Capacity 658. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.3401(a) - Annual Sanitation Inspection An annual sanitation inspection has not been conducted. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR Five caregivers did not have current or valid pediatric CPR certification. |
— |
| 4 | — |
746.3805(c)(1) - Medication Records - Name of Child The operation did not document the name of the child that medication was administered to. |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes Two infants were observed to be in a stroller in the front lobby for an hour. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional 1 child with an allergy does not have a complete allergy form present. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days I observed two infant feeding instructions that have not been updated in the last 30 days. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules This standard is deficient based on the preponderance of evidence for the investigation. The permit holder did not ensure that the building and grounds were maintained as required. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control A school age classroom was observed to be out of control as two children were jumping off shelves on multiple occasions. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance The director is not ensuring minimum standard requirements are being met by the management staff and caregivers. As a result, as child with pink eye was allowed to remain at the daycare all day and then allowed to return, not symptom free, prior to the date given on the doctor's note. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children Upon inspection, eight classrooms were observed to be out of ratio. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling Caregiver was observed grabbing a child by one hand and pulling the child causing a bruise on child upper arm. |
— |
| 4 | — |
746.3701(5) - Safety - Play Materials and Equipment Safe It was observed when conducting a walkthrough of the facility in the outdoor area there were two riding bikes that had broken pieces of plastic. |
Yes |
| 4 | — |
746.201(9) - Complying with Laws and Rules Permit holders are not ensuring that the operation is running in compliance with the minimum standards on a daily basis. Ongoing issues regarding ratio resulting in deficiencies with no plan to correct. |
— |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions Management staff were observed violating the provisional status of their background checks. |
— |
| 4 | — |
746.5535(a)(2) - Install CO Detector System- In Compliance with State or Local Fire Marshal's Instructions The carbon monoxide detector was not installed during my operation. It was found and plugged in during my visit. |
Yes |
| 5 | — |
746.1003(5) - Director Responsibilities - Direct Care for No More Than 10 Hours Staff are working ten to twelve hour shifts per day, five days per week without breaks. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment This standard is deficient based on the preponderance of evidence of an investigation. Concerns of issues were brought to management, but repairs were not made for approximately 5 months. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually Of the ten records reviewed, one caregiver did not have the required two hours of transportation training. |
— |
| 2 | — |
746.907(b) - Personnel Record Storage - Training Records Not all records were able to be reviewed, and it was determined that not all staff had all required training hours. |
— |
| 4 | — |
746.3605(a)(1) - Child Becomes Ill in Care - Contact Parent A child in care had signs and symptoms of pink eye at 9am and the parent was not notified until 5pm at pick up. |
— |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated |
— |
| 3 | — |
746.901(6) - Required Personnel Records -Training Hours The training certificates were not updated in the files. Training files were not available for review. |
— |
| 5 | — |
746.5617(a)(4) - Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child Transportation binders have not been updated to add the parent s names and telephone numbers and emergency telephone numbers for the newly enrolled children. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity The child was left unsupervised for approximately 5 to 7 minutes. The child was located in the classroom by a caregiver. |
— |
| 3 | — |
746.4003(a) - First Aid Kit - Incomplete Kit The first aid kit on bus 7 was missing tweezers, gloves, and cottonballs. The driver for that bus added the missing supplies before leaving for her bus run. |
Yes |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. Three caregivers did not have pediatric first aid certification available for review. |
— |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages During my walk through, there was a caregiver who did not know the age of the children she was responsible for. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children A two and three year old classroom was out of ratio for a period of forty minutes as there were thirteen children in care. The classroom's specified age group is two years. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation In reviewing sign in and out logs it was determined that a caregiver that was singed in does not have a current background check, it was confirmed form the director that the employee has been present since 2023. |
— |
| 5 | — |
746.1003(5) - Director Responsibilities - Direct Care for No More Than 10 Hours Documentation available did not indicate that staff were taking appropriate breaks or not working over ten hour days. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required Of the ten personnel records reviewed, three caregivers did not have the required twenty four hours of annual training. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control School age classrooms were observed to be out of control as children were throwing objects, hitting each other, and not engaged in any specific activity. |
— |
| 4 | — |
746.3805(c)(2) - Medication Records - Name of Medication There was no documentation of the name of the medication that was administered to a child. |
— |
| 5 | — |
746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle Bus 1 and 9 are missing child safety alarms at the time of the inspection. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR 1 of 10 files reviewed is missing updated CPR training. |
— |
| 3 | — |
