Capacity 80. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 5 | — |
746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
An infant was observed having the bottle propped by a blanket. |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
An infant was observed in a restrictive device for more than 15 minutes. There were 3 available caregivers in the classroom to step in and assist with removing the infant from the restrictive device timely. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
One of the caregivers that required at least eight hours of pre-service training before being in the classroom with children is no longer employed at the operation. The other caregiver that required pre-service to be in file did not have proof of all 24 clock hours of pre-service training required. |
— |
| 4 | — |
746.3421(a) - Infant Handwashing - Individual Cloth
An individual cloth was not used to clean an infants hands after their diaper change. |
— |
| 4 | — |
746.3417(1) - Children Handwashing Before Eating
The appropriate handwashing procedures for older infants was not being followed as the infants hands were not washed at a hand washing sink as appropriate for handwashing procedures for older infants. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
A classroom mixed with infants and toddlers had multiple outlets with missing covers. |
— |
| 3 | — |
745.651(2)(A) - Background Check Validation ? Every 3 months each operation, other than a licensed, registered, or listed home, must validate current list
The operation had one individual that was terminated on 9/27/2024 that was not inactivated fromt he background check list within 7 days of their termination date. **The operation corrected this at inspection when the individual was inactivated from the background check list. |
Yes |
| 3 | — |
746.2206(1) - Written Activity Plan - Outdoor Play Opportunities
Multiple caregivers stated that they are only going outside in the afternoons and are not having morning opportunities for active play. Additionally, no morning active play activities indoors was observed in multiple classrooms with inclement weather impacting the availability of outside time at inspection. And one classroom's activity plan doesn't have outside time specified at all. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
Two children in care were observed being fed on high chair and they were observed not strapped into the high chairs. Additionally, the table that requires straps on it continues to be used for children, so they are not strapped in when sat at the table. |
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| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
Multiple children were observed having their diaper changed and not washing hands after by their caregivers. |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
A younger infant was observed in strapped in a swing, a restrictive device for longer than 15 miinutes. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
A diaper changing pad was observed with tears still in the older infants classroom and therefore, it is not able to be sanitized as required. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During the investigation, there was sufficient evidence that a caregiver did not demonstrate good judgement when arriving at the operation, had visual awareness of a child unsupervised in the parking lot and entered the operation without attempting to bring this child inside. The caregiver then delegated this responsibility to another employee of the operation upon entering the building. Neither of these employees went to the parking lot to look for or retrieve the child to safety. |
— |
| 4 | — |
746.605(16) - Required Admission Information-Completed Food Allergy Plan
A child with a diagnosed food allergy did not have a food allergy plan in file for review. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Six staff files were reviewed and did not have pre-service in file, including pre-service for staff that are working with children that are younger than 24 months. |
— |
| 4 | — |
746.3417(1) - Children Handwashing Before Eating
Children were observed being seated for meal time and did not have their hands washed prior. |
— |
| 3 | — |
746.401(6) - Posting Requirements - Daily menu, including all snacks and meals served by the child care center
The menus posted for parents to view does not match what is being served for week 2. The kitchen menu being followed by kitchen staff are different than the ones posted for parents. |
— |
| 5 | — |
745.8641 - Requirements during probation
The condition regarding staff training/personnel files was not in compliance because one staff did not have a file for review, three staff files were reviewed and did not have at least 8 hours of pre-service in the file that is to be obtained prior to working with children, including pre-service for one staff that was working with children that are younger than 24 months, and there were two staff that were hired after the start of the probation date that did not have CPR and First aid training in the file for review and they were observed in direct care of children (in the classroom) during the inspection. The condition regarding staff obtaining training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces, was not in compliance as there were four staff employed prior to the start of the probation that did not obtain the training within the 60 days of the probation start date. The condition regarding the walk-throughs being completed for the entire indoor and outdoor areas was not in compliance, because the checklist they are using did not include all required items. The checklist was missing medication being stored appropriately and that medication documents were on file for the first two weeks in August. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a diagnosed food allergy plan did not have the parent signature on the food allergy plan that is in file. |
