Child care center ·
804 E AVENUE E, Valley Mills, TX 76689-4538 ·
License 1692766
Capacity 26. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 5 | — |
746.605(11) - Required Admission Information - Emergency Medical Authorization
There were 2 children's files that did not have Emergency Authorization on file for review. |
— |
| 3 | — |
746.901 - Required Personnel Records
A volunteer observed at the operation did not have a personnel file to review during the inspection. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
A caregiver was observed to have wiped an infant's face and then observed utilizing the same wipe to wipe another child's face. Proper hand washing was reviewed with the caregiver and director during the inspection. |
— |
| 3 | — |
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times
The children in care, ages ranging from 4 months to 4 years old) were observed watching television during naptime. |
— |
| 5 | — |
745.8641 - Requirements during probation
It was determined a condition of the current probation are for another caregiver to be in the building and at the time of the alleged incident, there were 2 caregivers present and there was not another person in the building. |
— |
| 4 | — |
746.3505(f) - Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Soiled diaper with feces was observed accessible to children in a trashcan in the kitchen area. The trashcan was observed to not have a lid and the diapers were not wrapped in a bag. |
— |
| 3 | — |
746.401(6) - Posting Requirements - Daily menu, including all snacks and meals served by the child care center
The operation did not have snack menus posted for review. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
The operation did not have completed documentation of the pre-service completed for 1 caregiver. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
In the infant classroom, the caregiver had 6 children (3 months, 10 months, 15 months and 3 2 year olds), the classroom was over ratio by 1. An additional caregiver arrived to bring the classroom into compliance. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver informed she had 10 children in care and it was determined she had 11 children in care. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The fence in the playground area, was observed to have a sharp fence post that was broken and two opening near the rear right corner and there was a screw sticking out that could present a safety risk to children in care. There was a dirty vent in the hallway between the infant and multi-age classroom. |
— |
| 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
Upon arrival the director left her infant classroom unsupervised when she opened the door. |
— |
| 5 | — |
746.2401(7) - Basic Requirements for Infants - Never Unsupervised
It was determined an infant was left alone in the operation, while the caregivers and children were outside on the play area. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A 3 month old infant was observed napping with a blanket in the crib. The caregiver removed the blanket from the crib during the inspection. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There was 1 infant that did not have updated infant feeding instructions on file. |
— |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
A caregiver was unaware of the ages of children in her group. |
— |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Only 2 out of 11 mats/cots were observed labeled. |
— |
| 4 | — |
746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
There were 2 caregivers present in the building each supervising a group during naptime and there was not another caregiver available at the operation. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
One restroom was observed to have toilet paper on the floor. The caregiver cleaned up the toilet paper during the inspection. |
Yes |
| 4 | — |
746.2909(1) - Arrangement of Napping Equipment - Not Blocking Entrances or Exits
A child in care was observed napping in front of the back door that leads to the playground. The caregiver placed the child in another spot during naptime. |
— |
| 4 | — |
746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
A caregiver did not have documentation of annual trainings completed. for review. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
During the inspection, a child was observed alone in a classroom. I observed the caregiver go to the classroom with the infant when I arrived. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom's specified age group was 12-17 months, the classroom had 6 children in care and was over ratio by 1. The caregiver placed a child in the infant classroom into the multi-age classroom, bringing the ratio and group sizes into compliance during the inspection. |
— |
| 3 | — |
746.4003(a)(8) - First Aid Kit Incomplete - Tweezers
The first aid kit was observed to not have any tweezers. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There were 2 infants in care that did not have an infant feeding instructions on file for review. |
— |
| 4 | — |
746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
I observed a slide on the playground, without loose fill around it. |
— |
| 4 | — |
746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
During the current inspection, there was not another present in the building, during naptime. |
— |
| 4 | — |
746.2911 - Adequate Lighting During Naptime
As I entered the infant classroom, the classroom was observed to be dark and the director had to open the curtain to allow light in the classroom. |
— |
| 5 | — |
745.8641 - Requirements during probation
It was determined a condition of the current probation are for all staff to review any deficiencies cited and there was no documentation that the recent deficiencies were reviewed. In addition, there was a volunteer present that did not have documentation that the probation was reviewed and the volunteer did not have a personnel file for review. |
— |
| 4 | — |
746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
During naptime, there was not another caregiver observed in the building, that was not counted in ratio. |
— |
| 4 | — |
746.5307(b) - Fire Extinguishers Serviced
The fire extinguishers were observed to have last been serviced in February 2025. |
— |
| 3 | — |
746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
The operation did not have any documentation of the Emergency Practice drills being completed or the carbon monoxide, smoke detector and fire extinguishers checked monthly. |
— |
| 5 | — |
745.8641 - Requirements during probation
