Toddler House No 6

Children Handwashing After Toileting or Diapering

“During the inspection I observed a caregiver not washing a 2 years old hands after diapering.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 19, 2023.

Children’s Records - Immunizations

“During the review of the HASA 1 record was found to not have immunizations as required.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Oct 26, 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 the operation failed to maintain supervision.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2023. Correction verified: Nov 27, 2023.

Prohibited Punishments - Hitting with Hand or Instrument

“Based on information gathered during the investigation there is sufficient evidence that a child in care was hit with a ruler by the caregiver.”

Rule 746.2805(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 4, 2023. Correction verified: Jan 13, 2023.

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

“The operation has failed to maintain 9 inches of loose filled material for equipment greater than 5 ft.”

Rule 746.4907(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 11, 2022. Correction verified: Nov 22, 2022.

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

“During the walkthrough I observed a waterhose on the ground. This was not corrected due to the operation not being able to remove the hose from the water main line in the wall.”

Rule 746.5015(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2022. Correction verified: Nov 8, 2022.

Required Admission Information - Release Information

“During review of records 1 out of 10 records did not have a phone number for the release information.”

Rule 746.605(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2022. Correction verified: Nov 2, 2022.

Responsibilities of Caregivers - Know Children’s Names and Ages

“During the walkthrough the caregiver was not able to give me the ages of 4 chldren combined in 2’s classroom and did not have information showing their ages.”

Rule 746.1203(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2022. Correction verified: Nov 2, 2022.

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

“During review of Personnel 4 out of 7 records evaluated did not have current first aid and CPR with rescue breathing. 3 caregivers were found to have online training. 1 caregiver did not have Infant and Child CPR as required.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2022. Correction verified: Nov 4, 2022.

Required Admission Information - Emergency Contact

“During review of records 6 out of 10 records evaluated did not have all required information for the emergency contact.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2022. Correction verified: Nov 2, 2022.

Children’s Records - Health Statement

“During review of record keeping 2 out of 10 records evaluated did not have a health statemtent.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2022. Correction verified: Nov 4, 2022.

Minimum Qualifications Child Care Center Employees and Caregivers - Affidavit

“During review of personnel 2 out of 7 records evaluated did not have a notarized affidavit.”

Rule 746.1105(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2022. Correction verified: Nov 2, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“It was determined that the caregiver was using prohibited punishment when she made children do wall sits as a form of discipline.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2022. Correction verified: Sep 2, 2022.

Activities for Infants - Not in Restrictive Device for more than 15 Minutes

“It was found that an infant was left in the car seat for an hour resulting in the child getting anxiety and scratching his face.”

Rule 746.2417(2)(B). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2022. Correction verified: Apr 28, 2022.

Requirements for Feeding Infants - Label Bottles/Cups

“It was found that infant/toddlers bottles are not labeled and children are being fed from the wrong bottle.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2022. Correction verified: Apr 28, 2022.

Diaper Changing Steps- Prompt

“It was found that diapers are not promptly being changed”

Rule 746.3501(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2022. Correction verified: Apr 28, 2022.

Storage for Individual Belongings

“It was found that children?s belonging are lost and improperly stored/placed in the wrong backpacks. This include diapers, bottles and clothing.”

Rule 746.4505. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 27, 2022. Correction verified: Apr 28, 2022.