Capacity 238. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
Children were observed playing in the restroom unsupervised for 15 minutes. The children could be seen playing with items in the bathroom and sticking their hands down into the toilet multiple times. |
— |
| 3 | — |
746.2205(a)(2) - Written Activity Plan - Outline Daily Activities
There was no activity plan that specified the daily activities for the current date. The June activity plan was the same for all ages and is not specific to the age groups. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
One caregiver offered a child's left over lunch when they were done to another child. The food offered was on the plate and had been touched by the child who did not want to finish the food. |
— |
| 4 | — |
746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
Medication at the operation did not have the date the medication was brought to the operation or the full name of the child labeled on the packaging. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
4 of the 10 childrens records that I reviewed was missing an address for the emergency contact. |
— |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness
Licensing was notified 3-5 days after the operation was notified about 5 different COVID cases. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
1 of 10 caregivers did not have current CPR training available for review at the time of the inspection. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
A caregiver grabbed a child by the arm in a harsh manner as a means of discipline and guidance. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
There was a child who did not wash her hands after using the restroom. |
— |
| 3 | — |
746.3803(c) - Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions
A parent instructed the operation to administer 6mL of a medication, but the instructions state "do not use unless instructed by a doctor" for the age of the child. |
— |
| 3 | — |
746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep
During naptime, I observed 7 children with blankets on their head. |
Yes |
| 5 | — |
746.2805(4) - Prohibited Punishments - Hitting with Hand or Instrument
A caregiver was observed hitting a child in the head with an open hand. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director is not ensuring the employees are operating in compliance of the minimum standards. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
There is a bottle for children's motrin that is stored in the office for a child that is no longer enrolled. The medication was thrown away immediately/ |
Yes |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
On the playground, there was animal feces, missing loose fill where water has washed it out, and a considerable amount of stickers in the grassy area of the outdoor space. Meagan used a shovel to remove the animal feces and even out the mulch where it was missing. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The sanitation inspection was due February of 2022. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The changing mat observed in the infant classsroom has rips and holes making the material absorbant and not easy to clean. The director changed the mat to a new one with no holes or rips. |
Yes |
| 5 | — |
746.3807(1) - Storage of Medication - Inaccessible to Children
I observed diaper cream that specified 'keep out of reach of children' on a low shelf that children has access to. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
1 of 10 childrens records reviewed is missing a health care statement. |
Yes |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated
There was medication brought by the parent but did not fill out authorization for administering medication. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
The caregivers have access to a tracking system, however there was no unique identifier for who signed the children in and there way only 8 of 16 present children signed in. |
— |
| 3 | — |
746.307(c) - Parental Notification of Less Serious Injuries
An injury that a child received while in care, was not reported to parents accurately. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
There was no fire drill conducted in August. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
1 caregiver does not have current first aid training, |
— |
| 3 | — |
746.3319(a)(2) - Meal and Snack Service - Allow Children to Feed Themselves
The 4-6 year old children were not given utensils for lunch and they were eating with their hands. Meagan gave all of the children utensils when she entered the classroom at the end of the meal. |
Yes |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
There was 4 infants that were observed sitting in an infant feeding activity table for approximately 45 minutes. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
A caregiver did not know the ages of the children she was responsible for nor did she have access to their birth dates. |
— |
| 4 | — |
746.605(13) - Required Admission Information - Special Needs Statement
There is one child with a diagnosed food allergy that does not have medication present. Mom brought the epi pen to the operation to keep. |
Yes |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
1 caregiver does not have current CPR training, |
— |
| 4 | — |
746.605(13) - Required Admission Information - Special Needs Statement
1 of the 10 childrens records I reviewed was missing a special needs statement. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
1 of the 10 childrens files that I reviewed indicated a diagnosed food allergy but was missing an emergency allergy plan. |
— |
| 5 | — |
746.4601(4) - Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
I observed playground equipment that presents strangulation risk as there are string hanging down from the structure. Photos were taken. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
One caregiver was unsure of the children's ages that she was responsible for. The list of birthdays was not complete so she was not able to confirm the ages without doubt. |
