La Petite Academy Rayburn

Responsibilities of Caregivers - Know number of children responsible for

“During the walkthrough, the caregiver in the preschool classroom stated there were 22 children in care. After verifying, there were 21 children in care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 29, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“Three infant feeding instructions were unavailable at the time of inspection.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 25, 2026.

First Aid Kit - Incomplete Kit

“At the time, the first aid kit was missing tweezers and Band-Aids. NOTE: This was corrected at inspection.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 23, 2026.

Children’s Records Maintained

“One of the ten children files was missing a healthcare statement.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 23, 2026. Correction verified: Jul 8, 2026.

Required Admission Information - School Information for School-age Child

“One of the ten children’s files was missing school-age information. Two of the ten children were missing special care information.”

Rule 746.605(13). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 25, 2026.

Screen Time Activities - Not Used for Under Two

“A tablet was observed playing a video for the children in the infant room with children under two years old. Note: This was corrected at inspection when the tablet was turned off.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 22, 2025.

Children’s Records - Immunizations

“Four out of five children files evaluated did not have current immunzation records available for review.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2025. Correction verified: Nov 12, 2025.

Director Annual Training - Caring for children under 24 months

“The director did not have current training hours in Shaken Baby Syndrome, SIDS, and Early Childhood Brain Development.”

Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 5, 2025.

Immunization Records, Exceptions, and Exemptions Current

“1 out of the 10 children’s files evaluated did not have a current immunization record on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 6, 2025.

Written Operational Policies - Parent Rights

“3 out of the 10 children’s files reviewed did not have a signed Parent Rights form”

Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 5, 2025.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“3 children who have been enrolled at least 12 months did not have a signed health statement on file.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2025. Correction verified: Mar 20, 2025.

Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

“Two caregivers did not have current training in pediatric CPR & First Aid. The first aid portion was corrected when the two caregivers completed online pediatric first aid training during inspection.”

Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2024. Correction verified: Apr 22, 2024.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The director did not have current transportation safety training.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2024. Correction verified: Apr 23, 2024.

Screen Time Activities - Not Used for Under Two

“Children in the infant rooms were observed watching an animated video on a tablet. This was corrected when the caregiver turned off the video.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 16, 2024.

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

“Based off the evidence gathered, supervision of children was not appropriate when a caregiver did not conduct a proper name to face count of children when transitioning inside, which resulted in two toddlers being left alone on the playground.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2024. Correction verified: May 23, 2024.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“Based on the evidence gathered, the operation did not complete an incident report or provide one to parents after two toddlers were left alone on the playground.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2024. Correction verified: May 23, 2024.