Madonna Center

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“During the inspection, 14 bucket seats in two infant classrooms were observed without safety straps to secure the children.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 22, 2026.

Emergency Evacuation and Relocation Diagram - Posted in Each Room

“Three classrooms did not have the evacuation maps posted in the classroom. Note: This was corrected at inspection when evacuation maps were posted in the classroom.”

Rule 746.5207(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 25, 2026.

Documented Annual Training- Required Content

“Three of four staff files evaluated did not have health and safety trainings available for review.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 22, 2026.

Requirements for Feeding Infants - Label Bottles/Cups

“All four infant bottles in the Infant 0-6 month old classroom had no labels on the bottles with their names.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 11, 2026.

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

“During the course of the investigation, it was noted operation staff failed to provide adequate supervision due to daily incidents where children are fighting among themselves while in care.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2026. Correction verified: Jul 28, 2026.

Written Operational Policies - Suspension and Expulsion

“Throughout the investigation, it was observed that the operational policy lacks provisions for the processes of suspension and expulsion.”

Rule 746.501(a)(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2026. Correction verified: Jul 28, 2026.

School-age Furnishings and Equipment - Age-appropriate Rest Equipment

“During the investigation, it was noted school-aged children were napping on the class floor.”

Rule 746.2705(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2026. Correction verified: Jul 28, 2026.

AP Initial background checks submitted - At the time you hire someone

“During the inspection, it was determined that an individual present at the operation does not have a valid background check. Note: This was corrected when background check was re-submitted to change Role Type during inspection.”

Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 6, 2026.

AP Initial background checks submitted - At the time you contract with someone who requires a background check

“During the inspection, it was determined that an individual present at the operation does not have a valid background check completed for this operation.”

Rule 745.621(a)(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Apr 16, 2026.

AP Initial background checks submitted - At the time you contract with someone who requires a background check

“During the course of this investigation, it was found that the staff member who accompanied the child in the ambulance to the hospital had not completed a valid background check for this operation.”

Rule 745.621(a)(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2026. Correction verified: Apr 23, 2026.

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

“During the course of the investigation, it was determined that a child was left unattended outside on 11/21/2026.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2026. Correction verified: Mar 25, 2026.

Report Situation Placing Children at Risk

“During the course of the investigation, it was determined that a child was left unattended outside on 11/21/2025. The incident was not reported to Child Care Regulation (CCR) until 1/27/2026.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2026. Correction verified: Mar 25, 2026.

Parental Communication - Situation that Placed a Child at Risk

“During the course of the investigation, it was determined that a child was left unattended outside on 11/21/2025. The operation did not notify the parent.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2026. Correction verified: Mar 25, 2026.

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

“One caregiver in classroom D-12 was observed working in the classrooms supervising children without receiving a background check and letter of eligibility. NOTE: This was corrected at inspection when the caregiver left the operation and a background check was submitted.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2025. Correction verified: Dec 3, 2025.

Responsibilities of Caregivers - Know children’s names and ages

“At time of inspection multiple caregivers were unable to provide the ages of the children in their class.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 5, 2025. Correction verified: Dec 1, 2025.

Responsibilities of Caregivers - Know children’s names and ages

“At time of inspection two toddler caregivers were unable to provide the ages of the children in their class.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2025. Correction verified: Nov 5, 2025.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“During the inspection, it was observed that infants seated in restrictive devices were not properly secured with straps. This was corrected at inspection.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2025. Correction verified: Nov 5, 2025.

Arrangement of Napping Equipment - Not Blocking Entrances or Exits

“Napping children were observed placed in front of exits in multiple classrooms. This was corrected when the director moved each child away from the exits.”

Rule 746.2909(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 9, 2025.

Food Service and Preparation Requirement - Use Sanitary Holders

“In toddler room, the children were served crackers without a plate or napkin. This was corrected when it was addressed with the caregiver and caregiver provided plastic plates for the children to eat their snack on.”

Rule 746.3317(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 23, 2025.

Children Handwashing After Toileting or Diapering

“A caregiver did not wash an infant’s hands after changing their diaper. This was corrected when the caregiver was reminded about handwashing procedures and the caregiver washed the infant’s hands.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 14, 2024.

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

“Cleaning solutions and chemicals were observed under the sinks in three children’s restrooms without child safety locks.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 26, 2024.

Electronic Child Safety Alarm - is equipped in each vehicle

“A vehicle that is used to transport children is not equipped with an electronic child safety alarm.”

Rule 746.5625(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2024. Correction verified: Feb 6, 2024.

Food Service and Preparation Requirement - Use Sanitary Holders

“Crackers were served on a bare table for children to eat from.”

Rule 746.3317(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 17, 2024. Correction verified: Feb 6, 2024.

Safety - Areas Free From Hazards

“Children were observed using a restroom in a room filled with stacks of boxes and other storage items.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 17, 2024. Correction verified: Feb 6, 2024.

Measurement of Use Zone for Slides - No Overlap

“A piece of outdoor play equipment was observed in front of a slide on the playground. The equipment overlapped the slide’s required use zone.”

Rule 746.4805(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 17, 2024. Correction verified: Feb 6, 2024.

Handwashing Sink in Diaper-Changing Area

“An infant classroom with a diaper-changing area does not have a handwashing sink.”

Rule 746.4403(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 22, 2024. Correction verified: Feb 6, 2024.

Required Personnel Records

“The following personnel records were not available for review at time of inspection: proof of education, notarized Affidavit for Applicants for Employment form, proof of background check eligibility letter, copy of photo ID, and signed statement employees recieved copies of operational policies and employee policies.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2024. Correction verified: Feb 6, 2024.