Capacity 81. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
1 out of 4 chidlren's files evaluated did not contain documentation of current immunizations. The record provided was missing 1 dose of MMR and 1 dose of VAR. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Based on the information obtained during the DFPS investigation, the operation failed to report a child injury that required medical treatment. |
— |
| 5 | — |
746.301(7) - Notification of Additional Services Offered
During the inspection it was learned that the operation has been providing transportation services without notifing CCR of the additional services. NOTE: According to the owner, transportation began the second week of January 2022. |
Yes |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Records were reviewed for 6 staff including the director, three caregivers did not have training in the following topics: Hazardous materials Building and physical premise safety Emergency preparedness Responding to food and allergic reaction |
— |
| 4 | — |
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
1 out of 8 employee files evaluated did not contain current CPR/First Aid training. The certifiate provided had expired on May 4th, 2023. |
— |
| 5 | — |
746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit
The first aid kit on the vehicle and was observed to be missing the following: Cotton balls Tweezers Scissors Tape Antiseptic solution/wipes Thermometer |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control
Several children were observed crawing under tables in the eating area. The children were observed crawling under the table for approx. 3 mintues before the caregivers were aware. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Based on the information obtained during the DFPS investigation, the operation failed to ensure the areas were free of all safety hazards. A bottle warmer was stored in a manner that did not ensure the cord was out of reach of the children, resulting in a child injury. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
6 caregivers including the director did not have training in pediatric first aid with rescue breathing and choking. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A caregiver was observed leaving a classroom multiple times during the inspection. The caregiver left another caregiver alone to supervise a total of 14 children 20m-2yrs old. Based on the specified age group (SAG) of the classroom was 2yrs. The caregiver was over ratio by 3 Upon arrival 3 caregiver were observed in the infant room, two caregiver then left the room. One infant caregiver was observed with 6 infants 4-15 mo. The SAG for the group was 0-11mo. The caregiver was over ratio by 2 for approx. 5-10 munites before the caregiver returned. |
— |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
A 7 month old infant was observed sleeping in a crib with two additional mattresses under the original mattress. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Transportation training for the director and owner was not made available for review. |
— |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness
The operation did not report an outbreak of hand, foot, and mouth to childcare regulation. |
— |
| 4 | — |
746.1109(b)(2) - Caregiver Qualification Age Exemption Attends High School - Supervised By Qualified Caregiver
A 17 yr old caregiver who currently attends high school was observed to be left unsupervised with a group of children multiple times. The supervising caregiver was observed to be going back and forth between the kitchen and classroom. |
— |
| 5 | — |
746.2501(5) - Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers
A 19 mo old toddler was observed sleep in a crib with toys. |
— |
| 3 | — |
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Sign-in/out logs for the director was requested and was not made available for review. According to the owner, a log of attendance for the director is not kept. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
During the inspection expired boxes of Benadryl and Neosporin ointment was observed and has not been disposed of. Note: The provider disposed the medication during the inspection. |
Yes |
| 3 | — |
746.603(a) - Children's Records Maintained
Children's files evaluated did not contain a complete record. The following information was missing or incomplete: - Two were missing the address, and phone # of the emergency medical facility - Three were missing the special needs statements - Two were missing the parents signature for receiving a copy of the operational policies |
— |
| 5 | — |
746.3807(1) - Storage of Medication - Inaccessible to Children
A container of diaper rash cream was observed in the crib with an 19mo old. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
2 caregivers were not aware of the number of children in their care. When asked, both caregivers were asked multiple times how many children were in their care, and both stated there were 15. 16 children were counted in care. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
A caregiver was unaware of the ages of children in their care. When asked for the ages, the caregiver stated they had just arrived and did not know. |
— |
| 4 | — |
746.3807(3) - Storage of Medication - Refrigerate Separate from Food
Refrigerated medication was observed to be stored next to food. |
— |
| 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 with a conditonal background check stating they must never be left alone with child was left alone with 6 infant 4-15mo |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
A 3mo old was observed sleeping in a baby swing. The caregiver was unaware that the infant was sleep. The infant was removed after instructed by CCR. According to the caregiver, the infants were in the restrictive devices for at least 20 minutes. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
The operation does not keep a sign-in/out log for children being transported. |
— |
