Child care center ·
1208 N MILAM ST, Fredericksburg, TX 78624-2743 ·
License 1790631
Capacity 48. InfantToddlerPre-Kindergarten
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The Daily Building Grounds check list has not been documented since January 9, 2026. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There were multiple large tires on the big playground that contained standing water. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three infant feeding plans had not been updated with the parent since, March, September and October. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was observed pulling a child by the arm on the playground in an effort to move them away from another child resulting in the child falling. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
It was observed in the infant classroom that the diaper changing table pad was torn in the middle. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants in care did not have an updated feeding schedules for the current month, A review of posted feeding documentation showed that the schedules on file had not been revised to reflect the infant's current feeding needs and routines. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
A child with a vaccination affidavit on file was missing documentation regarding the child receiving or being exempt from receiving the PCV and HIB vaccinations. |
— |
| 4 | — |
746.5405 - Documentation of Gas Leak Inspection
A gas inspection report was not available for review during the inspection. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Itt was observed that the fence in the preschool outdoor play area has broken wood boards with holes and gaps at the bottom of the fence of 7 inches. The infant and toddler outdoor play area has gaps under the fence causing large holes due to children digging up the soil. The art easel in the Tulip Patch classroom had a broken tray that was missing a screw causing the tray to be unsecured. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In the restroom that the children use, there was cleaning chemicals on top of the sink and in the unlocked bottom cabinet. There was a basket on the floor, next to the sink with diaper cream. The care giver's purse was within reach of children. During the inspection, the director removed the cleaning chemicals, the basket with diaper cream from the restroom. and the care giver's purse away from the children. |
Yes |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed placing a child's pacifier in their mouth while wearing gloves they used during a diaper change. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
The Daisy Garden room had a trash can without a lid that contained soiled diapers and old food. There was also a plastic bag with soiled diapers hanging on the outside of the classroom door to be taken out to the trash. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
A caregiver hired in April had not completed an orientation. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Children files were reviewed and one child did not have an updated immunization record. Child is 17 months of age and there are three immunizations listed on immunization record in child's file. |
— |
| 5 | — |
746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
A wooden structure on the smaller playground had 6-9 inch gaps between the bottom of the structure and the ground where a potential entrapment could occur. |
— |
| 3 | — |
746.901(11) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training
Four employees files were reviewed and one employee did not have any documentation regarding if that employee received Orientation. |
— |
| 3 | — |
746.4505 - Storage for Individual Belongings
The classrooms did not have personal cubbies or hooks available for the children to store their belongings while in care. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The carpet in one room and a activity carpet in a second room were stained and in need of cleaning. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed placing a child's pacifier in their mouth while wearing gloves they used during a diaper change. |
— |
| 4 | — |
746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The Daily Building Grounds check list has not been documented since January 9, 2026. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Children files were reviewed and one child did not have an updated immunization record. Child is 17 months of age and there are three immunizations listed on immunization record in child's file. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
A caregiver hired in April had not completed an orientation. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
It was observed in the infant classroom that the diaper changing table pad was torn in the middle. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The carpet in one room and a activity carpet in a second room were stained and in need of cleaning. |
— |
| 3 | — |
746.901(11) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training
Four employees files were reviewed and one employee did not have any documentation regarding if that employee received Orientation. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
The Daisy Garden room had a trash can without a lid that contained soiled diapers and old food. There was also a plastic bag with soiled diapers hanging on the outside of the classroom door to be taken out to the trash. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants in care did not have an updated feeding schedules for the current month, A review of posted feeding documentation showed that the schedules on file had not been revised to reflect the infant's current feeding needs and routines. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was observed pulling a child by the arm on the playground in an effort to move them away from another child resulting in the child falling. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three infant feeding plans had not been updated with the parent since, March, September and October. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In the restroom that the children use, there was cleaning chemicals on top of the sink and in the unlocked bottom cabinet. There was a basket on the floor, next to the sink with diaper cream. The care giver's purse was within reach of children. During the inspection, the director removed the cleaning chemicals, the basket with diaper cream from the restroom. and the care giver's purse away from the children. |
Yes |
| 4 | — |
746.5405 - Documentation of Gas Leak Inspection
A gas inspection report was not available for review during the inspection. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
A child with a vaccination affidavit on file was missing documentation regarding the child receiving or being exempt from receiving the PCV and HIB vaccinations. |
— |
| 3 | — |
746.4505 - Storage for Individual Belongings
The classrooms did not have personal cubbies or hooks available for the children to store their belongings while in care. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Itt was observed that the fence in the preschool outdoor play area has broken wood boards with holes and gaps at the bottom of the fence of 7 inches. The infant and toddler outdoor play area has gaps under the fence causing large holes due to children digging up the soil. The art easel in the Tulip Patch classroom had a broken tray that was missing a screw causing the tray to be unsecured. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There were multiple large tires on the big playground that contained standing water. |
