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TexasTyler › Creative Children's Academy

Creative Children's Academy

Child care center · 3108 BELLWOOD RD, Tyler, TX 75701-1001 · License 1696043

0Compliance score
Poor

Capacity 42. InfantToddlerPre-Kindergarten Accepts subsidy

Violation history (336)

SeverityDateStandard / narrativeCorrected
4 746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
A follow up was conducted on this day. The SIDS and Shaken Baby training was not found in the employee file as complete. This standard was re-cited.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was observed sleeping in a restrictive device at nap.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation's fire inspection expired on 3/14/2024 and a recent fire inspection has not been conducted.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection the two infant rooms were out of ratio. One infant room had 1 caregiver with 5 infants 3m-11m. The second infant room had 1 caregiver for 6 children SAG 17m. Both room ratios were corrected during inspection.
5 746.2426 - Infant May Not Sleep in a Restrictive Device
During follow up inspection, 1 infant was observed asleep unbuckled in a high chair.
3 746.2505(3) - Furnishings and Equipment for Toddlers - Items Accessible to Children
During inspection it was observed that there were only large play items availble for the children to play with in the room and accessible.
3 746.2431(5) - Infant Daily Report - Summary of Activities
During inspection the infant daily reports were reviewed and did not have a spot for the summary of daily activities.
4 746.605(6) - Required Admission Information - Emergency Contact
The children records were reviewed and one record did not have the emergency contact address.
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
During inspection Lysol wipes were obsesrved to be on a low shelf in the bathroom that the children use and have access to. This was corrected at inspection.
3 746.603(a)(4) - Children's Records - Immunizations
A follow up was conducted on this day. The immunization record has not been provided by the parent and is not current. The standard was re-cited.
3 746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
The grounds checklist were observed for the HASA and had not been completed since February of 2022.
3 746.4003(a) - First Aid Kit - Incomplete Kit
The first aid kit was incomplete and was missing gauze pads and the guide to first aid.
3 746.2206(1) - Written Activity Plan - Outdoor Play Opportunities
The activity plans were reviewed and there is only one outdoor time listed for the children.
4 746.1613(a)(6) - Naptime Child/Caregiver Ratio - Caregivers Physically Present
During the inspection there was a caregiver supervising two classroom during naptime. However, the caregiver was not physically present in the same area as both classrooms.
4 746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Training records were reviewed for the HASA and one record was missing training for SIDS and Shaken Baby.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
A follow up was conducted on this day. One of the children present did not have an updated feeding instruction. The standard was re-cited.
3 746.603(a)(4) - Children's Records - Immunizations
The children records were reviewed. Two records were missing updated shot records.
3 746.603(a)(4) - Children's Records - Immunizations
Immunization records were reviewed for the HASA. Two records were not current and up to date.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Upon arrival at the operation there was one caregivere caring for 26 children ages 6m-5years at nap time. This was corrected within 30 minutes when the other caregivers arrived from lunch and for their afternoon shifts.
5 746.201(11) - AP Ensure total number of children both at & away from center within capacity
During a follow up inspection the operation was operating with 44 children present and capacity is 38 children for the operation total.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During follow up inspection, 1 infant was observed asleep unbuckled in a high chair, 3 infants were observed in high chairs unbuckled.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection, one classroom was over ratio. The 2 - 3 yrs old class had 16 children.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
While reviewing personnel files 5 caregivers did not have a current certificate for CPR/ First Aid.
5 746.2401(7) - Basic Requirements for Infants - Never Unsupervised
During inspection it was observed that a caregiver left 6 children alone in a room ages 11m-2 years, SAG of 17m, in high chairs when the caregiver left the room to go to their car. This was corrected when the caregiver returned to the room.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
An employee was observed cleaning an infants hands after a diaper change with a baby wipe. This was corrected when the caregiver washed the infants hands with water and soap.
Yes
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
An infant was observed to be unbuckled in the highchair with the tray detached. The child was attempting to climb out of the highchair.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
A caregiver was observed utilizing her personal cellphone while caring for children.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The infant feeding instructions were reviewed and have not been updated in the last 30 days. The last date of review was on 4/1/22
3 746.901 - Required Personnel Records
While reviewing personnel files one caregiver was missing the following; notarized affidavit, pre-employment affidavit, and orientation statement.
4 746.4813(a) - Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)
The use zone for the rocking piece of equipment did not have a 6 foot use zone.
4 746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
The food allergy alert plan for 2 children with an allergy was not available at inspection.
5 746.2401(7) - Basic Requirements for Infants - Never Unsupervised
During the inspection there was an infant observed to be left unsupervised while asleep in their crib.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection one classroom was observed to be over ratio while waiting for two caregivers to arrive for work. This was corrected during inspection when the caregivers arrived.
Yes
3 746.301(2) - Notification of Change in Space
During the walk through it was found that the operation moved the infant classroom from the back of the building to the pre-k classroom without notifying CCR and amending the permit.
Yes