| 5 | — |
746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
The fire extinguisher was observed to be located in the trunk of the vehicle used for transportation and was not readily accessible by the driver. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed to be present without notfication of eligbility from the background check unit. NOTE : The caregiver made an appointment to get fingerprinted during the inspection |
Yes |
| 2 | — |
746.303(b) - Report Number of Employees
A review of the Employees Who Left Employment in 2021 data from February 23, 2022 revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022 as required. NOTE: The operation reported the number of employees who left in 2021 after the deadline. |
— |
| 4 | — |
746.1011 - Director Presence Routine During Operating Hours
The director is only present at the operation two days a week and is not routinely present during the hours of operation. |
— |
| 2 | — |
746.1329(a) - Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
Documentation showing training in the following topics were not available for review during the inspection: - Recognizing and Reporting Suspected Abuse and Neglect of Children - Transportation Safety Training |
— |
| 4 | — |
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
A play equipment with a height less than 5 feet did not have at least 6 inches of surfacing |
— |
| 5 | — |
746.5617(a)(1) - Required Equipment in Vehicles - List of Children
The operation did not have a list of all of the children being transported. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Transportation training for the director was not made available for review. NOTE: Training for the owner/driver was reviewed and up-to-date |
— |
| 4 | — |
746.1703 - Child/Caregiver Ratio - Combining Ages With 12 or Fewer Children
There were 4 children ages 4m-15 mo old observed with children 18-23 mo. There were 24 total children in the building. |
— |
| 5 | — |
746.5617(a)(4) - Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
The operation did not have parent contacts or emergnecy contacts for any of the children being transported. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
Of the 27 children present only 10 children were signed in. During the inspection, 2 children that left were not signed out |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
The operation did not have emergency medical authorization for 13 of 23 of the children being transported. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules
The operational policies were evaluated and did not contain the following information: - A Safe Sleeping Policy for Infants Under 12 months - The benefits of physical activity and outdoor play - The duration of physical activity at your operation, both indoor and outdoor - The type of physical activity (structured and unstructured) that children may engage in at your operation - Each setting in which your physical activity program will take place - The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play and - A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. |
— |
| 5 | — |
746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
A caregiver placed a child in a high chair for misbehaving during the inspection. |
— |
| 3 | — |
746.901 - Required Personnel Records
7 out of 8 staff files evaluated did not contain a complete personnel record. The following information was missing: 4 were missing the Licensing affidavits were not notarized 2 were missing the Proof of education was missing 3 were missing Signatures that the staff have completed orientation to the center |
— |
| 4 | — |
746.4001(3) - First Aid Kit - Easily Accessible to Employees
The first aid kit was observed to be located in the truck of the vehicle used for transportation and was not readily accessible by the driver. |
— |
| 4 | — |
746.2909(1) - Arrangement of Napping Equipment - Not Blocking Entrances or Exits
In the toddler room, a child was observed to be sleeping on a cot that was placed in front of the emergency exit. The exit could not be accessed without stepping over the child |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
6 caregivers including the director did not have training in pediatric CPR |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
2 infants between 0-11 mo were observed sitting in a baby swing and bouncer for more than 15 mintues. |
— |
| 5 | — |
746.2427 - AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant
A 4 month old who could not yet roll over unassisted wass observed to be placed on their stomach for sleep. |
— |
| 3 | — |
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Sign-in/out logs for the director was requested and was not made available for review. According to the owner, a log of attendance for the director is not kept. |
— |
| 4 | — |
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Documentation showing the carbon monoxide detectors are being tested monthly was not available for review upon request. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants not yet on table food did not have updated feeding instructions. Feeding instructions for one child was last completed 5/2022. Feeding instructions for another child was not dated, caregivers were not aware of when the instructions were written. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
During the walkthrough, in the infant, toddler, and school age rooms, staff purses were observed to be in reach of children NOTE: Corrected at inspection, all purses were moved to high hooks or shelved and were out of reach of children |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
The operation did not have emergency medical authorization for anyl of the children being transported. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Cleaning chemicals in a spray bottle were observed on the table in reach of children. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Records were reviewed for 10 staff. 2 caregiver with less than 2 years of child care experience hired June and July 2023, did not have the required 24 hours of training within 90 days of employment. 1 caregiver with no previous experience had documentation of training. NOTE: Caregivers hired June and July of 2023 had 8 hours of pre-service training documented. |
