La Petite Briar Forest

Requirements for Feeding Infants - Label Bottles/Cups

“2 baby bottles were not labeled during the follow up.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2023. Correction verified: Aug 18, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“1 child record with known food allergy still did not have a food allergy emergency plan available to during follow up”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2023. Correction verified: Aug 18, 2023.

First Aid Kit - Incomplete Kit

“FA kit was still missing the following: FA guide, scissors, thermometer, tweezers, and adhesive tape.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 10, 2023. Correction verified: Aug 18, 2023.

Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings

“A 6 inch metal bar was protruding at the bottom of playground equipment. There is no protective barrier around the protruding bar.”

Rule 746.4601(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 21, 2023.

Pre-service Training for Caregivers of Children Under 24 Months

“1 out of 5 employees files evaluated did not have pre service training of understanding early childhood brain development.”

Rule 746.1305(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Requirements for Feeding Infants - Label Bottles/Cups

“5 baby bottles was not labeled with child’s first name and last initial in the infant room.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“There was dead roaches throughout the operation that have not been properly disposed of.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2023. Correction verified: Jul 27, 2023.

Employee Handwashing After Diapering a Child

“A caregiver was observed not washing their hands after diapering.”

Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2023. Correction verified: Jul 27, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“1 child record with known food allergy did not have a food allergy emergency plan available to review.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Fire Drill Monthly - Exit in 3 Minutes

“Fire drills was missing for months January 2023 and February 2023. Exit time for March 2023 fire drill exceeded the 3 minutes limit by 2 minutes.”

Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Immunization Records, Exceptions, and Exemptions Current

“1 out of 8 children did not have a current immunization record.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

First Aid Kit - Incomplete Kit

“FA kit was missing the following: FA guide, antiseptic wipes, scissors, thermometer, tweezers, and adhesive tape.”

Rule 746.4003(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Cots, Beds, Mats Labeled With Child’s Name

“Nap cots were not properly labeled in multiple classrooms.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“Director was not able to provide a monthly checklist with dates.”

Rule 746.4751(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Children’s Records - Admission Information

“4 out of 8 children’s record did not contain complete admission information. The following information was incomplete: the special needs statement, emergency contact information, release contact information, and the authorization for emergency medical treatment.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Required Personnel Records

“3 out of 8 caregivers records did not the following available to review: proof of education, affidavit and orientation.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2023. Correction verified: Jul 27, 2023.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver stated there were 19 children in care and when counting the number of children there were 20 children in care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2023. Correction verified: May 19, 2023.

Responsibilities of caregivers-Set appropriate behavior expectations

“Based on the information obtained, caregivers did not set appropriate behavior expectations for school-age children.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2023. Correction verified: May 19, 2023.

Written Activity Plans - Plan Followed by Caregiver

“There was no written activity schedule posted for the school age children. The caregiver was not following the activity schedule.”

Rule 746.2203(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2023. Correction verified: May 19, 2023.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Based on the information obtained a caregiver failed to practice good judgment by loading the daycare bus that is designed to seat 14 children with 15 children while transporting to the operation.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2023. Correction verified: May 19, 2023.

Types of Vehicles Used to Transport Children - Be Maintained Safely

“Based upon the information obtained, there is sufficient evidence to support the seat belts in the buses do not secure and are not in safe operating condition.”

Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2023. Correction verified: May 19, 2023.

Child Passenger Safety Seat System - Secure Each Child in Appropriate System According to Manufacturer’s Instructions

“Based upon the information obtained, there is sufficient evidence to support that a child was not secured in a passenger safety seat system due to the daycare bus being overloaded.”

Rule 746.5607(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2023. Correction verified: May 19, 2023.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver did not know the number of children in their group during the inspection. The caregiver stated there were 19 children. After counting there were 15 children outside on the playground.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: May 1, 2023.

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

“Upon arrival to the operation, 9 school age children were observed lined up at the door unsupervised while the caregiver was inside the infant room.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2023. Correction verified: May 19, 2023.

Responsibilities of Caregivers - Know children’s names and ages

“Caregiver did not know the children ages she was supervising.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2023. Correction verified: May 19, 2023.

