Capacity 49. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity
Operational Policies were reviewed and the following items are missing: -Procedures for parental notifications -Physical and outdoor activities policy -Inform parents they may visit the child-care center at any time during your hours of operation without having to secure prior approval |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
An infant age child was not strapped while in a rocker. Note: This was corrected at inspection when the child was removed from the rocker and the blanket covering the straps was removed. |
Yes |
| 1 | — |
746.1329(b)(5) - Documentation of Training Requirements - Trainer's Qualifications
Training certificates are missing trainer's qualifications. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver was caring for five children ages 3mo, 3mo, 11mo, 12mo and 12mo. Specified Age Group is 0-11mo. Classroom was over ratio by one child. |
— |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated
Based on the information obtained during the course of the investigation, a child was administered a medication without parent authorization. |
— |
| 5 | — |
746.2401(7) - Basic Requirements for Infants - Never Unsupervised
An infant-age child was alone and unsupervised in the infant room. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A total of 12 childen ages 12mo-12yo were observed combined in the school-age room. |
— |
| 5 | — |
746.2426(a)(2) - Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Two infant-age children were obseved asleep in rockers. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Based on the information obtained during the course of the investigation children's information including emergency medical transport and treatment authorization forms and parent?s names and telephone numbers and emergency telephone numbers were missing from Transportation Binder taken during routes. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One out of six children records reviewed is missing immunization records. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director was missing annual training for training year 4/7/2024 - 4/6/2025 on the following topics: (1).Serving children with special care needs; (2). Prevention, recognition, and reporting of child maltreatment; (3). Recognizing and preventing shaken baby syndrome and abusive head trauma; (4). Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); (5). Understanding early childhood brain development; (6). Emergency preparedness: (7). Preventing and controlling the spread of communicable diseases, including immunizations; (8). Administering medication; (9). Preventing and responding to emergencies due to food or an allergic reaction; (10). Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (11). Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). |
— |
| 4 | — |
746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation and Relocation diagrams are posted in all rooms, however, diagrams signal of which way to exit the rooms but do not indicate the path that staff/children need to take to evacuate or relocate. Diagrams are also posted at an adult's eye level that would make difficult for young children to view. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Four children's files were reviewed; one file is missing immunization records. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
A 6mo old child was asleep in a rocker and covered with a blanket. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Four staff trainings records were reviewed. One staff member is missing 11 hours of annual training including abuse/neglect training. Transportation training for driver could not be located at the time of inspection. |
— |
| 1 | — |
746.1329(c)(2) - Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
Four out of five staff training records reviewed include an unclear copy of the First Aid / CPR training. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A total of 14 children ages 12mo-6yo were combined in the school-age classroom. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the information obtained during the course of the investigation, operation staff did not demonstrate good judgment when staff directed children to close a vehicle door that requires force which resulted in an injury, drove transportation van while a child was on the floor of the van and provided inaccurate statements. |
— |
| 4 | — |
746.2411(2)(I) - Safety Requirements for Play Yards - Label for Each Infant
Play-yards in the infant room are not labeled. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Two staff members were present at the operation without background check elegibility notice. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
Children ages 12mo-6yo were watching TV in the school-age room. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Six children's records were reviewed. One file is missing health statement and a second file is missing updated immunization record. |
— |
| 5 | — |
745.8641 - Requirements during probation
Two out of six children's files were evaluated during inspection were not reviewed by operation as indicated under probation action item #4. |
— |
| 5 | — |
746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
There is not a carbon monoxide detector at the operation. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A total of 13 children ages 11mo-4yo were combined in the school-age room. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Six children's files were reviewed: #1 Missing emergency contact other than the parent #2 Missing health statement, parent signature and statement indicating policies were received #3 Missing statement indicating policies were received #4 Missing signed emergency medical authorization #5 Missing emergency contact address #6 Missing emergency contact address |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
One out of five staff files reviewed is missing 13 hours of annual training including the following topics: -Abuse / Neglect -Hazardous materials -Food Allergies -Administering Medications -Emergency Preparedness -Building and Physical Premises -Communicable Diseases -Transportation |
— |
| 4 | — |
746.3317 - Food Service and Preparation Requirement - Safe and Sanitary
Groceries including frozen chicken patties and ground meat were left at room temperature for over two hours. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Last fire inspection was conducted on 11/09/2021. |
— |
| 4 | — |
746.5619 - Plan to Handle Transportation Emergencies
Operation does not have an emergency transportation training. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One out of four children's records reviewed is missing a health statement. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Incident report containing accurate information has not been shared with parent. |
— |
| 4 | — |
746.2405(2) - Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
Operation did not have individually assigned cribs / play-yards for two children under the age of 12mo. This was corrected at inspection when provider assigned each of the children a play-yard and labeled them with their names. |
