Little Tyke Northeast

Immunization Records, Exceptions, and Exemptions Current

“Two immunization records were not current.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 8, 2026. Correction verified: Apr 28, 2026.

Parental Communication - Situation that Placed a Child at Risk

“Based on information provided it was found that parents were not notified immediately of an incident where children were able to leave the gated playground area to an open field next to a high traffic side street.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 1, 2025. Correction verified: Oct 1, 2025.

Maintenance Procedures for Active Play - Inspect Daily

“Based on information provided it was determined that the operation did not conduct a check of the toddler playground area. This led to a gate being accessible and able to be opened by children and the children were able to leave the secure playground area.”

Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 1, 2025. Correction verified: Oct 1, 2025.

Incident/Illness Report Form Shared with Parent

“Based on information obtained the operation did not share incident reports with parents within the 48 hour of the incident time limit.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 1, 2025. Correction verified: Oct 1, 2025.

Required Personnel Records - TB Test

“At the time of the inspection 1 employee did not have a TB test on file.”

Rule 746.901(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2024. Correction verified: Nov 13, 2024.

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

“This standard was evaluated as part of a DFPS investigation and found deficient. Based on information provided a caregiver did not conduct a face to name accounting of children or maintain the documentation of transitions as required by the operation. This caused the caregiver to be unaware of the number of children they were responsible for and a child to be left outside on the playground.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2024. Correction verified: Aug 2, 2024.

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

“This standard was evaluated as part of a DFPS investigation and found deficient. Based on information provided a child in care was left unsupervised outside on the playground for 5-10 minutes after the class had transitioned into the building. This child has specific special care needs that require individual attention during transition times that the caregivers are aware of.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2024. Correction verified: Aug 2, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“This standard was evaluated as part of a DFPS investigation and found deficient. Based on information provided it was determined that the caregivers responsible for a group of children did not keep track of the children in care and maintain knowledge of the number of children they were responsible for.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2024. Correction verified: Aug 2, 2024.

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

“This standard was evaluated as part of a DFPS investigation and found deficient. Based on information provided, a child with special care needs, that requires additional individual attention to maintain their safety, was left on the playground alone for 5-8 minutes”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2024. Correction verified: Aug 2, 2024.

Janitorial duties

“This standard was evaluated as part of a DFPS investigation and found deficient. During pick up times staff are observed cleaning in the classroom which leads to less attention to the children in care as they are being picked up.”

Rule 746.1203(3)(C). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2024. Correction verified: Aug 2, 2024.

Planned activities designed to meet special care needs-Integrated activities

“This standard was evaluated as part of a DFPS investigation and found deficient. Based on information provided a child with special care needs was said to be put to the side in the classroom or outside on the playground and not included as part of day to day activities.”

Rule 746.2202(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2024. Correction verified: Aug 2, 2024.

Children’s Records - Immunizations

“At the time of the visit 3 of the 10 children records reviewed did not have up to date immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2024. Correction verified: May 13, 2024.

Provide care consistent with child’s habits, interests, strengths, special needs, including any special supervision needs

“It was found through investigation that a deaf child was left on the playground area after the class had gone inside the building. When conducting the transition the caregiver did not adjust how he accounted for this child based on their specific needs.”

Rule 746.1203(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2024. Correction verified: Mar 19, 2024.

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

“Through the course of the investigation it was found that a child in care was able to get outside the fence of the playground without the caregivers awareness. When a second caregiver came to the playground area it was found that the child was outside the fenced area and the child was retrieved and returned to the playground area.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 2, 2024. Correction verified: Jan 3, 2024.