— |
| 4 | — |
746.3505(g) - Diapering Procedures-Soiled clothes sent home
There is soiled pants accessible to other children in the bathroom of the 2 year old classroom. The pants were not sealed in a plastic bag. |
Yes |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
2 caregivers were unaware of how many children they were responsible for. They stated that they had 18 children, when there was 19 children in the classroom. |
— |
| 5 | — |
746.1003(3) - Director Responsibilities - Employee Assignments
A caregiver did not have the skills or abilities needed to care for children in the 2?3-year-old classroom. This resulted in using excessive force during nap time. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The sanitation inspection was due February of 2022. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
When I arrived, I observed 13 children (SAG: 2yrs) with one caregiver in one todder classroom and 16 children (SAG: 3 yrs) with one caregiver in another toddler classroom. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The 3 year old classroom was observed out of ratio with 17 children and 1 teacher. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
A caregiver was observed using excessive force when handling 3 children at naptime. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
Although the center is practicing the emergency drills, they are not exiting the building in the required time. January, March, April, and June is documented with an exit time of 4 minutes and more. |
— |
| 3 | — |
746.2417(1) - Activities for Infants - Outdoor Play Daily
The infant caregiver mentioned that they are not taking the infants outside on a daily basis. |
— |
| 4 | — |
746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs
A child was injured while in care and the caregivers have no knowledge of how it happened. They did not see the incident. |
— |
| 4 | — |
746.3420(5) - Hand Sanitizer - Stored Out of Child's Reach When Not in Use
Hand sanitizer was observed within reach of children when not in use in the two older classrooms. |
— |
| 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 caregivers did not have current first aid training available for review at the time of the inspection. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
An infant was observed sleeping in a restctive equipment. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
There is medication present for a child that has recently disenrolled. |
— |
| 4 | — |
746.605(13) - Required Admission Information - Special Needs Statement
1 of 4 children's files I reviewed was missing a special needs statement. |
— |
| 4 | — |
746.605(16) - Required Admission Information-Completed Food Allergy Plan
One child that is allergic to eggs does not have an emergency allergy plan at the operation. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
4 of the 4 children's records that I reviewed was missing an address for the emergency contact. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
1 caregiver does not have current first aid training, |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
A caregiver grabbed a child by the arm in a harsh manner as a means of discipline and guidance. |
— |
| 3 | — |
746.3319(a)(2) - Meal and Snack Service - Allow Children to Feed Themselves
The 4-6 year old children were not given utensils for lunch and they were eating with their hands. Meagan gave all of the children utensils when she entered the classroom at the end of the meal. |
Yes |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
1 of the 10 childrens files that I reviewed indicated a diagnosed food allergy but was missing an emergency allergy plan. |
— |
| 5 | — |
746.2805(4) - Prohibited Punishments - Hitting with Hand or Instrument
A caregiver was observed hitting a child in the head with an open hand. |
— |
| 3 | — |
746.2205(a)(2) - Written Activity Plan - Outline Daily Activities
There was no activity plan that specified the daily activities for the current date. The June activity plan was the same for all ages and is not specific to the age groups. |
— |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated
There was medication brought by the parent but did not fill out authorization for administering medication. |
— |
| 3 | — |
746.307(c) - Parental Notification of Less Serious Injuries
An injury that a child received while in care, was not reported to parents accurately. |
— |
| 5 | — |
746.4601(4) - Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
I observed playground equipment that presents strangulation risk as there are string hanging down from the structure. Photos were taken. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The sanitation inspection was due February of 2022. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
An infant was observed sleeping in a restctive equipment. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
One caregiver was unsure of the children's ages that she was responsible for. The list of birthdays was not complete so she was not able to confirm the ages without doubt. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
When I arrived, I observed 13 children (SAG: 2yrs) with one caregiver in one todder classroom and 16 children (SAG: 3 yrs) with one caregiver in another toddler classroom. |
— |
| 4 | — |
746.605(13) - Required Admission Information - Special Needs Statement
1 of the 10 childrens records I reviewed was missing a special needs statement. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
There was a child who did not wash her hands after using the restroom. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
A caregiver was observed using excessive force when handling 3 children at naptime. |
— |
| 4 | — |
746.605(16) - Required Admission Information-Completed Food Allergy Plan
One child that is allergic to eggs does not have an emergency allergy plan at the operation. |
— |
| 3 | — |
746.2417(1) - Activities for Infants - Outdoor Play Daily