Yes |
| 3 | — |
746.2207(c)(1) - Screen Time Activities - Related to Planned Activities
A group of nine children ages 11mo-6yo were watching the movie Sherk. Note: This was corrected at inspection when provider turned off the TV. |
Yes |
| 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 course of the investigation, operation failed to report to CCR an incident that took place at operation which required a child to receive medical treatment. |
— |
| 3 | — |
746.901 - Required Personnel Records
Three out of six staff files reviewed are missing personnel / training information. One file is missing notarized affidavit and the translation of a foreign high school diploma. A second file is missing certificates for 11 hours of annual training including the topics of SIDS/Shaken Baby/ Early Brain Development, Hazardous Materials, Food Allergies, Administering Medications, Emergency Preparedness, Communicable Diseases and Building & Physical Premises Safety. A third file is missing annual trainings on the topics of hazardous materials and building & physical premises safety. |
— |
| 4 | — |
746.3301(f) - Nutrition and Food Service - Drinking Water Available and Served
No water was offered or served during PM snack. No water jugs/cups were observed in the toddler room and water fountain in school-age room is not working. |
— |
| 3 | — |
746.2203(b) - Written Activity Plans - Plan Followed by Caregiver
Staff in the infant room were not familiar with the activities indicated under the infant lesson plan. Toddler schedule was not being followed, indicated children participate in outdoor play at 10AM and staff indicated children go out of the playground at 11AM. |
— |
| 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. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Six staff training records were reviewed. One files is missing building / physical premises safety training and a second file is missing transportation training. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Emergency Preparedness Plan was reviewed and the following items are missing: -Procedure of how children under age 24 mo / with limited mobility will be evacuated -How will operation continue care after an emergency evacuation/relocation |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A group of 11 children ages 10mo-4yo were combined in the school-age room watching a movie. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Based on the information obtained during the course of the investigation, incident Report was shared with parent 22 days after the incident took place and contains inaccurate information. |
— |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Napping mats are not labeled with the children's name nor number assigned. Note: This was corrected at inspection when provider labeled the mats by number and generated a list with the mat assignment. |
Yes |
| 3 | — |
746.4003(a) - First Aid Kit - Incomplete Kit
First Aid kit is missing tape, scissors, tweezers and cotton balls. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
Based on the information obtained during the course the investigation; Director provided inaccurate information, did not communicate well with staff nor ensured staff followed the required steps after an incident took place. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
Children ages 10mo to 4yo were watching the movie Sing. |
— |
| 3 | — |
746.4003(a) - First Aid Kit - Incomplete Kit
1 of 2 transportation vehicles had an incomplete first aid kit. The first aid kit was missing a thermometer. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
The director was missing current training in transportation safety. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Emergency Plan for a child diagnosed with a food allergy is missing the symptoms and steps take if the child has an allergic reaction. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
2 of 4 childrens files reviewed did not have the child's immunization record for review. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
Children ages 9mo-3yo were watching coco melon during inspection. |
— |
| 5 | — |
746.5209(c) - No Blocked or Locked Doors as Exits
Front door which is labeled as an emergency exit was locked upon arrival. All staff present at the operation were in charge of a group of children and no other staff were readily available to allow access without leaving the classroom. |
— |
| 5 | — |
746.3701(8) - Safety - Bodies of Water Inaccessible to Children
There was a bucket filled with water in the younger playground. Note: This was corrected at inspection when provider dumped the water from the bucket. |
Yes |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated
Medications were administered to three children without written parent authorization. |
— |
| 4 | — |
746.3807(3) - Storage of Medication - Refrigerate Separate from Food
Children's medication was stored in the fridge next to food items including sauce, pudin and yogurt. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control
Children in the toddler room were climbing onto furniture, tables and throwing toys. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
A caregiver was in charge of ten children, however, children were divided among two classrooms. There were four children in the school-age room ages 19mo to 4yo, one of them was in a high chair while an additional 6 children ages 18mo-4yo were napping in the toddler room. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
A 13mo child slept in a restrictive device during naptime. |
— |
| 5 | — |
746.3607(2) - Critical Injury - Give First Aid or CPR
Based on the information obtained during the course of the investigation, staff failed to provide the necessary first aid after an incident took place. |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
An infant-age child was awake and remained in a high chair for 25 minutes. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
A caregiver did not sanitize the diapering surface after changing a child's diaper. Caregiver also did not wash the child's hands after the diaper change. Note: Caregiver washed the child's hands after it brought to caregivers attention. |
— |
| 4 | — |
746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
Based on the information obtained during the course of the investigation, staff failed to communicate between each other after an incident took place. This delayed a child from receiving medical attention and inaccuracy of the information provided under the incident report. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A total of 13 children ages 11mo-4yo were combined in the school-age room. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
Children ages 9mo-3yo were watching coco melon during inspection. |
— |
| 3 | — |
746.603(a) - Children's Records Maintained
Six children's files were reviewed: #1 Missing emergency contact other than the parent #2 Missing health statement, parent signature and statement indicating policies were received #3 Missing statement indicating policies were received #4 Missing signed emergency medical authorization #5 Missing emergency contact address #6 Missing emergency contact address |