It was determined the conditions of the probation were not being followed as there was no an extra person in the building that was not counted in ratio. |
— |
| 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 child in care did not have a health statement on file for review. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver stated she had 13 children in care and it was determined she had 15 children in care. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
There were 2 cleaning sprays that were observed accessible to children in a bathroom. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver stated she had 12 children in care and it was determined she had 11 children in care. |
— |
| 4 | — |
746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
There was 1 caregiver present in the building during nap time with 17 children in care (4 months to 4 years old). Two other caregivers arrived during the inspection. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
A 4 month old infant was observed sleeping in a restrictive device (bouncer). The Director removed the infant from the bouncer. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
I observed a broken fence post outside on the playground. |
— |
| 3 | — |
746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
A 19 moth old child was observed sleeping with a bottle during nap time. The caregiver was observed to have removed the bottle. |
Yes |
| 4 | — |
746.3301(b) - Nutrition and Food Service - Follow Meal Patterns
The operation did not ensure vegetables were served during lunch as indicated on the menu. |
— |
| 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 operation did not have the Employees List posted for review. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation did not have documentation of fire drills being completed for the year. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver stated she had 12 children in care and it was determined she had 13 children in care. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three infants in care, (4 month, 7 month, 8 months old) did not have update infant feeding instructions on file for review. |
— |
| 5 | — |
746.3807(1) - Storage of Medication - Inaccessible to Children
It was determined the operation was storing medication in a backpack, that was accessible to the children in care. |
— |
| 4 | — |
746.2911 - Adequate Lighting During Naptime
The nap room where the 3 to 5 year old children were sleeping was observed to have been to dark. A flashlight had to be turned on to count all the children in the classroom. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The operation has not ensured that the minimum standards are being followed in order to reduce the risk to children in care. |
— |
| 4 | — |
746.2909(3) - Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space
There were 3 children that were grouped together during naptime and appropriate spacing of the mats was not observed. There was no walk space between each mat. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One child's file reviewed did not have a health statement on file for review. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
There was an outlet in a classroom that did not have an outlet cover. The caregiver placed an outlet cover on the outlet during the inspection. |
Yes |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
A television with cartoons was observed to be on during lunchtime, with a child less then 2 years present. The caregiver turned off the television during the inspection. |
Yes |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
There was 1 child's file that did not have a health statement on file for review. |
— |
| 3 | — |
746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
The most recent inspection form was observed to not have been posted. The last inspection form posted was dated from June 2025. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
During the inspection I observed the television on, with a cartoon playing and there were children under 2 years old, present in the classroom. The caregiver turned off the television during the inspection. |
— |
| 5 | — |
746.3807(1) - Storage of Medication - Inaccessible to Children
A tube of neosporin was observed accessible to children in care. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The operation was observed to be cluttered and food debris was observed on the floor in the main area and back classroom. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
In the outdoor playground area, the wooden fence had an opening between the planks that were observed to be warped. The linked fence was observed to be coming down in section and there was an exposed telephone wire. |
— |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
In the infant classroom, there was a 3 month old and three 2 year olds, which presented over an 18 months age gap. Another caregiver arrived to bring the classroom into compliance. |
— |
| 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
A caregiver was observed chasing a toddler, who got out of a classroom and ran into the front classroom, and the caregiver left her classroom unsupervised with children present. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
An 8 month old infant was observed asleep in a crib in the infant room without a caregiver present in the classroom. A 4 year old child was observed going to the restroom towards the back of the building without a caregiver present to supervise. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
There were 2 infants observed in a high chair that is equipped with safety straps and the safety straps were observed to not be fastened. |
— |
| 5 | — |
745.8641 - Requirements during probation
After reviewing staff training records Form 7250, it was determined the operation had not written down all the trainings the staff had completed. |
— |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
There was a 2 year old observed in the Infant Room with the youngest infant, 4 months of age. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
There were 3 outlets that were observed without an outlet cover. The Director covered the outlets during the inspection. |
— |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
A group of children included an 11 month old child, with the oldest child in the group being 4 years old. |
— |
| 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
A school age child was observed walking out of his classroom and going to the director's office unsupervised. Upon arrival the director left her classroom unsupervised when she opened the door. |
