Capacity 115. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
During inspection, three bottle fed infants did not have updated feeding instruction sheets. |
— |
| 1 | — |
746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
While reviewing files, 9 children files did not have a health statement. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
This Standard was found to be out of compliance while reviewing video footage. Video shows that a child was left sleeping in a restrictive device. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
During inspection, 6 staff records were reviewed and not maintained. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
This standard was found to out of compliance when reviewing video footage. It was found that the operation's caregivers did not demonstrate good judgment when they left a toddler in a high chair for 2 and a half hours during the morning. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
While doing a walk through, one caregiver was supervising 14 children aged 12 months-2 on the playground. This was corrected when a second caregiver joined the caregiver on the playground. |
— |
| 3 | — |
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times
During inspection it was observed that the children were eating their breakfast upon arrival and watching television. |
— |
| 4 | — |
746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
A piece of equipment that bounces did not have the proper depth of loose fill around and under it as required. |
— |
| 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
During inspection a caregiver walked out of the breakfast area leaving 4 children alone to switch places with a caregiver outside. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
While reviewing personnel files, 2 caregivers did not have current CPR/First Aid training. |
— |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
A crib sheet was observed to be loose fitting and bundled up when an infant was sleeping. This was discussed with the caregivers and corrected at inspection. |
Yes |
| 3 | — |
746.401(1) - Posting Requirements - License
The operation did not have the licenses posted. |
— |
| 3 | — |
746.2203(b) - Written Activity Plans - Plan Followed by Caregiver
This Minimum Standard was found to be out of compliance while reviewing video footage. The operation did not follow their activity plan when they had children watching television for 2.5 hours and had a toddler restricted in a high chair for 2.5 hours. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
While reviewing video footage it was found that caregivers were not sanitizing the diaper changing mat after use. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
During inspection, 6 staff records were reviewed and not maintained. |
— |
| 4 | — |
746.305(a)(1) - Report Unsafe Facility Occurrence
The operation was closed 1/31/23 - 2/3/23 due to weather and did not notify CCR. |
— |
| 4 | — |
746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
While reviewing the director's file, there were only 17 of the required 30 hours availbale for review. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During inspection, 2 infants were observed unstrapped in the high chair table. |
— |
| 3 | — |
746.501(a)(1) - Written Operational Policies - Operating Times
The operation was not able to provide the operational policies for review. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
While reviewing children's files for the HASA, 2 children did not have updated immunizations. |
— |
| 3 | — |
746.2203(a) - Written Activity Plans
There were no activity plans posted in the classrooms. |
— |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
While serving morning snack, it was observed that the food was being placed directly on the table and not on a plate, napkin, or other sanitary manner. This was corrected when the caregivers gave each child a napkin to place their food on. |
Yes |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
During inspection there was a container of lysol wipes and hand sanitizer on the shelf within the reach of the children. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
During inspection, a 3 year old child was observed alone and unsupervised in the bathroom. CCR Inspector returned child to teacher. Teacher advised they were not aware child was gone. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The operation allowed a newly hired staff member to be present at the operation before receiving notice from the CBCU regarding the person's eligibility. Another citation related to background checks within the next 6 months may result in a penalty. Another citation related to background checks within the next 6 months may result in an additional penalty and other enforcement actions. An Administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation. |
— |
| 5 | — |
746.613(a) - Required Immunizations
While reviewing immunization records, 1 child did not have an immunization record in their file. |
— |
| 3 | — |
746.2207(c)(3) - Screen Time Activities - Not Exceed One Hour Daily
While reviewing video footage it was found that the operation kept their television on for 2 and a half hours in the morning with children. |
— |
| 3 | — |
746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
During inspection the emergency drills and detector monitoring was unavailable. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
The HASA was conducted and the grounds checklist has not been conducted in the last 3 months. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection, two classes were out of ratio. The two year old class was out of ratio by one child. The three year old class was out of ratio by three. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During POA inspection, 1 infant was observed unbuckled in the highchair table. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During inspection, 3 diaper changes were observed and all 3 did not wash the infants hands. |
— |
| 4 | — |
746.5613 - One Seat Belt Per Person
This standard was reviewed during an investigation and found deficient. There is evidence to support that multiple children are being buckled in the same seatbelt. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During follow up inspection, 1 infant was observed unbuckled in the highchair table. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
During inspection at naptime, it was observed 1 caregiver was supervising 3 areas of children. 1 classroom had 12 children ages 3 yrs - 5rs napping. 1 classroom had 14 children ages 1 yr - 2 yrs napping with the door closed and no teacher inside the room. The open area had 4 children ages 7yrs - 9yrs resting. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
