Child care center ·
44 OLD SAN ANTONIO RD, Boerne, TX 78006-3412 ·
License 1690479
Capacity 181. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There was 1 loose outlet allowing children to potentially access the electrical outlet box in the wall and there were 2 outlet boxes exposed without covers in the Lavender room. A sink in the restroom between Hawthorn and Sassafras rooms was pulling away from the wall. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
5 out of 10 child files evaluated were missing addresses and phone numbers for emergency contact people listed on the enrollment form. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
The trash can in the Dogwood room did not have a cover preventing children from accessing the debris inside. |
— |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
An infant was observed sleeping in a crib with a mattress that was too small for the crib. |
— |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The preschool playground had less than 6 inches of fall zone surfacing under the climbing tires, stationary rocking climbers and arch climbers. |
— |
| 4 | — |
746.2807 - Employees Discipline Own Children
A caregiver physically disciplined their own child who was enrolled at the operation. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The changing pad in the Sasafras room was a cloth material. NOTE: Changing pad was removed during inspection. |
Yes |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
This is a recite: The playground with the tire climber and slides had soft surface measurements of 1/2 inch - 1 inch at the end of the slides and measurements of 2-5 inches under the climbing unit. The 3-4 year old playground measured soft surface areas under the rocking climbers between 3- 5 inches in 3 areas measured. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The operation failed to maintain the cleanliness of a classroom where dirty toys, excessive clutter, dirt and dead insects were found throughout the room. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
A piece of drywall has been cut, resulting in exposing electrical wires that lead from a breaker box located in the Magnolia Room restroom. NOTE: This is a recite from investigation #2883999 |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two caregivers did not have a current first aid certificate on file. One expired 7/2025 and the second expired 8/15/2025. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A storage closet in the restroom of the main house and an under the sink cabinet in the Sassafras room was unlocked. Both contained cleaning chemicals accessible to the children. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Two classrooms were found to have cleaning chemicals and sun tan lotion accessible to children in the restroom. |
— |
| 4 | — |
746.3501(2) - Diaper Changing Steps- Cleanse Child with Individual Cloths
A child was not thoroughly cleaned after having a soiled diaper. |
— |
| 3 | — |
746.1403(a)(1)(A) - Training requirements for substitutes, volunteers, and contractors-Orientation
Four volunteer files were evaluated and did not contain a documented orientation. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
6 out of 8 infants int he 3-6 mon classroom did not have a feeding schedule on file. |
— |
| 4 | — |
746.613(c)(1) - Immunization Exception or Exemption on File and Verified
Two out of ten child files were evaluated. One child had a vaccination affidavit that expired 8/11/25. A second child's vaccination affidavit had partial exemptions noted but did not have a corresponding immunization record showing the vaccinations were received. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
A child, age 8 years, was observed in the kitchen playing on an electronic device alone without direct supervision. The child was on the floor of the kitchen behind a metal shelf. The closest caregiver was in the front office. There was a curtain that was closed separating the kitchen and office area and preventing a caregiver from being able to see the child. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
This is a recite: One classroom bathroom contained cleaning solution and wet floor mop pads within reach of the children 2 years of age. |
— |
| 4 | — |
746.3903(a) - Animals at Center - Documentation of Vaccinations
2 out of 3 cats at the operation did not have a copy of their rabies vaccination on file. Note: The vaccination records were obtained during the inspection. |
Yes |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There is a broken window in the Dogwood room that is covered by cardboard. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The caregiver in the Hawthorne room with a specified age group of 2 year, provided an incorrect headcount of 11 children when asked. Upon review of the classroom attendance roster with the caregiver, it was determined there were 12 children in her care. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A sink cabinet in the Sassafras room had a broken safety lock allowing access to cleaning chemicals stored inside. An electric hot water heater in the closet of the Lavender room had a nap cot placed in front of it to prevent access. NOTE: During the inspection, the safety lock was replaced and a shelf was moved in front of the closet to prevent children from accessing the hot water heater. |
Yes |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was observed yelling at a group of children in the Lilac room in an attempt to have the children clean up. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
Two out of 10 child files evaluated were missing health statements upon enrollment. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
A child with a notarized vaccination affidavit on file did not indicate which vaccines the child was exempt from receiving. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation had not recorded monthly fire drills conducted for January or February. NOTE: The assistant director was able to update the emergency log using calendar dates of when the drills were conducted during the inspection. |
Yes |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
2 out of 10 child files reviewed needed updated immunization records. One child (9 mos) was missing their 3rd DTaP and 3rd PCV vaccine. One child (7 mos) was missing their 2nd Hep B vaccination. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
This is a recite: 2 children had feeding schedules but were not signed by parents. 1 child's feeding schedule was last updated in Feb 2022. |
— |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
A caregiver that has a provisional background check had direct access to 4 children ages 6-12 months of age. NOTE: The caregiver was moved to another classroom with a caregiver that had an eligible clearance. |
— |
| 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 6 mos old infant was observed sleeping on their stomach. Caregiver was asked how the infant was placed in their crib and stated on their stomach. |
— |
| 3 | — |
746.3903(b) - Animals at Center - Statement of Health from Veterinarian
1 out of 3 cats at the operation did not have a health statement on file. Note: The health statement was obtained from the veterinarian during the inspection. |
Yes |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
One out of ten child files evaluated were missing updated health statements from the pediatrician after being enrolled for a year. |
— |
| 5 | — |
746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File
One infant in the 3-6 mos room was found in their crib in a sleep sack that restricted the child's arms. A second child was found in their crib swaddled. |
— |
| 4 | — |
746.3501(4) - Diaper Changing Steps- Parent's Written Permission for Powders, Lotions, Etc.