— |
| 2 | — |
746.1309(g) - Documented Annual Training-Self-Instructional 80%
Two caregivers employed had only self-study training for their annual training year and self-study cannot exceed more than 3 hours when counted for the annual training year. The staff's annual training year were 5/22/2022 - 5/22/2023 and 8/17/2022 - 8/22/2023. |
— |
| 3 | — |
746.401(6) - Posting Requirements - Daily menu, including all snacks and meals served by the child care center
The menus posted for parents to view does not match what is being served for week 3. Substitutions were made and were not documented. Documents were scanned. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Two caregiver files were reviewed and there was no proof of pre-service in file, including pre-service for staff that are working with children that are younger than 24 months. |
— |
| 3 | — |
746.901 - Required Personnel Records
Four staff files reviewed did not have high school diplomas or equivalent documented. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
Two infants that are younger than 12 months of age were observed sleeping in swings (restrictive devices) and covered with blankets. |
— |
| 5 | — |
745.8641 - Requirements during probation
The condition regarding the owner/director and the mentor for the operation meeting at least monthly to review minimum standards related to the correct Record Keeping, Personnel, Infant Care, Health Practices, and Safety and general director responsibilities did not occur for the month of November between the mentor and the owner/director. The condition regarding staff training/personnel files was not in compliance because one staff did not have pre-service that has worked with children that are younger than 24 months and also did not have proof that this staff received orientation as signature was not obtain from the individual that provided the orientation to the staff. This staff was hired on 11/20/2025. The condition regarding staff obtaining training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces, was not in compliance as there was one staff employed that had partial of topics obtained for the and did not have all the topics required for this condition. The condition regarding the infant care sub-chapter having to be reviewed with caregivers prior to them being in the infant classroom was not in compliance as there were one staff who were observed in the classroom and the sub-chapter H for infant care had not been reviewed with them with the director/owner as required. The staff was hired on 11/20/2025. |
— |
| 3 | — |
746.401(6) - Posting Requirements - Daily menu, including all snacks and meals served by the child care center
The menus for snacks and meals that are provided to the children in care are still not posted and do not match the menus that are posted. |
— |
| 4 | — |
746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
Menus were observed that the morning snack served to the children did not meet the two food group requirements as required by U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) as there was only one food group provided to children and water. |
— |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children
One group of children ranging from 12 months to 26 months of age had 19 children altogether with a specified age group of 18-23 months. The maximum group size is exceeded by one child. |
— |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
A list of with the child that has a food allergy in the classroom was not observed in the classroom and caregivers stated that they had moved this list and misplaced it. |
— |
| 4 | — |
746.4805(d) - Measurement of Use Zone for Slides - No Overlap
During the inspection, children were observed playing on play structures with slides that required a minimum of 6 feet all around each structure and use zone and structures were observed in the use zone. Additionally, one slide was observed with the exit of the slide with concrete on the use zone. |
— |
| 5 | — |
745.8641 - Requirements during probation
The condition regarding the owner/director and the mentor for the operation meeting monthly to discussed the required probation topics of Record Keeping, Personnel, Infant Care, Health Practices, and Safety was not in compliance as there was no proof of these topics being reviewed when record meeting note was reviewed for the month of September. The condition regarding staff training/personnel files was not in compliance as there was one staff that was hired after the start of the probation date that did not have CPR and First aid training in file for review and they were observed in direct care of children (in the classroom) with children during the inspection. One staff whose first day of employment is 9/5/2025 did not have proof of orientation in file. Three staff whose hire date was 9/15/25, 10/14/25 and 10/14/25 did not have the notarized affidavit in file prior to starting employment. **Corrections were made at inspection with the director and staff for the staff that required orientation to be on file and the notarized affidavits were completed at inspection and placed in the files. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One classroom with a specified age group of 18-23 months had 11 children to one caregiver and was over ratio by 3 children. |
— |
| 4 | — |
746.5401 - Requirement of Gas Leak Inspection
The gas leak inspection has not been conducted within the two year time frame. |
— |
| 4 | — |
746.3407(3) - Machine Wash Linens
An infant had a diaper leak through their clothes onto the linen of the bouncy chair cover. The cover wasn't removed and washed as required. They allowed another child to use the bouncy chair with it still soiled. |
— |
| 4 | — |
746.3415(2) - Employee Handwashing Before Feeding a Child
A caregiver prepared a bottle for a child in care and did not wash their hands prior. |
— |
| 4 | — |