5 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
There was an infant observed asleep in their crib with a bib on.
3 746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Traning was reviewed for the HASA and one employee did not have child maltreatment training as required.
3 746.603(a)(4) - Children's Records - Immunizations
Four children files were reviewed for the HASA and one file did not have a current immunization record.
3 746.1401(g) - Substitutes and Volunteers - Complete Orientation Before Beginning Relevant Duties
This standard was reviewed in relation to the DFPS investigation and found to be deficient. One substitute present at the operation did not have a complete orientation before being counted in child/caregiver ratio.
3 746.603(a) - Children's Records Maintained
While reviewing children files I observed 4 out of 6 files were missing required information such as; information for emergency contacts, updated immunizations, release information, acknowledgment of operational policies, water activity permissions, and transportation permissions.
5 746.201(11) - AP Ensure total number of children both at & away from center within capacity
During a follow up inspection the operation was operating with 41 children present and capacity is 38 children for the operation total.
4 746.2411(2)(I) - Safety Requirements for Play Yards - Label for Each Infant
During inspection it was observed that the infant play yards did not have a name for each child on the cribs.
Yes
3 746.501(a)(18)(A) - Written Operational Policies - Benefits
The operational policies were reviewed and were missing the activity portion, specifically the benefits of physical activity, duration of play and where the children will go in the event of extreme weather.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was observed sleeping in a restrictive device at nap.
5 746.2401(7) - Basic Requirements for Infants - Never Unsupervised
During inspection it was observed that a caregiver left 6 children alone in a room ages 11m-2 years, SAG of 17m, in high chairs when the caregiver left the room to go to their car. This was corrected when the caregiver returned to the room.
3 746.603(a) - Children's Records Maintained
While reviewing children files I observed 4 out of 6 files were missing required information such as; information for emergency contacts, updated immunizations, release information, acknowledgment of operational policies, water activity permissions, and transportation permissions.
5 746.2426 - Infant May Not Sleep in a Restrictive Device
During follow up inspection, 1 infant was observed asleep unbuckled in a high chair.
5 746.201(11) - AP Ensure total number of children both at & away from center within capacity
During a follow up inspection the operation was operating with 44 children present and capacity is 38 children for the operation total.
3 746.603(a)(4) - Children's Records - Immunizations
Four children files were reviewed for the HASA and one file did not have a current immunization record.
3 746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Traning was reviewed for the HASA and one employee did not have child maltreatment training as required.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection, one classroom was over ratio. The 2 - 3 yrs old class had 16 children.
3 746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
The grounds checklist were observed for the HASA and had not been completed since February of 2022.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During follow up inspection, 1 infant was observed asleep unbuckled in a high chair, 3 infants were observed in high chairs unbuckled.
3 746.2431(5) - Infant Daily Report - Summary of Activities
During inspection the infant daily reports were reviewed and did not have a spot for the summary of daily activities.
5 746.2401(7) - Basic Requirements for Infants - Never Unsupervised
During the inspection there was an infant observed to be left unsupervised while asleep in their crib.
3 746.1401(g) - Substitutes and Volunteers - Complete Orientation Before Beginning Relevant Duties
This standard was reviewed in relation to the DFPS investigation and found to be deficient. One substitute present at the operation did not have a complete orientation before being counted in child/caregiver ratio.
4 746.1613(a)(6) - Naptime Child/Caregiver Ratio - Caregivers Physically Present
During the inspection there was a caregiver supervising two classroom during naptime. However, the caregiver was not physically present in the same area as both classrooms.
5 746.201(11) - AP Ensure total number of children both at & away from center within capacity
During a follow up inspection the operation was operating with 41 children present and capacity is 38 children for the operation total.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation's fire inspection expired on 3/14/2024 and a recent fire inspection has not been conducted.
3 746.301(2) - Notification of Change in Space
During the walk through it was found that the operation moved the infant classroom from the back of the building to the pre-k classroom without notifying CCR and amending the permit.
Yes
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
While reviewing personnel files 5 caregivers did not have a current certificate for CPR/ First Aid.
3 746.2206(1) - Written Activity Plan - Outdoor Play Opportunities
The activity plans were reviewed and there is only one outdoor time listed for the children.
3 746.603(a)(4) - Children's Records - Immunizations
The children records were reviewed. Two records were missing updated shot records.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
An infant was observed to be unbuckled in the highchair with the tray detached. The child was attempting to climb out of the highchair.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
An employee was observed cleaning an infants hands after a diaper change with a baby wipe. This was corrected when the caregiver washed the infants hands with water and soap.
Yes
5 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
There was an infant observed asleep in their crib with a bib on.
3 746.603(a)(4) - Children's Records - Immunizations
A follow up was conducted on this day. The immunization record has not been provided by the parent and is not current. The standard was re-cited.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection one classroom was observed to be over ratio while waiting for two caregivers to arrive for work. This was corrected during inspection when the caregivers arrived.
Yes
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
