Capacity 111. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
3 out of 10 children's files need updated immunization records. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation did not document the time of their fire, shelter, severe weather and lock down drills. Corrected: When I reviewed the standard with the operation and in future drills the time will be documented. |
Yes |
| 3 | — |
746.605(11) - Required Admission Information - Physician Information
One child was missing the helathcare information. |
— |
| 3 | — |
746.2207(c)(2) - Screen Time Activities - Age-appropriate
The person in charge removed titled DVD movies that are Not Rated (NR) and PG. Note: this was corrected at time of inspection |
Yes |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
It was observed in a few classrooms that the outlets did not have plug overs over them. |
— |
| 4 | — |
746.3505(a) - Diapering Procedures - Caregiver's Hands Washed
It was observed a caregiver not washing their hands after changing a child. |
— |
| 3 | — |
746.3313(1) - Daily Menus - Record Comparable Substitutions
The menu for the day tells parents lunch is a burrito or chicken quesadilla, however spaghetti was prepared and served. Note: this was corrected at inspection when the person in charge corrected the menu. |
Yes |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
A four year old child in care did not have a hearing a vision test in their file. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
The operations sign in/out sheets did not have initials of employees or parents. |
— |
| 5 | — |
746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The operational policies did not state about safe sleep. |
— |
| 5 | — |
746.501(a)(24) - Written Operational Policies - Emergency Preparedness Plans
The operational policies did not have the emergency preparedness plan in it or have an emergency preparedness plan available for viewing . |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Two infant bottles did not have a infants name on the bottle. |
— |
| 3 | — |
746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
The most recent inspection form was not posted at either location. Corrected: When the operation posted the inspection form at one of the buildings. |
Yes |
| 5 | — |
746.3701(8) - Safety - Bodies of Water Inaccessible to Children
A bucket of water was 3/4 full catching a dripping outside faucet and made accessible to children. Note: this was corrected at inspection when dumped by a caregiver. |
Yes |
| 4 | — |
746.3417(1) - Children Handwashing Before Eating
Children did not was their hands before eating snack. Corrected: When children wash their hands before eating lunch. |
Yes |
| 3 | — |
746.601(c) - Provide Access to Children's Records - Licensing
At the time of the inspection they was not access to children's records. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two children are missing health statements from the doctor. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One child is missing a health care statement, the child has been enrolled since 11/1/2022. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
A child that has been enrolled at the operation since 2019 did not have a health care statement in their file. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One child is missing their immunization records. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
It was observed that a caregiver had not had a background ran on her and she was in caregiver of the two year old classroom. Corrected: Caregiver left for the day. |
Yes |
| 3 | — |
746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
The operation did not have the updated inspection report posted, the inspection report posted was 7/25/2022 and the last inspection was on April 18, 2023. Corrected: When the operation posted the most recent inspection form that was conducted on 4/18/2023. |
Yes |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver is a new hire and missing first aid training. |
— |
| 4 | — |
746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
One caregiver did not have a school diploma. |
— |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
The director was missing four hours of training for training year 1/1/2022 to 1/1/2023. Corrected: When the four hours were taken from training year 1/1/2023 to 1/1/2024. |
Yes |
| 3 | — |
746.909 - Access to Personnel Records
At the time of the inspection they was not access to personnel records. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have in their emergency preparedness plan on how they would evacuating and relocating children who are under 24 months of age or children with limited mobility. The emergency preparedness plan was also missing how caregivers would keep an attendance of children who have evacuated. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
A two month old infant was sleeping in a restrictive device. |
— |
| 3 | — |
746.2505(4)(A) - Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
It was observed that two toddler cups did not have a name on them. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Two of the diaper changing mats had tears in them. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One child did not have an emergency contact information and five children missing address for their emergency contact. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Two changing mats the one in the indoor play area and the other on the outside restroom area had rips in them. Corrected: When the operation replace the old mats with new ones. |
Yes |
| 3 | — |
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
In the preschool classrooms it was observed the mats to have tears, which will cause the mats to no longer be waterproof. |
— |
| 4 | — |
746.5537(b) - Electronic Carbon Monoxide Detection Sys Connected to Alarm/Smoke Detection System
The operation failed to show documentation or evidence of having carbon monoxide detectors for the separate spaces. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required. |
