Madison Square Child Development Center

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

“During the investigation, it was determined that staff used improper techniques when responding to a medical incident.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2026. Correction verified: Aug 25, 2026.

Requirements for Feeding Infants - Label Bottles/Cups

“The infant bottles only had the first name on them at inspection.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 8, 2026. Correction verified: Oct 28, 2026.

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

“Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children’s handwashing sink.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2026. Correction verified: Aug 7, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2026. Correction verified: Feb 23, 2026.

Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

“At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground.”

Rule 746.4601(7). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 17, 2026.

Immunization Records, Exceptions, and Exemptions Current

“One of the four children files was missing an updated immunization record.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 9, 2026. Correction verified: Feb 10, 2026.

Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation’s child-care program

“1 child’s file is missing a health statement for review during the inspection.”

Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: Apr 8, 2025.

Employee Handwashing After Diapering a Child

“When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2025. Correction verified: Apr 1, 2025.

Children Handwashing After Toileting or Diapering

“When reviewing the video it was observed of a child not washing hands after getting diaper changed.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2025. Correction verified: Apr 1, 2025.

Prohibited Punishments - Corporal Punishment

“It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2024. Correction verified: Sep 6, 2024.

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

“It was found that a child was left unsupervised on the playground.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2024. Correction verified: Feb 14, 2024.