Capacity 207. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
A crib in the Infant 2 classroom was observed to have an additional supporting mattress. |
— |
| 5 | — |
746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
An infant was placed face down and swaddled in a crib. |
— |
| 4 | — |
746.4135(a) - Children's Products- Review list and Remove unsafe products
The recall product form was not available for review during the visit. |
Yes |
| 3 | — |
746.1003(2) - Director Responsibilities - Employees Comply with Standards
The operation has incurred several high weighted deficiencies that put children at risk. The infant and toddler caregivers are instructed by management not to take small children outside. |
— |
| 4 | — |
746.3415(5) - Employee Handwashing After Assisting a Child with Toileting
A caregiver did not wash their hands after assisting three toddlers with toileting. |
— |
| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
A caregiver without Pediatriac First Aid was left unsupervised in the Infant I classroom. |
— |
| 3 | — |
746.4913 - Required Documentation for Unitary Surfacing Materials
The data test for the turf was not available for review during the visit. |
— |
| 4 | — |
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
A cargiver in Infant I was left unsupervised without CPR training. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children do not have food allergy plans signed by the parents or the health care professionals. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Two children did not have immunization records in their file at the time of inspction. Two children in care did not have the required health statements signed by a physcian. One child did not have required information for a school aged child on their admission form. |
— |
| 4 | — |
746.613(c)(1) - Immunization Exception or Exemption on File and Verified
A child was admitted into before their immunization exception was filed and verified by the operation. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
A school age child in care was observed walking freely into the building alone, to get a wet paper towel. Inspector escorted the child to his teacher outside. |
— |
| 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
Children were observed in areas of the operation unattended. |
— |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
The operation did not have food allergy plans posted in all classrooms. The operation did not maintain privacy for children with documented food allergies. |
— |
| 5 | — |
746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File
A seven month old infant was observed swaddled face down in crib |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
The cleaning supplies were accessible to children in 2 out of 10 classrooms. |
Yes |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
A caregiver did not remove an infant sleeping in a restrictive device in Infant room I. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An initial background check was not completed for a caregiver who was caring for children during the inspection. This was corrected during the inspection as the caregiver went home. A background check was submitted for the caregiver during the inspection. |
Yes |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
This standard was evaluated during the investigation and was found to be deficient. The caregiver used a prohibited punishment on a child in care. |
— |
| 3 | — |
746.501(a)(20) - Written Operational Policies - Parent Rights
The parents rights were missing from the parent handbook also called the operational policies. This was corrected at inspection. |
Yes |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Several children with known food allergies did not have a completed Food Allergy Emergency Plan in their file. |
— |
| 3 | — |
746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
Two out of ten files did not have trainings up to date. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two out of ten files did not have current CPR first aid available for review. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Four children under the age of 13 were in care at the operation who were not enrolled. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Three classrooms did not have trash can lids on garbage cans which contained food items. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver was observed supervising 6 infants under the age of 11 months. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not use good judgment when they gave one infant another infant's formula. |
— |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
The operation did not maintain privacy for a child with documented food allergies. This deficiency was corrected at inspection when the Director removed the posted food allergy list and placed it in an area marked Food allergies where staff and parents can view it at any time. |
Yes |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Two infants were observed sleeping in cribs that contained toys, blankets and pacificers that were attached to the children by a string or leash. |
— |
| 5 | — |
746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
Two infants under 5 months old were observed in restrictive devices with bottles propped up with blankets to feed them. |
— |
| 4 | — |
746.4813(a) - Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)
A rotating play structure on which a child sits does not have a use zone of a least six feet. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Four infants do have feeding instructions signed and dated by the parent or health care professional. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver was observed aggressively grabbing a child by both arms, picking the child up, and sitting the child forcefully down on the floor. The caregiver was observed to grab the child again to separate them from the group and then forcefully sit the child on the floor against a wall adjacent to the group. |
— |
| 4 | — |