746.2411(2)(I) - Safety Requirements for Play Yards - Label for Each Infant
An infant was observed sleeping in a play yard that was labeled for another child despite that infant having a play yard labeled. |
— |
| 4 | — |
746.3420(1) - Hand Sanitizer - Only for Children 24 Months and Older
A classroom has that has children that are under 2 years of age has been using hand-sanitizers and wipes instead of washing the children's hands when handwashing needs arise. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
A caregiver was observed changing multiple diaper changes and the diaper changing surface was not sanitized between each use. Additionally, there was no wax paper utilized either. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A caregiver left the infant classroom to go to the bathroom with 5 infants to one caregiver with all infants less than 12 months of age. The classroom was over ratio. |
— |
| 3 | — |
746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
Toddlers were observed walking and drinking from their sippy cups. |
— |
| 5 | — |
745.8641 - Requirements during probation
One out of Five Conditions are not in compliance. 745.8641: Condition 1 is in compliance: The owner/director will meet with their mentor at least once a month to review minimum standards related to Record Keeping, Personnel, Infant Care, Health Practices, and Safety. A monthly mentor check in took place in April 2026 and documentation is on file. Condition 2 is in compliance: The condition regarding staff training/personnel files having a checklist and complete file records. The personnel training checklist and training checklist was reviewed for employee record. Checklists were reviewed since the last inspection on evaluating probation conditions. Condition 3 is in compliance. The condition requires staff obtain training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces within the 10 days of their hired date. The condition regarding staff obtaining training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces, was been completed for all caregivers. Condition 4 is in compliance. The condition requires a walk-throughs being completed weekly by the director for the entire indoor and outdoor areas. Checklist was reviewed since the last inspection on evaluating probation conditions. Weekly walk through have been documented since the last inspection. Condition 5 is not in compliance. The condition requires the infant care sub-chapter having to be reviewed with caregivers prior to them being in the infant classroom and having sub chapter H available in the classroom. This has been completed for each caregiver in the infant classroom. Sub Chapter H was reviewed as part of orientation and documented with the caregiver's signature. A caregiver observed with a group of children including infants has not previously reviewed Sub Chapter H. Additionally, related to this condition, observations are required to be completed by the director weekly for at least 30 minutes for any staff that work in the infant classroom. Weekly infant classroom observations are not documented for the week of May 4th, 2026. |
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| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
During the inspection, a diaper change was observed being conducted and the diaper changing pad was observed with tears still in the older infants classroom and therefore, it is not able to be sanitized as required. |
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| 3 | — |
746.2209 - Posting of Activity Plan
One classroom does not have a posted activity plan. |
— |
| 3 | — |
746.2205(b) - Written Activity Plan- Screen Time Activities
Screen time was added to the activity plan of one of the two classrooms that utilizes screen time during their activity time. This is still not in compliance. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A class was observed over ratio during the inspection as there were five children present and one caregiver. The classroom had five children with the specified age group being 0-11 months of age and one caregiver. The maximum number of children that one caregiver can be responsible for with this specified age group is four children, and therefore, this classroom was also over by one child. |
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| 2 | — |
746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
The staff list is not current and has several new staff that need to be added and staff that need to be removed off the posted list. |
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| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed doing multiple diaper changes and not washing hands after. Additionally, a caregiver was observed not washing her hands and using hand sanitizer after conducting multiple nose wipes. |
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| 3 | — |
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Attendance records for the director was not available for review at inspection. |
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| 5 | — |
745.8641 - Requirements during probation
The training sheets required for staff were not completed and did not have the required signatures by caregivers and director showing they were reviewed as they were only signed by the director for six staff and seven employees did not have this completed at all in their files. The infant care sub-chapter has not been reviewed with two staff that have worked with infants prior to them being in the infant classroom. |
— |
| 5 | — |
745.8641 - Requirements during probation
