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Lily's Little Kids Day Care Center

Child care center · 953 W PALMA VISTA DR, Palmview, TX 78572-2168 · License 1618967

0Compliance score
Poor

Capacity 40. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (288)

SeverityDateStandard / narrativeCorrected
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The diaper changing mat in the infant room was torn.
4 746.3407 - Maintenance of Building, Grounds and Equipment
The toilet seat was missing from a toilet in one of the afterschool restrooms.
3 746.505(2) - Notify Parents of Change in Operational Policy or Enrollment Agreement
Based on the information obtained during the course of the investigation, operation failed to obtain updated signed and dated enrollment agreements after operational policies were updated on 05/06/2024.
4 746.3317(8) - Food Service and Preparation Requirement - Cover All Stored Food
Food was observed uncovered in the refrigerator. Food uncovered included a cut watermelon, shrimp and cheese, and a small bowl of liquefied food. NOTE: This was corrected during the inspection. Food was removed and disposed of.
3 746.501(a)(18)(F) - Written Operational Policies - Criteria for Extreme Weather
Operational policies were reviewed and are missing the following information: - 18(f) Criteria to determine extreme weather for outdoor play; - 18(g) Plan for outdoor play during extreme weather; - 20 Parent's rights; - 26abcde Abuse / Neglect policy
3 746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
The floor mats where two children were napping on were observed to be torn. Note: The floor mats were switched to cots for both of the children during the inspection.
5 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
The emergency medical transport and treatment authorization forms for14 children being transported were not available in the transportation vehicle folder. Note: This was CORRECTED during the inspection as the required forms were obtained and filed in the transportation's vehicle folder.
Yes
4 746.3407 - Maintenance of Building, Grounds and Equipment
Broken equipment and trash were observed in the playground. Note: This was corrected at inspection when provider removed the trash and broken equipment.
Yes
3 746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
Most recent letter or form from CCR inspection or investigation was not posted. Updated menu reflecting the food items served during today's meal was not posted.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
The director and a caregiver did not have current training in pediatric first aid with rescue breathing and choking.
3 746.2703(1) - Space Requirements for School-age - Interest Centers
There were no interest centers in the afterschool room.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Trash was observed in the outdoor playground. Several candy wrappers and a torn foam cup were observed on the ground accessible to children in care.
Yes
3 746.4003(a) - First Aid Kit - Incomplete Kit
The First Aid Kit in one of two transportation vehicles was not complete as it was missing tweezers. The thermometer in the First Aid Kit for both transportation vehicles was not working. Note: This was CORRECTED during the inspection as the missing equipment was obtained.
Yes
4 746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There was no food allergy emergency plan available for a child with a known food allergy.
3 746.603(a)(4) - Children's Records - Immunizations
1 of 4 children's files reviewed was still missing the child's immunization record. This standard is being RECITED.
3 746.1309(e) - Documented Annual Training- Required Content
Training certificates for these six (6) topics were not available for review for 1 out of 5 caregiver records reviewed.
3 746.4135(b) - Children's Products- Annual Certification
The Childrens Product Certification form was not current. The date on the form was 7/20/2020.
4 746.3317(8) - Food Service and Preparation Requirement - Cover All Stored Food
A container of food was observed inside the refrigerator without a cover. Note: This was CORRECTED during the inspection as the container of food was covered.
Yes
4 746.3701 - Safety - Areas Free From Hazards
The children's outdoor playground area was not maintained. A utility scaffold used for painting was observed within children's reach. This posed a safety hazard as children may climb the equipment and accidentally fall. Grass stickers and animal droppings were also observed in the outdoor playground accessible to children. The paint on the concrete wall was peeling and accessible to children. Note: The equipment used for painting, the animal droppings, and the grass stickers were removed from the outdoor playground during the inspection.
Yes
4 746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Based on the information obtained during the investigation, it was determined the operation did not notify Child Care Regulation of an injury to a child in care that required medical treatment by a health-care professional.
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Napping mats are labeled by numbers but assignment list was not available for review at the time of inspection. Note: This was corrected at inspection when provider generated an assignment list.
Yes
1 746.709 - Incident/Illness Report Form Storage
A child's incident report was not available for review during the inspection.
3 746.603(a)(4) - Children's Records - Immunizations
3 of 4 children's files reviewed did not have a current immunization record.
3 746.2203(a) - Written Activity Plans
Up to date written lesson plans were not available for review nor posted at the time of inspection.
3 746.4135(b) - Children's Products- Annual Certification
Children's products certification was not completed timely. The last completed certification dates 7/13/2022.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
