Child care center ·
1255 RUFE SNOW DR, Keller, TX 76248-5219 ·
License 545156- 810
Capacity 144. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
It was observed that six inches of loose-fill surfacing is needed on both playgrounds. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The annual sanitation inspection was expired by the time of the inspection. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was indicated, on sign-in sheets, to be out of ratio in the mornings for an average of 10-20 minutes. |
— |
| 4 | — |
746.3303 - Nutrition and Food Service - Meal and Snack Schedule
Due to an error in communication a class was not served breakfast and not served any food until lunch. The children went without food service for more then 4 hours. The facility has tightened there food service schedule to ensure all of the children eat breakfast. |
Yes |
| 3 | — |
746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep
This standard was evaluated as part of an investigation and was deficient based on the preponderance of evidence. A caregiver placed her leg on top of a child in attempt to make them be still and take a nap. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
There were 4 caregivers that did not have all required annual training available for review. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The CPSC form was not available for review at the time of the inspection. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Infant bottles were not labeled with the child's name. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
A current fire inspection was not available for review at the time of the inspection. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
I observed medication that is expired and no longer used present at the operation during my inspection. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The playground equipment on the toddler playground is chipping in several places. This is exposing raw wood that children have directo access to. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A child was left alone in the outside playground for approximately minutes. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
In multiple classrooms it was observed there was chipping of paint and sheetrock. There was also dirt and debris observed on classroom walls. In a specific classroom there was a hole in the sheetrock between the sizes of a nickel and a quarter that was accessible to children. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
The following observed outside on the playground during inspection: Broken plastic box that have sharp edges; Tangle / broken soccer netting on the ground and by the frame; a plier and two metal pieces on the ground by a classroom door that accessible to children; a broken couch by an open toy box; and a metal garden hand rake that accessible to children. |
— |
| 5 | — |
746.3703(c) - Not Under the Influence of Alcohol or Controlled Substance
Based on information gathered it was determined there is reasonable evidence to believe a caregiver was under the influence of alcohol while caring for children. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
A bottle was left unlabeled, and it resulted in an infant getting fed the wrong bottle. Bottles were observed to be labeled during my visit. |
Yes |
| 5 | — |
745.509 - Licensed Operations Required Fees
The operation has failed to pay outstanding background check fees. |
— |
| 3 | — |
746.801(6) - Required Records Maintained and Made Available - Liability Insurance
The current proof of liability insurance was not available for review. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
2 of the 10 children's records were missing updated immunization records. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
1 of the 10 children's records needs updated shot records. |
— |
| 3 | — |
746.3803(c) - Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions
3 infant parents have instructed to give medication when the label states to ask a doctor for their age range. |
— |
| 4 | — |
746.3407(1) - Toys and Equipment to be Sanitized Set Aside
4 caregivers express concern as toys are often visibly dirty and are concerned that the toys are not being cleaned. 1 caregiver stated that she sprays the toys with bleach water, but do not wipe them down and she does not do the deep clean on Friday afternoons as it seems overwhelming. |
— |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness
The facility did not report positive cases of COVID within the two day time frame. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
3 caregivers, who work out of ratio, stated that they often work out of ratio for an extended amount of time because one teacher is late. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
A child safety alarm in one of the transportation vehicles was not working. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Two caregivers did not have the required two hours of transportation training. |
— |
| 4 | — |
746.605(16) - Required Admission Information-Completed Food Allergy Plan
2 children with diagnosed food allergies are missing a food allergy emergency plan. |
— |
| 4 | — |
746.3501(2) - Diaper Changing Steps- Cleanse Child with Individual Cloths
The caregiver changed the diapers of the older children when they were standing up. As a result a child was not cleaned thoroughly. The teacher was instructed that when a diaper is being changed as a result of a bowel movement, they must use the changing table. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There are 7 children present without updated infant feeding instructions. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
3 caregivers stated that they have observed infants sleeping in restrictive devices. 2 caregivers stated that they let infants sleep in restrictive devices for a period of time to ensure they were asleep before moving them. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was seen yelling at a child. |
