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TexasLittle Elm › Twila Wade

Twila Wade

Family child care home · 2221 CASTLE CREEK DR, Little Elm, TX 75068-4874 · License 524738

0Compliance score
Poor

Capacity 12. InfantToddlerPre-KindergartenSchool

Violation history (136)

SeverityDateStandard / narrativeCorrected
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
5 745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
The primary caregiver allowed a household member to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.
3 747.603(a)(3) - Children's Records - Health Statement
3 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Preventing and responding to emergencies due to food or an allergic reaction 2) Understanding building and physical premises safety 3) Handling, storing, and disposing of hazardous materials, 4) Prevention, Recognition and reporting of abuse/neglect.
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.3935(b) - Children's Products- Annual Certification
Form 2885, pertaining to Children's Product Certification, has not been revised since 02/03/2023.
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.1401(a)(2) - Household Members Qualifications - Orientation
A household member did not receive the orientation. Note: this was corrected during the inspection when the caregiver conducted the orientation.
Yes
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with food allergies lacked a food allergy plan.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The primary caregiver was missing training in immunization and three hours in management techniques, leadership, or staff supervision.
3 747.2105(a) - Screen Time Activities - Not Used for Under Two
Two children under the age of two years were observed watching television in the main classroom during the inspection. Note: this was corrected during the inspection when the caregiver turned the TV off.
Yes
3 747.603(a)(3) - Children's Records - Health Statement
4 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.501(9) - Written Operational Policies - Parent Rights
The operational policies lacked details regarding "parents' rights".
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Administering medication 2) Preventing and responding to emergencies due to food or an allergic reaction 3) Understanding building and physical premises safety 4) Handling, storing, and disposing of hazardous materials, 5) Prevention, Recognition and reporting of abuse/neglect.
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.1401(a)(2) - Household Members Qualifications - Orientation
A household member did not receive the orientation. Note: this was corrected during the inspection when the caregiver conducted the orientation.
Yes
5 745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
The primary caregiver allowed a household member to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.
3 747.501(9) - Written Operational Policies - Parent Rights
The operational policies lacked details regarding "parents' rights".
3 747.603(a)(3) - Children's Records - Health Statement
4 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.603(a)(3) - Children's Records - Health Statement
3 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.3935(b) - Children's Products- Annual Certification
Form 2885, pertaining to Children's Product Certification, has not been revised since 02/03/2023.
3 747.2105(a) - Screen Time Activities - Not Used for Under Two
Two children under the age of two years were observed watching television in the main classroom during the inspection. Note: this was corrected during the inspection when the caregiver turned the TV off.
Yes
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The primary caregiver was missing training in immunization and three hours in management techniques, leadership, or staff supervision.
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Preventing and responding to emergencies due to food or an allergic reaction 2) Understanding building and physical premises safety 3) Handling, storing, and disposing of hazardous materials, 4) Prevention, Recognition and reporting of abuse/neglect.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Administering medication 2) Preventing and responding to emergencies due to food or an allergic reaction 3) Understanding building and physical premises safety 4) Handling, storing, and disposing of hazardous materials, 5) Prevention, Recognition and reporting of abuse/neglect.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with food allergies lacked a food allergy plan.
3 747.3935(b) - Children's Products- Annual Certification
Form 2885, pertaining to Children's Product Certification, has not been revised since 02/03/2023.
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.501(9) - Written Operational Policies - Parent Rights
The operational policies lacked details regarding "parents' rights".
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The primary caregiver was missing training in immunization and three hours in management techniques, leadership, or staff supervision.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with food allergies lacked a food allergy plan.
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Administering medication 2) Preventing and responding to emergencies due to food or an allergic reaction 3) Understanding building and physical premises safety 4) Handling, storing, and disposing of hazardous materials, 5) Prevention, Recognition and reporting of abuse/neglect.
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
3 747.3935(b) - Children's Products- Annual Certification
Form 2885, pertaining to Children's Product Certification, has not been revised since 02/03/2023.
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.2105(a) - Screen Time Activities - Not Used for Under Two
Two children under the age of two years were observed watching television in the main classroom during the inspection. Note: this was corrected during the inspection when the caregiver turned the TV off.
Yes
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Preventing and responding to emergencies due to food or an allergic reaction 2) Understanding building and physical premises safety 3) Handling, storing, and disposing of hazardous materials, 4) Prevention, Recognition and reporting of abuse/neglect.
5 745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
The primary caregiver allowed a household member to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.
3 747.1401(a)(2) - Household Members Qualifications - Orientation
A household member did not receive the orientation. Note: this was corrected during the inspection when the caregiver conducted the orientation.
Yes
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.603(a)(3) - Children's Records - Health Statement
3 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.603(a)(3) - Children's Records - Health Statement
4 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.501(9) - Written Operational Policies - Parent Rights