One infant milk bottle and one infant water bottle were not labeled with the children's names. Note: this was corrected at inspection when provider labeled the bottles with a marker.
Yes
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An individual (new employee) without an active background check was observed inside a classroom having contact with children in care. Individual was not observed alone with the children. NOTE: This was corrected during the inspection. Individual left the operation during the inspection.
3 746.603(a) - Children's Records Maintained
Ten children's files were reviewed. One file is missing up date feeding instructions and emergency medical authoriazation. A second tile is missing custody court order.
4 746.3407 - Maintenance of Building, Grounds and Equipment
A children's toilet in a afterschool room was missing the toilet seat. A second toilet in a different afterschool room was missing the toilet handle.
3 746.901 - Required Personnel Records
Six staff files were reviewed. One file has an invalid high school diploma. A second file is missing 3 hr of management training. A thrid file is missing notarized affidavit (2895), pre-employment affidavit (2912) and TB test. A fourth file is misising ID, notarized affidavit (2895), pre-employment affidavit (2912) and TB test.
4 746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
Children in the infant room were served milk, chicken nuggest and beans for lunch. No fruit or second/ additonal vegetables were served.
4 746.3425(1) - Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
Based on the information obtained during the investigation, it was determined that a caregiver did not use gloves when providing first-aid to a child who was injured in care.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
Two infants were combined with older children during naptime in a preschool room. There was more than an 18 month difference between the youngest and oldest child in the group. The youngest child was 16 months of age and the oldest child in the group was 5 years of age.
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Operation's playground has a play structure surrounded by 1-2 in of wood mulch.
4 746.3407(7) - Maintain Sand Boxes/Tables in Sanitary Manner
A turtle sandbox was filled with standing water in the children's outdoor playground. Note: This was CORRECTED during the inspection as the sandbox was drained.
Yes
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
The director and a caregiver did not have current training in pediatric cardiopulmonary resuscitation (CPR).
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An individual (new employee) without an active background check was observed inside a classroom having contact with children in care. Individual was not observed alone with the children. NOTE: This was corrected during the inspection. Individual left the operation during the inspection.
3 746.2203(a) - Written Activity Plans
Up to date written lesson plans were not available for review nor posted at the time of inspection.
4 746.3425(1) - Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
Based on the information obtained during the investigation, it was determined that a caregiver did not use gloves when providing first-aid to a child who was injured in care.
3 746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
Most recent letter or form from CCR inspection or investigation was not posted. Updated menu reflecting the food items served during today's meal was not posted.
4 746.3317(8) - Food Service and Preparation Requirement - Cover All Stored Food
A container of food was observed inside the refrigerator without a cover. Note: This was CORRECTED during the inspection as the container of food was covered.
Yes
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Operation's playground has a play structure surrounded by 1-2 in of wood mulch.
4 746.3701 - Safety - Areas Free From Hazards
The children's outdoor playground area was not maintained. A utility scaffold used for painting was observed within children's reach. This posed a safety hazard as children may climb the equipment and accidentally fall. Grass stickers and animal droppings were also observed in the outdoor playground accessible to children. The paint on the concrete wall was peeling and accessible to children. Note: The equipment used for painting, the animal droppings, and the grass stickers were removed from the outdoor playground during the inspection.
Yes
3 746.603(a)(4) - Children's Records - Immunizations
1 of 4 children's files reviewed was still missing the child's immunization record. This standard is being RECITED.
3 746.901 - Required Personnel Records
Six staff files were reviewed. One file has an invalid high school diploma. A second file is missing 3 hr of management training. A thrid file is missing notarized affidavit (2895), pre-employment affidavit (2912) and TB test. A fourth file is misising ID, notarized affidavit (2895), pre-employment affidavit (2912) and TB test.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The diaper changing mat in the infant room was torn.
3 746.4135(b) - Children's Products- Annual Certification
The Childrens Product Certification form was not current. The date on the form was 7/20/2020.
3 746.1309(e) - Documented Annual Training- Required Content
Training certificates for these six (6) topics were not available for review for 1 out of 5 caregiver records reviewed.
5 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
The emergency medical transport and treatment authorization forms for14 children being transported were not available in the transportation vehicle folder. Note: This was CORRECTED during the inspection as the required forms were obtained and filed in the transportation's vehicle folder.
Yes
