Family child care home ·
703 E SAN ANTONIO ST, Fredericksburg, TX 78624-4745 ·
License 514426
Capacity 12. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
2 out of 5 child files reviewed were missing current immunization records. One child, 4 mos, was missing 1 DTaP, 1 IPV, 1 Hep B, 1 HIB vaccinations. One child, 20 mos, was missing 4th DTaP and 1 Varicella vaccination. |
— |
| 3 | — |
747.801(14) - Records Maintained and Made Available - Proof of Liability Insurance
A copy of the provider's liability insurance coverage was not available for review during the inspection. |
— |
| 1 | — |
747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
The primary caregiver did not complete 3 hours in management training for the evaluation period of 3/21-2/22, |
— |
| 4 | — |
747.605(6) - Required Admission Information - Emergency Contact
Two out of five child files evaluated did not contain completed emergency contact information on the child's enrollment form. |
— |
| 4 | — |
747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
The last recorded fire drill was conducted on 2/9/23. |
— |
| 4 | — |
747.2305(1) - Infant Care Area Furnishings and Equipment -Non-walking
A three month old infant was observed in a bassinet. |
— |
| 4 | — |
747.5007 - Emergency Evacuation and Relocation Diagram- Must Be On File
An emergency evacuation diagram was not available for inspection. |
— |
| 4 | — |
747.1303(5)(A) - Training Requirements for Primary Caregiver -30 Hours Annual Training
The primary caregiver completed 25 out of 30 hours of annual training for the year evaluated, 5/2021-4/2022. Primary caregiver was missing training hours under the following topic areas: Emergency preparedness, Preventing and controlling the spread of communicable diseases, including immunizations, Administering medication, Preventing and responding to emergencies due to food or an allergic reaction, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
2 out of 5 child files reviewed were missing current immunization records. One child, 4 mos, was missing 1 HEPB vaccination. One child, 20 mos, was missing 1 Varicella vaccination. Note: This citation is a recite as the children are still missing documentation for missing immunizations. |
— |
| 4 | — |
747.5007 - Emergency Evacuation and Relocation Diagram- Must Be On File
An emergency diagram was not available for review. Provider was shown a sample diagram and two exit routes should be identified was discussed. NOTE: This is a re-cite. |
— |
| 3 | — |
747.501(9) - Written Operational Policies - Parent Rights
One out of four child files evaluated contained documentation that the parents received information regarding Parent's Rights. Parent's Rights is not included in the operational policies. |
— |
| 4 | — |
747.613(c) - Immunization Record Upon Admission
Two out of four children did not have immunization records on file. |
— |
| 1 | — |
747.611(a) - Required Health Statement
A 4 mos, who enrolled in January 2022, did not have a health statement signed by the parent or physician due to the enrollment application was missing this information when the parent enrolled. Note: This is a recite. |
— |
| 3 | — |
747.605(10) - Required Admission Information - Physician Information
Four out of four child files evaluated did not have the child's physician information on file. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One out of three child files evaluated was missing an updated vaccination record. |
— |
| 3 | — |
747.501(9) - Written Operational Policies - Parent Rights
Parent rights information was not included in the provider's current operational policies. |
— |
| 3 | — |
747.1401(a)(2) - Household Members Qualifications - Orientation
Household member did not have documentation that an orientation was completed. |
— |
| 1 | — |
747.611(a) - Required Health Statement
One child was missing their health statement. Note: This is a recite |
— |
| 3 | — |
747.2104(b) - Written Activity Plan - Outdoor and Active Play
The children are not participating in outdoor time while in care due to various boxes and personal items out in the area. |
— |
| 3 | — |
745.651(2)(B) - Background Check Validation - Once a year listed family homes, licensed, and registered child care homes must validate list of subjects
The provider's people list was last validated on 6/16/2024. |
— |
| 5 | — |
747.605(11) - Required Admission Information - Emergency Medical Authorization
One child was missing medical authorization information and one child was missing the parent signature for medical authorization. |
— |
| 4 | — |
747.1313(b) - Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
The primary caregivers CPR training expired 1/2026. |
— |
| 4 | — |
747.213(a) - AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment
The provider failed to timely report to the parents of the 4 children in care that the provider does not maintain the required liability insurance coverage. |
— |
| 3 | — |
745.651(2)(B) - Background Check Validation - Once a year listed family homes, licensed, and registered child care homes must validate list of subjects
The provider last validated the people list 3/2/23. |
— |
| 4 | — |
747.213(a) - AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment
The provider failed to timely report to a parent of each child in care that the provider does not maintain the required liability insurance coverage. |
— |
| 4 | — |
747.2319(5) - Requirements for Feeding Infants - Label Bottles/Cups
3 bottles observed were not labeled with the child's first name and last initial. |
— |
| 1 | — |
747.611(a) - Required Health Statement
Two children, 20 mos and 4 mos, who enrolled in September 2021 and January 2022, did not have a health statement signed by the parent or physician. |