— |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
Two children that are four years old did not have a hearing and vision test on file. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
A caregiver stated they had 16 children and when I counted they were 15 children. |
— |
| 4 | — |
746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room
1 classroom did not have a posted emergency evacuation diagram. Note: this was corrected at inspection when the person in charge posted a diagram for the classroom. |
Yes |
| 3 | — |
746.501(a)(1) - Written Operational Policies - Operating Times
The must current operational policies was not able to be viewed during the inspection. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
A caregiver did not have her 8 hours of pre-service training done before caring for children. |
— |
| 4 | — |
746.605(16) - Required Admission Information-Completed Food Allergy Plan
One child's file had documentation they had a allergy to fish and eggs and did not have a allergy plan on file. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
They was one caregiver with 10 children specified age group 18-23 months old, they were one over ratio. Corrected: When another caregiver join the class. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
The operations sign in/out sheets did not have intials of employees or parents. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One caregiver in the infant classroom did not have an background check. Corrected: Caregiver left for the day. |
Yes |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
1 caregiver was in direct care and counted in ratio without an approved background check. Note: This was addressed at time of inspection when the person in charge asked the caregiver to leave the operation. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director is missing 17 hours of annual training. |
— |
| 2 | — |
746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
They was not a current employees list posted at either location. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
A few caregivers were unsure of all of their children's ages by months. |
— |
| 4 | — |
746.3505(b) - Diapering Procedures - Wash Infant's Hands
It was observed a caregiver not washing a toddler's hands after their diaper change. |
— |
| 4 | — |
746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room
In the indoor gym area and one of the toddler classrooms did not have an emergency evacuation and relocation diagram posted in the rooms. Corrected: When the operation posted the emergency evacuation and relocation diagrams. |
Yes |
| 4 | — |
746.3805(c)(4) - Medication Records - Name of Employee Who Administered
When given medication to children they was not a employees full name that administered medication. |
Yes |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
One caregiver stated they had 9 children in care and when I counted they were only 7 children. Another caregiver stated they were responsible for 4 children and they was 15 children in care. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have an updated fire inspection, the last fire inspection was conducted on 5/25/2022. |
— |
| 3 | — |
746.501(a)(18)(E) - Written Operational Policies - Recommended Clothing and Footing
The operational policies did not have how the operation will promotion of indoor and outdoor physical activity. |
— |
| 4 | — |
746.5103 - Documentation of Fire Inspection
The operation did not have documentation for their fire inspection report for the 836 location. |
— |
| 3 | — |
746.503 - Provide Parents With Copy of Policies
One child did not have information that parents received the operational polices. |
— |
| 3 | — |
746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
The most recent inspection form was not posted at either location. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One child was missing the address for their emergency contact. |
— |
| 3 | — |
746.4003(a) - First Aid Kit - Incomplete Kit
The center's first aid kit is missing antiseptic wipes or solution. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers is missing annual training on is missing 19 hours the other is missing 6 hours. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
10 out of 10 staff files are missing annual topics in required training: Preventing and responding to emergencies due to food or an allergic reaction, Handling, storing, and disposing of hazardous materials and Administering medication. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
One caregiver is a new hire and is missing CPR training. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Five caregivers did not have all they annual training for they training year. One caregiver had 22 hours for training year 8/17/22 to 8/17/23, one caregiver had 11 hours of training for training year 3/23/22 to 3/23/23, one caregiver had 16 hours of training for training year 2/21/22 to 2/21/23, one caregiver had 22 hours for training year 4/9/22 to 4/9/23, and the last caregiver had 15 hours of training for training year 3/28/22 to 3/28/23. Corrected: I took hours for current training year: 8/17/23 to 8/17/24 2 hours. 3/23/23 to 3/23/34 17 hours, 2/21/23 to2/21/24 8 hours, 4/9/23 to 4/9/23 2 hours and 3/28/23 to 3/28/24 8 hours of training. |
Yes |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
A caregiver stated they had 16 children and when I counted they were 15 children. |
— |
| 3 | — |
746.2207(c)(2) - Screen Time Activities - Age-appropriate
The person in charge removed titled DVD movies that are Not Rated (NR) and PG. Note: this was corrected at time of inspection |
Yes |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers is missing annual training on is missing 19 hours the other is missing 6 hours. |
— |
| 3 | — |
746.909 - Access to Personnel Records
At the time of the inspection they was not access to personnel records. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver is a new hire and missing first aid training. |
— |
| 4 | — |
746.3505(b) - Diapering Procedures - Wash Infant's Hands