4 746.3407 - Maintenance of Building, Grounds and Equipment
Trash was observed in the outdoor playground. Several candy wrappers and a torn foam cup were observed on the ground accessible to children in care.
Yes
3 746.2703(1) - Space Requirements for School-age - Interest Centers
There were no interest centers in the afterschool room.
3 746.603(a) - Children's Records Maintained
Ten children's files were reviewed. One file is missing up date feeding instructions and emergency medical authoriazation. A second tile is missing custody court order.
4 746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There was no food allergy emergency plan available for a child with a known food allergy.
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Napping mats are labeled by numbers but assignment list was not available for review at the time of inspection. Note: This was corrected at inspection when provider generated an assignment list.
Yes
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
The director and a caregiver did not have current training in pediatric first aid with rescue breathing and choking.
4 746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Based on the information obtained during the investigation, it was determined the operation did not notify Child Care Regulation of an injury to a child in care that required medical treatment by a health-care professional.
4 746.3407 - Maintenance of Building, Grounds and Equipment
The toilet seat was missing from a toilet in one of the afterschool restrooms.
4 746.3407 - Maintenance of Building, Grounds and Equipment
A children's toilet in a afterschool room was missing the toilet seat. A second toilet in a different afterschool room was missing the toilet handle.
4 746.3317(8) - Food Service and Preparation Requirement - Cover All Stored Food
Food was observed uncovered in the refrigerator. Food uncovered included a cut watermelon, shrimp and cheese, and a small bowl of liquefied food. NOTE: This was corrected during the inspection. Food was removed and disposed of.
3 746.505(2) - Notify Parents of Change in Operational Policy or Enrollment Agreement
Based on the information obtained during the course of the investigation, operation failed to obtain updated signed and dated enrollment agreements after operational policies were updated on 05/06/2024.
4 746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
Children in the infant room were served milk, chicken nuggest and beans for lunch. No fruit or second/ additonal vegetables were served.
3 746.4003(a) - First Aid Kit - Incomplete Kit
The First Aid Kit in one of two transportation vehicles was not complete as it was missing tweezers. The thermometer in the First Aid Kit for both transportation vehicles was not working. Note: This was CORRECTED during the inspection as the missing equipment was obtained.
Yes
4 746.3407(7) - Maintain Sand Boxes/Tables in Sanitary Manner
A turtle sandbox was filled with standing water in the children's outdoor playground. Note: This was CORRECTED during the inspection as the sandbox was drained.
Yes
3 746.603(a)(4) - Children's Records - Immunizations
3 of 4 children's files reviewed did not have a current immunization record.
3 746.4135(b) - Children's Products- Annual Certification
Children's products certification was not completed timely. The last completed certification dates 7/13/2022.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
One infant milk bottle and one infant water bottle were not labeled with the children's names. Note: this was corrected at inspection when provider labeled the bottles with a marker.
Yes
3 746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
The floor mats where two children were napping on were observed to be torn. Note: The floor mats were switched to cots for both of the children during the inspection.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
The director and a caregiver did not have current training in pediatric cardiopulmonary resuscitation (CPR).
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
Two infants were combined with older children during naptime in a preschool room. There was more than an 18 month difference between the youngest and oldest child in the group. The youngest child was 16 months of age and the oldest child in the group was 5 years of age.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Broken equipment and trash were observed in the playground. Note: This was corrected at inspection when provider removed the trash and broken equipment.
Yes
1 746.709 - Incident/Illness Report Form Storage
A child's incident report was not available for review during the inspection.
3 746.501(a)(18)(F) - Written Operational Policies - Criteria for Extreme Weather
Operational policies were reviewed and are missing the following information: - 18(f) Criteria to determine extreme weather for outdoor play; - 18(g) Plan for outdoor play during extreme weather; - 20 Parent's rights; - 26abcde Abuse / Neglect policy
5 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
The emergency medical transport and treatment authorization forms for14 children being transported were not available in the transportation vehicle folder. Note: This was CORRECTED during the inspection as the required forms were obtained and filed in the transportation's vehicle folder.
Yes
4 746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Based on the information obtained during the investigation, it was determined the operation did not notify Child Care Regulation of an injury to a child in care that required medical treatment by a health-care professional.
4 746.3407(7) - Maintain Sand Boxes/Tables in Sanitary Manner
A turtle sandbox was filled with standing water in the children's outdoor playground. Note: This was CORRECTED during the inspection as the sandbox was drained.
Yes
4 746.3425(1) - Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