— |
| 4 | — |
746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
One caregiver did not have documentation of a high school diploma or equivalent on file. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed to be present without notification of eligibility from the background check unit. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
The caregiver was observed with 11 children. When asked for the number of children in care there were 10 children present |
— |
| 5 | — |
746.5319 - Smoke Detectors Testing
Documentation showing the smoke detectors have been tested monthly was not available for review upon request. |
— |
| 5 | — |
745.8641 - Requirements during probation
Probation condition #6 was not fully satisfied due to the following information not being available for review for all staff including the director. A training information sheet which lists each of the following: -name and role (director, caregiver, cook, driver) -original hire date -current training timeframe -date CPR/FA training completed -date orientation training completed -date pre-service training completed (or exemption) -number of training hours remaining to satisfy the current year?s requirements -specific topics remaining to satisfy the current year?s requirements (per 746.1309, 746.1311) |
— |
| 1 | — |
746.1105(3) - Minimum Qualifications Child Care Center Employees and Caregivers - Affidavit
Records were reviewed for 6 staff including the director. 5 staff did not have a notarized affidavit on file |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
One child not yet on table food did not have updated feeding instructions. Instructions were last reviewed and signed by the parent 2/1/23 |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on he information obtained during the investigation, 2 caregivers engaged in a physical and verbal altercation with children present resulting in two children being pushed over chairs. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A caregiver was observed with 11 children 4-23 months. The SAG was 18-23 mo. The caregiver was overratio by 3 children |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
based on the information obtained during the investigation, incident reports were not created for the 6 children present and placed at risk when two caregivers had a physical altercation |
— |
| 5 | — |
746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
Based on the information obtained during the investigation, children are made to put their heads down on the table for a period of 5-10 minutes. If anyone is heard talking, the time will restart, or additional minutes will be added for all children. Children who are not misbehaving or those who arrive to the operation after timeout has begun are also required to put their heads down until the time has ended. |
— |
| 4 | — |
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
A play equipment with a height less than 5 feet did not have at least 6 inches of surfacing |
— |
| 5 | — |
746.1003(4) - Director Responsibilities - Employees Supervised
Based on the information obtained during the investigation, as a result of the director's frequent absence, the director was unaware of the caregivers' activities prior to and when engaging in a physical altercation. The director failed to ensure all staff were supervised. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on the information obtained during the investigation, there is sufficient information to support the allegation regarding staff yelling at children. Based on the information obtained, staff yell at children to sit down, be quiet or stop talking. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product Safety certificate was not observed to be updated. The CPSC was last completed 1/20/21 |
— |
| 3 | — |
746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
Records for 10 staff including the director was reviewed. All records were observed to be missing the following: Date of hire Documentation whether pre-service training be required. Documentation all required orientation topics have been received. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A caregiver was observed with 8 children 3-21 months. The SAG was 0-11 mo. The caregiver was overratio by 4 children |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
14 children were observed sitting in bucket seat style tables and the straps were not observed to be in use. Two of the seats did not have straps. |
— |
| 4 | — |
746.1011 - Director Presence Routine During Operating Hours
The director is only present at the operation two days a week and is not routinely present during the hours of operation. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
An infant was observed in a crib with a broken wheel. The crib was observed to be slanted. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
A caregiver was unaware of the ages of children in their care. When asked for the ages, the caregiver stated they guessed the age of the child and then stated they were unsure and did not want to say the wrong thing |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection available for review. The last fire inspection was conducted 1/19/21 |
— |
| 5 | — |
746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
2 caregivers in the infant room were not aware of the number of children in their care. When asked, both caregivers stated there were 5 children in care. When asked again, they again stated there were 5. The caregivers were informed CCR counted 6 children. One careigver then stated they forgot a child was just brought into the classroom |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
