Bethany Preschool

Responsibilities of Caregivers - Know children responsible for

“During the investigation, it was determined a child was left unattended in the building for 25 minutes due to caregivers not maintaining accurate attendance and conducting a visual sweep of the restroom before exiting the building.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 15, 2026.

Care Requirements for School-age - Caregiver Aware of Arrival/Departure

“Due to a cellular power outage, the operation was not able to maintain their electronic attendance and did not have a backup attendance process in place to account for the children present preventing the operation from being aware of the arrival of children.”

Rule 746.2701(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 15, 2026.

Additional Minimum Qualifications for Caregivers - Age Requirement

“A caregiver that was under the age of 18 years was observed in direct supervision of two children. NOTE: The children were moved during the inspection to be supervised by a qualified caregiver.”

Rule 746.1107(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 7, 2026.

Administering Medication - Original Container with Child’s Name, Date

“A child with medication kept at the operation was not in the original prescription box.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 16, 2026. Correction verified: Mar 25, 2026.

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

“Upon review of the operation’s people list, it was determined that there were 5 employees with active background checks who were no longer with the operation.”

Rule 745.651(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 16, 2026. Correction verified: Mar 26, 2026.

Documented Annual Training - Remaining training hour topics

“10 staff training files were evaluated. 4 staff were missing training on medication administration and 3 staff were missing training on emergency preparedness.”

Rule 746.1309(f). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2026. Correction verified: Apr 14, 2026.

Report Situation Placing Children at Risk

“Based on a DFPS investigation, the operation failed to report to the Texas Abuse and Neglect Hotline or Child Care Regulation regarding an allegation received that a child may have been abused.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2025. Correction verified: Nov 4, 2025.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“Three out of ten employee files evaluated had not completed 24 hours of annual training for the employee evaluation year reviewed.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2025. Correction verified: Sep 3, 2025.

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

“One caregiver had an expired first aid training certificate that expired 6/2025.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2025. Correction verified: Aug 5, 2025.

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

“One caregiver had an expired CPR certificate that expired 6/2025.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2025. Correction verified: Aug 5, 2025.

Annual Sanitation Inspection

“The last sanitation inspection report was dated 4/16/2024.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2025. Correction verified: Aug 27, 2025.

Annual Fire Inspection - Conducted by Fire Marshal

“The operation last had a fire inspection on 5/7/2024.”

Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2025. Correction verified: Sep 3, 2025.

Medication No Longer Used

“Medication kept at the operation expired in March 2025 and May 2025 for three children.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2025. Correction verified: Sep 3, 2025.