Capacity 263. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.2207(c)(1) - Screen Time Activities - Related to Planned Activities
Children in the three year old classroom were watching a cartoon on Hulu. This was corrected at inspection when the caregiver turned off the screen time video. |
Yes |
| 4 | — |
746.1607 - Child/Caregiver Ratio - 2 Caregivers
There was a four year old child laying on a nap mat in the infant room. There were also 10 infants in the room, so the two caregivers were out of ratio with 11 children. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
The incident report was not created with the parents in the required time frame. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
It was found during the inspection that there were several children's records that were missing and needing to be updated. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
There is sufficient evidence that a child under two was tested for COVID by an Administrator without parental consent. The at home COVID tests are not approved for use on children under two years old. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
One staff member was unaware of how many children were in care. One staff member was unaware of the ages of the children in the room. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
One staff member was unaware of how many children were in care in two classrooms. |
— |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children
A combined group of three classes with a specified age of 3 years had 32 children present on the playground when it was past time for one of the groups to return inside per their daily schedule. This was corrected at inspection when one group returned to their classroom. |
Yes |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
It was found during the walk through there were two infants in bouncers that were not strapped in. This was corrected when the caregiver strapped the straps of one infant and removed the other infant. It was found during the follow up inspection that an infant was not strapped into their bouncer seat. |
— |
| 3 | — |
746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
The most reccent inspection form was not posted at the operation. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Three caregivers did not know the correct number of children they were responsible for. One caregiver stated 7 children were present when there were 9, another caregiver stated 17 children were present when there were 20, and a third caregiver stated 25 children were present when there were 24. This was corrected at inspection when the caregivers did a head count to confirm the number of children in their group and were then able to answer correctly. |
Yes |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
It was found that there were two employee files that were short of their 24 hours of annual training. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
It was found during the inspection that an employee had access to children without eligibility determination. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
The provider did not create an incident report after a child was left unsupervised for about 5 minutes. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
It was found during the inspection there were multiple caregivers with expired CPR/First Aid. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A group with a specified age of 18-23 months had 10 children present with one caregiver. This was corrected at inspection when the specified age group was discussed with caregivers and the director and an additional staff member was added to the classroom. |
Yes |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
It was found during the inspection that a caregiver was standing in a doorway between two classrooms supervising both rooms during naptime. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
A situation placing a child at risk of harm was not reported to Child Care Regulation. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
During the second walk-through at the operation, one caregiver stated there were 13 children present in their group. After counting the group it was found that there were 11 children present. This was corrected when the caregiver counted the group again. |
Yes |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
The operation was not following conditions on a staff member's background check that stated their background check must be run under every operation at which they are present and not just under the main location. This was corrected at inspection when the background check was run under this operation. |
Yes |
| 3 | — |
746.901 - Required Personnel Records
It was found during the inspection that a caregivers file was missing proof of education, employment affidavit, signed copy of personnel policies, signed copy of center policies, and a copy of their drivers license. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
The background check for a caregiver who departed from the operation on 12/17/2024 was still active as of 1/3/2025. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Based on the inspection and interviews with staff, parents, and children, there is sufficient evidence to find the standard for Supervision deficient. The caregiver was not supervising appropriately when a child in care received an injury that required medical attention. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk
The operation did not make the required self-report to Child Care Regulation within two days of the incident occurring. |
— |
| 4 | — |
746.2909(1) - Arrangement of Napping Equipment - Not Blocking Entrances or Exits
It was found during the inspection that there were two napmats that were blocking the doorway of the classroom. This was corrected at the inspection when the caregivers moved the mats to a different area of the room. |
Yes |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
During the investigation inspection, the operation was found to be in violation of several high weighted Minimum Standards. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During the first walk-through at the operation, three rooms were over the child to caregiver ratios allowed for their specified age groups. |
— |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
It was found during the inspection the operation violated a condition that the CBCU placed on an employees presence at the operation. |
— |
| 4 | — |
746.3001(1) - Field Trips - Signed Permission
A child was transported on a field trip without a signed permission form. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
1 out of 4 records reviewed was missing current First Aid and CPR training. |
— |
| 5 | — |
746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
An infant was observed to be asleep in a bouncer seat and was not placed on their back to sleep for several minutes. |
— |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
The operation did not follow conditions for a caregiver's provisional eligibility when they let the caregiver be alone in a classroom with a group of children. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
It was found during the inspection that there were several files that were missing the health care provider statement. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director stated she was unaware of the timelines for reporting incidences to CCR and for filling out incident reports. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
