Child care center ·
1196A S AMY LN, Harker Heights, TX 76548-1904 ·
License 856028
Capacity 155. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately. |
— |
| 4 | — |
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
During the inspection it was observed that children under the age of two were having screen time. |
— |
| 4 | — |
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots. |
Yes |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours. |
— |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
It was found that a child in care was injured and the parents of the child were not notified of the injury. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms. |
Yes |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
Observed 2 children files out of 10 without the emergency medical permission completed. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it. |
Yes |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
During the inspection it was observed that children under the age of two were having screen time. |
— |
| 4 | — |
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots. |
Yes |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
Observed 2 children files out of 10 without the emergency medical permission completed. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it. |
Yes |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms. |
Yes |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours. |
— |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
It was found that a child in care was injured and the parents of the child were not notified of the injury. |
— |
| 4 | — |
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots. |
Yes |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it. |
Yes |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
It was found that a child in care was injured and the parents of the child were not notified of the injury. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
During the inspection it was observed that children under the age of two were having screen time. |
— |
| 4 | — |
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms. |
Yes |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
Observed 2 children files out of 10 without the emergency medical permission completed. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training. |
— |
| 4 | — |
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately. |
— |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
It was found that a child in care was injured and the parents of the child were not notified of the injury. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly. |
— |
| 4 | — |
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it. |
Yes |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots. |
Yes |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
During the inspection it was observed that children under the age of two were having screen time. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms. |
Yes |
| 4 | — |
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
Observed 2 children files out of 10 without the emergency medical permission completed. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it. |
Yes |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots. |
Yes |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
During the inspection it was observed that children under the age of two were having screen time. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms. |
Yes |
| 4 | — |
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors. |
— |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
It was found that a child in care was injured and the parents of the child were not notified of the injury. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training. |
— |
| 4 | — |
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
Observed 2 children files out of 10 without the emergency medical permission completed. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
During the inspection it was observed that children under the age of two were having screen time. |
— |
| 4 | — |
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots. |
Yes |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it. |
Yes |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
Observed 2 children files out of 10 without the emergency medical permission completed. |
— |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
It was found that a child in care was injured and the parents of the child were not notified of the injury. |
— |
| 4 | — |
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms. |
Yes |
| 3 | — |
746.5205(4) - Documentation of Drills
During the monitoring inspection the emergency drill form was reviewed and the drills were not being documented accurately. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours. |
— |
| 4 | — |
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured. |
— |
| 4 | — |
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
Observed 2 children files out of 10 without the emergency medical permission completed. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
During the monitoring inspection it was observed that a child's diaper was changed and the caregiver did not have them wash their hands afterwards. This was corrected at inspection when hand washing took place and was observed to meet compliance in other classrooms. |
Yes |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it. |
Yes |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver who administered first aid to an injured child did not have a current certification in first aid. The caregiver is now current on first aid/CPR training. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots. |
Yes |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
It was found that a child in care was injured and the parents of the child were not notified of the injury. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours. |
— |
| 3 | — |
746.2207(a) - Screen Time Activities - Not Used for Under Two
During the inspection it was observed that children under the age of two were having screen time. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
Observed 2 children files out of 10 without the emergency medical permission completed. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
During the investigation inspection it was found that a caregiver that was present during the incident only had 1/24 of their required annual training hours. This was corrected at inspection because the caregiver no longer works for Care 4 Tots. |
Yes |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
While reviewing files at the monitoring inspection it was found that 2/3 of the files reviewed were not current on annual training hours. One caregiver only had completed 11/24 of their required hours, while the other caregiver had only completed 7/24 of their required training hours. |
— |
| 5 | — |
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
During the monitoring inspection it was found that 1/3 transportation vehicles was not equipped with the electronic child safety alarm and 1/3 of the vehicles was equipped with one, however it was not working properly. |
— |
| 4 | — |
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
It was found that medical information about a child in care was not shared with the child's caregiver which could have helped the child not get reinjured. |
— |
| 4 | — |
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
During the inspection it was observed that a child's nose was wiped while on the playground and the caregiver did not wash their hands afterwards. This was corrected at inspection when the caregiver got some hand sanitizer and used it. |
Yes |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
It was found that a child in care was injured and the parents of the child were not notified of the injury. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During the investigation it was found that children under 18 months were being grouped with children up to 3 years old during the morning opening hours. |
— |
| 4 | — |
746.4001 - First Aid Kit - Available in Each Building, on Field Trips, during Transportation
During the monitoring inspection it was found that the three first aid kits in the transportation vehicles were not equipped with tweezers, cotton balls, thermometers, and scissors. |
— |
80 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.