Northwoods Presbyterian Church

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

“A water hose was accessible to children on the 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: Oct 9, 2026.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Of the 10 personnel records evaluated, 7 did not complete an orientation covering the following topics: administering medications, preventing and responding to emergencies due to food allergies, understanding building and physical premises safety and handling, storing and disposing of hazardous materials.”

Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2025. Correction verified: Feb 24, 2026.

Requirements for Feeding Infants - Label Bottles/Cups

“The infants’ bottles and cups are not labeled with their first name and initial of their last name,”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 10, 2025. Correction verified: Jan 21, 2026.

Inspect Fire Extinguishers Monthly

“The fire extinguishers are not being checked monthly.”

Rule 746.5307(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 10, 2025.

Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“The carbon monoxide detector is not being tested monthly.”

Rule 746.5537(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 10, 2025.

Required Admission Information - Special Needs Statement

“Of the 10 children’s records evaluated, all lacked the new required information regarding special needs.”

Rule 746.605(12). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2025. Correction verified: Jan 13, 2026.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“Of the 10 children’s records evaluated, two lacked an emergency food allergy plan that has been signed by the child’s doctor and parent.”

Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2026. Correction verified: Feb 24, 2026.

Required Admission Information - Emergency Contact

“Of the 10 children’s records evaluated, all lacked the address for the emergency contact,”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2025. Correction verified: Jan 13, 2026.

Director’s Absence - Caregiver in Charge Has Access to All Records

“The person in charge did not have access to all records.”

Rule 746.1013(a)(3). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 10, 2025.

Documented Annual Training Area - 24 Hours Required

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

Posting Requirements - List entitled “Current Employees”--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

“The list of current employees is not up to date.”

Rule 746.401(9). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 10, 2025.

Required Personnel Records - Required Affidavit (Form 2912)

“Of the 10 personnel records evaluated, 2 lacked the pre-employment affidavit.”

Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2025. Correction verified: Dec 15, 2025.

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

“Background checks have not been inactivated for staff no longer associated with the facility.”

Rule 745.651(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2025. Correction verified: Aug 19, 2025.

CPR Training and Recertification Adhere to Guidelines-skill based

“This standard was evaluated in regard to a self-report. Two caregivers have not completed a pediatric CPR training course that meets the required guidelines of the American Heart Association.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: May 30, 2025.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The fire inspection report was expired and was not provided.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2025. Correction verified: Jan 8, 2025.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“The month;y playground checklist was not available for review.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2025. Correction verified: Dec 30, 2024.

Written Operational Policies - Parent Rights

“The parent rights information was not included in the operational policies.”

Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2025. Correction verified: Dec 30, 2024.

Written Operational Policies - Support inclusive services

“The inclusive care policy was not included in the operational policies.”

Rule 746.501(a)(30). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 10, 2025. Correction verified: Dec 30, 2024.

Annual Sanitation Inspection

“The health inspection was last completed on 11/29/2022.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 8, 2024. Correction verified: Jan 4, 2024.