Based on the information obtained during the investigation, it was determined that a caregiver did not use gloves when providing first-aid to a child who was injured in care.
4 746.3701 - Safety - Areas Free From Hazards
The children's outdoor playground area was not maintained. A utility scaffold used for painting was observed within children's reach. This posed a safety hazard as children may climb the equipment and accidentally fall. Grass stickers and animal droppings were also observed in the outdoor playground accessible to children. The paint on the concrete wall was peeling and accessible to children. Note: The equipment used for painting, the animal droppings, and the grass stickers were removed from the outdoor playground during the inspection.
Yes
4 746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There was no food allergy emergency plan available for a child with a known food allergy.
3 746.2203(a) - Written Activity Plans
Up to date written lesson plans were not available for review nor posted at the time of inspection.
3 746.603(a) - Children's Records Maintained
Ten children's files were reviewed. One file is missing up date feeding instructions and emergency medical authoriazation. A second tile is missing custody court order.
1 746.709 - Incident/Illness Report Form Storage
A child's incident report was not available for review during the inspection.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Trash was observed in the outdoor playground. Several candy wrappers and a torn foam cup were observed on the ground accessible to children in care.
Yes
4 746.3407 - Maintenance of Building, Grounds and Equipment
The toilet seat was missing from a toilet in one of the afterschool restrooms.
3 746.603(a)(4) - Children's Records - Immunizations
1 of 4 children's files reviewed was still missing the child's immunization record. This standard is being RECITED.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
Two infants were combined with older children during naptime in a preschool room. There was more than an 18 month difference between the youngest and oldest child in the group. The youngest child was 16 months of age and the oldest child in the group was 5 years of age.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The diaper changing mat in the infant room was torn.
3 746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
Most recent letter or form from CCR inspection or investigation was not posted. Updated menu reflecting the food items served during today's meal was not posted.
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Napping mats are labeled by numbers but assignment list was not available for review at the time of inspection. Note: This was corrected at inspection when provider generated an assignment list.
Yes
4 746.3407 - Maintenance of Building, Grounds and Equipment
Broken equipment and trash were observed in the playground. Note: This was corrected at inspection when provider removed the trash and broken equipment.
Yes
3 746.501(a)(18)(F) - Written Operational Policies - Criteria for Extreme Weather
Operational policies were reviewed and are missing the following information: - 18(f) Criteria to determine extreme weather for outdoor play; - 18(g) Plan for outdoor play during extreme weather; - 20 Parent's rights; - 26abcde Abuse / Neglect policy
3 746.4135(b) - Children's Products- Annual Certification
Children's products certification was not completed timely. The last completed certification dates 7/13/2022.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An individual (new employee) without an active background check was observed inside a classroom having contact with children in care. Individual was not observed alone with the children. NOTE: This was corrected during the inspection. Individual left the operation during the inspection.
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Operation's playground has a play structure surrounded by 1-2 in of wood mulch.
4 746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
Children in the infant room were served milk, chicken nuggest and beans for lunch. No fruit or second/ additonal vegetables were served.
3 746.4003(a) - First Aid Kit - Incomplete Kit
The First Aid Kit in one of two transportation vehicles was not complete as it was missing tweezers. The thermometer in the First Aid Kit for both transportation vehicles was not working. Note: This was CORRECTED during the inspection as the missing equipment was obtained.
Yes
3 746.2703(1) - Space Requirements for School-age - Interest Centers
There were no interest centers in the afterschool room.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
One infant milk bottle and one infant water bottle were not labeled with the children's names. Note: this was corrected at inspection when provider labeled the bottles with a marker.
Yes
3 746.901 - Required Personnel Records
Six staff files were reviewed. One file has an invalid high school diploma. A second file is missing 3 hr of management training. A thrid file is missing notarized affidavit (2895), pre-employment affidavit (2912) and TB test. A fourth file is misising ID, notarized affidavit (2895), pre-employment affidavit (2912) and TB test.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
The director and a caregiver did not have current training in pediatric cardiopulmonary resuscitation (CPR).
3 746.505(2) - Notify Parents of Change in Operational Policy or Enrollment Agreement
Based on the information obtained during the course of the investigation, operation failed to obtain updated signed and dated enrollment agreements after operational policies were updated on 05/06/2024.

Severity 5 = most serious. Source: official state record.

Inspections (96)

96 inspection record(s) on file from TX-HHSC.

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