While reviewing video footage it was found that caregivers were not washing their hands after diaper changes. The caregivers were also not cleaning the infants hands either. |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
During follow up inspection, 1 infant was observed in a restrictive device for 50 minutes. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
The HASA was conducted and one caregiver had an expired CPR and First Aid certification. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A follow up was conducted. A caregiver was present supervising children alone and did not have an eligible status to be present. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three infant feeding instructions were not up to date. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
During POA inspection, the infant caregivers did not know the information for 1 infant they were responsible for. |
— |
| 5 | — |
746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
This standard was reviewed in relation to the reported allegation and found to be deficient. Caregivers advised that children are strapped into high chairs while other tasks, such as diapering other children, are conducted. |
— |
| 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
While doing a walk through of the operation, a caregiver walked off the playground to go potty leaving a group of children unsupervised. This was corrected when the director stepped outside with the children. |
— |
| 3 | — |
746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
During inspection the emergency drills and detector monitoring was unavailable. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During inspection, 1 infant was observed asleep in a swing. 2 infants were observed in the high chair table unstrapped. 2 infants were in highchairs unstrapped. TA was provided and the infants were removed from the restrictive devices. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
An electrical outlet did not have a cover and a cover was found and put in during inspection. |
Yes |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During inspection, an infant was observed sleeping in a restrictive device. The operation allowed a 6 week old infant asleep in a swing. During inspection on 11/30/2022, I observed a 6 week old asleep in a swing. Picture was taken showing the swing and sleeping infant. After I discussed Minimum Standard 746.2426 with the infant caregivers and director, the child was removed during inspection on 11/30/2022. An Administrative Penalty in the amount of 100% of the daily maximum per HRC 42.078(a-2) is being recommended for one day. Impose an Administrative Penalty in the amount of 100% of the daily maximum per statute, HRC ?42.078(a-2) and determine the appropriateness of requesting a risk analysis and/or imposing additional enforcement actions, including corrective or adverse action. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Four staff records were reviewed and all four need required training related to health and safety. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
During inspection, 6 records were reviewed and not maintained. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
The director did not have current CPR training. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
One non-exempt caregiver with no previous training was counted in ratio before having the required 8 hours of training. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
During inspection, 6 records were reviewed and 2 were missing updated immunization records. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
During POA inspection, the infant feeding sheets were not updated. One bottle fed infant did not have an infant feeding sheet. |
— |
| 4 | — |
746.5607(d) - Child Passenger Safety Seat System - Child 12 Years and Younger Must Not Ride in Front Seat
This standard was reviewed during an investigation and found deficient. There is evidence to support that young children are being placed in the front seat during transportation to the operation. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
While reviewing children's files for the HASA, 2 children did not have updated immunizations. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
While reviewing video footage it was found that caregivers were not washing their hands after diaper changes. The caregivers were also not cleaning the infants hands either. |
— |
| 3 | — |
746.2203(b) - Written Activity Plans - Plan Followed by Caregiver
This Minimum Standard was found to be out of compliance while reviewing video footage. The operation did not follow their activity plan when they had children watching television for 2.5 hours and had a toddler restricted in a high chair for 2.5 hours. |
— |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
A crib sheet was observed to be loose fitting and bundled up when an infant was sleeping. This was discussed with the caregivers and corrected at inspection. |
Yes |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
While serving morning snack, it was observed that the food was being placed directly on the table and not on a plate, napkin, or other sanitary manner. This was corrected when the caregivers gave each child a napkin to place their food on. |
Yes |
| 1 | — |
746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
While reviewing files, 9 children files did not have a health statement. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
The HASA was conducted and one caregiver had an expired CPR and First Aid certification. |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
During follow up inspection, 1 infant was observed in a restrictive device for 50 minutes. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three infant feeding instructions were not up to date. |
— |
| 3 | — |
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times
During inspection it was observed that the children were eating their breakfast upon arrival and watching television. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
During inspection there was a container of lysol wipes and hand sanitizer on the shelf within the reach of the children. |
— |
| 5 | — |
746.613(a) - Required Immunizations
