Capacity 188. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
Four children that require vision and hearing screening do not have results on file at the operation. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The tent above the playground is in disrepair and poorly maintained, preventing children from using the playground equipment. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver in the Toddler classroom was observed not changing her gloves and washing her hands in between diaper changing. |
— |
| 2 | — |
746.901(5) - Required Personnel Records - Required Affidavit (Form 2912)
One caregiver was missing a Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (Form 2912) as |
— |
| 4 | — |
746.401(10) - Required Postings-Child's Food Allergies
The operation does not have a food allergy list posted. The operation does not have knowledge of what children have food allergies, as audits are being conducted. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
The infant classroom is divided by a half wall. During the inspection a child was in the back sleep and was not visible to caregivers. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
8 out of 10 children's records evaluated did not have current immunization records on file. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Six infants in care do not have infant feeding plans. |
— |
| 5 | — |
746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit
The operations two buses have incomplete first aid kits: no tweezer, scissor, cotton balls, and antiseptic solution. The operation does not have medical emergency information for children being transported. |
— |
| 4 | — |
746.1301(6)(A) - Training Requirements for Directors 30- Annual Training
The director lacked 24 of 30 required training hours for the previous completed training year. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
Compliance with the Minimum Standards was not maintained during the Plan of Action. |
— |
| 3 | — |
746.801(1) - Required Records Maintained and Made Available - Children's Records
The operation does not have the following records for review: Children records, personnel & training, and attendance for each employee. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One out of 10 children's files reviewed did not contain current health statements from the child's physician after the child had been enrolled for 12 months. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver in the Room 10 was observed placing a child down on the floor to play without washing the child's hands after changing the child's diaper. |
— |
| 5 | — |
746.1205(a)(5) - Responsibilities of Caregivers - Intervene to ensure each child's safety
Based on the evidence gathered during the investigation, the caregiver was not properly supervising the children. The caregiver's lack of attention and failure to intervene created an unsafe environment, resulting in the child's injury. |
— |
| 4 | — |
746.1013(a) - Director's Absence - Qualified Caregiver in Charge
There was no individual in charge during the director's absence. The operation proceeded without a designated person in charge for a duration of 45 minutes. |
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| 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
The operation does not have a list of current employees and was not able to provide CCR with a total staff number during inspection. |
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| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
One child with a known food allergy does not have a food allergy emergency plan nor medication at the operation for review. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One child's record does not have emergency medical authorization section completed. |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
The director was missing training in Preventing and responding to emergencies due to food or an allergic reaction. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The tent above the playground is in disrepair and poorly maintained, preventing children from using the playground equipment. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
A caregiver was missing 9h30 min in training in the required topics: 1309(d)(3), 1309(e)(1, 2, 3,4,5). |
— |
| 4 | — |
746.5207(a) - Emergency Evacuation and Relocation Diagram
The operation does not have any evacuation or relocation diagrams post or in the emergency preparedness plan. |
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| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The operation's 18-24 month classroom has a hole in the wall. |
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| 4 | — |
746.5307(a) - Inspect Fire Extinguishers Monthly
Since January 2023, the operation has failed to document any fire extinguishers inspection. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director has 18.5 hours of the required 30 hours of annual training. |
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| 1 | — |
746.1329(c)(2) - Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
No CPR/First Aid documentation was available during inspection. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Three caregivers have not completed 24 hours of annual training. |
— |
| 5 | — |
746.5319 - Smoke Detectors Testing
Since January 2023, the operation has failed to inspect the smoke detector system and the carbon monoxide detector system. |
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| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Six infants in care do not have infant feeding plans. |
— |
| 3 | — |
746.3313(2) - Daily Menus - May Rotate if Keep Record of Dates Menus Used
The operation has no documentation of menus for the last three months. |
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| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Based on the evidence gathered during the investigation, that the caregiver involved in the incident had unsupervised access to a child under their care prior to complete the First-aid training. |
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| 5 | — |
746.613(a) - Required Immunizations
One child enrolled at the operation does not have immunization records on file. Four children at the operation immunization records are not current. |
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| 3 | — |
746.5205(4) - Documentation of Drills