— |
| 3 | — |
747.1309(a) - Primary Caregiver Annual Training -30 Hours Required
The primary caregiver completed 13 out of 30 annual training hours for the evaluation period of 3/24-2/25. Training topics missing included 6 hours of child development, half hour of management training, food allergy, building safety, hazardous material and controlling the spread of communicable disease. |
— |
| 3 | — |
747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants (6 mos) did not have an updated feeing instruction on file. The last feeding instruction was completed in February 2024. One child (6 mos) did not have a feeding plan on file at all. |
— |
| 3 | — |
747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The provider was missing annual training on understanding building and physical premises safety and handling and disposing of hazardous materials. Evaluation period was 3/25-2/26. |
— |
| 3 | — |
747.603(a)(2) - Children's Records - Admission Information
Two out of four children in care did not have enrollment documents on file at the operation. The provider only had phone numbers for the parents or grandparents. |
— |
| 4 | — |
747.4401(2) - Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
A 5 mos old infant was observed in a bouncy seat on top of a bed surrounded by pillows. The infant was removed immediately. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
Two out of five child files evaluated did not have current immunization records on file. One child, 10 mos, was missing their 3rd DTaP, a child 32 mos was missing their Varicella vaccination. |
— |
| 3 | — |
747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
One infant, 4 mos, did not have an updated feeding schedule signed by the parent on file. |
— |
| 3 | — |
747.1309(a) - Primary Caregiver Annual Training -30 Hours Required
The primary caregiver completed 22 out of 30 annual training hours for the evaluation period of 3/24-2/25. 6 hours for Child Development was missing. NOTE: Management training, food allergy, building safety, hazardous material and controlling the spread of communicable disease and Child Growth and Development were completed for a todal of 9 additional training hours. |
— |
| 4 | — |
747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
The provider was not able to provide a copy of the current year emergency evacuation drills conducted. |
— |
| 4 | — |
747.2319(6) - Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Two children, age 14 and 19 months, were asleep with their bottles provided to them before nap time. |
— |
| 2 | — |
747.605(3) - Required Admission Information - Date of Admission
One out of five child files evaluated did not contain the child's start date. NOTE: Start date for the child was obtained and entered on the enrollment form during the inspection. |
Yes |
| 1 | — |
747.611(a) - Required Health Statement
Four out of four child files evaluated did not have a health statement signed by the child's parent or from their pediatrician. |
— |
| 3 | — |
747.603(a)(2) - Children's Records - Admission Information
A newly enrolled infant did not have an enrollment form on file. |
— |
| 5 | — |
747.605(11) - Required Admission Information - Emergency Medical Authorization
Four out of four child files evaluated were missing parent authorization to provide emergency medical attention if needed. The page of the enrollment form that contains this information was missing from the files. |
— |
| 3 | — |
747.3935(b) - Children's Products- Annual Certification
A current Children's Products Certification was not available for review. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
Two children were missing updated vaccination records from their 5 mos vaccination update. |
— |
| 4 | — |
747.1303(5)(A) - Training Requirements for Primary Caregiver -30 Hours Annual Training
NOTE: This is a recite The primary caregiver has recorded 25 out of 30 hours of annual training for the year evaluated, 5/2021-4/2022. Primary caregiver was missing training hours under the following topic areas and has not completed the missing training hours/topics. : Emergency preparedness, Preventing and controlling the spread of communicable diseases, including immunizations, Administering medication, Preventing and responding to emergencies due to food or an allergic reaction, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials |
— |
| 1 | — |
747.611(a) - Required Health Statement
One child was missing a health statement upon enrollment. One child was missing a health statement from the doctor after being in attendance for 12 months. |
— |
| 4 | — |
747.613(c) - Immunization Record Upon Admission
Two out of four children did not have immunization records on file. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
2 out of 5 child files reviewed were missing current immunization records. One child, 4 mos, was missing 1 DTaP, 1 IPV, 1 Hep B, 1 HIB vaccinations. One child, 20 mos, was missing 4th DTaP and 1 Varicella vaccination. |
— |
| 4 | — |
747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
The last recorded fire drill was conducted on 2/9/23. |
— |
| 1 | — |
747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
The primary caregiver did not complete 3 hours in management training for the evaluation period of 3/21-2/22, |
— |
| 4 | — |
747.2319(6) - Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Two children, age 14 and 19 months, were asleep with their bottles provided to them before nap time. |
— |
| 3 | — |
747.501(9) - Written Operational Policies - Parent Rights
One out of four child files evaluated contained documentation that the parents received information regarding Parent's Rights. Parent's Rights is not included in the operational policies. |
— |