While reviewing immunization records, 1 child did not have an immunization record in their file. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During inspection, an infant was observed sleeping in a restrictive device. The operation allowed a 6 week old infant asleep in a swing. During inspection on 11/30/2022, I observed a 6 week old asleep in a swing. Picture was taken showing the swing and sleeping infant. After I discussed Minimum Standard 746.2426 with the infant caregivers and director, the child was removed during inspection on 11/30/2022. An Administrative Penalty in the amount of 100% of the daily maximum per HRC 42.078(a-2) is being recommended for one day. Impose an Administrative Penalty in the amount of 100% of the daily maximum per statute, HRC ?42.078(a-2) and determine the appropriateness of requesting a risk analysis and/or imposing additional enforcement actions, including corrective or adverse action. |
— |
| 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
During inspection a caregiver walked out of the breakfast area leaving 4 children alone to switch places with a caregiver outside. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A follow up was conducted. A caregiver was present supervising children alone and did not have an eligible status to be present. |
— |
| 4 | — |
746.5613 - One Seat Belt Per Person
This standard was reviewed during an investigation and found deficient. There is evidence to support that multiple children are being buckled in the same seatbelt. |
— |
| 3 | — |
746.501(a)(1) - Written Operational Policies - Operating Times
The operation was not able to provide the operational policies for review. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
This Standard was found to be out of compliance while reviewing video footage. Video shows that a child was left sleeping in a restrictive device. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
During inspection, 6 records were reviewed and not maintained. |
— |
| 3 | — |
746.2207(c)(3) - Screen Time Activities - Not Exceed One Hour Daily
While reviewing video footage it was found that the operation kept their television on for 2 and a half hours in the morning with children. |
— |
| 4 | — |
746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
A piece of equipment that bounces did not have the proper depth of loose fill around and under it as required. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During inspection, 3 diaper changes were observed and all 3 did not wash the infants hands. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During follow up inspection, 1 infant was observed unbuckled in the highchair table. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
During inspection, 6 staff records were reviewed and not maintained. |
— |
| 4 | — |
746.305(a)(1) - Report Unsafe Facility Occurrence
The operation was closed 1/31/23 - 2/3/23 due to weather and did not notify CCR. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
During inspection at naptime, it was observed 1 caregiver was supervising 3 areas of children. 1 classroom had 12 children ages 3 yrs - 5rs napping. 1 classroom had 14 children ages 1 yr - 2 yrs napping with the door closed and no teacher inside the room. The open area had 4 children ages 7yrs - 9yrs resting. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Four staff records were reviewed and all four need required training related to health and safety. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
An electrical outlet did not have a cover and a cover was found and put in during inspection. |
Yes |
| 3 | — |
746.2203(a) - Written Activity Plans
There were no activity plans posted in the classrooms. |
— |
| 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
While doing a walk through of the operation, a caregiver walked off the playground to go potty leaving a group of children unsupervised. This was corrected when the director stepped outside with the children. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During POA inspection, 1 infant was observed unbuckled in the highchair table. |
— |
| 3 | — |
746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
During inspection the emergency drills and detector monitoring was unavailable. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
While reviewing video footage it was found that caregivers were not sanitizing the diaper changing mat after use. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
During inspection, 6 records were reviewed and 2 were missing updated immunization records. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
During inspection, three bottle fed infants did not have updated feeding instruction sheets. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
During inspection, a 3 year old child was observed alone and unsupervised in the bathroom. CCR Inspector returned child to teacher. Teacher advised they were not aware child was gone. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
While doing a walk through, one caregiver was supervising 14 children aged 12 months-2 on the playground. This was corrected when a second caregiver joined the caregiver on the playground. |
— |
| 5 | — |
746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
This standard was reviewed in relation to the reported allegation and found to be deficient. Caregivers advised that children are strapped into high chairs while other tasks, such as diapering other children, are conducted. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
During inspection, 6 staff records were reviewed and not maintained. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
One non-exempt caregiver with no previous training was counted in ratio before having the required 8 hours of training. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
During POA inspection, the infant feeding sheets were not updated. One bottle fed infant did not have an infant feeding sheet. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During inspection, 1 infant was observed asleep in a swing. 2 infants were observed in the high chair table unstrapped. 2 infants were in highchairs unstrapped. TA was provided and the infants were removed from the restrictive devices. |
— |
| 3 | — |
746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
During inspection the emergency drills and detector monitoring was unavailable. |
— |
| 4 | — |
746.5607(d) - Child Passenger Safety Seat System - Child 12 Years and Younger Must Not Ride in Front Seat
This standard was reviewed during an investigation and found deficient. There is evidence to support that young children are being placed in the front seat during transportation to the operation. |
— |
| 4 | — |
746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
While reviewing the director's file, there were only 17 of the required 30 hours availbale for review. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
The director did not have current CPR training. |
— |
136 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.