San Angelo Early Childhood Center

Infant May Not Sleep in a Restrictive Device

“An infant was observed sleeping on a bouncer. Deficiency was corrected during inspection when I asked caregiver to place baby on a crib.”

Rule 746.2426(a)(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 1, 2023.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“During outdoor time, toddler children were observed playing closed to the playground back fence for around 19 minutes without been supervise by caregivers.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2023. Correction verified: Apr 18, 2023.

Responsibilities of Caregivers - Supervision of Children

“Caregiver in charge of a toddler’s class failed to supervise a 20-month-old child who fell from a play structure. The toddler was observed on the ground for about 15 seconds before a caregiver noticed.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2023. Correction verified: Mar 27, 2023.

Incident/Illness Report Form Shared with Parent

“A written incident report was not provided to parent whose child was injured falling off a play structure and needed medical attention.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2023. Correction verified: Mar 27, 2023.

Maximum Group Size 13 or More Children

“During walkthrough 12 infants ages 3-11 months were observed in room 8. Corrected during inspection. Director was asked to use 3rd caregiver present to move 2 infants out of room 8.”

Rule 746.1609. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 29, 2022.

Screen Time Activities - Not Used During Eating or Rest Times

“During walkthrough 4 years old classroom was observed having screen time while eating lunch. Deficiency was corrected during inspection. I explained caregiver standards about screen time. Caregiver was asked to turn Television off.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 29, 2022.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“Caregiver was observed inappropriately grabbing children by arm, leg and face. Caregiver was found to be abusive in that these actions placed the children at risk for injury.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2022. Correction verified: Oct 24, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Caregiver was observed inappropriately grabbing children by arm, leg and face. Caregiver was observed throwing a child?s lunch away before the child finished eating.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2022. Correction verified: Oct 24, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“A toddler was observed sleeping on a stack of 7 cots. Deficiency was corrected during inspection when inspector asked caregivers to place toddler on one cot.”

Rule 746.1201(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 9, 2021.

Diapering Procedures - Use Disposable Gloves

“Caregiver was observed not washing her hands after changing babies’ diapers. Caregiver was told that after each diaper change, she must wash her hands.”

Rule 746.3505(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 9, 2021.

Basic Requirements for Infants - Never Unsupervised

“An infant was not properly supervised while seated in a buggy. Caregiver was involved in a conversation with another staff and was not able to intervene when the infant fell out of the buggy and was injured.”

Rule 746.2401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2022. Correction verified: Jan 26, 2022.

Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing

“Caregiver without First Aid Certification was left alone with children.”

Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2022. Correction verified: Jan 26, 2022.

Child/ Caregiver Ratio - 13 or More Children

“Caregiver in a 12-17 months infant room was out of ratio. Caregiver was alone with 8 infants.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2022. Correction verified: Jan 26, 2022.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“A child was not buckled while in a buggy and fell out.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2022. Correction verified: Jan 26, 2022.