It was found during the follow up inspection that 3 classrooms were over child/caregiver ratio. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was asleep in a bouncer seat with unbuckled straps. This was corrected at inspection when the infant was removed from the bouncer seat. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
It was found during the inspection the operation had several infant feeding forms that had not been updated within the last 30 days. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
During the follow up inspection a caregiver said she had 17 children but there were only 16. |
— |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
One caregiver did not know the name of a child in their group. Another caregiver was unable to provide Child Care Regulation with the ages of the children in their group. These were corrected at inspection when the caregivers obtained a tablet containing the information and reviewed it. |
Yes |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
It was learned during multiple interviews that the operation is not following the conditions on a staff member's background check at all times. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
It was found during the inspection there were two infants that were not strapped in to chairs that had buckles. This was corrected at the inspection when the caregivers strapped in the children. |
Yes |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
It was determined that there were a total of 19 children with 2 caregivers. One of the caregivers left the classroom leaving the other caregiver with 19 children by themselves. The specified age group for this classroom is 3 years old which allows 15 children for 1 caregiver. Note: This was immediately corrected when another staff member quickly stepped into the classroom when it was noticed that a caregiver had left the classroom leaving the class out of ratio. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
It was found during the inspection a caregiver did not wash an infants hands after changing their diaper. This was corrected at the inspection when the caregiver washed the child's hands. |
Yes |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
The operation did not follow conditions for a caregiver's provisional eligibility when they let the caregiver be alone in a classroom with a group of children. |
— |
| 5 | — |
746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, Yelling
It was found while conducting a walk through of the operation that a caregiver was yelling at a child for having an potty accident. |
— |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
In a group of 12 children with two caregivers, the youngest child was 6 months old and the oldest child was 2 years and 4 months old. At the time, more than 13 children were in care at the operation. This was corrected at inspection when the older children were taken to another classroom. |
Yes |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18. It was found during the walk through that a careiver stated she had 14 children and she had 15. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
It was found during the walk through there were two infants in bouncers that were not strapped in. This was corrected when the caregiver strapped the straps of one infant and removed the other infant. |
— |
| 4 | — |
746.4205(a) - Space Requirements - Under 18 Months of Age Activity Area
The operation space allows for 30 infants and at the time of the inspection there were 32. |
— |
| 5 | — |
746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
It was found while conducting the inspection that a 4 month old infant was in a bouncer drinking a bottle with the bottle propped by a stuffed toy. This was corrected when the caregiver removed the infant from the bouncer and held her to finish her bottle. It was found during the inspection that there were 2 infants under the age of 6 months with their bottles propped. |
— |
| 5 | — |
746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
It was found while conducting the inspection that a 4 month old infant was in a bouncer drinking a bottle with the bottle propped by a stuffed toy. This was corrected when the caregiver removed the infant from the bouncer and held her to finish her bottle. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
During the follow up inspection a caregiver stated she had 9 children and there were 11. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
It was found during the inspection that a caregiver stated they had 11 children and they had 12. |
— |
| 5 | — |
746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File
During the walk through an infant was observed swaddled in their crib. This was corrected when the infant was taken out of the swaddle and placed back in their crib. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
It was found during the inspection that there were 4 infant bottles that were missing name labels. This was corrected at the inspection when the director labeled the bottles with the children's names and last initial. |
Yes |
| 5 | — |
746.2429 - Covering Infant's Head or Crib
It was found while conducting the inspection that there was a blanket folded on an infants face to hold in a pacifier. This was corrected when the caregiver removed the blanket and moved the child to the crib. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
The incident report was not given to or signed by the child's parent within 48 hours of when the incident occurred. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
It was found during the inspection an infant was not strapped into an infant rocking chair. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18. It was found during the walk through that a careiver stated she had 14 children and she had 15. It was found during the follow up inspection a caregiver said she had 11 children. There were actually 13 children and she had 12 children marked present on her attendance sheet. |
— |
| 3 | — |
746.4751(d) - Maintenance Procedures for Active Play - Keep Records for 3 Months
It was found during the inspection the operation did not have documentation for the months of December 2023, January and February 2024. This was corrected during the inspection. |
Yes |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
A caregiver who departed the operation more than 7 days ago still had an active background check at the time of inspection. This was corrected at inspection when the caregiver's background check was inactivated. |
Yes |
| 4 | — |
746.305(a)(2) - Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Based on information obtained during the investigation, the incident was not reported to licensing. |
Yes |
| 3 | — |
746.1613(a) - Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met
It was found during the inspection that the operation had reduced caregivers during nap time in a classroom that had infants. This was corrected when the Director went to the room as an additional caregiver. |
— |
| 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
It was found that a child was left unsupervised in a restroom for about 5 minutes. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
During the course of the probation the operation has continued to receive citations in subchapters that were used as the basis for the probation. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