Four out of Five Conditions are not in compliance. 745.8641: Condition 1 is in compliance: The owner/director will meet with their mentor at least once a month to review minimum standards related to Record Keeping, Personnel, Infant Care, Health Practices, and Safety. The mentor meeting for April is scheduled prior to the end of the month. Condition 2 is not in compliance: The condition regarding staff training/personnel files having a checklist and complete file records. The personnel training checklist and training checklist was reviewed for employee record. Checklists were reviewed since the last inspection on evaluating probation conditions on 4/7/2026. One staff files reviewed still did not have proof of orientation being provided to them and it has been more than 7 days since their hire date. One staff still did not have the required notarized affidavit in file and also missing a pre-employment affidavit for review. One staff still did have the individual training sheet and training plans in the personnel files for the caregivers but were missing required documentation including the date of CPR/First aid completion date. This was corrected at inspection for this caregiver. Condition 3 is not in compliance. The condition requires staff obtain training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces within the 10 days of their hired date. Checklists were reviewed since the last inspection on evaluating probation conditions on 04/7/2026. The condition regarding staff obtaining training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces, was not in compliance as there were four staff employed that did not obtain the training within the 10 days of their hired date. Condition 4 is not in compliance. The condition requires a walk-throughs being completed weekly by the director for the entire indoor and outdoor areas. Checklist was reviewed since the last inspection on evaluating probation conditions on 4/7/2026. Weekly walk through have been documented since the last inspection. The walk through for the week of Apri 13th was not documented as completed but corrected at inspection with it being documented appropriately. Condition 5 is not in compliance. The condition requires the infant care sub-chapter having to be reviewed with caregivers prior to them being in the infant classroom and having sub chapter H available in the classroom. This was not completed for one of the caregivers observed in the infant classroom. Additionally, related to this condition, observations are required to be completed by the director weekly for at least 30 minutes for any staff that work in the infant classroom. There is one observation for the week of April 13th that one observation was only for 20 minutes instead of 30 minutes. It was lacking 10 additional minutes of observation for 2 caregivers. |
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| 4 | — |
746.4805(a) - Measurement of Use Zone for Slides - in Front of Access and on Sides
The slide has less than 6 feet on the exit between it and the sidewalk. Additionally, other toys are in the use zone that caused a child to exit the slide and hit their head on the items in the use zone of the exit of the sldie. |
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| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
A diaper changing pad was observed with tears in the older infants classroom and therefore, it is not able to be sanitized as required. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
An infant in care was observed being fed and not strapped into the chair at the table as required. |
— |
| 4 | — |
746.2501(4) - Care Requirements for Toddlers - Holding and Comforting
Multiple staff were allowing infants and toddler age children to cry and did not attempt to pick them up and hold them to comfort them. |
— |
| 4 | — |
746.3417(1) - Children Handwashing Before Eating
A child in care did not have their hands washed prior to being bottle fed. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Based on the evidence obtained during the investigation, individuals have been frequently and routinely present with direct access to children in care prior to notification or an eligible background check notification. |
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| 4 | — |
746.605(16) - Required Admission Information-Completed Food Allergy Plan
A child with a diagnosed food allergy did not have a food allergy plan in file for review. |
— |
| 5 | — |
745.8641 - Requirements during probation
The condition regarding staff training/personnel files was not in compliance. Five staff files reviewed still did not have proof of orientation being provided to them and it has been more than 7 days since their hire date. Two staff did not have CPR/First aid training on file prior to working with the children out of the four that did not previously have this training in file. Five staff did not have high school diplomas in file for review or high school equivalent or letter from career program from school. Seven staff did not have the required notarized affidavit in file and one these staff still does not have a pre-employment affidavit for review. In addition, five staff did not have the individual training sheet or training plans completed or shared with the staff by the director as required per the condition. ** Two files were corrected at inspection when high school diplomas were provided by caregivers and copies were placed in the files. The condition regarding staff obtaining training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces, was not in compliance as there were four staff employed that did not obtain the training within the 10 days of their hired date. The condition regarding the walk-throughs being completed weekly by the director for the entire indoor and outdoor areas was in compliance as the director has completed the checklist since the previous inspection conducted. The condition regarding the infant care sub-chapter having to be reviewed with caregivers prior to them being in the infant classroom was in compliance as there were one staff who has worked in the infant classrooms and the sub-chapter H for infant care has not been reviewed with them with the director/owner as required and there was no proof that this had occurred. In addition, related to this condition, the observations that are required to be completed by the director for any staff that work in the infant classroom were in compliance as observations have been completed for the staff that work with infants since the last previous inspection conducted. |