— |
| 4 | — |
746.1301(6)(A) - Training Requirements for Directors 30- Annual Training
The Director had not completed the 30 hours of required annual training. The Director had 14.5 hours of annual training on file. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom with a specified age group of 12-17 months, had 6 children in care, making the classroom over ratio by 1. The caregiver placed 2 children in the next classroom to bring ratio into compliance. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
A nap mat was observed to be torn and the padding was exposed. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
A child was observed sitting in a high chair and the straps were observed to not be fastened. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
There was a laptop, thermometers, a blow up item and crumbs observed under the changing pad on the changing table. The caregiver cleaned under the changing table during the inspection. |
Yes |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
An infant was observed grouped with children, with a children in care, with more than an 18 month age gap. The infant was placed back in the infant classroom. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The operation had debris on the floor (crumbs, trash) and blankets. Under a changing table, there was dirt and crumbs.The trashcans did not have lids and were observed to be full. The Director picked up the blankets, swept the floors and cleaned under the changing table during the inspection. The Director placed a lid on the trashcans and removed the trash bags. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The operation had not completed the repairs needed in the outdoor play area. In the outdoor playground area, the wooden fence had an opening between the planks that were observed to be warped. The linked fence was observed to be coming down in section and there was an exposed telephone wire. |
— |
| 4 | — |
746.5307(b) - Fire Extinguishers Serviced
The fire extinguishers were observed to have last been serviced in February 2025. |
— |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
An infant was observed grouped with children, with a children in care, with more than an 18 month age gap. The infant was placed back in the infant classroom. |
— |
| 3 | — |
746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
A 19 moth old child was observed sleeping with a bottle during nap time. The caregiver was observed to have removed the bottle. |
Yes |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
In the outdoor playground area, the wooden fence had an opening between the planks that were observed to be warped. The linked fence was observed to be coming down in section and there was an exposed telephone wire. |
— |
| 4 | — |
746.2911 - Adequate Lighting During Naptime
The nap room where the 3 to 5 year old children were sleeping was observed to have been to dark. A flashlight had to be turned on to count all the children in the classroom. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The operation had not completed the repairs needed in the outdoor play area. In the outdoor playground area, the wooden fence had an opening between the planks that were observed to be warped. The linked fence was observed to be coming down in section and there was an exposed telephone wire. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation did not have documentation of fire drills being completed for the year. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom with a specified age group of 12-17 months, had 6 children in care, making the classroom over ratio by 1. The caregiver placed 2 children in the next classroom to bring ratio into compliance. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
A caregiver was observed to have wiped an infant's face and then observed utilizing the same wipe to wipe another child's face. Proper hand washing was reviewed with the caregiver and director during the inspection. |
— |
| 5 | — |
746.605(11) - Required Admission Information - Emergency Medical Authorization
There were 2 children's files that did not have Emergency Authorization on file for review. |
— |
| 4 | — |
746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
There was 1 caregiver present in the building during nap time with 17 children in care (4 months to 4 years old). Two other caregivers arrived during the inspection. |
— |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
There was a 2 year old observed in the Infant Room with the youngest infant, 4 months of age. |
— |
| 4 | — |
746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
During the current inspection, there was not another present in the building, during naptime. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
There were 2 infants observed in a high chair that is equipped with safety straps and the safety straps were observed to not be fastened. |
— |
| 5 | — |
746.3807(1) - Storage of Medication - Inaccessible to Children
A tube of neosporin was observed accessible to children in care. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The operation has not ensured that the minimum standards are being followed in order to reduce the risk to children in care. |
— |
| 4 | — |
746.2909(1) - Arrangement of Napping Equipment - Not Blocking Entrances or Exits
A child in care was observed napping in front of the back door that leads to the playground. The caregiver placed the child in another spot during naptime. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver stated she had 12 children in care and it was determined she had 13 children in care. |
— |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
A caregiver was unaware of the ages of children in her group. |
— |
| 3 | — |
746.4003(a)(8) - First Aid Kit Incomplete - Tweezers
The first aid kit was observed to not have any tweezers. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
There was 1 child's file that did not have a health statement on file for review. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver stated she had 12 children in care and it was determined she had 11 children in care. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
There was a laptop, thermometers, a blow up item and crumbs observed under the changing pad on the changing table. The caregiver cleaned under the changing table during the inspection. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There were 2 infants in care that did not have an infant feeding instructions on file for review. |
— |
192 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.