— |
| 5 | — |
746.2401(7) - Basic Requirements for Infants - Never Unsupervised
An infant-age child was alone and unsupervised in the infant room. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A group of 11 children ages 10mo-4yo were combined in the school-age room watching a movie. |
— |
| 5 | — |
746.3701(8) - Safety - Bodies of Water Inaccessible to Children
There was a bucket filled with water in the younger playground. Note: This was corrected at inspection when provider dumped the water from the bucket. |
Yes |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
Children ages 12mo-6yo were watching TV in the school-age room. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One out of four children's records reviewed is missing a health statement. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Four children's files were reviewed; one file is missing immunization records. |
— |
| 5 | — |
746.2426(a)(2) - Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Two infant-age children were obseved asleep in rockers. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Based on the information obtained during the course of the investigation, incident Report was shared with parent 22 days after the incident took place and contains inaccurate information. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
2 of 4 childrens files reviewed did not have the child's immunization record for review. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A total of 12 childen ages 12mo-12yo were observed combined in the school-age room. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Emergency Plan for a child diagnosed with a food allergy is missing the symptoms and steps take if the child has an allergic reaction. |
— |
| 3 | — |
746.4003(a) - First Aid Kit - Incomplete Kit
First Aid kit is missing tape, scissors, tweezers and cotton balls. |
— |
| 1 | — |
746.1329(b)(5) - Documentation of Training Requirements - Trainer's Qualifications
Training certificates are missing trainer's qualifications. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Four staff trainings records were reviewed. One staff member is missing 11 hours of annual training including abuse/neglect training. Transportation training for driver could not be located at the time of inspection. |
— |
| 4 | — |
746.2411(2)(I) - Safety Requirements for Play Yards - Label for Each Infant
Play-yards in the infant room are not labeled. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One caregiver was caring for five children ages 3mo, 3mo, 11mo, 12mo and 12mo. Specified Age Group is 0-11mo. Classroom was over ratio by one child. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Two staff members were present at the operation without background check elegibility notice. |
— |
| 4 | — |
746.3807(3) - Storage of Medication - Refrigerate Separate from Food
Children's medication was stored in the fridge next to food items including sauce, pudin and yogurt. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Six staff training records were reviewed. One files is missing building / physical premises safety training and a second file is missing transportation training. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
A 6mo old child was asleep in a rocker and covered with a blanket. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Based on the information obtained during the course of the investigation children's information including emergency medical transport and treatment authorization forms and parent?s names and telephone numbers and emergency telephone numbers were missing from Transportation Binder taken during routes. |
— |
| 3 | — |
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity
Operational Policies were reviewed and the following items are missing: -Procedures for parental notifications -Physical and outdoor activities policy -Inform parents they may visit the child-care center at any time during your hours of operation without having to secure prior approval |
— |
| 1 | — |
746.1329(c)(2) - Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
Four out of five staff training records reviewed include an unclear copy of the First Aid / CPR training. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the information obtained during the course of the investigation, operation staff did not demonstrate good judgment when staff directed children to close a vehicle door that requires force which resulted in an injury, drove transportation van while a child was on the floor of the van and provided inaccurate statements. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
The director was missing current training in transportation safety. |
— |
| 4 | — |
746.3803(a)(1) - Medication Authorization - Signed and Dated
Based on the information obtained during the course of the investigation, a child was administered a medication without parent authorization. |
— |
| 4 | — |
746.3301(f) - Nutrition and Food Service - Drinking Water Available and Served
No water was offered or served during PM snack. No water jugs/cups were observed in the toddler room and water fountain in school-age room is not working. |
— |
| 3 | — |
746.2203(b) - Written Activity Plans - Plan Followed by Caregiver
Staff in the infant room were not familiar with the activities indicated under the infant lesson plan. Toddler schedule was not being followed, indicated children participate in outdoor play at 10AM and staff indicated children go out of the playground at 11AM. |
— |
| 3 | — |
746.901 - Required Personnel Records
Three out of six staff files reviewed are missing personnel / training information. One file is missing notarized affidavit and the translation of a foreign high school diploma. A second file is missing certificates for 11 hours of annual training including the topics of SIDS/Shaken Baby/ Early Brain Development, Hazardous Materials, Food Allergies, Administering Medications, Emergency Preparedness, Communicable Diseases and Building & Physical Premises Safety. A third file is missing annual trainings on the topics of hazardous materials and building & physical premises safety. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
A 13mo child slept in a restrictive device during naptime. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A total of 14 children ages 12mo-6yo were combined in the school-age classroom. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
A caregiver did not sanitize the diapering surface after changing a child's diaper. Caregiver also did not wash the child's hands after the diaper change. Note: Caregiver washed the child's hands after it brought to caregivers attention. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
Incident report containing accurate information has not been shared with parent. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control
Children in the toddler room were climbing onto furniture, tables and throwing toys. |
— |
192 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.