Diaper cream that did not belong to a child was applied during diaper changes. |
— |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
4 out of 10 staff files evaluated were missing annual training hours. One caregiver completed 12/24 hours of training, one caregiver completed 18/24 hours of training, one caregiver completed 6/24 hours of training and the director did not have any training certificates available to evaluate. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two caregivers did not have a current CPR certificate on file. One expired 7/2025 and the second expired 8/15/2025. |
— |
| 5 | — |
746.4601(5) - Safety Requirements for Active Play Equipment - Securely Anchored
Two arch climbers were found on the preschool playground not attached to the ground and could be moved or lifted. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
4 out of 9 infant feeding instructions were not current in the Orange Blossom room. 5 out of 9 feeding instructions were not current in the Peach Blossom room. Feeding instructions were last updated in January and February. |
— |
| 4 | — |
746.5305 - Mounting of Fire Extinguishers
A fire extinguisher was found in a 3 year old classroom that was not mounted and placed over 5 feet off the floor on top of a cubby. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
1 out of 10 child files reviewed was missing a health statement. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
1 out of 10 child files evaluated for immunization records was missing an updated record. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy plan on file did not contain the parent's signature. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
The operation used poor judgment in allowing an 8 year old child in the kitchen. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
2 out of 10 child files evaluated were missing updated immunization records. |
— |
| 4 | — |
746.5537(a)(3) - Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation
The operation had not recorded monthly carbon monoxide detector testing for January and February. NOTE: The assistant director was able to reference past calendar dates and enter the dates the units were tested during the inspection. |
Yes |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
2 out of 10 child files reviewed needed updated immunization records. One child (9 mos) was missing their 3rd DTaP and 3rd PCV vaccine. One child (7 mos) was missing their 2nd Hep B vaccination. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The changing pad in the Sasafras room was a cloth material. NOTE: Changing pad was removed during inspection. |
Yes |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
The operation used poor judgment in allowing an 8 year old child in the kitchen. |
— |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The preschool playground had less than 6 inches of fall zone surfacing under the climbing tires, stationary rocking climbers and arch climbers. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation had not recorded monthly fire drills conducted for January or February. NOTE: The assistant director was able to update the emergency log using calendar dates of when the drills were conducted during the inspection. |
Yes |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
This is a recite: 2 children had feeding schedules but were not signed by parents. 1 child's feeding schedule was last updated in Feb 2022. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A storage closet in the restroom of the main house and an under the sink cabinet in the Sassafras room was unlocked. Both contained cleaning chemicals accessible to the children. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two caregivers did not have a current first aid certificate on file. One expired 7/2025 and the second expired 8/15/2025. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The operation failed to maintain the cleanliness of a classroom where dirty toys, excessive clutter, dirt and dead insects were found throughout the room. |
— |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
An infant was observed sleeping in a crib with a mattress that was too small for the crib. |
— |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
One out of ten child files evaluated were missing updated health statements from the pediatrician after being enrolled for a year. |
— |
| 4 | — |
746.5537(a)(3) - Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation
The operation had not recorded monthly carbon monoxide detector testing for January and February. NOTE: The assistant director was able to reference past calendar dates and enter the dates the units were tested during the inspection. |
Yes |
| 4 | — |
746.3903(a) - Animals at Center - Documentation of Vaccinations
2 out of 3 cats at the operation did not have a copy of their rabies vaccination on file. Note: The vaccination records were obtained during the inspection. |
Yes |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
Two out of 10 child files evaluated were missing health statements upon enrollment. |
— |
| 5 | — |
746.4601(5) - Safety Requirements for Active Play Equipment - Securely Anchored
Two arch climbers were found on the preschool playground not attached to the ground and could be moved or lifted. |
— |
| 4 | — |
746.5305 - Mounting of Fire Extinguishers
A fire extinguisher was found in a 3 year old classroom that was not mounted and placed over 5 feet off the floor on top of a cubby. |
— |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
A caregiver that has a provisional background check had direct access to 4 children ages 6-12 months of age. NOTE: The caregiver was moved to another classroom with a caregiver that had an eligible clearance. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The caregiver in the Hawthorne room with a specified age group of 2 year, provided an incorrect headcount of 11 children when asked. Upon review of the classroom attendance roster with the caregiver, it was determined there were 12 children in her care. |
— |
| 5 | — |
746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File
One infant in the 3-6 mos room was found in their crib in a sleep sack that restricted the child's arms. A second child was found in their crib swaddled. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A sink cabinet in the Sassafras room had a broken safety lock allowing access to cleaning chemicals stored inside. An electric hot water heater in the closet of the Lavender room had a nap cot placed in front of it to prevent access. NOTE: During the inspection, the safety lock was replaced and a shelf was moved in front of the closet to prevent children from accessing the hot water heater. |
Yes |
| 4 | — |
746.2807 - Employees Discipline Own Children