746.1203(3)(A) - Administrative and clerical duties that take caregiver's attention away from children
This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver is observed entering information on an electronic tablet and was not properly supervising children. |
— |
| 5 | — |
746.613(a) - Required Immunizations
One child was admitted to care before meeting immunization requirements. |
— |
| 4 | — |
746.303(a)(4) - Report Change in Director
One of the director's last day was on 10/1/24 (per controlling person submission). No notification in writing to licensing was completed. |
— |
| 4 | — |
746.3415(5) - Employee Handwashing After Assisting a Child with Toileting
A caregiver did not wash their hands after assisting three toddlers with toileting. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Two children did not have immunization records in their file at the time of inspction. Two children in care did not have the required health statements signed by a physcian. One child did not have required information for a school aged child on their admission form. |
— |
| 5 | — |
746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File
A seven month old infant was observed swaddled face down in crib |
— |
| 5 | — |
746.613(a) - Required Immunizations
One child was admitted to care before meeting immunization requirements. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Four children under the age of 13 were in care at the operation who were not enrolled. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Two infants were observed sleeping in cribs that contained toys, blankets and pacificers that were attached to the children by a string or leash. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
The cleaning supplies were accessible to children in 2 out of 10 classrooms. |
Yes |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
The operation did not have food allergy plans posted in all classrooms. The operation did not maintain privacy for children with documented food allergies. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Three classrooms did not have trash can lids on garbage cans which contained food items. |
— |
| 4 | — |
746.1203(3)(A) - Administrative and clerical duties that take caregiver's attention away from children
This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver is observed entering information on an electronic tablet and was not properly supervising children. |
— |
| 4 | — |
746.4813(a) - Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)
A rotating play structure on which a child sits does not have a use zone of a least six feet. |
— |
| 4 | — |
746.303(a)(4) - Report Change in Director
One of the director's last day was on 10/1/24 (per controlling person submission). No notification in writing to licensing was completed. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver was observed supervising 6 infants under the age of 11 months. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
A school age child in care was observed walking freely into the building alone, to get a wet paper towel. Inspector escorted the child to his teacher outside. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
This standard was evaluated during the investigation and was found to be deficient. The caregiver used a prohibited punishment on a child in care. |
— |
| 3 | — |
746.4913 - Required Documentation for Unitary Surfacing Materials
The data test for the turf was not available for review during the visit. |
— |
| 4 | — |
746.4135(a) - Children's Products- Review list and Remove unsafe products
The recall product form was not available for review during the visit. |
Yes |
| 3 | — |
746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
Two out of ten files did not have trainings up to date. |
— |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
A crib in the Infant 2 classroom was observed to have an additional supporting mattress. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
A caregiver did not remove an infant sleeping in a restrictive device in Infant room I. |
— |
| 3 | — |
746.1003(2) - Director Responsibilities - Employees Comply with Standards
The operation has incurred several high weighted deficiencies that put children at risk. The infant and toddler caregivers are instructed by management not to take small children outside. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An initial background check was not completed for a caregiver who was caring for children during the inspection. This was corrected during the inspection as the caregiver went home. A background check was submitted for the caregiver during the inspection. |
Yes |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
The operation did not maintain privacy for a child with documented food allergies. This deficiency was corrected at inspection when the Director removed the posted food allergy list and placed it in an area marked Food allergies where staff and parents can view it at any time. |
Yes |
| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
A caregiver without Pediatriac First Aid was left unsupervised in the Infant I classroom. |
— |
| 5 | — |
746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
An infant was placed face down and swaddled in a crib. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Four infants do have feeding instructions signed and dated by the parent or health care professional. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not use good judgment when they gave one infant another infant's formula. |
— |
| 3 | — |
746.501(a)(20) - Written Operational Policies - Parent Rights
The parents rights were missing from the parent handbook also called the operational policies. This was corrected at inspection. |
Yes |
| 4 | — |
746.613(c)(1) - Immunization Exception or Exemption on File and Verified
A child was admitted into before their immunization exception was filed and verified by the operation. |
— |
| 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