The operational policies lacked details regarding "parents' rights".
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Preventing and responding to emergencies due to food or an allergic reaction 2) Understanding building and physical premises safety 3) Handling, storing, and disposing of hazardous materials, 4) Prevention, Recognition and reporting of abuse/neglect.
3 747.1401(a)(2) - Household Members Qualifications - Orientation
A household member did not receive the orientation. Note: this was corrected during the inspection when the caregiver conducted the orientation.
Yes
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with food allergies lacked a food allergy plan.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Administering medication 2) Preventing and responding to emergencies due to food or an allergic reaction 3) Understanding building and physical premises safety 4) Handling, storing, and disposing of hazardous materials, 5) Prevention, Recognition and reporting of abuse/neglect.
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.603(a)(3) - Children's Records - Health Statement
3 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
5 745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
The primary caregiver allowed a household member to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.603(a)(3) - Children's Records - Health Statement
4 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.2105(a) - Screen Time Activities - Not Used for Under Two
Two children under the age of two years were observed watching television in the main classroom during the inspection. Note: this was corrected during the inspection when the caregiver turned the TV off.
Yes
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The primary caregiver was missing training in immunization and three hours in management techniques, leadership, or staff supervision.
3 747.603(a)(3) - Children's Records - Health Statement
3 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.3935(b) - Children's Products- Annual Certification
Form 2885, pertaining to Children's Product Certification, has not been revised since 02/03/2023.
5 745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
The primary caregiver allowed a household member to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.603(a)(3) - Children's Records - Health Statement
4 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.1401(a)(2) - Household Members Qualifications - Orientation
A household member did not receive the orientation. Note: this was corrected during the inspection when the caregiver conducted the orientation.
Yes
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with food allergies lacked a food allergy plan.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Administering medication 2) Preventing and responding to emergencies due to food or an allergic reaction 3) Understanding building and physical premises safety 4) Handling, storing, and disposing of hazardous materials, 5) Prevention, Recognition and reporting of abuse/neglect.
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.501(9) - Written Operational Policies - Parent Rights
The operational policies lacked details regarding "parents' rights".
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The primary caregiver was missing training in immunization and three hours in management techniques, leadership, or staff supervision.
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Preventing and responding to emergencies due to food or an allergic reaction 2) Understanding building and physical premises safety 3) Handling, storing, and disposing of hazardous materials, 4) Prevention, Recognition and reporting of abuse/neglect.
3 747.2105(a) - Screen Time Activities - Not Used for Under Two
Two children under the age of two years were observed watching television in the main classroom during the inspection. Note: this was corrected during the inspection when the caregiver turned the TV off.
Yes
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.501(9) - Written Operational Policies - Parent Rights
The operational policies lacked details regarding "parents' rights".
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Preventing and responding to emergencies due to food or an allergic reaction 2) Understanding building and physical premises safety 3) Handling, storing, and disposing of hazardous materials, 4) Prevention, Recognition and reporting of abuse/neglect.
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
3 747.603(a)(3) - Children's Records - Health Statement
3 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
4 747.5003(2) - Emergency Preparedness Plan - Communication Procedures
The emergency preparedness plan was missing the following items: How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments; Communication, including: (A)The emergency telephone number that is on file with us; and (B)How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents, and us; How you will continue to care for the children until each child has been released
5 745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
The primary caregiver allowed a household member to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.603(a)(3) - Children's Records - Health Statement
4 out of 4 child files reviewed did not contain current health statements from the child's physician after being enrolled for 12 months.
3 747.613(b) - Required Immunizations Records, Exceptions, and Exemptions Current
One child did not have updated immunization available during the inspection.
3 747.2105(a) - Screen Time Activities - Not Used for Under Two
Two children under the age of two years were observed watching television in the main classroom during the inspection. Note: this was corrected during the inspection when the caregiver turned the TV off.
Yes
5 747.3505(a) - Weapons In Homes Kept in Locked Cabinet, Inaccessible to Children
A household member has two unloaded firearms in the closet. The firearms are not in a locked cabinet.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with food allergies lacked a food allergy plan.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The caregiver was missing training for the previous training year in the following topics: 1) Administering medication 2) Preventing and responding to emergencies due to food or an allergic reaction 3) Understanding building and physical premises safety 4) Handling, storing, and disposing of hazardous materials, 5) Prevention, Recognition and reporting of abuse/neglect.
3 747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
The primary caregiver was missing training in immunization and three hours in management techniques, leadership, or staff supervision.
3 747.3935(b) - Children's Products- Annual Certification
Form 2885, pertaining to Children's Product Certification, has not been revised since 02/03/2023.

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

Inspections (32)

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

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