Capacity 227. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
One caregiver who transport did not have the transportation training available for review. |
— |
| 4 | — |
746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
I observed a caregiver in a classroom for 2 yr. olds change the diapers of two children without changing the paper covering the changing table. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
Based on the information obtained during the DFPS investigation a caregiver did not wash their hands after wiping a child?s nose. |
— |
| 5 | — |
746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Based on the information obtained during the DFPS investigation there is sufficient evidence to support that Abuse/Neglect occurred at the operation when a child was left unsupervised. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
One child with a diagnosed food allergy did not have the food allergy plan completed. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
I observed one caregiver supervising 19 four and five yr. old children. The specified age of the group was 4 years. The required child/caregiver ratio for 4 yr. olds is one caregiver with 18 children. NOTE: This was corrected during the inspection when another caregiver joined the group. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
I did not observe documentation of current training in SIDS, Shaken Baby Syndrome and Abusive Head Trauma for 4 caregivers who work with infants and toddlers. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
While observing the children in the four year old classroom a child used the restroom and did not wash their hands. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
One out ten personnel records reviewed is missing the affidavit. |
— |
| 5 | — |
746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Based on the information obtained during the DFPS investigation the parents were not informed of the incident within the required timeframe. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
In Room # 5 Caregiver did not know how many children were in her care during inspection. Caregiver stated there were 11 children but there were actually 10 children in care during inspection. |
— |
| 4 | — |
746.3401(c)(2) - Annual Sanitation Inspection- Inspection unavailable must maintain documentation at operation and make available to us
During the Monitoring Inspection, the operation could not provide documentation of a current Health/Sanitation Inspection conducted as required. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
It was observed that that the diaper changing mat had a two tears exposing the foam. Note: This was corrected when a new mat was placed. |
Yes |
| 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 information obtained during the DFPS investigation a child was left unsupervised in the bathroom for 5-10 minutes. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
The number of employees who had left their employment in 2021 was not reported to HHSC - Child Care Regulation by the 1-15-22 deadline. NOTE: This deficiency has been corrected. |
— |
| 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 information obtained during the investigation, a child was left unsupervised in a classroom. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
I evaluated the enrollment records for 10 children. I observed the following: 1. Two children did not have documentation of a current health statement. 2. Two children did not have documentation of hearing and vision screening. |
— |
| 4 | — |
746.3415(13) - Employee Handwashing After Removing Gloves
I observed a caregiver in a classroom for 2 yr. olds change the diapers of two children without removing disposable gloves. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
Two caregivers completed CPR online. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection, a caregiver in Room 4 was observed wiping two children's noses and disposing of the tissue but not washing their hands. Note: Corrected during Inspection. The caregiver washed their hands. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver in the four year old classroom was unaware of the number of children under her supervision during the walk-through. Caregiver counted 14 children correction 15 children in care. Note- All children was marked as being supervised. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the camera footage reviewed, it was found that the caregiver did not use good judgement as the caregiver improperly lifted the child by the arm causing the child to have nurse maid elbow. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
When asked, a caregiver stated that there were 11 children in the group. There were 9 children in the group. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
Based on the information obtained during the DFPS investigation the Director was not maintaining Director Responsibilities as they did not ensure the children were properly supervised and did not ensure that procedures/standards were followed once they became aware of the incident. |
— |
| 4 | — |
746.3415(12) - Employee Handwashing After Using Cleaners or Toxic Chemicals
Based on the information obtained during the DFPS investigation a caregiver did not wash their hands after using chemicals. |
— |
| 3 | — |
746.1109(b)(3)(A) - Caregiver Qualification Age Exemption Attends High School - Enrolled in Child-care Career Program Approved by TEA/TEPSAC
One volunteer 18 year old volunteer did not have proof showing that the volunteer is enrolled in a education program. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
Based on the information obtained during the DFPS investigation CCR was not informed of the incident. |
— |
| 3 | — |
746.1401(c) - Substitutes, volunteers, and contractors counted in ratio
Volunteer counted in ratio did not have the CPR/First aid training. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
I did not observe documentation of an Emergency Action Plan for 2 children who have a food allergy. I observed that an Emergency Action Plan for a child with a food allergy had not been signed by the child's parent or physician. |
— |
| 2 | — |
746.901(5) - Required Personnel Records - Required Affidavit (Form 2912)
Six out of ten personnel records reviewed is missing the 2912 form. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One out of ten child records reviewed is missing the medical authorization on file. Note: This was corrected when parent signed it at pick up. |
Yes |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
I observed a caregiver sitting on the playground, with children playing on both sides of the playground. |
— |
| 2 | — |
746.1329(a) - Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
Ten out of ten staff records reviewed is missing the training certifcate. Note: Hours are written on a training log. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two out of ten child records were missing the health statement on file. Note: This was corrected when the parents signed stating that the letter will be provided. |
Yes |
| 3 | — |
746.4405 - Location of Handwashing Sink
During the walk-through it was observed in Room #3 no single-use disposable towels available for the children after hand washing. Note-Corrected during Inspection. Operation added disposable towels to Classroom # 3. |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Based on the information obtained during the DFPS investigation an incident report was not completed. |
— |
| 1 | — |
746.1045 - Education Outside of U.S.