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| 5 | — |
746.613(a) - Required Immunizations
Three children files reviewed did not have current immunizations in file and one child file did not have any immunizations in file and the child was to have immunizations in file prior to the first day of attending care. |
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| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed changing a child's diaper and did not wash their hands after. |
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| 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
A 3-month-old infant was placed in the play yard on the stomach to sleep and not facing up. |
— |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated
A child in care that receives medication while in care did not have a medication authorization available for review. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
One classroom had cleaning supplies left out in reach of children after the staff were done using the clorox wipes. Additionally, the same classroom had two shelves that were easily swayed when the children sat in them and causes the two shelves to create a pinch hazard when they push together. A small piece of hard plastic was on the floor of the toddler classroom and a child put it in their mouth that presented a choking hazard. The outdoor space also has broken equipment with sharp edges. |
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| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed changing multiple diapers and did not wash their hands in between each diaper change. |
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| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was observed asleep in a restrictive device at inspection. A caregiver did check on the child and began rocking the bouncer chair to ensure the infant stayed asleep and made no attempt to move the infant to a crib. |
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| 3 | — |
746.615(a) - Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS
Two children's files that have affidavits of exemption from school or childcare immunizations for reason of conscience that were completed on 2/13/2023 and was required to be updated on or by 2/13/2025 (2 years from the day that it was notarized). |
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| 3 | — |
746.2205(b) - Written Activity Plan- Screen Time Activities
A classroom observed utilizing screen time still does not have it incorporated into their activity plan. Plus an additional classroom was observed utilizing screen time and it also is not included in their activity plan. |
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| 4 | — |
746.3421(a) - Infant Handwashing - Individual Cloth
An individual cloth was still not used to clean an infants hands after their diaper change. |
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| 5 | — |
746.3805(a)(1) - Administering Medication - According to Label Directions
Medication was not in the original container so the epi pen lacked vital information including the name of the child's full name who the epi pen belongs to. |
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| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not use good judgment when placing a pacifier in a play yard that did not belong to the child whose the play yard was labeled for and resulted in the pacifier to be placed in another infant's mouth to whom it did not belong to by another individual. |
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| 4 | — |
746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
During the inspection, it was observed that the afternoon snack served to the children did not meet the two food group requirements as required by U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP). |
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| 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
Based on the evidence obtained during the investigation a child was left on unsupervised after their caregiver and class entered the building without them from the playground. The child then wandered into the parking lot before being discovered by a bystander who intervened to bring the child inside the operation. |
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| 3 | — |
746.2209 - Posting of Activity Plan
One classroom still does not have a posted activity plan. |
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| 5 | — |
745.8641 - Requirements during probation
The condition regarding the infant care sub-chapter having to be reviewed with caregivers prior to them being in the infant classroom was not in compliance as there were two staff who were observed in the classroom and the sub-chapter H for infant care had not been reviewed with them with the director/owner as required. The staff were hired on 9/5/2025 and 9/11/2025. Additionally, two staff that had previously been trained but continue to work with children that are 18 months and younger did not have proof of this being reviewed with them when requested. The condition regarding staff training/personnel files was not in compliance as there was a staff whose completed training year is 7/17/2024 - 7/17/2025 was missing 2 clocks hours of the required 24 clock hours. There was a staff who was re-hired on 8/25/2025 did not have proof of orientation or required affidavits in file as well as proof with signatures from the director and the staff that the training checklist was reviewed within 14 days of being hired as required for the probation. |
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| 3 | — |
