Northwest Kindercare

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

“During the investigation, it was determined that a child who swallowed a quarter was kept in care, even though they were vomiting repeatedly.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 23, 2026. Correction verified: Aug 5, 2026.

Annual Sanitation Inspection

“There was no updated annual sanitation inspection. Last health/sanitation conducted 04/01/2025.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 11, 2026. Correction verified: Apr 15, 2026.

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

“There were two children’s medication that were not labeled with the date brought into the operation.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 23, 2026. Correction verified: Apr 22, 2026.

Documented Annual Training- Required Content

“There were 2 out of 10 staff’s files audited that were missing annual trainings for Communicable Diseases. There were 1 out of 10 staff’s files audited that was missing the annual training for Building Safety.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 23, 2026. Correction verified: Apr 13, 2026.

Medication No Longer Used

“There were two medications that were expired.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 23, 2026. Correction verified: Apr 22, 2026.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“The playground was observed with a wasp nest, multiple ant piles, and garbage on all three playgrounds while children were present.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: May 19, 2025.

Children’s Records - Health Statement

“Ten files were audited, 2 are missing current health stamens available for review during an inspection.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: May 19, 2025.

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

“At time of incindet a caregiver did not have a current CPR/First Aid certification.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2025. Correction verified: Mar 27, 2025.

Responsibilities of Caregivers - Know number of children responsible for

“At time of inspection a PreK caregiver stated the class had ten children when their were eleven. This was corrected at inspection.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2024. Correction verified: Nov 7, 2024.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“This standard was found deficient as part of a DFPS Investigation.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2024. Correction verified: Aug 15, 2024.

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

“Operation staff failed to ensure adequate supervision of all children in their care when a child exited the building and was on the playground unattended for at least one and a half hours.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2024. Correction verified: Aug 15, 2024.

Responsibilities of Caregivers - Share Information with Incoming Caregivers

“During a DFPS investigation, it was determined that operation staff failed to ensure that staff were informed of the number of children that should be present in a classroom when they came to assist during naptime, resulting in the operation failing to identify that a child was missing for over an hour and a half.”

Rule 746.1203(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2024. Correction verified: Aug 15, 2024.

Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

“During naptime in the Infant C classroom one caregiver was supervising seven children with the youngest being 16 months and the oldest being 19 months old. NOTED: This was corrected when the 16-month-old was moved to the mobile infant classroom.”

Rule 746.1613(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 3, 2024.

Children’s Records - Immunizations

“One of the ten children files didn’t have an updated immunization record.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2024. Correction verified: Jun 4, 2024.