746.3809 - Medication No Longer Used 1 child who are no longer attending the operation still have medication present. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional 2 children with diagnosed food allergies are missing signed allergy emergency plans. One child is no longer in care as they were enrolled for the summer program. The other child has a plan, but it is not signed by either the parent or the physician. |
— |
| 4 | — |
746.1203(6) - Responsibilities of caregivers-Set appropriate behavior expectations Caregiver failed to recognize the child's behavior as runner, and as a result child ran out of classroom causing caregiver ran after child and grabbed her by the arm. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information Transportation binders have not been updated to add the emergency medical transport and treatment authorization forms for the newly enrolled children. |
— |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans A list of children with allergies was not posted in the kitchen and the kitchen staff was not aware of any allergies. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance A caregiver did not use positive methods when redirecting a child. |
— |
| 4 | — |
746.3805(c)(4) - Medication Records - Name of Employee Who Administered There was no documentation of which employee administered medication to a child in care. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules Permit holders are not ensuring that the operation is running in compliance with the minimum standards as the operation was out of ratio during the follow-up inspection. |
— |
| 4 | — |
746.305(a)(1) - Report Unsafe Facility Occurrence At least one classroom was closed due to a pipe bursting, causing water damage. This incident was not reported to licensing. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit I observed one of ten files to not have a notarized affidavit. |
— |
| 4 | — |
746.3605(a)(2) - Child Becomes Ill in Care - Keep Apart from Others A child showed symptoms of having pink eye and the operation did not separate the child from the rest of the class and did not inform the parent until 5pm. As a result, there were more children diagnosed with pink eye from that classroom. |
— |
| 4 | — |
746.303(a)(4) - Report Change in Director The operation failed to notify licensing of a change in directors within 5 days. The director's last day was 5/12/2023 and CCR was notified on 5/22/2023. |
— |
| 4 | — |
746.4103(c) - Policies for Release of Children Instruct Employees of Verification Plan Two caregivers failed to verify the identity of an unfamiliar person at pick up time. |
— |
| 4 | — |
746.4103(a) - Policies for Release of Children While the operation has policies for the release of children, they were observed not following their policies. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for During my walkthrough, a caregiver did not know how many children they were responsible. |
— |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness A child in care tested positive for COVID-19 on 08/27/2021, and was not reported to Child Care Regulation in a timely manner. |
Yes |
| 5 | — |
746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk A child was separated from their group for approximately 5-7 minutes. The parents of the child were not notified of the incident until the following day. |
— |
| 3 | — |
746.3606(2) - Child Who Was Ill May Return to Care With Statement from Health-Care Professional That Child No Longer Ill The operation received a doctor's note that stated a child could not be in care for three days. Sign in and out logs showed the child was back in care after being absent for one day. |
— |
| 5 | — |
746.2427 - AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant A two month old infant was observed sleeping on his stomach. There was no sleep exception form available. |
— |
| 4 | — |
746.3805(c)(3) - Medication Records - Date, Time and Amount Given Medication was administered to a child with no date, time or amount given. |
— |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated 2 children who has medication present is missing medication authorization. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. 1 of 10 files reviewed is missing updated first aid training. |
— |
| 3 | — |
746.801(19) - Required Records Maintained and Made Available - Tracking System Sign in and out logs were requested for each classroom for an entire week. The director could not provide them at the time of the inspection, for two classrooms on April 6th and two classrooms on April 10th. As of May 7th, they have not been provided. |
— |
| 4 | — |
746.2803(4)(C) - Positive Methods of Discipline and Guidance - Redirecting Behavior A caregiver used an open hand to swat/tap a child's hand to redirect behavior. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk The operation did not report the incident that placed children at risk to Child Care Regulation as required. |
— |
| 3 | — |
746.3606(1) - Child Who Was Ill May Return to Care When Symptom Free for 24 Hours A child was diagnosed with pink eye, and the doctor's note said the child needed to be away from the operation for three days. The child returned within 24 hours and was still showing signs and symptoms of pink eye. |
— |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages During my walk through, there was a caregiver who did not know the age of the children she was responsible for. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. 1 of 10 files reviewed is missing updated first aid training. |
— |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness A child in care tested positive for COVID-19 on 08/27/2021, and was not reported to Child Care Regulation in a timely manner. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days I observed two infant feeding instructions that have not been updated in the last 30 days. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation In reviewing sign in and out logs it was determined that a caregiver that was singed in does not have a current background check, it was confirmed form the director that the employee has been present since 2023. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information Transportation binders have not been updated to add the emergency medical transport and treatment authorization forms for the newly enrolled children. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control A school age classroom was observed to be out of control as two children were jumping off shelves on multiple occasions. |
— |
| 5 | — |