It was observed a caregiver not washing a toddler's hands after their diaper change. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One child is missing a health care statement, the child has been enrolled since 11/1/2022. |
— |
| 2 | — |
746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
They was not a current employees list posted at either location. |
— |
| 4 | — |
746.3805(c)(4) - Medication Records - Name of Employee Who Administered
When given medication to children they was not a employees full name that administered medication. |
Yes |
| 3 | — |
746.2505(4)(A) - Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
It was observed that two toddler cups did not have a name on them. |
— |
| 3 | — |
746.605(11) - Required Admission Information - Physician Information
One child was missing the helathcare information. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
One caregiver stated they had 9 children in care and when I counted they were only 7 children. Another caregiver stated they were responsible for 4 children and they was 15 children in care. |
— |
| 3 | — |
746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
The most recent inspection form was not posted at either location. |
— |
| 3 | — |
746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
The most recent inspection form was not posted at either location. Corrected: When the operation posted the inspection form at one of the buildings. |
Yes |
| 4 | — |
746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room
1 classroom did not have a posted emergency evacuation diagram. Note: this was corrected at inspection when the person in charge posted a diagram for the classroom. |
Yes |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation did not document the time of their fire, shelter, severe weather and lock down drills. Corrected: When I reviewed the standard with the operation and in future drills the time will be documented. |
Yes |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Five caregivers did not have all they annual training for they training year. One caregiver had 22 hours for training year 8/17/22 to 8/17/23, one caregiver had 11 hours of training for training year 3/23/22 to 3/23/23, one caregiver had 16 hours of training for training year 2/21/22 to 2/21/23, one caregiver had 22 hours for training year 4/9/22 to 4/9/23, and the last caregiver had 15 hours of training for training year 3/28/22 to 3/28/23. Corrected: I took hours for current training year: 8/17/23 to 8/17/24 2 hours. 3/23/23 to 3/23/34 17 hours, 2/21/23 to2/21/24 8 hours, 4/9/23 to 4/9/23 2 hours and 3/28/23 to 3/28/24 8 hours of training. |
Yes |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
A four year old child in care did not have a hearing a vision test in their file. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
It was observed in a few classrooms that the outlets did not have plug overs over them. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
The operations sign in/out sheets did not have intials of employees or parents. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
A caregiver did not have her 8 hours of pre-service training done before caring for children. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required. |
— |
| 4 | — |
746.5103 - Documentation of Fire Inspection
The operation did not have documentation for their fire inspection report for the 836 location. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
The operations sign in/out sheets did not have initials of employees or parents. |
— |
| 3 | — |
746.601(c) - Provide Access to Children's Records - Licensing
At the time of the inspection they was not access to children's records. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
A few caregivers were unsure of all of their children's ages by months. |
— |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
The director was missing four hours of training for training year 1/1/2022 to 1/1/2023. Corrected: When the four hours were taken from training year 1/1/2023 to 1/1/2024. |
Yes |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
They was one caregiver with 10 children specified age group 18-23 months old, they were one over ratio. Corrected: When another caregiver join the class. |
— |
| 4 | — |
746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
One caregiver did not have a school diploma. |
— |
| 4 | — |
746.3505(a) - Diapering Procedures - Caregiver's Hands Washed
It was observed a caregiver not washing their hands after changing a child. |
— |
| 4 | — |
746.5537(b) - Electronic Carbon Monoxide Detection Sys Connected to Alarm/Smoke Detection System
The operation failed to show documentation or evidence of having carbon monoxide detectors for the separate spaces. |
— |
| 5 | — |
746.3701(8) - Safety - Bodies of Water Inaccessible to Children
A bucket of water was 3/4 full catching a dripping outside faucet and made accessible to children. Note: this was corrected at inspection when dumped by a caregiver. |
Yes |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
1 caregiver was in direct care and counted in ratio without an approved background check. Note: This was addressed at time of inspection when the person in charge asked the caregiver to leave the operation. |
— |
| 4 | — |
746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room
In the indoor gym area and one of the toddler classrooms did not have an emergency evacuation and relocation diagram posted in the rooms. Corrected: When the operation posted the emergency evacuation and relocation diagrams. |
Yes |
| 3 | — |
746.501(a)(1) - Written Operational Policies - Operating Times
The must current operational policies was not able to be viewed during the inspection. |
— |
| 4 | — |
746.3417(1) - Children Handwashing Before Eating
Children did not was their hands before eating snack. Corrected: When children wash their hands before eating lunch. |
Yes |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Two of the diaper changing mats had tears in them. |
— |
80 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.