The operation lacks information regarding the duration of the drills. This information was not recorded. The operation also lacks documentation for smoke detectors and fire extinguishers since February/2024. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The operations does not have a annual certification for the children's product safety. |
— |
| 1 | — |
746.1329(c)(2) - Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
Only 7 caregivers and the director's CPR/First Aid documentation was available during inspection. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
An expired EpiPen, which had been expired since April 2024, was found among the medication box. During the inspection, this issue was addressed when the director removed the expired medication. |
Yes |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
A caregiver has an expired pediatric CPR/FIRST AID certification. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
Compliance with the Minimum Standards was not maintained during the Plan of Action. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
8 out of 10 caregivers didn't complete the required annual training hours. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
The operation has not been conducting monthly playground checks and documenting with a checklist. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One child was missing a health statement. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One child's immunization record was not up to date. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
One caregiver was missing a notarized Affidavit for Applicants for Employment with a Licensed Operation or Registered Child-Care Home (Form 2985). |
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| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
4 out of 10 caregiver files evaluated did not have all of the 24 hours of completed training for the previous year. |
— |
| 5 | — |
746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit
The operations two buses have incomplete first aid kits: scissor, thermometer, and antiseptic solution. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The operation's sanitation inspection expired in April of 2022. |
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| 4 | — |
746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
The operation has only been servicing one component during AM and PM snack. |
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| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director has 16.5 hours of the required 30 hours of annual training. |
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| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness
During the course of the investigation it was determined that the operation has not reported any COVID-19 positive cases to Child Care Regulations. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection on file that was conducted by a state or local fire marshal. The operation did have an inspection by the alarm company that precedes the fire inspection. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Seven caregiver were missing training in Preventing and responding to emergencies due to food or an allergic reaction. |
— |
| 5 | — |
745.8411(b)(3) - Responsibilities - Provides access to all records
Based on the evidence gathered during the investigation, video footage of the incident was accessible, but the childcare center did not provide it. |
— |
| 4 | — |
746.4103(b) - Policies for Release of Children - Record Identity of Person
Based on information gathered during investigation, the operation did not follow their policies for releasing children. It was determined that a person was not properly identified during evening pick up. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The sink in the 3- and 4-year-old classroom is clogged, causing water to not drain. As a result, the children do not have an extra sink in the classroom for washing their hands. |
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| 3 | — |
746.4913 - Required Documentation for Unitary Surfacing Materials
The operation does not have required documentation for unitary surfacing materials. |
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| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation has not conducted a fire drill since June of 2022. |
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| 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
Based on the evidence gathered during the investigation, the caregiver failed to adequately supervise the children. The caregiver's insufficient physical presence, along with a lack of visual and auditory awareness, directly played a role in the incident. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
The infant classroom is divided by a half wall. During the inspection a child was in the back sleep and was not visible to caregivers. |
— |
| 3 | — |
746.801(1) - Required Records Maintained and Made Available - Children's Records
The operation does not have the following records for review: personnel & training. |
— |
| 5 | — |
746.2805(1) - Prohibited Punishments - Corporal Punishment
Based on the evidence gathered during the investigation, a caregiver employed inappropriate disciplinary measures against a child. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not use good judgment when lifting a 19-month-old up off a nap cot by her tricep and placing the child on the floor. The caregiver also, walked passed the same child and touched her head in a matter that resulted in the child falling face-first into a nap cot. The child was not checked on by the caregiver following either incident. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
3 out of 10 children's files evaluated did not have a physician signed health statement. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Six children that required health statements do not have them on file. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
Based on information gathered during the course of the investigation, a caregiver left a child unsupervised inside of a classroom. |
— |
| 4 | — |
746.501(a)(8) - Written Operational Policies - Suspension and Expulsion
The operation's operational policies are missing the following sections: Suspension and expulsion, Instructions on how parents can contact local licensing office, and procedures for parents to review most recent inspection. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