746.5617(a)(4) - Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child Transportation binders have not been updated to add the parent s names and telephone numbers and emergency telephone numbers for the newly enrolled children. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules Permit holders are not ensuring that the operation is running in compliance with the minimum standards on a daily basis. Ongoing issues regarding ratio resulting in deficiencies with no plan to correct. |
— |
| 2 | — |
746.907(b) - Personnel Record Storage - Training Records Not all records were able to be reviewed, and it was determined that not all staff had all required training hours. |
— |
| 4 | — |
746.305(a)(1) - Report Unsafe Facility Occurrence At least one classroom was closed due to a pipe bursting, causing water damage. This incident was not reported to licensing. |
— |
| 4 | — |
746.4103(a) - Policies for Release of Children While the operation has policies for the release of children, they were observed not following their policies. |
— |
| 3 | — |
746.3606(2) - Child Who Was Ill May Return to Care With Statement from Health-Care Professional That Child No Longer Ill The operation received a doctor's note that stated a child could not be in care for three days. Sign in and out logs showed the child was back in care after being absent for one day. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR 1 of 10 files reviewed is missing updated CPR training. |
— |
| 3 | — |
746.3606(1) - Child Who Was Ill May Return to Care When Symptom Free for 24 Hours A child was diagnosed with pink eye, and the doctor's note said the child needed to be away from the operation for three days. The child returned within 24 hours and was still showing signs and symptoms of pink eye. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment This standard is deficient based on the preponderance of evidence of an investigation. Concerns of issues were brought to management, but repairs were not made for approximately 5 months. |
— |
| 4 | — |
746.1203(6) - Responsibilities of caregivers-Set appropriate behavior expectations Caregiver failed to recognize the child's behavior as runner, and as a result child ran out of classroom causing caregiver ran after child and grabbed her by the arm. |
— |
| 4 | — |
746.3805(c)(3) - Medication Records - Date, Time and Amount Given Medication was administered to a child with no date, time or amount given. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit I observed one of ten files to not have a notarized affidavit. |
— |
| 4 | — |
746.3605(a)(2) - Child Becomes Ill in Care - Keep Apart from Others A child showed symptoms of having pink eye and the operation did not separate the child from the rest of the class and did not inform the parent until 5pm. As a result, there were more children diagnosed with pink eye from that classroom. |
— |
| 3 | — |
746.901(6) - Required Personnel Records -Training Hours The training certificates were not updated in the files. Training files were not available for review. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules This standard is deficient based on the preponderance of evidence for the investigation. The permit holder did not ensure that the building and grounds were maintained as required. |
— |
| 3 | — |
746.801(19) - Required Records Maintained and Made Available - Tracking System Sign in and out logs were requested for each classroom for an entire week. The director could not provide them at the time of the inspection, for two classrooms on April 6th and two classrooms on April 10th. As of May 7th, they have not been provided. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional 2 children with diagnosed food allergies are missing signed allergy emergency plans. One child is no longer in care as they were enrolled for the summer program. The other child has a plan, but it is not signed by either the parent or the physician. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children A two and three year old classroom was out of ratio for a period of forty minutes as there were thirteen children in care. The classroom's specified age group is two years. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk The operation did not report the incident that placed children at risk to Child Care Regulation as required. |
— |
| 4 | — |
746.3605(a)(1) - Child Becomes Ill in Care - Contact Parent A child in care had signs and symptoms of pink eye at 9am and the parent was not notified until 5pm at pick up. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control School age classrooms were observed to be out of control as children were throwing objects, hitting each other, and not engaged in any specific activity. |
— |
| 5 | — |
746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle Bus 1 and 9 are missing child safety alarms at the time of the inspection. |
— |
| 4 | — |
746.4103(c) - Policies for Release of Children Instruct Employees of Verification Plan Two caregivers failed to verify the identity of an unfamiliar person at pick up time. |
— |
| 4 | — |
746.3805(c)(1) - Medication Records - Name of Child The operation did not document the name of the child that medication was administered to. |
— |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated |
— |
| 3 | — |
746.4003(a) - First Aid Kit - Incomplete Kit The first aid kit on bus 7 was missing tweezers, gloves, and cottonballs. The driver for that bus added the missing supplies before leaving for her bus run. |
Yes |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated 2 children who has medication present is missing medication authorization. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for During my walkthrough, a caregiver did not know how many children they were responsible. |
— |
| 5 | — |
746.1003(5) - Director Responsibilities - Direct Care for No More Than 10 Hours Documentation available did not indicate that staff were taking appropriate breaks or not working over ten hour days. |
— |
| 4 | — |
746.3701(5) - Safety - Play Materials and Equipment Safe It was observed when conducting a walkthrough of the facility in the outdoor area there were two riding bikes that had broken pieces of plastic. |
Yes |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children Upon inspection, eight classrooms were observed to be out of ratio. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional 1 child with an allergy does not have a complete allergy form present. |
— |
168 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.