Holy Spirit Early Childhood and Primary School

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

“During the inspection, a caregiver was observed with direct access to children in care. The operation has not obtained an eligiblity notification from CBCU stating the individual can be present. Note: The caregiver left the operation during the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2023. Correction verified: Aug 18, 2023.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“3 out of 10 staff files evaluated did not contain the full 24 hours of annual training.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2023. Correction verified: Aug 17, 2023.

Annual Sanitation Inspection

“The annual sanitation has not been conducted since August 9th, 2022.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2023. Correction verified: Aug 25, 2023.

Director Annual Training 30 Hours Required

“Documentation showing the director has completed the full 30 hours of annual training was not available for review during the inspection. An additional 20 hours is needed.”

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2023. Correction verified: Aug 17, 2023.

Safety Requirements for Cribs - Label for Each Infant

“Cribs in the infant room were not labeled for each infant.”

Rule 746.2409(a)(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2023. Correction verified: Aug 25, 2023.

Required Records Maintained and Made Available - Liability Insurance

“Documentation of current liability insurance for the operation was not available for review during the inspection.”

Rule 746.801(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2023. Correction verified: Aug 25, 2023.

Required Personnel Records- Meets Requirements

“4 out of 10 staff files evaluated did not contain proof of meeting education requirements.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2023. Correction verified: Aug 25, 2023.

Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests

“3 out of 10 staff files evaluated did not contain the original certificate of completion or a copy for CPR and First Aid training available for review during the inspection.”

Rule 746.1329(c)(2). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2023. Correction verified: Aug 25, 2023.

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

“During the inspection, a caregiver was observed in a classroom and the operation did not have an eligibility notification from CBCU stating the caregiver could be present.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2023. Correction verified: May 10, 2023.

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“During the inspection infants were observed in their cribs with pacifiers that contained an attachment piece. Note: It was discussed to only use pacifiers that do not contain attachments as they pose a risk of strangulation and suffocation.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2023. Correction verified: May 26, 2023.

Sign-in and Sign-out Tracking System

“A child had not been signed in for the day. Note: The caregivers noted the child’s time of arrival on the attendance log in the classroom during the inspection.”

Rule 746.631(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 10, 2023.

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

“Based upon the information obtained, a caregiver did not count the number of children before going outside and left a child alone in a classroom for approximately 2 minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2023. Correction verified: May 26, 2023.

Report Situation Placing Children at Risk

“Based on the information, the operation did not report a situation that put a child at risk to CCR within the required timeframe.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 25, 2023. Correction verified: May 26, 2023.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“Based upon the information obtained, there is sufficient evidence to support that a caregiver was on their phone while caring for children.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 25, 2023. Correction verified: May 26, 2023.

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

“Based on the information obtained, the Licensing Incident Report was not shared with parents regarding a child that was left alone in a classroom.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2023. Correction verified: May 10, 2023.

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

“One caregiver was observed present at the operation in the 3 year old classroom with an inactive background check.”

Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2022. Correction verified: Aug 22, 2022.

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

“Four caregivers was observed at the operation without notification of eligibility from the background check unit.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2022. Correction verified: Aug 22, 2022.

Arrangement of Napping Equipment - Not Blocking Entrances or Exits

“Five classrooms were observed with children napping in the exit walkway. This was corrected at inspection when each caregiver of the classes moved the children to another location.”

Rule 746.2909(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 18, 2022.