— |
| 5 | — |
746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
A wooden structure on the smaller playground had 6-9 inch gaps between the bottom of the structure and the ground where a potential entrapment could occur. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
The Daisy Garden room had a trash can without a lid that contained soiled diapers and old food. There was also a plastic bag with soiled diapers hanging on the outside of the classroom door to be taken out to the trash. |
— |
| 3 | — |
746.901(11) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training
Four employees files were reviewed and one employee did not have any documentation regarding if that employee received Orientation. |
— |
| 4 | — |
746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The Daily Building Grounds check list has not been documented since January 9, 2026. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
A child with a vaccination affidavit on file was missing documentation regarding the child receiving or being exempt from receiving the PCV and HIB vaccinations. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
A caregiver hired in April had not completed an orientation. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three infant feeding plans had not been updated with the parent since, March, September and October. |
— |
| 5 | — |
746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
A wooden structure on the smaller playground had 6-9 inch gaps between the bottom of the structure and the ground where a potential entrapment could occur. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants in care did not have an updated feeding schedules for the current month, A review of posted feeding documentation showed that the schedules on file had not been revised to reflect the infant's current feeding needs and routines. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Itt was observed that the fence in the preschool outdoor play area has broken wood boards with holes and gaps at the bottom of the fence of 7 inches. The infant and toddler outdoor play area has gaps under the fence causing large holes due to children digging up the soil. The art easel in the Tulip Patch classroom had a broken tray that was missing a screw causing the tray to be unsecured. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Children files were reviewed and one child did not have an updated immunization record. Child is 17 months of age and there are three immunizations listed on immunization record in child's file. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There were multiple large tires on the big playground that contained standing water. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In the restroom that the children use, there was cleaning chemicals on top of the sink and in the unlocked bottom cabinet. There was a basket on the floor, next to the sink with diaper cream. The care giver's purse was within reach of children. During the inspection, the director removed the cleaning chemicals, the basket with diaper cream from the restroom. and the care giver's purse away from the children. |
Yes |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was observed pulling a child by the arm on the playground in an effort to move them away from another child resulting in the child falling. |
— |
| 3 | — |
746.4505 - Storage for Individual Belongings
The classrooms did not have personal cubbies or hooks available for the children to store their belongings while in care. |
— |
| 4 | — |
746.5405 - Documentation of Gas Leak Inspection
A gas inspection report was not available for review during the inspection. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The carpet in one room and a activity carpet in a second room were stained and in need of cleaning. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
It was observed in the infant classroom that the diaper changing table pad was torn in the middle. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed placing a child's pacifier in their mouth while wearing gloves they used during a diaper change. |
— |
| 4 | — |
746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The Daily Building Grounds check list has not been documented since January 9, 2026. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Itt was observed that the fence in the preschool outdoor play area has broken wood boards with holes and gaps at the bottom of the fence of 7 inches. The infant and toddler outdoor play area has gaps under the fence causing large holes due to children digging up the soil. The art easel in the Tulip Patch classroom had a broken tray that was missing a screw causing the tray to be unsecured. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In the restroom that the children use, there was cleaning chemicals on top of the sink and in the unlocked bottom cabinet. There was a basket on the floor, next to the sink with diaper cream. The care giver's purse was within reach of children. During the inspection, the director removed the cleaning chemicals, the basket with diaper cream from the restroom. and the care giver's purse away from the children. |
Yes |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
A caregiver hired in April had not completed an orientation. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three infant feeding plans had not been updated with the parent since, March, September and October. |
— |
| 4 | — |
746.5405 - Documentation of Gas Leak Inspection
A gas inspection report was not available for review during the inspection. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The carpet in one room and a activity carpet in a second room were stained and in need of cleaning. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
A child with a vaccination affidavit on file was missing documentation regarding the child receiving or being exempt from receiving the PCV and HIB vaccinations. |
— |
| 5 | — |
746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
A wooden structure on the smaller playground had 6-9 inch gaps between the bottom of the structure and the ground where a potential entrapment could occur. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Children files were reviewed and one child did not have an updated immunization record. Child is 17 months of age and there are three immunizations listed on immunization record in child's file. |
— |
| 3 | — |
746.4505 - Storage for Individual Belongings
The classrooms did not have personal cubbies or hooks available for the children to store their belongings while in care. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants in care did not have an updated feeding schedules for the current month, A review of posted feeding documentation showed that the schedules on file had not been revised to reflect the infant's current feeding needs and routines. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
The Daisy Garden room had a trash can without a lid that contained soiled diapers and old food. There was also a plastic bag with soiled diapers hanging on the outside of the classroom door to be taken out to the trash. |