1 out of 4 records reviewed was missing 24 out of 24 required annual hours for training year 11/2022-11/2023. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
It was found during the inspection there were infant feeding forms that had not been updated. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
It was found during the inspection that a child in care did not have a signature for the emergency care authorization. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
One classroom had 5 infants present with one caregiver. This was corrected at inspection when one infant was moved to another classroom. |
Yes |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
It was found during the follow up inspection that 3 classrooms were over child/caregiver ratio. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
One staff member was unaware of how many children were in care in two classrooms. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
It was found during the inspection that an employee had access to children without eligibility determination. |
— |
| 3 | — |
746.901 - Required Personnel Records
It was found during the inspection that a caregivers file was missing proof of education, employment affidavit, signed copy of personnel policies, signed copy of center policies, and a copy of their drivers license. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
It was found during the inspection there were two infants that were not strapped in to chairs that had buckles. This was corrected at the inspection when the caregivers strapped in the children. |
Yes |
| 3 | — |
746.401(2) - Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation
The most reccent inspection form was not posted at the operation. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
It was found during the inspection an infant was not strapped into an infant rocking chair. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
It was found during the inspection that there were 4 infant bottles that were missing name labels. This was corrected at the inspection when the director labeled the bottles with the children's names and last initial. |
Yes |
| 5 | — |
746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
An infant was observed to be asleep in a bouncer seat and was not placed on their back to sleep for several minutes. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
One staff member was unaware of how many children were in care in two classrooms. A caregiver on the playground was unaware of how many children were in theirr care. They said 12 and there were 18. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
It was found during the inspection a caregiver did not wash an infants hands after changing their diaper. This was corrected at the inspection when the caregiver washed the child's hands. |
Yes |
| 3 | — |
746.1613(a) - Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met
It was found during the inspection that the operation had reduced caregivers during nap time in a classroom that had infants. This was corrected when the Director went to the room as an additional caregiver. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A group with a specified age of 18-23 months had 10 children present with one caregiver. This was corrected at inspection when the specified age group was discussed with caregivers and the director and an additional staff member was added to the classroom. |
Yes |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was asleep in a bouncer seat with unbuckled straps. This was corrected at inspection when the infant was removed from the bouncer seat. |
Yes |
| 5 | — |
746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File
During the walk through an infant was observed swaddled in their crib. This was corrected when the infant was taken out of the swaddle and placed back in their crib. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
The incident report was not given to or signed by the child's parent within 48 hours of when the incident occurred. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director stated she was unaware of the timelines for reporting incidences to CCR and for filling out incident reports. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Based on the inspection and interviews with staff, parents, and children, there is sufficient evidence to find the standard for Supervision deficient. The caregiver was not supervising appropriately when a child in care received an injury that required medical attention. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
It was found during the inspection that there were several children's records that were missing and needing to be updated. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
The incident report was not created with the parents in the required time frame. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
One staff member was unaware of how many children were in care. One staff member was unaware of the ages of the children in the room. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
It was found that there were two employee files that were short of their 24 hours of annual training. |
— |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
The operation was not following conditions on a staff member's background check that stated their background check must be run under every operation at which they are present and not just under the main location. This was corrected at inspection when the background check was run under this operation. |
Yes |
| 4 | — |
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
In a group of 12 children with two caregivers, the youngest child was 6 months old and the oldest child was 2 years and 4 months old. At the time, more than 13 children were in care at the operation. This was corrected at inspection when the older children were taken to another classroom. |
Yes |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
It was found during the inspection there were multiple caregivers with expired CPR/First Aid. |
— |
| 5 | — |
746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
It was found while conducting the inspection that a 4 month old infant was in a bouncer drinking a bottle with the bottle propped by a stuffed toy. This was corrected when the caregiver removed the infant from the bouncer and held her to finish her bottle. It was found during the inspection that there were 2 infants under the age of 6 months with their bottles propped. |
— |
| 3 | — |
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
The background check for a caregiver who departed from the operation on 12/17/2024 was still active as of 1/3/2025. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
It was found during the inspection that a caregiver stated they had 11 children and they had 12. |
— |
| 5 | — |
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
The operation did not follow conditions for a caregiver's provisional eligibility when they let the caregiver be alone in a classroom with a group of children. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation. |
— |
| 3 | — |
746.4751(d) - Maintenance Procedures for Active Play - Keep Records for 3 Months
It was found during the inspection the operation did not have documentation for the months of December 2023, January and February 2024. This was corrected during the inspection. |
Yes |
268 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.