J B Adams School

Measurement of Use Zone for Swings - in Front and Rear

“The height of the vertical distance from the swing beam to the surfacing measured at 8 feet 2 inches. The use zone should measure at 16 feet 4 inches. The actual use zone measured at 11 feet, short by 5 feet 4 inches.”

Rule 746.4807(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2026. Correction verified: Jul 24, 2026.

Nutrition and Food Service - No Beverages with Added Sugar, unless allowed by CACFP

“Sugar added beverage was served to children outside of a birthday or holiday.”

Rule 746.3301(g). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2026. Correction verified: Jul 24, 2026.

Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee’s personnel record

“2 out of 6 staff missing documentation of training that has been completed but not made available to CCR for evaluation.”

Rule 746.1329(a). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2026. Correction verified: Jul 31, 2026.

Director Responsibilities - Employee Assignments

“The director failed to clearly make employee assignments in her absence with a caregiver left in charge who was capable of enforcing the operation’s policies and procedures.”

Rule 746.1003(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 18, 2026.

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

“Caregiver did not show good judgment when propping an exterior door open which led to a child walking away from the center. Caregiver did not show good judgement when placing a child in a highchair for activity not related to feeding.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 18, 2026.

Infant Care Area - Separate from Older Children

“The infant room was used as a passageway by an older child with infants in care.”

Rule 746.2403(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 18, 2026.

Child/Caregiver Ratio - 12 or Fewer Children

“A caregiver was in charge of a group of 7 children on the playground; ages were two infants of age 16-months old, three children of age 2-years old, and two children of age 3-years old. The group was over ratio by 1 child.”

Rule 746.1701. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2026. Correction verified: Feb 4, 2026.

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

“A child was unsupervised for about 5 minutes and walked away from the operation.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Dec 19, 2025.

Child Passenger Safety Seat System - 4 through 7 years of age, outgrown weight or height limit of seat and less than 4 feet, 9 inches in height

“3 out of 4 children under 4’9” in height and under 8 years old were not seated in a belt-positioning booster seat, safety vest, or harness according to the manufacturer’s instructions.”

Rule 746.5607(e)(4)(A). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2025. Correction verified: May 9, 2025.

Children Handwashing After Toileting or Diapering

“1 infant, 6 toddlers and 1 PreK children did not wash their hands after toileting. Note: this was corrected at inspection when the caregivers washed the children’s hands.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 15, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“1 out of 5 infants had an outdated infant written feeding instructions form. Note: the caregiver had the parent re-sign and update the form during inspection.”

Rule 746.2421(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 15, 2025.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“The operation had a vendor working at the operation that comes once a week with out a background check ran. Corrected: When the vendor worker left for the day.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 17, 2024.

Required Personnel Records - Required Affidavit

“One caregiver is still missing an affidavit forms.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2024. Correction verified: Jun 24, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“The director stated she had 14 children when I counted they were 15 children in care.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2024. Correction verified: Jun 17, 2024.

Arrangement of Napping Equipment -All Children Supervised

“Doing naptime two children were in another classroom not being supervised by the caregiver.”

Rule 746.2909(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2024. Correction verified: Jun 17, 2024.

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

“One caregiver was missing first aid training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2024. Correction verified: Jul 5, 2024.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“One caregiver did not have CPR training and the other caregiver had online CPR training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2024. Correction verified: Jul 5, 2024.

Child/ Caregiver Ratio - 13 or More Children

“The director had 15 children in care specified age groupe was 2 years old, the director was over by four children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2024. Correction verified: Jun 17, 2024.

Fenced Outdoor Activity Space

“The fence to the left of the operation on the playground was not 4 feet tall, it was 3 feet 4 inches.”

Rule 746.4305. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2024. Correction verified: Jul 17, 2024.

Screen Time Activities - Not Used During Eating or Rest Times

“A child was on their tablet doing the nap time period.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2024. Correction verified: Jun 17, 2024.

Required Personnel Records - Required Affidavit

“Two caregivers are missing affidavit forms.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2024. Correction verified: Jun 17, 2024.