Yes |
| 3 | — |
746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
The safety documentation was not available for review at the time of the inspection. |
— |
| 4 | — |
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
It was observed that six inches of loose-fill surfacing is needed on both playgrounds. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
I observed 2 highchairs in the infant 2 classroom without safety straps. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Infant feeding instructions were not updated monthly as required. |
— |
| 4 | — |
746.303(a)(4) - Report Change in Director
The operation did not notify licensing of a change in the director in writing by the required 5 days of the change. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
I observed children under 2 years old watching a cartoon. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was witnessed pulling a child by the hair to force them to stand up. |
Yes |
| 3 | — |
746.401(3) - Posting Requirements - Licensing Notice-Keeping Children Safe
Operation was missing the Keeping Children Safe poster. This was corrected at inspection when the director posted it. |
Yes |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
A fire drill was not conducted in the month of August. |
— |
| 3 | — |
746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
The training records for 10 of 10 reviewed files were not available for review at the time of inspection. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
One caregiver did not have trainings in the topics of, administering medication, preventing and responding to emergencies due to food or an allergic reaction, and handling, storing, and disposing of hazardous materials |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
There was an individual present and caring for children without an eligible background check. |
Yes |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit
3 of the 10 staff records reviewed were missing the notarized Employee Affidavit. |
— |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The CPSC form was not available for review at the time of the inspection. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There are 7 children present without updated infant feeding instructions. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
In multiple classrooms it was observed there was chipping of paint and sheetrock. There was also dirt and debris observed on classroom walls. In a specific classroom there was a hole in the sheetrock between the sizes of a nickel and a quarter that was accessible to children. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
The following observed outside on the playground during inspection: Broken plastic box that have sharp edges; Tangle / broken soccer netting on the ground and by the frame; a plier and two metal pieces on the ground by a classroom door that accessible to children; a broken couch by an open toy box; and a metal garden hand rake that accessible to children. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
I observed 2 highchairs in the infant 2 classroom without safety straps. |
— |
| 3 | — |
746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
The safety documentation was not available for review at the time of the inspection. |
— |
| 3 | — |
746.401(3) - Posting Requirements - Licensing Notice-Keeping Children Safe
Operation was missing the Keeping Children Safe poster. This was corrected at inspection when the director posted it. |
Yes |
| 3 | — |
746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep
This standard was evaluated as part of an investigation and was deficient based on the preponderance of evidence. A caregiver placed her leg on top of a child in attempt to make them be still and take a nap. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit
3 of the 10 staff records reviewed were missing the notarized Employee Affidavit. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A child was left alone in the outside playground for approximately minutes. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
3 caregivers stated that they have observed infants sleeping in restrictive devices. 2 caregivers stated that they let infants sleep in restrictive devices for a period of time to ensure they were asleep before moving them. |
— |
| 4 | — |
746.3303 - Nutrition and Food Service - Meal and Snack Schedule
Due to an error in communication a class was not served breakfast and not served any food until lunch. The children went without food service for more then 4 hours. The facility has tightened there food service schedule to ensure all of the children eat breakfast. |
Yes |
| 5 | — |
745.509 - Licensed Operations Required Fees
The operation has failed to pay outstanding background check fees. |
— |
| 3 | — |
746.3803(c) - Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions
3 infant parents have instructed to give medication when the label states to ask a doctor for their age range. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Infant feeding instructions were not updated monthly as required. |
— |
| 4 | — |
746.605(16) - Required Admission Information-Completed Food Allergy Plan
2 children with diagnosed food allergies are missing a food allergy emergency plan. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
I observed children under 2 years old watching a cartoon. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Infant bottles were not labeled with the child's name. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was indicated, on sign-in sheets, to be out of ratio in the mornings for an average of 10-20 minutes. |
— |
| 4 | — |
746.303(a)(4) - Report Change in Director
The operation did not notify licensing of a change in the director in writing by the required 5 days of the change. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The annual sanitation inspection was expired by the time of the inspection. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