A caregiver physically disciplined their own child who was enrolled at the operation. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Two classrooms were found to have cleaning chemicals and sun tan lotion accessible to children in the restroom. |
— |
| 3 | — |
746.3903(b) - Animals at Center - Statement of Health from Veterinarian
1 out of 3 cats at the operation did not have a health statement on file. Note: The health statement was obtained from the veterinarian during the inspection. |
Yes |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There was 1 loose outlet allowing children to potentially access the electrical outlet box in the wall and there were 2 outlet boxes exposed without covers in the Lavender room. A sink in the restroom between Hawthorn and Sassafras rooms was pulling away from the wall. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
A child with a notarized vaccination affidavit on file did not indicate which vaccines the child was exempt from receiving. |
— |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
This is a recite: The playground with the tire climber and slides had soft surface measurements of 1/2 inch - 1 inch at the end of the slides and measurements of 2-5 inches under the climbing unit. The 3-4 year old playground measured soft surface areas under the rocking climbers between 3- 5 inches in 3 areas measured. |
— |
| 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 6 mos old infant was observed sleeping on their stomach. Caregiver was asked how the infant was placed in their crib and stated on their stomach. |
— |
| 4 | — |
746.3501(4) - Diaper Changing Steps- Parent's Written Permission for Powders, Lotions, Etc.
Diaper cream that did not belong to a child was applied during diaper changes. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
6 out of 8 infants int he 3-6 mon classroom did not have a feeding schedule on file. |
— |
| 3 | — |
746.1403(a)(1)(A) - Training requirements for substitutes, volunteers, and contractors-Orientation
Four volunteer files were evaluated and did not contain a documented orientation. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
2 out of 10 child files evaluated were missing updated immunization records. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
1 out of 10 child files reviewed was missing a health statement. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two caregivers did not have a current CPR certificate on file. One expired 7/2025 and the second expired 8/15/2025. |
— |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
4 out of 10 staff files evaluated were missing annual training hours. One caregiver completed 12/24 hours of training, one caregiver completed 18/24 hours of training, one caregiver completed 6/24 hours of training and the director did not have any training certificates available to evaluate. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
1 out of 10 child files evaluated for immunization records was missing an updated record. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
This is a recite: One classroom bathroom contained cleaning solution and wet floor mop pads within reach of the children 2 years of age. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy plan on file did not contain the parent's signature. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
5 out of 10 child files evaluated were missing addresses and phone numbers for emergency contact people listed on the enrollment form. |
— |
| 4 | — |
746.613(c)(1) - Immunization Exception or Exemption on File and Verified
Two out of ten child files were evaluated. One child had a vaccination affidavit that expired 8/11/25. A second child's vaccination affidavit had partial exemptions noted but did not have a corresponding immunization record showing the vaccinations were received. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
A piece of drywall has been cut, resulting in exposing electrical wires that lead from a breaker box located in the Magnolia Room restroom. NOTE: This is a recite from investigation #2883999 |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was observed yelling at a group of children in the Lilac room in an attempt to have the children clean up. |
— |
| 4 | — |
746.3501(2) - Diaper Changing Steps- Cleanse Child with Individual Cloths
A child was not thoroughly cleaned after having a soiled diaper. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
The trash can in the Dogwood room did not have a cover preventing children from accessing the debris inside. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
4 out of 9 infant feeding instructions were not current in the Orange Blossom room. 5 out of 9 feeding instructions were not current in the Peach Blossom room. Feeding instructions were last updated in January and February. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
A child, age 8 years, was observed in the kitchen playing on an electronic device alone without direct supervision. The child was on the floor of the kitchen behind a metal shelf. The closest caregiver was in the front office. There was a curtain that was closed separating the kitchen and office area and preventing a caregiver from being able to see the child. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There is a broken window in the Dogwood room that is covered by cardboard. |
— |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The preschool playground had less than 6 inches of fall zone surfacing under the climbing tires, stationary rocking climbers and arch climbers. |
— |
| 5 | — |
746.4601(5) - Safety Requirements for Active Play Equipment - Securely Anchored
Two arch climbers were found on the preschool playground not attached to the ground and could be moved or lifted. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
Two out of 10 child files evaluated were missing health statements upon enrollment. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
5 out of 10 child files evaluated were missing addresses and phone numbers for emergency contact people listed on the enrollment form. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
The operation used poor judgment in allowing an 8 year old child in the kitchen. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two caregivers did not have a current first aid certificate on file. One expired 7/2025 and the second expired 8/15/2025. |
— |
| 4 | — |
746.3903(a) - Animals at Center - Documentation of Vaccinations
2 out of 3 cats at the operation did not have a copy of their rabies vaccination on file. Note: The vaccination records were obtained during the inspection. |
Yes |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
1 out of 10 child files evaluated for immunization records was missing an updated record. |
— |
128 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.