Capacity 85. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
Two children were observed in seats that required safety straps not buckled in. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules
All operational polices were not available for review. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Annual Fire Inspection has not been completed. The last Fire Inspection was conducted on 01/05/21. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
At the time of inspection a three year old child was in the infant room during nap time. This was corrected when the child was returned to the three year old class. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Several Infant Bottles were observed not being labeled with the infants name on them. |
— |
| 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
School age children were in a classroom alone while a caregiver briefly stepped out of the room. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Four out of eight staff files did not have the required 24 hours of training. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
In one room there was an electrical outlet that was not covered and accessible to children. In the same classroom there was an AC window unit operating that was accessible to children. In a separate classroom there was a portable AC unit operating accessible to children. |
— |
| 5 | — |
746.2411(2)(A) - Safety Requirements for Play Yards - Snug Fitting, Firm, Flat Mattress Designed for Use in Play Yard and No Extra Pads
Pack n plays in the infant room had a mattress added that did not come with the pack n play and also is not made by the same manufacture. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
Eight caregivers did not have the required 24 hours of annual training complete at the time of my inspection. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two out of nine children files checked did not have current immunizations. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The base board in the infant room, three and four year old classroom, two year old classroom, and the 12 to 18 month old classroom was coming off the wall. There was one spot on the wall where the sheet rock was broken in the three and four year old classroom. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
In the 18month-24month room multi purpose spray was on the sink accessible to children. Also in this room there were one electrical outlet that did not have a cover. Note: Both of these were corrected at inspection. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
One infant feeding schedule was expired at the tie of inspection. This was corrected when the parent signed and dated the feeding schedule. |
— |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Five out of six training records observed lacked training in prevention, recognition, and reporting of child maltreatment. |
— |
| 5 | — |
746.613(a) - Required Immunizations
Two out of ten children records lacked current immunization record. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The operations floors, toilets, and sinks were observed dirty. |
— |
| 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
The two year classroom was left unsupervised during naptime. |
— |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children
Two caregivers were caring for 11 children. The specified age was 0m-11m. This put the classroom over ratio by one child. NOTE: This was corrected at the inspection. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
The diaper changing mat was not sanitized after the diaper change. This was corrected when the diaper changing mat was sanitized. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Operation staff displayed poor judgement when the director and a caregiver present stated that a caregiver who was present without an eligible background check was a different individual who did have a background check. |
— |
| 4 | — |
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
One out of seven personnel files lacked CPR/FA training. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
Nap mats in one infant room were observed to be torn exposing the foam material posing a hazard. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
An infant was observed sitting in bucket chair not strapped in. |
— |
| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One out of eight files laked current first aid. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
One infant 4 months old was observed with a baby activity mat in the pack n play. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Four out of eight staff files did not have the required 24 hours of training. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Seven out of nine infant feeding schedules were not updated for the month of October. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules
The operational policies lacked # 9, 18,20,23,24,26, and 28. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
At the time of inspection one child in care did not have an admission form on file. This was corrected when the child was removed from care. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
RECITE: Eight caregivers did not have the required 24 hours of annual training complete at the time of my inspection. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
At the time of inspection there were 16 two year old children with one caregiver. This was corrected when a second caregiver joined the group. |
— |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Infants were served snack on the bare table without a napkin or papertowel. NOTE: This was corrected at inspection with the caregiver using paper towels during snack time. |
Yes |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
At the time of inspection the caregiver in the infant room did not wash their hands after diaper change. This was corrected when the caregiver washed their hands. |
— |
| 4 | — |
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
One out of eight files laked current CPR. |
— |
| 4 | — |
746.4305 - Fenced Outdoor Activity Space
Multiple children under the age of 5 were observed in a play area that does not have a fence on all sides . |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Two diaper changing pads had tears. |
— |
| 4 | — |
746.2431 - Infant Daily Report - Share with Parent
Daily Reports were not complete in one infant room. |
— |
| 5 | — |
746.2426(a)(2) - Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
An infant feel asleep in a swing and the caregivers did not remove the child immediately. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The rugs in the infant/toddlers room were dirty. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules
The operational policies lacked #18,20,23,24,26, and 28. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
Three classrooms that had children under 2 years old present were using the television. |
— |
| 3 | — |
746.401(5) - Posting Requirements - Activity Plans for each group of children in the child care center
The toddler room activty plan was not posted. |
— |
| 4 | — |
746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
A caregiver was observed utilizing a cell phone watching videos that did not relate to children. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
A highchair used by children is stained and the top layer of the highchair tray is peeling off. |
— |
| 3 | — |
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
At the time of inspection there were four nap mats that were ripped and the foam was protruding. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
At the time of inspection, the caregiver in the infant room did not wash the child's hands after diaper change. |
— |
| 4 | — |
746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded
Two fans were not mounted in the three and four year old classroom and were accessible to the children in care. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There was two screws protruding in the two year old classroom where the cabinet door was removed. There were two screws protruding from the doorway where the gate was removed, accessible to children. These were all removed and corrected. There were three hearing aid batteries on the floor in the front entrance of the center, accessible to the children in care. This was corrected when they were discarded. |