One personnel record reviewed needs the diploma translated to english and showing U.S equivalent. |
— |
| 3 | — |
746.1401(c) - Substitutes, volunteers, and contractors counted in ratio
Volunteer counted in ratio did not have the CPR/First aid training. |
— |
| 3 | — |
746.1109(b)(3)(A) - Caregiver Qualification Age Exemption Attends High School - Enrolled in Child-care Career Program Approved by TEA/TEPSAC
One volunteer 18 year old volunteer did not have proof showing that the volunteer is enrolled in a education program. |
— |
| 4 | — |
746.3415(12) - Employee Handwashing After Using Cleaners or Toxic Chemicals
Based on the information obtained during the DFPS investigation a caregiver did not wash their hands after using chemicals. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two out of ten child records were missing the health statement on file. Note: This was corrected when the parents signed stating that the letter will be provided. |
Yes |
| 5 | — |
746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Based on the information obtained during the DFPS investigation the parents were not informed of the incident within the required timeframe. |
— |
| 4 | — |
746.3415(13) - Employee Handwashing After Removing Gloves
I observed a caregiver in a classroom for 2 yr. olds change the diapers of two children without removing disposable gloves. |
— |
| 4 | — |
746.3401(c)(2) - Annual Sanitation Inspection- Inspection unavailable must maintain documentation at operation and make available to us
During the Monitoring Inspection, the operation could not provide documentation of a current Health/Sanitation Inspection conducted as required. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One out of ten child records reviewed is missing the medical authorization on file. Note: This was corrected when parent signed it at pick up. |
Yes |
| 4 | — |
746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
I observed a caregiver in a classroom for 2 yr. olds change the diapers of two children without changing the paper covering the changing table. |
— |
| 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 information obtained during the DFPS investigation a child was left unsupervised in the bathroom for 5-10 minutes. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
It was observed that that the diaper changing mat had a two tears exposing the foam. Note: This was corrected when a new mat was placed. |
Yes |
| 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 information obtained during the investigation, a child was left unsupervised in a classroom. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
One child with a diagnosed food allergy did not have the food allergy plan completed. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
In Room # 5 Caregiver did not know how many children were in her care during inspection. Caregiver stated there were 11 children but there were actually 10 children in care during inspection. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the camera footage reviewed, it was found that the caregiver did not use good judgement as the caregiver improperly lifted the child by the arm causing the child to have nurse maid elbow. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
Based on the information obtained during the DFPS investigation CCR was not informed of the incident. |
— |
| 5 | — |
746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Based on the information obtained during the DFPS investigation there is sufficient evidence to support that Abuse/Neglect occurred at the operation when a child was left unsupervised. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
The number of employees who had left their employment in 2021 was not reported to HHSC - Child Care Regulation by the 1-15-22 deadline. NOTE: This deficiency has been corrected. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
I evaluated the enrollment records for 10 children. I observed the following: 1. Two children did not have documentation of a current health statement. 2. Two children did not have documentation of hearing and vision screening. |
— |
| 1 | — |
746.1045 - Education Outside of U.S.