During inspection Lysol wipes were obsesrved to be on a low shelf in the bathroom that the children use and have access to. This was corrected at inspection.
4 746.605(6) - Required Admission Information - Emergency Contact
The children records were reviewed and one record did not have the emergency contact address.
3 746.501(a)(18)(A) - Written Operational Policies - Benefits
The operational policies were reviewed and were missing the activity portion, specifically the benefits of physical activity, duration of play and where the children will go in the event of extreme weather.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
A follow up was conducted on this day. One of the children present did not have an updated feeding instruction. The standard was re-cited.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection the two infant rooms were out of ratio. One infant room had 1 caregiver with 5 infants 3m-11m. The second infant room had 1 caregiver for 6 children SAG 17m. Both room ratios were corrected during inspection.
3 746.2505(3) - Furnishings and Equipment for Toddlers - Items Accessible to Children
During inspection it was observed that there were only large play items availble for the children to play with in the room and accessible.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Upon arrival at the operation there was one caregivere caring for 26 children ages 6m-5years at nap time. This was corrected within 30 minutes when the other caregivers arrived from lunch and for their afternoon shifts.
4 746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
The food allergy alert plan for 2 children with an allergy was not available at inspection.
3 746.901 - Required Personnel Records
While reviewing personnel files one caregiver was missing the following; notarized affidavit, pre-employment affidavit, and orientation statement.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The infant feeding instructions were reviewed and have not been updated in the last 30 days. The last date of review was on 4/1/22
3 746.4003(a) - First Aid Kit - Incomplete Kit
The first aid kit was incomplete and was missing gauze pads and the guide to first aid.
4 746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Training records were reviewed for the HASA and one record was missing training for SIDS and Shaken Baby.
4 746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
A follow up was conducted on this day. The SIDS and Shaken Baby training was not found in the employee file as complete. This standard was re-cited.
3 746.603(a)(4) - Children's Records - Immunizations
Immunization records were reviewed for the HASA. Two records were not current and up to date.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
A caregiver was observed utilizing her personal cellphone while caring for children.
4 746.2411(2)(I) - Safety Requirements for Play Yards - Label for Each Infant
During inspection it was observed that the infant play yards did not have a name for each child on the cribs.
Yes
4 746.4813(a) - Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)
The use zone for the rocking piece of equipment did not have a 6 foot use zone.
3 746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Traning was reviewed for the HASA and one employee did not have child maltreatment training as required.
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
During inspection Lysol wipes were obsesrved to be on a low shelf in the bathroom that the children use and have access to. This was corrected at inspection.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Upon arrival at the operation there was one caregivere caring for 26 children ages 6m-5years at nap time. This was corrected within 30 minutes when the other caregivers arrived from lunch and for their afternoon shifts.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During follow up inspection, 1 infant was observed asleep unbuckled in a high chair, 3 infants were observed in high chairs unbuckled.
4 746.2411(2)(I) - Safety Requirements for Play Yards - Label for Each Infant
During inspection it was observed that the infant play yards did not have a name for each child on the cribs.
Yes
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
A follow up was conducted on this day. One of the children present did not have an updated feeding instruction. The standard was re-cited.
3 746.2206(1) - Written Activity Plan - Outdoor Play Opportunities
The activity plans were reviewed and there is only one outdoor time listed for the children.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
An employee was observed cleaning an infants hands after a diaper change with a baby wipe. This was corrected when the caregiver washed the infants hands with water and soap.
Yes
3 746.603(a) - Children's Records Maintained
While reviewing children files I observed 4 out of 6 files were missing required information such as; information for emergency contacts, updated immunizations, release information, acknowledgment of operational policies, water activity permissions, and transportation permissions.
4 746.1613(a)(6) - Naptime Child/Caregiver Ratio - Caregivers Physically Present
During the inspection there was a caregiver supervising two classroom during naptime. However, the caregiver was not physically present in the same area as both classrooms.
3 746.1401(g) - Substitutes and Volunteers - Complete Orientation Before Beginning Relevant Duties
This standard was reviewed in relation to the DFPS investigation and found to be deficient. One substitute present at the operation did not have a complete orientation before being counted in child/caregiver ratio.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
While reviewing personnel files 5 caregivers did not have a current certificate for CPR/ First Aid.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The infant feeding instructions were reviewed and have not been updated in the last 30 days. The last date of review was on 4/1/22
5 746.201(11) - AP Ensure total number of children both at & away from center within capacity
During a follow up inspection the operation was operating with 44 children present and capacity is 38 children for the operation total.
3 746.4003(a) - First Aid Kit - Incomplete Kit
The first aid kit was incomplete and was missing gauze pads and the guide to first aid.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation's fire inspection expired on 3/14/2024 and a recent fire inspection has not been conducted.

Severity 5 = most serious. Source: official state record.

Inspections (80)

80 inspection record(s) on file from TX-HHSC.

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