Watauga Kindercare

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

“At the time of the inspection an epi pen was stored in the locked medication cabinet inside a ziploc baggie with the child’s name written on the outside. The epi pen did not have the prescription box it would have been prescribed in.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 3, 2023.

Required Admission Information-Completed Food Allergy Plan

“At the time of the inspection the operation had 1 child with a food allergy that did not have a food allergy emergency plan signed by the child’s physician.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 14, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“At the time of the inspection 3 infants in care did not have updated written feeding instructions within the last 30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 3, 2023.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“This standard was found deficient as part of a DFPS Investigation. Through reviewing the investigation it was found that a caregiver with a background status of Eligible With Conditions that prevented them from being alone in the classroom supervising children had been left alone to supervise a group of toddlers while on the playground.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2023. Correction verified: Jan 2, 2024.

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

“This standard was found deficient as part of a DFPS investigation. In reviewing the investigation, it was found that a caregiver was observed by staff and admitting to picking up young children by their arms.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2023. Correction verified: Jan 2, 2024.

Prohibited Punishments - Grabbing and Pulling

“At the time of the inspection a caregiver was observed grabbing a child by the upper arm, lifting them off the ground, and moving them back to the line when the child tried to run ahead.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2023. Correction verified: Sep 22, 2023.

School-age Furnishings and Equipment - Age-appropriate Seating, Tables

“Based on information obtained during an investigation children are being cared for in the hallway with no tables or chairs to sit in to do their homework or eat their snack.”

Rule 746.2705(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2023. Correction verified: Oct 27, 2023.

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

“It was found through investigation that a child in care had received an injury and had medical treatment for this injury. The operation failed to report this injury and Childcare Regulation was not made aware of it until a different incident was being investigated more than 2 weeks after this incident took place.”

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

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

“At the time of the investigation it was found that a caregiver with a pending background check had been present in the classroom with children and additional caregivers.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2023. Correction verified: Apr 21, 2023.

Prohibited Punishments - Corporal Punishment

“This was found to be deficient when a caregiver slapped a child on the cheek when the child put a small rock in their mouth.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2023. Correction verified: May 3, 2023.

Child/ Caregiver Ratio - 13 or More Children

“At the time of the inspection the infant classroom had 5 children under the age of 12 months with 1 caregiver.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2022. Correction verified: Nov 7, 2022.

Administering Medication - According to Label Directions

“At the time of inspection there were 2 epinephrine injections for children in care that were not stored in the original containers/packaging with child’s full name or date brought to the operation.”

Rule 746.3805(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2022. Correction verified: Jun 27, 2022.

Required Admission Information-Completed Food Allergy Plan

“At the time of inspection there were 5 children enrolled with documented food allergies without completed food allergy plans in their files.”

Rule 746.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2022. Correction verified: Jun 27, 2022.

Medication No Longer Used

“At the time of inspection there were 4 children requiring epi-pens, with 3 children who had epi pens with expired dates.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2022. Correction verified: Jun 27, 2022.

Children’s Records - Health Statement

“At the time of inspection, 2 children did not have completed health statements in their admission records.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2022. Correction verified: Jun 27, 2022.

Children’s Records - Immunizations

“At the time of inspection, one child’s record was missing immunization documentation.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 27, 2022.

Required Records Maintained and Made Available - Children’s Records

“At the time of inspection, 5/10 personnel records reviewed were found to be incomplete.”

Rule 746.801(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 27, 2022.

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

“Based on information obtained through investigation it was determined that a caregiver did not use good judgement when they grabbed a child by the arm in a rough manner that caused discomfort to the child.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 27, 2022.

Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

“Based on information obtained through the investigation it was found that caregivers and administration became aware of a concern of abuse of a child in care and did not make a report of the concern to the Texas Abuse and Neglect Hotline.”

Rule 746.1201(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 27, 2022.

Report Situation Placing Children at Risk

“Based on information obtained through the investigation it was determined that staff were aware of a parent concern regarding interactions between their child and a caregiver and failed to report to licensing in the required time frame of 2 days.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 27, 2022.