— |
| 5 | — |
746.2805(2) - Prohibited Punishments - Associated with Food, Naps, or Toilet Training
During the course of an investigation, it was determined that a caregiver restricted food as punishment. |
— |
| 5 | — |
746.2415(a)(4) - Prohibited Equipment for Infants - Toys Choking Hazard
Toddler was observed to be wearing an Amber Teething Necklace which is a choking hazard. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Three out of eight staff files were lacking CPR. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Five out of 6 training records observed lacked the required 6 topics. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver was responsible for 21 children. The specified age of the children was 4 years old. One caregiver is allowed to care for 18 children with the specified age of group being 4 years old. The caregiver was over ratio by 3 children. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver had 30 children in her care with the specified age being 3 years old. This caregiver was over ratio by 15 children. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One out of ten children files lacked an address for the emergency contact. |
— |
| 4 | — |
746.2405(4) - Infant Care Area Furnishings and Equipment - Hand-washing Sink
The infant room sink was not working. |
— |
| 4 | — |
746.4135(a) - Children's Products- Review list and Remove unsafe products
There were two recalled poppy pillow loungers in the infant room. NOTE: This was corrected when CCR removed the pillows. |
Yes |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The operations floors, toilets, and sinks were observed dirty. |
— |
| 4 | — |
746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
A caregiver was observed utilizing a cell phone watching videos that did not relate to children. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
One infant 4 months old was observed with a baby activity mat in the pack n play. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules
The operational policies lacked #18,20,23,24,26, and 28. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
At the time of inspection a three year old child was in the infant room during nap time. This was corrected when the child was returned to the three year old class. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver had 30 children in her care with the specified age being 3 years old. This caregiver was over ratio by 15 children. |
— |
| 4 | — |
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
One out of seven personnel files lacked CPR/FA training. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
Eight caregivers did not have the required 24 hours of annual training complete at the time of my inspection. |
— |
| 5 | — |
746.2415(a)(4) - Prohibited Equipment for Infants - Toys Choking Hazard
Toddler was observed to be wearing an Amber Teething Necklace which is a choking hazard. |
— |
| 3 | — |
746.401(5) - Posting Requirements - Activity Plans for each group of children in the child care center
The toddler room activty plan was not posted. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
RECITE: Eight caregivers did not have the required 24 hours of annual training complete at the time of my inspection. |
— |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Infants were served snack on the bare table without a napkin or papertowel. NOTE: This was corrected at inspection with the caregiver using paper towels during snack time. |
Yes |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
The diaper changing mat was not sanitized after the diaper change. This was corrected when the diaper changing mat was sanitized. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
A highchair used by children is stained and the top layer of the highchair tray is peeling off. |
— |
| 3 | — |
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
At the time of inspection there were four nap mats that were ripped and the foam was protruding. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The rugs in the infant/toddlers room were dirty. |
— |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children
Two caregivers were caring for 11 children. The specified age was 0m-11m. This put the classroom over ratio by one child. NOTE: This was corrected at the inspection. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Seven out of nine infant feeding schedules were not updated for the month of October. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
At the time of inspection, the caregiver in the infant room did not wash the child's hands after diaper change. |
— |
| 5 | — |
746.613(a) - Required Immunizations
Two out of ten children records lacked current immunization record. |
— |
| 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
School age children were in a classroom alone while a caregiver briefly stepped out of the room. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
In the 18month-24month room multi purpose spray was on the sink accessible to children. Also in this room there were one electrical outlet that did not have a cover. Note: Both of these were corrected at inspection. |
Yes |
| 3 | — |
746.603(a) - Children's Records Maintained
At the time of inspection one child in care did not have an admission form on file. This was corrected when the child was removed from care. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules
The operational policies lacked # 9, 18,20,23,24,26, and 28. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There was two screws protruding in the two year old classroom where the cabinet door was removed. There were two screws protruding from the doorway where the gate was removed, accessible to children. These were all removed and corrected. There were three hearing aid batteries on the floor in the front entrance of the center, accessible to the children in care. This was corrected when they were discarded. |
— |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Five out of six training records observed lacked training in prevention, recognition, and reporting of child maltreatment. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
At the time of inspection there were 16 two year old children with one caregiver. This was corrected when a second caregiver joined the group. |
— |
| 4 | — |
746.2431 - Infant Daily Report - Share with Parent
Daily Reports were not complete in one infant room. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver was responsible for 21 children. The specified age of the children was 4 years old. One caregiver is allowed to care for 18 children with the specified age of group being 4 years old. The caregiver was over ratio by 3 children. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Four out of eight staff files did not have the required 24 hours of training. |
— |
| 5 | — |
746.2426(a)(2) - Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
An infant feel asleep in a swing and the caregivers did not remove the child immediately. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules
All operational polices were not available for review. |
— |
| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One out of eight files laked current first aid. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The base board in the infant room, three and four year old classroom, two year old classroom, and the 12 to 18 month old classroom was coming off the wall. There was one spot on the wall where the sheet rock was broken in the three and four year old classroom. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
Three classrooms that had children under 2 years old present were using the television. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Four out of eight staff files did not have the required 24 hours of training. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Annual Fire Inspection has not been completed. The last Fire Inspection was conducted on 01/05/21. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One out of ten children files lacked an address for the emergency contact. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
An infant was observed sitting in bucket chair not strapped in. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two out of nine children files checked did not have current immunizations. |
— |
168 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.