One personnel record reviewed needs the diploma translated to english and showing U.S equivalent. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
I observed one caregiver supervising 19 four and five yr. old children. The specified age of the group was 4 years. The required child/caregiver ratio for 4 yr. olds is one caregiver with 18 children. NOTE: This was corrected during the inspection when another caregiver joined the group. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
While observing the children in the four year old classroom a child used the restroom and did not wash their hands. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
I did not observe documentation of an Emergency Action Plan for 2 children who have a food allergy. I observed that an Emergency Action Plan for a child with a food allergy had not been signed by the child's parent or physician. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection, a caregiver in Room 4 was observed wiping two children's noses and disposing of the tissue but not washing their hands. Note: Corrected during Inspection. The caregiver washed their hands. |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Based on the information obtained during the DFPS investigation an incident report was not completed. |
— |
| 3 | — |
746.4405 - Location of Handwashing Sink
During the walk-through it was observed in Room #3 no single-use disposable towels available for the children after hand washing. Note-Corrected during Inspection. Operation added disposable towels to Classroom # 3. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
When asked, a caregiver stated that there were 11 children in the group. There were 9 children in the group. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
Based on the information obtained during the DFPS investigation the Director was not maintaining Director Responsibilities as they did not ensure the children were properly supervised and did not ensure that procedures/standards were followed once they became aware of the incident. |
— |
| 2 | — |
746.901(5) - Required Personnel Records - Required Affidavit (Form 2912)
Six out of ten personnel records reviewed is missing the 2912 form. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
One caregiver who transport did not have the transportation training available for review. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
Based on the information obtained during the DFPS investigation a caregiver did not wash their hands after wiping a child?s nose. |
— |
| 2 | — |
746.1329(a) - Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
Ten out of ten staff records reviewed is missing the training certifcate. Note: Hours are written on a training log. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
I did not observe documentation of current training in SIDS, Shaken Baby Syndrome and Abusive Head Trauma for 4 caregivers who work with infants and toddlers. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
One out ten personnel records reviewed is missing the affidavit. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
Two caregivers completed CPR online. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver in the four year old classroom was unaware of the number of children under her supervision during the walk-through. Caregiver counted 14 children correction 15 children in care. Note- All children was marked as being supervised. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
I observed a caregiver sitting on the playground, with children playing on both sides of the playground. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
Two caregivers completed CPR online. |
— |
| 5 | — |
746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Based on the information obtained during the DFPS investigation the parents were not informed of the incident within the required timeframe. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
I evaluated the enrollment records for 10 children. I observed the following: 1. Two children did not have documentation of a current health statement. 2. Two children did not have documentation of hearing and vision screening. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
I observed a caregiver sitting on the playground, with children playing on both sides of the playground. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
One child with a diagnosed food allergy did not have the food allergy plan completed. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
When asked, a caregiver stated that there were 11 children in the group. There were 9 children in the group. |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Based on the information obtained during the DFPS investigation an incident report was not completed. |
— |
| 3 | — |
746.1401(c) - Substitutes, volunteers, and contractors counted in ratio
Volunteer counted in ratio did not have the CPR/First aid training. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the camera footage reviewed, it was found that the caregiver did not use good judgement as the caregiver improperly lifted the child by the arm causing the child to have nurse maid elbow. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
One caregiver who transport did not have the transportation training available for review. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One out of ten child records reviewed is missing the medical authorization on file. Note: This was corrected when parent signed it at pick up. |
Yes |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
In Room # 5 Caregiver did not know how many children were in her care during inspection. Caregiver stated there were 11 children but there were actually 10 children in care during inspection. |
— |
| 4 | — |
746.3415(12) - Employee Handwashing After Using Cleaners or Toxic Chemicals
Based on the information obtained during the DFPS investigation a caregiver did not wash their hands after using chemicals. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
I did not observe documentation of current training in SIDS, Shaken Baby Syndrome and Abusive Head Trauma for 4 caregivers who work with infants and toddlers. |
— |
| 2 | — |
746.1329(a) - Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
Ten out of ten staff records reviewed is missing the training certifcate. Note: Hours are written on a training log. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
One out ten personnel records reviewed is missing the affidavit. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
While observing the children in the four year old classroom a child used the restroom and did not wash their hands. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver in the four year old classroom was unaware of the number of children under her supervision during the walk-through. Caregiver counted 14 children correction 15 children in care. Note- All children was marked as being supervised. |
— |
| 4 | — |
746.3401(c)(2) - Annual Sanitation Inspection- Inspection unavailable must maintain documentation at operation and make available to us
During the Monitoring Inspection, the operation could not provide documentation of a current Health/Sanitation Inspection conducted as required. |
— |
| 5 | — |
746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Based on the information obtained during the DFPS investigation there is sufficient evidence to support that Abuse/Neglect occurred at the operation when a child was left unsupervised. |
— |
| 4 | — |
746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
I observed a caregiver in a classroom for 2 yr. olds change the diapers of two children without changing the paper covering the changing table. |
— |
| 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 information obtained during the investigation, a child was left unsupervised in a 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
Based on the information obtained during the DFPS investigation a child was left unsupervised in the bathroom for 5-10 minutes. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two out of ten child records were missing the health statement on file. Note: This was corrected when the parents signed stating that the letter will be provided. |
Yes |
| 2 | — |
746.901(5) - Required Personnel Records - Required Affidavit (Form 2912)
Six out of ten personnel records reviewed is missing the 2912 form. |
— |
| 1 | — |
746.1045 - Education Outside of U.S.
One personnel record reviewed needs the diploma translated to english and showing U.S equivalent. |
— |
104 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.