A caregiver in charge of a group between 4mo-2 yrs old was not aware of the ahes of children in care. The caregiver indicatied they were unsure of a child's age and I would have to wait for the owner to return to the room |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
A caregiver and the owner were not aware of the number of children present. 8 children were observed to be present in the infant room. Both stated several times there were 9 children present. When asked anout the ninth child they both lookked around the room and stated there were only 8 |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
The vehicle used for transportation did not have emergency medical authorization for any of the children being transported. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
Children were observed sitting in chairs equipped with safety straps and the safety straps were not secured. Note: The provider secured the straps for each child during the inspection. |
Yes |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
Children were observed sitting in high chairs and the safety straps were not secured. Note: The provider secured the straps for each child during the inspection. |
Yes |
| 3 | — |
746.603(a)(2) - Children's Records - Admission Information
The admission forms for children was missing the following information: health statement and address for emergency contact. |
— |
| 5 | — |
746.5617(a)(4) - Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
The operation did not have parent contacts or emergnecy contacts for 13 of the 23 of the children being transported. |
— |
| 4 | — |
746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Based on the information obtained during the investigation, parents were not notified immediately that there was a situation that placed their children at risk. NOTE" Two parents were notified immediately, other parents were not notified until pick-up. |
— |
| 4 | — |
746.1011 - Director Presence Routine During Operating Hours
The director is only present at the operation two days a week and is not routinely present during the hours of operation. |
— |
| 3 | — |
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Sign-in/out logs for the director was requested and was not made available for review. According to the owner, a log of attendance for the director is not kept. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The Children's Product Safety certificate was not observed to be updated. The CPSC was last completed 1/20/21 |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control
Several children were observed crawing under tables in the eating area. The children were observed crawling under the table for approx. 3 mintues before the caregivers were aware. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
14 children were observed sitting in bucket seat style tables and the straps were not observed to be in use. Two of the seats did not have straps. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A caregiver was observed leaving a classroom multiple times during the inspection. The caregiver left another caregiver alone to supervise a total of 14 children 20m-2yrs old. Based on the specified age group (SAG) of the classroom was 2yrs. The caregiver was over ratio by 3 Upon arrival 3 caregiver were observed in the infant room, two caregiver then left the room. One infant caregiver was observed with 6 infants 4-15 mo. The SAG for the group was 0-11mo. The caregiver was over ratio by 2 for approx. 5-10 munites before the caregiver returned. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
A 3mo old was observed sleeping in a baby swing. The caregiver was unaware that the infant was sleep. The infant was removed after instructed by CCR. According to the caregiver, the infants were in the restrictive devices for at least 20 minutes. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants not yet on table food did not have updated feeding instructions. Feeding instructions for one child was last completed 5/2022. Feeding instructions for another child was not dated, caregivers were not aware of when the instructions were written. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
Children were observed sitting in chairs equipped with safety straps and the safety straps were not secured. Note: The provider secured the straps for each child during the inspection. |
Yes |
| 2 | — |
746.1329(a) - Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
Documentation showing training in the following topics were not available for review during the inspection: - Recognizing and Reporting Suspected Abuse and Neglect of Children - Transportation Safety Training |
— |
| 5 | — |
746.3807(1) - Storage of Medication - Inaccessible to Children
A container of diaper rash cream was observed in the crib with an 19mo old. |
— |
| 4 | — |
746.4001(3) - First Aid Kit - Easily Accessible to Employees
The first aid kit was observed to be located in the truck of the vehicle used for transportation and was not readily accessible by the driver. |
— |
| 4 | — |
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
A play equipment with a height less than 5 feet did not have at least 6 inches of surfacing |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Cleaning chemicals in a spray bottle were observed on the table in reach of children. |
— |
| 4 | — |
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Based on the information obtained during the DFPS investigation, the operation failed to report a child injury that required medical treatment. |
— |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness
The operation did not report an outbreak of hand, foot, and mouth to childcare regulation. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
A caregiver in charge of a group between 4mo-2 yrs old was not aware of the ahes of children in care. The caregiver indicatied they were unsure of a child's age and I would have to wait for the owner to return to the room |
— |
177 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.