were present during the inspection. 3 children are under 17 months old and the maximum number of children to one caregiver for this age group is 7 children. The provider is over ratio by 5 children. Note: We discussed having an additional person who is qualified to care for children.”

Rule 747.1801. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2022. Correction verified: Aug 3, 2022.

Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible

“Clorox wipes and Lysol spray was observed on top of the toilet in the restroom used by children and was in reach of children during the inspection. Note: This was corrected during the inspection.”

Rule 747.3203(13). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 19, 2022.

Floors, Ceilings and Walls in Good Repair and Clean

“Paint is chipping from the walls in the area used by children”

Rule 747.3203(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 29, 2022. Correction verified: Jul 20, 2022.

Mounting of Fire Extinguishers

“The fire extinguisher was stored on a shelf in a wooden cabinet that was closed with a latch. The fire extinguisher was not mounted.”

Rule 747.5105. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 29, 2022. Correction verified: Jul 29, 2022.

Primary Caregiver Annual Training - Required Special Topics without specific hours

“Documentation of training in the following topics was not available for me to review during the inspection: 1. Handling, Storing and Disposing of Hazardous Materials. 2. Responding to Food Allergies 3. Understanding Building and Physical Premises Safety”

Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Jul 22, 2022.

First Aid Kit - Supplies Not Expired

“Antiseptic solution in the first aid kit expired in September 2020. Note: The provider disposed of the solution during the inspection and had another bottle of antiseptic solution that was not expried stored with the first aid kit.”

Rule 747.3803(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 19, 2022.

Required Immunizations Records, Exceptions, and Exemptions Current

“The immunization records for one child in care was not available for review upon request.”

Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 29, 2022. Correction verified: Jul 19, 2022.