Toddler House 5

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Of the six personnel records, one caregiver lacked First Aid Training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 7, 2026. Correction verified: Sep 4, 2026.

Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

“Background check for two former staff have not been inactivated within seven days of their last day of employment.”

Rule 745.651(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2026. Correction verified: Jul 24, 2026.

Documented Annual Training- Required Content

“Of the six personnel records evaluated, two caregivers did not training in one or more of the following topics for the previous training year: food allergies and administering medications.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 7, 2026. Correction verified: Sep 4, 2026.

Child/Caregiver Ratio - 18 Months Difference in Age

“An infant was combined with children that were more than 18 months older than the youngest child in the group.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 25, 2026. Correction verified: Jul 24, 2026.

Safety - Bodies of Water Inaccessible to Children

“A mop bucket with water was accessible to children in the children’s restroom. This was corrected when the mop bucket was removed from the restroom an away from children’s access.”

Rule 746.3701(9). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 16, 2026.

Safety - Air Conditioners, Fans, Heaters Safeguarded

“An air blower was found to be accessible to children in a classroom that did not have a safegaurd or barrier around it. This was corrected when the blower was removed out of the classroom.”

Rule 746.3701(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 16, 2026.

Policies Comply with Rules

“The operational policies did not include the following information: 1. The benefits of outdoor play. 2. Recommended clothing and footwear. 3. The criteria used to determine when the weather will prevent outdoor play. 4. Parent’s Rights. 5. The correct website for Child Care Regulation.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2026. Correction verified: Feb 17, 2026.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“Of the seven personnel records evaluated, two have not completed 24 clock hours of pre-service training.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 19, 2026. Correction verified: Feb 24, 2026.

Infant Daily Report - Times and Amount of Food

“The daily report sheet for one child did not include the times or amount of food the child is eatinig throughout the day.”

Rule 746.2431(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2026. Correction verified: Feb 24, 2026.

Documented Annual Training Area - 24 Hours Required

“Of the seven personnel records evaluated, two did not complete the required 24 clock hours of training for their respective training year.”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2026. Correction verified: Mar 12, 2026.

Documented Annual Training- Required Content

“One caregiver did not complete training in communicable diseases including immunizations and food allergies.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2026. Correction verified: Mar 12, 2026.

Director Annual Training 30 Hours Required

“The director received 22 of the 30 clock hours of required annual training for the March 2024-March 2025 training year. The director will need to complete 8 clock hours of training.”

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2026. Correction verified: Mar 12, 2026.

Activities for Infants - Outdoor Play Daily

“Infants are not going outside daily.”

Rule 746.2417(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2026.

Written Feeding Instructions - Review and Update Every 30 Days

“The written feeding instructions for one infant has not been updated within the last 30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2026.

First Aid Kit - Incomplete Kit

“The First Aid Kits on the buses was missing supplies. Bus 12 was missing scissors, tweezers and adhesive tape and Bus 11 was missing a thermometer.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2026.

Children’s Records - Immunizations

“Of the eight children’s records evaluated, one was behind with immunizations.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2026. Correction verified: Feb 17, 2026.

Required Health Statement - Signed affidavit from parent stating medical diagnosis and treatment conflict with religious beliefs

“Of the seven children’s records evaluated, two lacked a parent signed health statement that the child has been examined by a health care professional within the past year.”

Rule 746.611(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2026. Correction verified: Mar 12, 2026.

Documented Annual Training-Self-Instructional 80%

“Caregivers did not receive at least six clock hours of training through in-person training.”

Rule 746.1309(g). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2026. Correction verified: Mar 12, 2026.

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

“Of the eight children’s records evaluated, one lacked a health statement from a health care professional.”

Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2026. Correction verified: Mar 2, 2026.

Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child’s Reach

“Waster hoses used on Friday were on the toddler playground. This was corrected at inspection.”

Rule 746.5015(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 16, 2025.

Director Annual Training - Caring for children under 24 months

“A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The director did not receive annual training hours in SIDS, Shaken Baby Syndrome, Abusive head Trauma and Understanding Early Childhood Brain Development for the March 2024-March 2025 training year.”

Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 18, 2025. Correction verified: Jun 10, 2025.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“A follow-up inspection was conducted and compliance was not met. The loose fill surfacing in the use zone for equipment on the infant/toddler playground is not measuring at least 6 inches.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2025. Correction verified: Jul 16, 2025.

Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.

“A follow-up inspection was conducted and compliance was not met. This deficiency is being re-cited. The loose-full surfacing in the use zones for the swings, which is at least 9 feet; is not being maintained at a depth of at least 9 inches.”

Rule 746.4907(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2025. Correction verified: Jul 16, 2025.

Documented Annual Training- Required Content

“A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. Of the 8 personnel records evaluated, 1 did not receive annual training for the January 2024-January 2025 training year in the following topics: 1. Emergency Preparedness 2. Communicable diseases including immunizations 3. Food allergies 4. Administering medications 5. Understanding building and physical premises safety 5. Handling, storing and disposing of hazardous materials”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 18, 2025. Correction verified: Jun 16, 2025.

