Emanuel’s Lutheran Day School

Prohibited Punishments - No Harsh, Cruel or Unusual

“Based on the information gathered a caregiver slapped their own child while in care.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2023. Correction verified: Nov 8, 2023.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on the information gathered a caregiver yelled at their own child while in care.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2023. Correction verified: Nov 8, 2023.

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

“Based on the information provided the first aid card was expired for the staff member involved in the incident where a child was injured and required medical treatment.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2023. Correction verified: Oct 16, 2023.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Based on the information gathered a caregiver struck a child with a long plastic tube while the class was playing on the playground.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2023. Correction verified: Sep 22, 2023.

Report Situation Placing Children at Risk

“Based on the information gathered a situation that placed a child at risk was not reported within the required time frame.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2023. Correction verified: Sep 22, 2023.

Caregiver Qualification Age Exemption with HS Diploma/GED- Supervised By Qualified Caregiver

“Based on the information gathered another caregiver that was not qualified was left alone more than occasion with a group of children.”

Rule 746.1109(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2023. Correction verified: Sep 22, 2023.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“At the time of inspection, there was two children in the high table in the infant room without their seat belts fastened around them. This was corrected when the caregiver fastened the seatbelt around the children.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2023. Correction verified: Aug 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 on the information gathered, it was determined that the child was not supervised when the child opened the first aid kit and removed the scissors, and placed the scissors in the child’s mouth. The child walked out to the playground and slid down the slide with the scissor still in the child’s mouth before another caregiver on another playground noticed the scissors. Note: The rubber gloves and safety pins were also found on the playground from the same first aid kit.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 22, 2023.

Report Situation Placing Children at Risk

“Based on the information gathered the operation failed to report an incident that placed a child at risk.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2023. Correction verified: Sep 22, 2023.

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“Based on the information gathered the caregiver had not obtained a high school diploma or GED, and was alone with two children in the classroom.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2023. Correction verified: Sep 22, 2023.

Diaper Changing Equipment - If Above Floor Level Caregiver Must Face Child and Be Within Arm’s Length of Child

“Based on the information gathered a child was left unattended on the changing table.”

Rule 746.3503(c)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2023. Correction verified: Sep 22, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“Based on the information gathered the caregiver did not sanitize the changing table before placing another child on the changing table.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2023. Correction verified: Sep 22, 2023.

Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner

“Based on the information gathered there was a soiled diaper accessible to a child on the changing table.”

Rule 746.3505(f). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2023. Correction verified: Sep 22, 2023.

First Aid Kit - Inaccessible to Children

“Based on the information gathered the first aid kit was accessible to the children in a classroom that resulted in a child having access to open the kit.”

Rule 746.4001(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 22, 2023.

Covering Infant’s Head or Crib

“At the time of inspection there was one infant in the 12 to 17 month old classroom with their head covered. THis was corrected when the child’s head was uncovered.”

Rule 746.2429. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2023. Correction verified: Jun 20, 2023.

No Blocked or Locked Doors as Exits

“At the time of inspection the fire exit was blocked in the two year old classroom.”

Rule 746.5209(c). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 13, 2023.

Director’s Absence - Caregiver in Charge Knows in Charge

“At the time of inspection the caregivers did not know who was in charge of the operation. This was corrected during the inspection.”

Rule 746.1013(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 13, 2023.

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

“At the time of inspection the caregivers in direct care of children were using their cell phones.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 13, 2023.

Floors, ceilings and Walls in Good Repair and Clean

“The infant gate was broken in the 12 to 18 month old classroom. This was corrected when the gate was replaced with a new gate. The floors in the toddler classrooms were dirty.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2023. Correction verified: Jun 13, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“At the time of inspection the changing table in the 12 to 18 month was not disinfected after diaper change.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 13, 2023.

Children Handwashing After Toileting or Diapering

“At the time of inspection the child’s hands were not washed with soap. This was corrected when the caregiver, washed the child’s hand with soap.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2023. Correction verified: Apr 19, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“At the time of inspection the caregiver in the toddler room did not sanitize the diaper changing table. This was corrected when the caregiver sanitized the diaper changing table.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2023. Correction verified: Apr 19, 2023.

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 determined that a child was left unsupervised in the classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2023. Correction verified: Apr 5, 2023.

Floors, ceilings and Walls in Good Repair and Clean

“Three carpets throughout the building were dirty and need to be cleaned. This was corrected when the carpets were removed from the classrooms.”

Rule 746.3407(9). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 11, 2023.

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

“The diaper changing mat in the 12 to 18 month old classroom was ripped and could no longer be disinfected. This was corrected when the changing mat was replaced with a new mat.”

Rule 746.3503(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 11, 2023.

Safety - Areas Free From Hazards

“Two shelves were not secured to the wall in the toddler classroom. This was corrected when the shelves were removed from the classroom.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 11, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“One infant feeding schedule was expired at the time of inspection.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 18, 2023.

Safety - Air Conditioners, Fans, Heaters Safeguarded

“At the time of inspection there was a fan accessible to the children in care. This was corrected when the fan was removed for the classroom.”

Rule 746.3701(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 7, 2022.

Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition

“At the time of inspection there were very few toys in the toddler classroom. This was corrected when the toys were returned to the classroom.”

Rule 746.2505(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2022. Correction verified: Nov 7, 2022.

Food Service and Preparation Requirement - Use Sanitary Holders

“At the time of inspection, there were not any napkins under the snack served in the four year old classroom. This was corrected when the napkins were placed under the snack being served.”

Rule 746.3317(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2022. Correction verified: Nov 7, 2022.

Diaper Changing Equipment - If Above Floor Level Must Keep Hand on Child

“Based on the information gathered the caregiver in the 12 to 17 month old classroom left a child on the changing table while walking across the classroom to the trash can.”

Rule 746.3503(c)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2022. Correction verified: Nov 7, 2022.

Safety - Areas Free From Hazards

“Based on the information gathered one shelf was not secured in the 18 to 24 month old classroom, when it fell on top of a child.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2022. Correction verified: Jul 13, 2022.

Infant May Not Sleep in a Restrictive Device

“At the time of inspection there were two infants napping in restrictive devices. This was corrected when the children were placed in the crib to nap.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2022. Correction verified: Jun 23, 2022.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Two caregivers had expired SIDS and Shaken Baby Training.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 23, 2022.

Floors, ceilings and Walls in Good Repair and Clean

“The paint behind the toilet in the three year old classroom was peeling.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 23, 2022.

Substitutes, Volunteers and Contractors - Counted in Ratio Must Completed Remaining 16 Hours of Pre-Service Within First 90 Days

“One caregiver did not complete the 24 hours of preservice hours within the first 90 days of employment.”

Rule 746.1401(h). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 23, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“One infant feeding schedule was expired.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 23, 2022.

Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

“Two nap mats were torn at the time of inspection.”

Rule 746.4503(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 23, 2022.

Report Number of Employees

“A review of the Employees Who Left Employment in 2021 data from February 23, 2022 revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022 as required.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 1, 2022.