746.603(a)(2) - Children's Records - Admission Information
One children's files was reviewed and it did not have any information on the special needs/food allergies that was provided by the parent. |
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| 4 | — |
746.201(9) - Complying with Laws and Rules
It was found that documents at the operation were falsely documentated as training certificates were altered to put another staff's name. |
— |
| 4 | — |
746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
Menus were observed that the afternoon snack served to the children did not meet the two food group requirements as required by U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP). |
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| 4 | — |
746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded
Multiple fans were observed in classrooms that were not out of reach of children and were not properly mounted or safeguarded. Additionally, broken toys were observed in the play area that is used by the children. |
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| 3 | — |
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Attendance records for the director were only available for 3 days in the month of August and did not have the previous three months available for review upon request. |
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| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
A staff was observed at inspection, as the only caregiver, in the classroom, with direct access to children, and did not have proof of current First Aid training in file. |
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| 5 | — |
745.8641 - Requirements during probation
The training sheets required for staff were not completed and did not have the required signatures by caregivers and director showing they were reviewed. The infant care sub-chapter has not been reviewed with two staff that have worked with infants prior to them being in the infant classroom. |
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| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Cleaning supplies and hand sanitizers and other items that state "Keep out of Reach of Children" were observed within reach in classrooms. Two classrooms were observed with outlets not covered. *These were corrected at inspection when items were placed out of reach of children and outlets were covered. |
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| 5 | — |
745.8641 - Requirements during probation
The condition regarding staff obtaining training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces, was still not in compliance as the same staff that had partial of topics obtained for the condition still only had the partial training obtained and was still missing the second training certificate required as the staff had not completed the other training required for this condition to be met. This is not in compliance. Additionally, the condition related to infant care that requires the director/owner to spend a minimum of 30 minutes observing each caregiver in the infant classrooms was in compliance as proof was provided that the director/owner is completing these observations as required. |
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| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Cleaning supplies and hand sanitizers and other items that state "Keep out of Reach of Children" including ointments that were observed within reach in multiple classrooms. One classrooms was observed and did not have outlets covered. |
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| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
Multiple children were observed having their diaper changed and not washing hands after. |
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| 4 | — |
746.1109(b)(2) - Caregiver Qualification Age Exemption Attends High School - Supervised By Qualified Caregiver
One caregiver was observed at the sole caregiver responsible for a group of children whom is 18 years of age but does not have a high school diploma yet. Additionally, another high school student that is not in a child care career program was used in a classroom that required 2 caregivers when they cannot be counted in ratio. |
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| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
A staff employed had two of the required topics in training available for review but was missing four of the required topics - emergency preparedness; storing, handling, and disposing of hazardous materials; building and physical premises; and medication training. The staff did have 6 hours of the required instructor-led training available for review. |
Yes |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
A caregiver was observed wiping children's hands with Clorox Disinfecting Wipes after working on an paint craft in the classroom and the instructions of this cleaning supply state "Not for cleaning or sanitizing skin" and "Keep out of Reach of Children". |
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| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on the evidence obtained during the investigation, a caregiver had a group size of 13 two-year-olds and only one caregiver responsible for the children of the group. The maximum a caregiver can have with one caregiver is 11 two-year-olds. |
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| 2 | — |
746.901(5) - Required Personnel Records - Required Affidavit (Form 2912)
A staff file was reviewed and did not have the required pre-employment affidavit, form 2912, in file. |
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| 4 | — |
746.3805(b)(3) - Administering Medication - Not After Expiration date
A child's who has been prescribed an epi-pen for a diagnosed food allergy has been expired as of 6/2024. |
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| 4 | — |