| 3 | — |
745.651(2)(B) - Background Check Validation - Once a year listed family homes, licensed, and registered child care homes must validate list of subjects
The provider's people list was last validated on 6/16/2024. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
Two children were missing updated vaccination records from their 5 mos vaccination update. |
— |
| 1 | — |
747.611(a) - Required Health Statement
Four out of four child files evaluated did not have a health statement signed by the child's parent or from their pediatrician. |
— |
| 1 | — |
747.611(a) - Required Health Statement
One child was missing a health statement upon enrollment. One child was missing a health statement from the doctor after being in attendance for 12 months. |
— |
| 3 | — |
747.605(10) - Required Admission Information - Physician Information
Four out of four child files evaluated did not have the child's physician information on file. |
— |
| 4 | — |
747.213(a) - AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment
The provider failed to timely report to a parent of each child in care that the provider does not maintain the required liability insurance coverage. |
— |
| 3 | — |
747.1401(a)(2) - Household Members Qualifications - Orientation
Household member did not have documentation that an orientation was completed. |
— |
| 5 | — |
747.605(11) - Required Admission Information - Emergency Medical Authorization
Four out of four child files evaluated were missing parent authorization to provide emergency medical attention if needed. The page of the enrollment form that contains this information was missing from the files. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
2 out of 5 child files reviewed were missing current immunization records. One child, 4 mos, was missing 1 HEPB vaccination. One child, 20 mos, was missing 1 Varicella vaccination. Note: This citation is a recite as the children are still missing documentation for missing immunizations. |
— |
| 3 | — |
747.2104(b) - Written Activity Plan - Outdoor and Active Play
The children are not participating in outdoor time while in care due to various boxes and personal items out in the area. |
— |
| 4 | — |
747.1303(5)(A) - Training Requirements for Primary Caregiver -30 Hours Annual Training
The primary caregiver completed 25 out of 30 hours of annual training for the year evaluated, 5/2021-4/2022. Primary caregiver was missing training hours under the following topic areas: Emergency preparedness, Preventing and controlling the spread of communicable diseases, including immunizations, Administering medication, Preventing and responding to emergencies due to food or an allergic reaction, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials |
— |
| 3 | — |
747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants (6 mos) did not have an updated feeing instruction on file. The last feeding instruction was completed in February 2024. One child (6 mos) did not have a feeding plan on file at all. |
— |
| 3 | — |
747.603(a)(2) - Children's Records - Admission Information
Two out of four children in care did not have enrollment documents on file at the operation. The provider only had phone numbers for the parents or grandparents. |
— |
| 4 | — |
747.5007 - Emergency Evacuation and Relocation Diagram- Must Be On File
An emergency diagram was not available for review. Provider was shown a sample diagram and two exit routes should be identified was discussed. NOTE: This is a re-cite. |
— |
| 4 | — |
747.2319(5) - Requirements for Feeding Infants - Label Bottles/Cups
3 bottles observed were not labeled with the child's first name and last initial. |
— |
| 3 | — |
747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The provider was missing annual training on understanding building and physical premises safety and handling and disposing of hazardous materials. Evaluation period was 3/25-2/26. |
— |
| 4 | — |
747.2305(1) - Infant Care Area Furnishings and Equipment -Non-walking
A three month old infant was observed in a bassinet. |
— |
| 3 | — |
747.603(a)(2) - Children's Records - Admission Information
A newly enrolled infant did not have an enrollment form on file. |
— |
| 3 | — |
747.1309(a) - Primary Caregiver Annual Training -30 Hours Required
The primary caregiver completed 13 out of 30 annual training hours for the evaluation period of 3/24-2/25. Training topics missing included 6 hours of child development, half hour of management training, food allergy, building safety, hazardous material and controlling the spread of communicable disease. |
— |
| 1 | — |
747.611(a) - Required Health Statement
Two children, 20 mos and 4 mos, who enrolled in September 2021 and January 2022, did not have a health statement signed by the parent or physician. |
— |
| 4 | — |
747.1303(5)(A) - Training Requirements for Primary Caregiver -30 Hours Annual Training
NOTE: This is a recite The primary caregiver has recorded 25 out of 30 hours of annual training for the year evaluated, 5/2021-4/2022. Primary caregiver was missing training hours under the following topic areas and has not completed the missing training hours/topics. : Emergency preparedness, Preventing and controlling the spread of communicable diseases, including immunizations, Administering medication, Preventing and responding to emergencies due to food or an allergic reaction, Understanding building and physical premises safety, and Handling, storing, and disposing of hazardous materials |
— |
| 2 | — |
747.605(3) - Required Admission Information - Date of Admission
One out of five child files evaluated did not contain the child's start date. NOTE: Start date for the child was obtained and entered on the enrollment form during the inspection. |
Yes |
| 4 | — |