A caregiver was missing 9h30 min in training in the required topics: 1309(d)(3), 1309(e)(1, 2, 3,4,5). |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director has 16.5 hours of the required 30 hours of annual training. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Seven caregiver were missing training in Preventing and responding to emergencies due to food or an allergic reaction. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation lacks information regarding the duration of the drills. This information was not recorded. The operation also lacks documentation for smoke detectors and fire extinguishers since February/2024. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Six children that required health statements do not have them on file. |
— |
| 1 | — |
746.1329(c)(2) - Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
No CPR/First Aid documentation was available during inspection. |
— |
| 4 | — |
746.1013(a) - Director's Absence - Qualified Caregiver in Charge
There was no individual in charge during the director's absence. The operation proceeded without a designated person in charge for a duration of 45 minutes. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
4 out of 10 caregiver files evaluated did not have all of the 24 hours of completed training for the previous year. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver in the Room 10 was observed placing a child down on the floor to play without washing the child's hands after changing the child's diaper. |
— |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
Four children that require vision and hearing screening do not have results on file at the operation. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection on file that was conducted by a state or local fire marshal. The operation did have an inspection by the alarm company that precedes the fire inspection. |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
The director was missing training in Preventing and responding to emergencies due to food or an allergic reaction. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The tent above the playground is in disrepair and poorly maintained, preventing children from using the playground equipment. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver in the Toddler classroom was observed not changing her gloves and washing her hands in between diaper changing. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Three caregivers have not completed 24 hours of annual training. |
— |
| 4 | — |
746.501(a)(8) - Written Operational Policies - Suspension and Expulsion
The operation's operational policies are missing the following sections: Suspension and expulsion, Instructions on how parents can contact local licensing office, and procedures for parents to review most recent inspection. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
Compliance with the Minimum Standards was not maintained during the Plan of Action. |
— |
| 1 | — |
746.1329(c)(2) - Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
Only 7 caregivers and the director's CPR/First Aid documentation was available during inspection. |
— |
| 5 | — |
746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit
The operations two buses have incomplete first aid kits: no tweezer, scissor, cotton balls, and antiseptic solution. The operation does not have medical emergency information for children being transported. |
— |
| 5 | — |
745.8411(b)(3) - Responsibilities - Provides access to all records
Based on the evidence gathered during the investigation, video footage of the incident was accessible, but the childcare center did not provide it. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not use good judgment when lifting a 19-month-old up off a nap cot by her tricep and placing the child on the floor. The caregiver also, walked passed the same child and touched her head in a matter that resulted in the child falling face-first into a nap cot. The child was not checked on by the caregiver following either incident. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
A caregiver has an expired pediatric CPR/FIRST AID certification. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Six infants in care do not have infant feeding plans. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The operations does not have a annual certification for the children's product safety. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
8 out of 10 children's records evaluated did not have current immunization records on file. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The operation's 18-24 month classroom has a hole in the wall. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
Based on information gathered during the course of the investigation, a caregiver left a child unsupervised inside of a classroom. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
One child with a known food allergy does not have a food allergy emergency plan nor medication at the operation for review. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The sink in the 3- and 4-year-old classroom is clogged, causing water to not drain. As a result, the children do not have an extra sink in the classroom for washing their hands. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
An expired EpiPen, which had been expired since April 2024, was found among the medication box. During the inspection, this issue was addressed when the director removed the expired medication. |
Yes |
| 5 | — |
746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit
The operations two buses have incomplete first aid kits: scissor, thermometer, and antiseptic solution. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
The operation has not been conducting monthly playground checks and documenting with a checklist. |
— |
| 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
Based on the evidence gathered during the investigation, the caregiver failed to adequately supervise the children. The caregiver's insufficient physical presence, along with a lack of visual and auditory awareness, directly played a role in the incident. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director has 18.5 hours of the required 30 hours of annual training. |
— |
176 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.