The infant caregiver mentioned that they are not taking the infants outside on a daily basis. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
4 of the 4 children's records that I reviewed was missing an address for the emergency contact. |
— |
| 4 | — |
746.605(13) - Required Admission Information - Special Needs Statement
1 of 4 children's files I reviewed was missing a special needs statement. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The 3 year old classroom was observed out of ratio with 17 children and 1 teacher. |
— |
| 4 | — |
746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
Medication at the operation did not have the date the medication was brought to the operation or the full name of the child labeled on the packaging. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
On the playground, there was animal feces, missing loose fill where water has washed it out, and a considerable amount of stickers in the grassy area of the outdoor space. Meagan used a shovel to remove the animal feces and even out the mulch where it was missing. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
Children were observed playing in the restroom unsupervised for 15 minutes. The children could be seen playing with items in the bathroom and sticking their hands down into the toilet multiple times. |
— |
| 5 | — |
746.1003(3) - Director Responsibilities - Employee Assignments
A caregiver did not have the skills or abilities needed to care for children in the 2?3-year-old classroom. This resulted in using excessive force during nap time. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
2 caregivers were unaware of how many children they were responsible for. They stated that they had 18 children, when there was 19 children in the classroom. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
One caregiver offered a child's left over lunch when they were done to another child. The food offered was on the plate and had been touched by the child who did not want to finish the food. |
— |
| 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 caregivers did not have current first aid training available for review at the time of the inspection. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director is not ensuring the employees are operating in compliance of the minimum standards. |
— |
| 3 | — |
746.3803(c) - Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions
A parent instructed the operation to administer 6mL of a medication, but the instructions state "do not use unless instructed by a doctor" for the age of the child. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
1 of 10 childrens records reviewed is missing a health care statement. |
Yes |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
1 caregiver does not have current CPR training, |
— |
| 5 | — |
746.3807(1) - Storage of Medication - Inaccessible to Children
I observed diaper cream that specified 'keep out of reach of children' on a low shelf that children has access to. |
— |
| 3 | — |
746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep
During naptime, I observed 7 children with blankets on their head. |
Yes |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
There was no fire drill conducted in August. |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
There was 4 infants that were observed sitting in an infant feeding activity table for approximately 45 minutes. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The sanitation inspection was due February of 2022. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The changing mat observed in the infant classsroom has rips and holes making the material absorbant and not easy to clean. The director changed the mat to a new one with no holes or rips. |
Yes |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
1 of 10 caregivers did not have current CPR training available for review at the time of the inspection. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
There is a bottle for children's motrin that is stored in the office for a child that is no longer enrolled. The medication was thrown away immediately/ |
Yes |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness
Licensing was notified 3-5 days after the operation was notified about 5 different COVID cases. |
— |
| 4 | — |
746.605(13) - Required Admission Information - Special Needs Statement
There is one child with a diagnosed food allergy that does not have medication present. Mom brought the epi pen to the operation to keep. |
Yes |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
The caregivers have access to a tracking system, however there was no unique identifier for who signed the children in and there way only 8 of 16 present children signed in. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
A caregiver did not know the ages of the children she was responsible for nor did she have access to their birth dates. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
There is medication present for a child that has recently disenrolled. |
— |
| 4 | — |
746.3420(5) - Hand Sanitizer - Stored Out of Child's Reach When Not in Use
Hand sanitizer was observed within reach of children when not in use in the two older classrooms. |
— |
| 4 | — |
746.3505(g) - Diapering Procedures-Soiled clothes sent home
There is soiled pants accessible to other children in the bathroom of the 2 year old classroom. The pants were not sealed in a plastic bag. |
Yes |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
4 of the 10 childrens records that I reviewed was missing an address for the emergency contact. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
Although the center is practicing the emergency drills, they are not exiting the building in the required time. January, March, April, and June is documented with an exit time of 4 minutes and more. |
— |
| 4 | — |
746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs
A child was injured while in care and the caregivers have no knowledge of how it happened. They did not see the incident. |
— |
96 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.