747.4401(2) - Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
A 5 mos old infant was observed in a bouncy seat on top of a bed surrounded by pillows. The infant was removed immediately. |
— |
| 3 | — |
745.651(2)(B) - Background Check Validation - Once a year listed family homes, licensed, and registered child care homes must validate list of subjects
The provider last validated the people list 3/2/23. |
— |
| 1 | — |
747.611(a) - Required Health Statement
One child was missing their health statement. Note: This is a recite |
— |
| 1 | — |
747.611(a) - Required Health Statement
A 4 mos, who enrolled in January 2022, did not have a health statement signed by the parent or physician due to the enrollment application was missing this information when the parent enrolled. Note: This is a recite. |
— |
| 4 | — |
747.605(6) - Required Admission Information - Emergency Contact
Two out of five child files evaluated did not contain completed emergency contact information on the child's enrollment form. |
— |
| 3 | — |
747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
One infant, 4 mos, did not have an updated feeding schedule signed by the parent on file. |
— |
| 3 | — |
747.501(9) - Written Operational Policies - Parent Rights
Parent rights information was not included in the provider's current operational policies. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
Two out of five child files evaluated did not have current immunization records on file. One child, 10 mos, was missing their 3rd DTaP, a child 32 mos was missing their Varicella vaccination. |
— |
| 3 | — |
747.3935(b) - Children's Products- Annual Certification
A current Children's Products Certification was not available for review. |
— |
| 4 | — |
747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
The provider was not able to provide a copy of the current year emergency evacuation drills conducted. |
— |
| 4 | — |
747.1313(b) - Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
The primary caregivers CPR training expired 1/2026. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One out of three child files evaluated was missing an updated vaccination record. |
— |
| 3 | — |
747.1309(a) - Primary Caregiver Annual Training -30 Hours Required
The primary caregiver completed 22 out of 30 annual training hours for the evaluation period of 3/24-2/25. 6 hours for Child Development was missing. NOTE: Management training, food allergy, building safety, hazardous material and controlling the spread of communicable disease and Child Growth and Development were completed for a todal of 9 additional training hours. |
— |
| 3 | — |
747.801(14) - Records Maintained and Made Available - Proof of Liability Insurance
A copy of the provider's liability insurance coverage was not available for review during the inspection. |
— |
| 5 | — |
747.605(11) - Required Admission Information - Emergency Medical Authorization
One child was missing medical authorization information and one child was missing the parent signature for medical authorization. |
— |
| 4 | — |
747.213(a) - AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment
The provider failed to timely report to the parents of the 4 children in care that the provider does not maintain the required liability insurance coverage. |
— |
| 4 | — |
747.5007 - Emergency Evacuation and Relocation Diagram- Must Be On File
An emergency evacuation diagram was not available for inspection. |
— |
| 5 | — |
747.605(11) - Required Admission Information - Emergency Medical Authorization
One child was missing medical authorization information and one child was missing the parent signature for medical authorization. |
— |
| 4 | — |
747.1313(b) - Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
The primary caregivers CPR training expired 1/2026. |
— |
| 4 | — |
747.213(a) - AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment
The provider failed to timely report to a parent of each child in care that the provider does not maintain the required liability insurance coverage. |
— |
| 4 | — |
747.213(a) - AP Parent Notification of Liability Insurance - If No Insurance Must Notify Parent in Writing at Enrollment
The provider failed to timely report to the parents of the 4 children in care that the provider does not maintain the required liability insurance coverage. |
— |
| 4 | — |
747.2319(5) - Requirements for Feeding Infants - Label Bottles/Cups
3 bottles observed were not labeled with the child's first name and last initial. |
— |
| 3 | — |
747.501(9) - Written Operational Policies - Parent Rights
Parent rights information was not included in the provider's current operational policies. |
— |
| 3 | — |
747.501(9) - Written Operational Policies - Parent Rights
One out of four child files evaluated contained documentation that the parents received information regarding Parent's Rights. Parent's Rights is not included in the operational policies. |
— |
| 3 | — |
747.2104(b) - Written Activity Plan - Outdoor and Active Play
The children are not participating in outdoor time while in care due to various boxes and personal items out in the area. |
— |
| 5 | — |
747.605(11) - Required Admission Information - Emergency Medical Authorization
Four out of four child files evaluated were missing parent authorization to provide emergency medical attention if needed. The page of the enrollment form that contains this information was missing from the files. |
— |
| 3 | — |
747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
Two out of five child files evaluated did not have current immunization records on file. One child, 10 mos, was missing their 3rd DTaP, a child 32 mos was missing their Varicella vaccination. |
— |
88 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.