1 of the 10 children's records needs updated shot records. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
I observed medication that is expired and no longer used present at the operation during my inspection. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
A fire drill was not conducted in the month of August. |
— |
| 5 | — |
746.3703(c) - Not Under the Influence of Alcohol or Controlled Substance
Based on information gathered it was determined there is reasonable evidence to believe a caregiver was under the influence of alcohol while caring for children. |
— |
| 4 | — |
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
It was observed that six inches of loose-fill surfacing is needed on both playgrounds. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was seen yelling at a child. |
Yes |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Two caregivers did not have the required two hours of transportation training. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
A child safety alarm in one of the transportation vehicles was not working. |
— |
| 4 | — |
746.3407(1) - Toys and Equipment to be Sanitized Set Aside
4 caregivers express concern as toys are often visibly dirty and are concerned that the toys are not being cleaned. 1 caregiver stated that she sprays the toys with bleach water, but do not wipe them down and she does not do the deep clean on Friday afternoons as it seems overwhelming. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
One caregiver did not have trainings in the topics of, administering medication, preventing and responding to emergencies due to food or an allergic reaction, and handling, storing, and disposing of hazardous materials |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The playground equipment on the toddler playground is chipping in several places. This is exposing raw wood that children have directo access to. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
A bottle was left unlabeled, and it resulted in an infant getting fed the wrong bottle. Bottles were observed to be labeled during my visit. |
Yes |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
There was an individual present and caring for children without an eligible background check. |
Yes |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
A current fire inspection was not available for review at the time of the inspection. |
— |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness
The facility did not report positive cases of COVID within the two day time frame. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was witnessed pulling a child by the hair to force them to stand up. |
Yes |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
3 caregivers, who work out of ratio, stated that they often work out of ratio for an extended amount of time because one teacher is late. |
— |
| 3 | — |
746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
The training records for 10 of 10 reviewed files were not available for review at the time of inspection. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
There were 4 caregivers that did not have all required annual training available for review. |
— |
| 3 | — |
746.801(6) - Required Records Maintained and Made Available - Liability Insurance
The current proof of liability insurance was not available for review. |
— |
| 4 | — |
746.3501(2) - Diaper Changing Steps- Cleanse Child with Individual Cloths
The caregiver changed the diapers of the older children when they were standing up. As a result a child was not cleaned thoroughly. The teacher was instructed that when a diaper is being changed as a result of a bowel movement, they must use the changing table. |
Yes |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
2 of the 10 children's records were missing updated immunization records. |
— |
| 4 | — |
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
It was observed that six inches of loose-fill surfacing is needed on both playgrounds. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was witnessed pulling a child by the hair to force them to stand up. |
Yes |
| 4 | — |
746.305(a)(4) - Report Outbreak of Communicable Illness
The facility did not report positive cases of COVID within the two day time frame. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Infant feeding instructions were not updated monthly as required. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
There was an individual present and caring for children without an eligible background check. |
Yes |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A child was left alone in the outside playground for approximately minutes. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was seen yelling at a child. |
Yes |
| 3 | — |
746.4135(b) - Children's Products- Annual Certification
The CPSC form was not available for review at the time of the inspection. |
— |
| 3 | — |
746.401(3) - Posting Requirements - Licensing Notice-Keeping Children Safe
Operation was missing the Keeping Children Safe poster. This was corrected at inspection when the director posted it. |
Yes |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
One caregiver did not have trainings in the topics of, administering medication, preventing and responding to emergencies due to food or an allergic reaction, and handling, storing, and disposing of hazardous materials |
— |
| 4 | — |
746.605(16) - Required Admission Information-Completed Food Allergy Plan
2 children with diagnosed food allergies are missing a food allergy emergency plan. |
— |
| 4 | — |
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
It was observed that six inches of loose-fill surfacing is needed on both playgrounds. |
— |
| 4 | — |
746.303(a)(4) - Report Change in Director
The operation did not notify licensing of a change in the director in writing by the required 5 days of the change. |
— |
160 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.