Safety - Areas Free From Hazards

“Two ant beds were observed on the playground which are accessible to the children play area”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2023. Correction verified: May 1, 2023.

Report Outbreak of Communicable Illness

“Based on the information obtained, the operation did not notify CCR when they became aware that a child enrolled at the facility contracted COVID.”

Rule 746.305(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2023. Correction verified: May 19, 2023.

Parental Notification of Communicable Disease

“Based on the information obtained the operation did not notify parents that a child enrolled at the facility had contracted COVID.”

Rule 746.307(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2023. Correction verified: May 19, 2023.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“The dead insects have not been disposed of.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2023. Correction verified: May 19, 2023.

Responsibilities of Caregivers - Supervision of Children

“A child was left alone inside a classroom while the caregiver was on the playground.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2022. Correction verified: Jan 20, 2023.

Report Situation Placing Children at Risk

“The operation failed to notify licensing after allowing a child to wander away from the caregiver unsupervised.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2022. Correction verified: Jan 20, 2023.

Parental Communication - Situation that Placed a Child at Risk

“A child’s parent was not told the truth about a situation that placed their child at risk.”

Rule 746.307(b)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2022. Correction verified: Jan 20, 2023.

Incident/Illness Report Form Shared with Parent

“The incident report was not shared or signed by the child’s parent.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2022. Correction verified: Jan 20, 2023.

Immunization Records, Exceptions, and Exemptions Current

“One child did not have a current Hep B immunization.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Sep 7, 2022.

Immunization Exception or Exemption on File and Verified

“1 child who was enrolled 08/01/22 did not have an immunization record.”

Rule 746.613(c)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 16, 2022. Correction verified: Aug 15, 2022.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“There was no documentation of the carbon monoxide, smoke detector or fire extinguisher checks for this year.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Aug 15, 2022.

Required Records Maintained and Made Available - Infant Feeding Instructions

“The infant feeding instructions for 1 infant has not been updated since 05/31/2022.”

Rule 746.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 16, 2022. Correction verified: Aug 15, 2022.

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

“At a follow up inspection the operation still does not have a current fire inspection.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 13, 2022. Correction verified: Jul 12, 2022.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“During an investigation it was determined that a child in care was injured and required medical attention, but the incident was never reported to Childcare Regulation.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2022. Correction verified: Jul 6, 2022.

Responsibilities of Caregivers - Children in Control

“During an investigation inspection 2 children from the PreK class was observed in another classroom unsupervised. Note: I notified the assistant immediately and she walked one of the children back to the restroom with his class. The other child saw me and went back to the area with the classroom.”

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: Jul 6, 2022.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“I observed the caregiver in the PreK class telling the kids that there was a cockroach in the room and to not step on it on the carpet. The caregiver killed the roach and disgarded it.”

Rule 746.3407(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 10, 2022.

Floors, ceilings and Walls in Good Repair and Clean

“The wall in the 2’s classroom has chipped paint.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2022. Correction verified: Jul 6, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“A caregiver gave an infant another child’s bottle.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jul 6, 2022.

Requirements for Feeding Infants - Label Bottles/Cups

“During an investigation inspection an infant’s bottles were not labeled. Note: The caregiver labeled the bottles during the inspection.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: Jul 6, 2022.

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

“Documentation showing the operation has a current fire inspection was not available for review during this inspection. The last fire inspection was conducted on 03/31/2021.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jul 12, 2022.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“During an investigation it was determined that a child in care was injured and required medical attention, but the incident was never reported to Childcare Regulation.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2022. Correction verified: Jul 6, 2022.

Prohibited Punishments - Corporal Punishment

“During an investigation, it was determined that a caregiver used prohibited punishments.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2022. Correction verified: Jun 9, 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 1, 2022. Correction verified: Mar 3, 2022.

Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

“During the walkthrough of the investigation inspection 2 toddlers were observed in restrictive devices while other children were in regular chairs seated at the table. When asked why the 2 children were in restrictive devices, the caregiver stated the children bite and fight the other chldren. Prohibited punishment was discussed with the caregiver and acting director and the children were removed from the restrictive devices.”

Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2022. Correction verified: Jan 28, 2022.