— |
| 3 | — |
746.901(11) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training
Four employees files were reviewed and one employee did not have any documentation regarding if that employee received Orientation. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
It was observed in the infant classroom that the diaper changing table pad was torn in the middle. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There were multiple large tires on the big playground that contained standing water. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed placing a child's pacifier in their mouth while wearing gloves they used during a diaper change. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was observed pulling a child by the arm on the playground in an effort to move them away from another child resulting in the child falling. |
— |
| 3 | — |
746.4505 - Storage for Individual Belongings
The classrooms did not have personal cubbies or hooks available for the children to store their belongings while in care. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The carpet in one room and a activity carpet in a second room were stained and in need of cleaning. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
It was observed in the infant classroom that the diaper changing table pad was torn in the middle. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Itt was observed that the fence in the preschool outdoor play area has broken wood boards with holes and gaps at the bottom of the fence of 7 inches. The infant and toddler outdoor play area has gaps under the fence causing large holes due to children digging up the soil. The art easel in the Tulip Patch classroom had a broken tray that was missing a screw causing the tray to be unsecured. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
A child with a vaccination affidavit on file was missing documentation regarding the child receiving or being exempt from receiving the PCV and HIB vaccinations. |
— |
| 5 | — |
746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
A wooden structure on the smaller playground had 6-9 inch gaps between the bottom of the structure and the ground where a potential entrapment could occur. |
— |
| 4 | — |
746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The Daily Building Grounds check list has not been documented since January 9, 2026. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In the restroom that the children use, there was cleaning chemicals on top of the sink and in the unlocked bottom cabinet. There was a basket on the floor, next to the sink with diaper cream. The care giver's purse was within reach of children. During the inspection, the director removed the cleaning chemicals, the basket with diaper cream from the restroom. and the care giver's purse away from the children. |
Yes |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
A caregiver hired in April had not completed an orientation. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was observed pulling a child by the arm on the playground in an effort to move them away from another child resulting in the child falling. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There were multiple large tires on the big playground that contained standing water. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants in care did not have an updated feeding schedules for the current month, A review of posted feeding documentation showed that the schedules on file had not been revised to reflect the infant's current feeding needs and routines. |
— |
| 4 | — |
746.5405 - Documentation of Gas Leak Inspection
A gas inspection report was not available for review during the inspection. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
The Daisy Garden room had a trash can without a lid that contained soiled diapers and old food. There was also a plastic bag with soiled diapers hanging on the outside of the classroom door to be taken out to the trash. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three infant feeding plans had not been updated with the parent since, March, September and October. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Children files were reviewed and one child did not have an updated immunization record. Child is 17 months of age and there are three immunizations listed on immunization record in child's file. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed placing a child's pacifier in their mouth while wearing gloves they used during a diaper change. |
— |
| 3 | — |
746.901(11) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training
Four employees files were reviewed and one employee did not have any documentation regarding if that employee received Orientation. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
It was observed in the infant classroom that the diaper changing table pad was torn in the middle. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was observed pulling a child by the arm on the playground in an effort to move them away from another child resulting in the child falling. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In the restroom that the children use, there was cleaning chemicals on top of the sink and in the unlocked bottom cabinet. There was a basket on the floor, next to the sink with diaper cream. The care giver's purse was within reach of children. During the inspection, the director removed the cleaning chemicals, the basket with diaper cream from the restroom. and the care giver's purse away from the children. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants in care did not have an updated feeding schedules for the current month, A review of posted feeding documentation showed that the schedules on file had not been revised to reflect the infant's current feeding needs and routines. |
— |
| 4 | — |
746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
A caregiver hired in April had not completed an orientation. |
— |
| 4 | — |
746.5405 - Documentation of Gas Leak Inspection
A gas inspection report was not available for review during the inspection. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
The Daisy Garden room had a trash can without a lid that contained soiled diapers and old food. There was also a plastic bag with soiled diapers hanging on the outside of the classroom door to be taken out to the trash. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Children files were reviewed and one child did not have an updated immunization record. Child is 17 months of age and there are three immunizations listed on immunization record in child's file. |
— |
| 5 | — |
746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
A wooden structure on the smaller playground had 6-9 inch gaps between the bottom of the structure and the ground where a potential entrapment could occur. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Itt was observed that the fence in the preschool outdoor play area has broken wood boards with holes and gaps at the bottom of the fence of 7 inches. The infant and toddler outdoor play area has gaps under the fence causing large holes due to children digging up the soil. The art easel in the Tulip Patch classroom had a broken tray that was missing a screw causing the tray to be unsecured. |
— |
40 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.