746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
Menus were observed that the afternoon snack served to the children still does not meet the two food group requirements as required by U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP). |
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| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Two classes were observed over ratio during the inspection. One classroom had one caregivers and thirteen two year-old children and the maximum number of two year olds that one caregiver be responsible for is eleven, therefore, the classroom was over by two children. The second classroom had eleven children with the specified age group being 18 -23 months of age and one caregiver. The maximum number of children that one caregiver can be responsible for with this specified age group is nine children, and therefore, this classroom was also over by two children. |
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| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
A caregiver employed did not have proof of any training received via training certificates for the completed annual training year of 9/25/2023 - 9/25/2024. |
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| 5 | — |
745.8641 - Requirements during probation
Four out of Five Conditions are not in compliance. 745.8641: Condition 1 is not in compliance: The owner/director will meet with their mentor at least once a month to review minimum standards related to Record Keeping, Personnel, Infant Care, Health Practices, and Safety. The March mentor meeting was not completed. It had to be rescheduled a couple of times and unable to be completed within the month. Condition 2 is not in compliance: The condition regarding staff training/personnel files having a checklist and complete file records. The personnel training checklist and training checklist was reviewed for employee record. Checklists were reviewed since the last inspection on evaluating probation conditions on 3/25/2026. One staff files reviewed still did not have proof of orientation being provided to them and it has been more than 7 days since their hire date. Additionally, three personnel files lacked 8 hours of pre service training before being counted in ratio in the classroom. One staff did have high school diplomas in file for review. Four staff still did not have the required notarized affidavit in file and one staff still does not have a pre-employment affidavit for review. Two of the four notarized affidavits was corrected at inspection. In addition, six staff still did have the individual training sheet and training plans in the personnel files for the caregivers but were missing required documentation including the date of CPR/First aid completion date. Four out of six were corrected at inspection. Additionally, 1 staff lacked the number of hours remaining for annual training year was not documented on the training year plan. This was corrected at inspection with this documented on the training year plan. Condition 3 is not in compliance. The condition requires staff obtain training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces within the 10 days of their hired date. Checklists were reviewed since the last inspection on evaluating probation conditions on 3/25/2026. The condition regarding staff obtaining training from an outside source that addresses health and safety practices, with a focus on hand washing and sanitization of equipment and diaper changing surfaces, was not in compliance as there were five staff employed that did not obtain the training within the 10 days of their hired date. Condition 4 is in compliance. The condition requires a walk-throughs being completed weekly by the director for the entire indoor and outdoor areas. Checklist was reviewed since the last inspection on evaluating probation conditions on 3/25/2026. Weekly walk through have been documented since the last inspection. Condition 5 is not in compliance. The condition requires the infant care sub-chapter having to be reviewed with caregivers prior to them being in the infant classroom and have sub chapter H available in the classroom. This was completed for all caregivers observed in the infant classroom. Additionally, related to this condition, observations are required to be completed by the director weekly for at least 30 minutes for any staff that work in the infant classroom. This has not been completed for the week of march 23rd or March 30th for any of the infant caregivers. |
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| 4 | — |
746.2501(4) - Care Requirements for Toddlers - Holding and Comforting
A classroom with toddlers was observed allowing children to cry without being comforted. The caregiver in the classroom didn't attempt to verbally or physically comfort the child during the 20 minutes they were crying. |
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| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
The diaper changing surface was not sanitized at all after diaper changes were conducted in a classroom. |
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| 3 | — |
746.2203(b) - Written Activity Plans - Plan Followed by Caregiver
Caregivers were choosing not to follow their activity plan for outside opportunities, despite the weather not preventing them from going outside. |
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| 5 | — |
746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk
An infant classroom was observed having a hot dog cut into round slices, which is considered a choking hazard. |
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| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Based on the evidence obtained during the investigation a caregiver would grab children in an aggressive manner by the arm for discipline. |
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344 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.