Trinity Lutheran School Extended Care

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

“One caregiver was observed in Room 110 with a pending background check. The caregiver start date is documented as 1/04/2023.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 20, 2023.

CPR Training and Recertification Adhere to Guidelines-skill based

“Two out of twelve caregivers CPR/First-Aid certification did not adhere to the guidelines of skill-based training. One staff CPR certification was dated 09/16/2020 and expired 09/2022. The second caregiver obtained online training, dated 08/09/2021 and expires 08/2023.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2023. Correction verified: Feb 2, 2023.

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

“Two caregivers were allowed to have direct access to the children prior to having their background check ran. Note- This was corrected during the inspection when the two caregivers were sent home until the results of their background checks are received.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 18, 2022.

Policies Comply with Rules

“The operational policies do not contain statements on Safe Sleep for Infants, a Comfortable Place for a Mother to Breastfeed, and the Sunscreen and Insect Repellent policy.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 25, 2022. Correction verified: Jan 20, 2022.

Adequate Lighting During Naptime

“Classroom 100 did not have sufficient lighting during nap time. Note- This was corrected during the inspection when the blinds were opened to allow adequate lighting into the classroom.”

Rule 746.2911. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 18, 2022.

Documented Annual Training- Required Content

“Five out of five caregivers who have been employed for more than a year did not have annual training in the required topics of Administering Medications and Building and Premises Safety.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 1, 2022. Correction verified: Feb 1, 2022.

Director Annual Training - Additional required topics

“The director is missing training in the required topics of Administering Medications and Building and Premises Safety.”

Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 1, 2022. Correction verified: Feb 1, 2022.

First Aid Kit - Incomplete Kit

“The first aid kit was missing tweezers and cotton balls. Note- This was corrected during the inspection when the missing items were added to the first aid kit.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 18, 2022.