Little Tyke - Smithfield Rd

Required Admission Information-Completed Food Allergy Plan

“At the time of the visit 1 child’s file indicated a food allergy but there was no food allergy plan on file.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Sep 18, 2023.

Children’s Records - Immunizations

“1 of the 10 children’s files reviewed did not have an immunization record for the child on file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2023. Correction verified: Sep 18, 2023.

Diaper Changing Steps- Prompt

“Based on information obtained through DFPS investigation it was found that children were not being changed frequently enough that skin irritation or diaper rash was caused.”

Rule 746.3501(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2023. Correction verified: Sep 19, 2023.

Prohibited Punishments - Associated with Food, Naps, or Toilet Training

“At the time of inspection a caregiver was heard telling children that since no one took a nap they would not be getting chocolate. The caregiver was spoken to regarding the comment.”

Rule 746.2805(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2023. Correction verified: Mar 29, 2023.

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

“Based on information obtained during an investigation it was found that a child in care had been injured in July of 2022 and required medical treatment from a professional that the operation did not report to Childcare Regulation.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2023. Correction verified: Apr 28, 2023.

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

“A caregiver showed poor judgement when sharing information of an incident occurring at the center with someone outside the center, instead of with the director. This type of action prevents necessary intervention when incidents occur in the center.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2023. Correction verified: Mar 29, 2023.

Prohibited Punishments - Corporal Punishment

“A caregiver used corporal punishment on one child by striking the child on their bottom in an effort to correct a behavior. The same caregiver used a threat of corporal punishment with an object to scare a second child into behaving correctly in the classroom.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2023. Correction verified: Mar 29, 2023.

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

“It was found that a caregiver used their personal device during the nap period to send messages to persons outside the center while counted in ratio as the caregiver, which reduces the caregivers ability to supervise adequately.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2023. Correction verified: Mar 29, 2023.

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

“At the time of the inspection a fire inspection had not been conducted in the previous 12 months of operation.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2022. Correction verified: Oct 12, 2022.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

“At the time of my visit the child safety alarm on one of the operation vans was not working properly. The alarm did not sound when the van was turned off. A work order was put in during the inspection.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2022. Correction verified: Oct 12, 2022.

Requirements for Feeding Infants - Label Bottles/Cups

“At the time of the visit 5 of the 6 children’s cubbies in the infant classroom had used sippy cups or bottles with no label of the child’s name they belonged to. This was corrected when the infant caregivers applied labels to each child’s cup during the inspection.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 21, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“At the time of the visit 2 of the 10 children’s files reviewed had listed food allergies with no doctor’s note indicating the treatment for the allergy.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2022. Correction verified: Oct 12, 2022.

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

“This rule was evaluated with regard to an investigation and has been found to be in violation. The caregiver did not demontrate competency or self control when she grabbed a two year old child by the wrist to place her in time out.The caregiver pulled hard enough to injure the child’s elbow.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 10, 2021. Correction verified: Dec 20, 2021.