Director Annual Training - Additional required topics

“A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. The director did not receive annual training hours in emergency preparedness, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials for the March 2024-March 2025 training year.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 18, 2025. Correction verified: Jun 10, 2025.

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

“A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. Two children’s records lacked a health statement from a health care professional.”

Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 18, 2025. Correction verified: Jul 16, 2025.

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

“Infant children were not being properly supervised. The caregiver was sitting in the doorway of the classroom and playground. Three children were observed playing on the playground. The other two children were in the classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 16, 2025. Correction verified: May 2, 2025.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Of the 8 personnel records evaluated, one did not complete an orientation that included the following topics: administering medication, responding to and preventing food allergies, understanding building and physical premises safety, handling, storing and disposing of hazardous materials and precautions when transporting children.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2025. Correction verified: Jun 4, 2025.

Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

“Of the 8 personnel records evaluated, 1 staff has not completed 8 clock hours of pre-service training prior to being counted in the child/staff ratio.”

Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: May 2, 2025.

Director Annual Training - Caring for children under 24 months

“The director did not receive annual training hours in SIDS, Shaken Baby Syndrome, Abusive head Trauma and Understanding Early Childhood Brain Development for the March 2024-March 2025 training year.”

Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: Jun 4, 2025.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The director is not current with the required transportation safety training. This was corrected at inspection.”

Rule 746.1316(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 16, 2025.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“The diaper changing tables are not equipped with a smooth, non-absorbent easy to clean pad. Diapers are being changed on a wooden surface.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2025. Correction verified: May 2, 2025.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“The loose fill surfacing in the use zones for equipment at least 5 feet high is not being maintained at a depth of at least 6 inches.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2025. Correction verified: Jun 4, 2025.

Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.

“The loose-full surfacing in the use zones for the swings, which is at least 9 feet; is not being maintained at a depth of at least 9 inches.”

Rule 746.4907(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2025. Correction verified: Jun 4, 2025.

Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

“Background checks for persons no longer affiliated with the operation has not been inactivated.”

Rule 745.651(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 16, 2025. Correction verified: Apr 17, 2025.

Documented Annual Training- Required Content

“Of the 8 personnel records evaluated, 1 did not receive annual training for the January 2024-January 2025 training year in the following topics: 1. Emergency Preparedness 2. Communicable diseases including immunizations 3. Food allergies 4. Administering medications 5. Understanding building and physical premises safety 5. Handling, storing and disposing of hazardous materials”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: Jun 4, 2025.

Director Annual Training - Additional required topics

“The director did not receive annual training hours in emergency preparedness, communicable diseases including immunizations, food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials for the March 2024-March 2025 training year.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: Jun 4, 2025.

First Aid Kit - Incomplete Kit

“The First Aid Kits on the buses did not include a Guide to First Aid and the kit in the building did not have tweezers.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2025. Correction verified: May 2, 2025.

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

“Of the 8 children’s records evaluated, 2 lacked the name and address of the doctor for the health statement.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: Apr 21, 2025.

Required Records Maintained and Made Available - Children’s Product Certification

“The CPSC form has not been completed for 2025. The last one was completed in January 2024.”

Rule 746.801(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: Apr 21, 2025.

Required Personnel Records

“Of the 8 personnel records evaluated, the following information was not available for review: 1. One staff lacked the age and education requirements 2. One staff lacked photo identification 3. One staff lacked signed documentation that a copy of the parent handbook was received. 4. All staff lacked a pre-employment affidavit 5. One staff lacked a notarized affidavit”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: May 2, 2025.

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

“Of the 8 children’s records evaluated, 2 lacked a health statement from a health care provider.”

Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: Jun 4, 2025.

Child/Caregiver Ratio - 18 Months Difference in Age

“During the follow up completed a 7 month was combined with two older 2 year olds (32 Months) for nap time. There were 14 children total in the building.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2025. Correction verified: Apr 4, 2025.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on the investigation completed it was determined that a staff member is using inappropriate discipline with the children. This includes yelling and humiliating the children.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2025. Correction verified: Mar 31, 2025.

Director present-Minimum 75%

“Based on the investigation completed it found that the director is not present at the center. It was found that the director is present less than 75% of the time or less than 30 hours a week.”

Rule 746.1011(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2025. Correction verified: Mar 31, 2025.

Annual Sanitation Inspection

“During the inspection it was found that the health inspection was last completed on 3/28/23 and expired on 3/28/24.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 10, 2024. Correction verified: May 9, 2024.

Children’s Records - Health Statement

“One child out of eight child files reviewed is missing the health statement on file.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2024. Correction verified: Apr 25, 2024.

Children’s Records - Immunizations

“One out eight child files reviewed is missing the immunization on file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 29, 2024. Correction verified: Apr 25, 2024.

Education Outside of U.S.

“One personnel file reviewed had a education document in a foreign language and not translated to english.”

Rule 746.1045. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2024. Correction verified: May 7, 2024.