Children were observed in areas of the operation unattended. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver was observed aggressively grabbing a child by both arms, picking the child up, and sitting the child forcefully down on the floor. The caregiver was observed to grab the child again to separate them from the group and then forcefully sit the child on the floor against a wall adjacent to the group. |
— |
| 4 | — |
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
A cargiver in Infant I was left unsupervised without CPR training. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two out of ten files did not have current CPR first aid available for review. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children do not have food allergy plans signed by the parents or the health care professionals. |
— |
| 5 | — |
746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
Two infants under 5 months old were observed in restrictive devices with bottles propped up with blankets to feed them. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Several children with known food allergies did not have a completed Food Allergy Emergency Plan in their file. |
— |
| 5 | — |
746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
An infant was placed face down and swaddled in a crib. |
— |
| 4 | — |
746.4813(a) - Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)
A rotating play structure on which a child sits does not have a use zone of a least six feet. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Four infants do have feeding instructions signed and dated by the parent or health care professional. |
— |
| 4 | — |
746.303(a)(4) - Report Change in Director
One of the director's last day was on 10/1/24 (per controlling person submission). No notification in writing to licensing was completed. |
— |
| 5 | — |
746.613(a) - Required Immunizations
One child was admitted to care before meeting immunization requirements. |
— |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
The operation did not have food allergy plans posted in all classrooms. The operation did not maintain privacy for children with documented food allergies. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
The cleaning supplies were accessible to children in 2 out of 10 classrooms. |
Yes |
| 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
Children were observed in areas of the operation unattended. |
— |
| 4 | — |
746.3415(5) - Employee Handwashing After Assisting a Child with Toileting
A caregiver did not wash their hands after assisting three toddlers with toileting. |
— |
| 3 | — |
746.501(a)(20) - Written Operational Policies - Parent Rights
The parents rights were missing from the parent handbook also called the operational policies. This was corrected at inspection. |
Yes |
| 3 | — |
746.1003(2) - Director Responsibilities - Employees Comply with Standards
The operation has incurred several high weighted deficiencies that put children at risk. The infant and toddler caregivers are instructed by management not to take small children outside. |
— |
| 4 | — |
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
A cargiver in Infant I was left unsupervised without CPR training. |
— |
| 3 | — |
746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
Two out of ten files did not have trainings up to date. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not use good judgment when they gave one infant another infant's formula. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Two children did not have immunization records in their file at the time of inspction. Two children in care did not have the required health statements signed by a physcian. One child did not have required information for a school aged child on their admission form. |
— |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
The operation did not maintain privacy for a child with documented food allergies. This deficiency was corrected at inspection when the Director removed the posted food allergy list and placed it in an area marked Food allergies where staff and parents can view it at any time. |
Yes |
| 4 | — |
746.4135(a) - Children's Products- Review list and Remove unsafe products
The recall product form was not available for review during the visit. |
Yes |
| 3 | — |
746.4913 - Required Documentation for Unitary Surfacing Materials
The data test for the turf was not available for review during the visit. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver was observed aggressively grabbing a child by both arms, picking the child up, and sitting the child forcefully down on the floor. The caregiver was observed to grab the child again to separate them from the group and then forcefully sit the child on the floor against a wall adjacent to the group. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children do not have food allergy plans signed by the parents or the health care professionals. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Two infants were observed sleeping in cribs that contained toys, blankets and pacificers that were attached to the children by a string or leash. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Four children under the age of 13 were in care at the operation who were not enrolled. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Three classrooms did not have trash can lids on garbage cans which contained food items. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Several children with known food allergies did not have a completed Food Allergy Emergency Plan in their file. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
A caregiver did not remove an infant sleeping in a restrictive device in Infant room I. |
— |
| 5 | — |
746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
Two infants under 5 months old were observed in restrictive devices with bottles propped up with blankets to feed them. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver was observed supervising 6 infants under the age of 11 months. |
— |
| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
A caregiver without Pediatriac First Aid was left unsupervised in the Infant I classroom. |
— |
136 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.