Child care center ·
3423 BEE CAVES RD STE A100, West Lake Hills, TX 78746-6671 ·
License 1661183
Capacity 162. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
Eight out of the ten staff files reviewed did not have proof of orientation to the center. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Current feeding instructions for four children were not available for review. |
— |
| 4 | — |
746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
During the investigation, CCR discovered that on 9/10/25, a child in care, with a known nut allergy, was served a muffin containing almond four, that resulted in the child becoming sick. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not show good judgment when she duct taped a child's shoes to his feet. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The required annual sanitation inspection was not available for review. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Caregivers did not know the number of children they were responsible for, The two caregivers initially reported having seven children but actually had six, which was only realized after the discrepancy was pointed out. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on evidence obtained during the investigation, good judgment was not being used by a caregiver when a bottle was not checked before being given to a child. This was corrected immediately after the incident when caregivers received write ups, and retraining was provided for all infant staff. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
This investigation concluded that a child, in September of 2024, sustained in injury in care, that required medical treatment, and the operation did not notify CCR, per minimum standards. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product certificates was last updated on 3-11-2020. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During the walk through of the infant classroom two infants were observed sleeping in restrictive devices. This was corrected when the caregiver moved the infants to cribs. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There were more than one food allergy plan that did not have the parent's signature. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There were more than one food allergy plan that did not have the parent's signature. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product certificates was last updated on 3-11-2020. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
This investigation concluded that a child, in September of 2024, sustained in injury in care, that required medical treatment, and the operation did not notify CCR, per minimum standards. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Current feeding instructions for four children were not available for review. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During the walk through of the infant classroom two infants were observed sleeping in restrictive devices. This was corrected when the caregiver moved the infants to cribs. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not show good judgment when she duct taped a child's shoes to his feet. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The required annual sanitation inspection was not available for review. |
— |
| 4 | — |
746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
During the investigation, CCR discovered that on 9/10/25, a child in care, with a known nut allergy, was served a muffin containing almond four, that resulted in the child becoming sick. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on evidence obtained during the investigation, good judgment was not being used by a caregiver when a bottle was not checked before being given to a child. This was corrected immediately after the incident when caregivers received write ups, and retraining was provided for all infant staff. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
Eight out of the ten staff files reviewed did not have proof of orientation to the center. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Caregivers did not know the number of children they were responsible for, The two caregivers initially reported having seven children but actually had six, which was only realized after the discrepancy was pointed out. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Current feeding instructions for four children were not available for review. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The required annual sanitation inspection was not available for review. |
— |
| 4 | — |
746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
During the investigation, CCR discovered that on 9/10/25, a child in care, with a known nut allergy, was served a muffin containing almond four, that resulted in the child becoming sick. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Caregivers did not know the number of children they were responsible for, The two caregivers initially reported having seven children but actually had six, which was only realized after the discrepancy was pointed out. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not show good judgment when she duct taped a child's shoes to his feet. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
This investigation concluded that a child, in September of 2024, sustained in injury in care, that required medical treatment, and the operation did not notify CCR, per minimum standards. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There were more than one food allergy plan that did not have the parent's signature. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product certificates was last updated on 3-11-2020. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on evidence obtained during the investigation, good judgment was not being used by a caregiver when a bottle was not checked before being given to a child. This was corrected immediately after the incident when caregivers received write ups, and retraining was provided for all infant staff. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During the walk through of the infant classroom two infants were observed sleeping in restrictive devices. This was corrected when the caregiver moved the infants to cribs. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
Eight out of the ten staff files reviewed did not have proof of orientation to the center. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
This investigation concluded that a child, in September of 2024, sustained in injury in care, that required medical treatment, and the operation did not notify CCR, per minimum standards. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not show good judgment when she duct taped a child's shoes to his feet. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There were more than one food allergy plan that did not have the parent's signature. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
Eight out of the ten staff files reviewed did not have proof of orientation to the center. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product certificates was last updated on 3-11-2020. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Current feeding instructions for four children were not available for review. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Caregivers did not know the number of children they were responsible for, The two caregivers initially reported having seven children but actually had six, which was only realized after the discrepancy was pointed out. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During the walk through of the infant classroom two infants were observed sleeping in restrictive devices. This was corrected when the caregiver moved the infants to cribs. |
— |
| 4 | — |
746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
During the investigation, CCR discovered that on 9/10/25, a child in care, with a known nut allergy, was served a muffin containing almond four, that resulted in the child becoming sick. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on evidence obtained during the investigation, good judgment was not being used by a caregiver when a bottle was not checked before being given to a child. This was corrected immediately after the incident when caregivers received write ups, and retraining was provided for all infant staff. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The required annual sanitation inspection was not available for review. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Current feeding instructions for four children were not available for review. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Caregivers did not know the number of children they were responsible for, The two caregivers initially reported having seven children but actually had six, which was only realized after the discrepancy was pointed out. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
This investigation concluded that a child, in September of 2024, sustained in injury in care, that required medical treatment, and the operation did not notify CCR, per minimum standards. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There were more than one food allergy plan that did not have the parent's signature. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on evidence obtained during the investigation, good judgment was not being used by a caregiver when a bottle was not checked before being given to a child. This was corrected immediately after the incident when caregivers received write ups, and retraining was provided for all infant staff. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product certificates was last updated on 3-11-2020. |
— |
| 4 | — |
746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
During the investigation, CCR discovered that on 9/10/25, a child in care, with a known nut allergy, was served a muffin containing almond four, that resulted in the child becoming sick. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During the walk through of the infant classroom two infants were observed sleeping in restrictive devices. This was corrected when the caregiver moved the infants to cribs. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not show good judgment when she duct taped a child's shoes to his feet. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The required annual sanitation inspection was not available for review. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
Eight out of the ten staff files reviewed did not have proof of orientation to the center. |
— |
| 4 | — |
746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
During the investigation, CCR discovered that on 9/10/25, a child in care, with a known nut allergy, was served a muffin containing almond four, that resulted in the child becoming sick. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product certificates was last updated on 3-11-2020. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
There were more than one food allergy plan that did not have the parent's signature. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
This investigation concluded that a child, in September of 2024, sustained in injury in care, that required medical treatment, and the operation did not notify CCR, per minimum standards. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Current feeding instructions for four children were not available for review. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not show good judgment when she duct taped a child's shoes to his feet. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on evidence obtained during the investigation, good judgment was not being used by a caregiver when a bottle was not checked before being given to a child. This was corrected immediately after the incident when caregivers received write ups, and retraining was provided for all infant staff. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Caregivers did not know the number of children they were responsible for, The two caregivers initially reported having seven children but actually had six, which was only realized after the discrepancy was pointed out. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
Eight out of the ten staff files reviewed did not have proof of orientation to the center. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The required annual sanitation inspection was not available for review. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
During the walk through of the infant classroom two infants were observed sleeping in restrictive devices. This was corrected when the caregiver moved the infants to cribs. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The required annual sanitation inspection was not available for review. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
This investigation concluded that a child, in September of 2024, sustained in injury in care, that required medical treatment, and the operation did not notify CCR, per minimum standards. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product certificates was last updated on 3-11-2020. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so. |
— |
80 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.