Capacity 230. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.5103 - Documentation of Fire Inspection
The operation could not provide documentation that the annual fire inspection has been completed. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
A caregiver had only completed 9 hours of pre-service training and was short 15 hours of 24 hours at their 90-days of employment. Their hire date was 5/12/25 and the 24 hours of pre-service was not completed by 8/10/25. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
6 of 38 staff members have CPR that was completed online only. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Information gathered in the investigation substantiated that a caregiver grabbed and pulled a child when stopping them from running and while trying to get them to go to their nap mat and to lay down. |
— |
| 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
Supervision was not maintained as required when a child in care was left alone unsupervised for approximately twenty-three minutes during a transition from the classroom to the bathroom and playground. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During nap time in the older infant classroom that had a specified age group of 12-17 months old, there were 12 infants with one caregiver. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The last documented health inspection was conducted 9/10/23. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
1 of 10 children's records evaluated had an immunization record that was not current. Two required immunizations were missing for the child. |
— |
| 3 | — |
746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep
Information gathered in the investigation substantiated that a caregiver inappropriately tried to get and keep a child to stay on their nap mat and sleep by wrapping them in their blanket as well as trying to keep them in place on the mat. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy plan that requires an epi pen had an epi pen that was expired. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
There were 7-8 medications being stored for children at the operation that were expired. Note: This was corrected during the inspection. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The feeding instructions for all of the infants in the younger infant room had not been reviewed and updated by the parent in the last 30 days. |
— |
| 3 | — |
746.501(a)(18)(F) - Written Operational Policies - Criteria for Extreme Weather
The operational policies did not include the criteria used to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play. |
— |
| 4 | — |
746.2419(1) - Requirements for Feeding Infants-Hold through 6-months
An infant under 6 months old was not being held while having a bottle. |
— |
| 3 | — |
746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The annual liability insurance verification was not completed as required. Note: The verification was completed during the inspection. |
Yes |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
A caregiver involved in the incident being investigated was missing 13 hours of the required 24 hours of annual training. |
— |
| 4 | — |
746.3805(b)(3) - Administering Medication - Not After Expiration date
There was medication for a child that expired 2/24. There was also an expired burn spray with the first aid supplies. Note: This was corrected during the inspection when the expired medication and burn spray was removed and disposed of. |
Yes |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The mulch under the play structure, under the swings, and on the small structures between those two sections of the playground was not at the proper required depth which was evident even without measuring. Under one of the slides on the larger play structure, the black tarp underneath was coming up. Note: Photos were taken. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
18 of 25 staff members had CPR that was completed online and did not include a hands-on skills based portion. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver had first aid/cpr that expired 1/16/25. |
— |
| 3 | — |
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity
The operational policies do not include a policy on the promotion of indoor and outdoor physical activity. |
— |
| 5 | — |
746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Information gathered in the investigation substantiated that a parent(s) was not notified immediately when their child was found alone unsupervised inside the operation. The incident occurred on 8/14/25 in the morning and the parent(s) was not notified until 8/15/25 after 9 pm. |
— |
| 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
Information gathered in the investigation substantiated that a child was alone unsupervised for approximately 15 minutes when they were able to get into the classroom from outside and then exit the classroom into the hallway and enter the laundry room which was not locked before being found by a staff member. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Documentation of current first aid/cpr for one caregiver could not be provided. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
An incident report for an incident where a child was alone unsupervised for approximately 15 minutes was not completed and shared with the parent(s) and signed in the required time frame of the incident occurring as the incident occurred on 8/14/25 and the report was signed by the operation and parent on 8/18/25. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
A monthly fire drill was not conducted in June 2023. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
1 of 5 personnel files evaluated for training was short 12 hours of the required annual training. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was found that a caregiver did not use good judgment when the caregiver improperly lifted/pulled a child's arm. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver had first aid/cpr that was expired. |
— |
| 5 | — |
746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
During the investigation inspection in the younger infant classroom, a caregiver told me there were 7 children present, but there were 9 children present. Information gathered in the investigation substantiated two caregivers of a child left alone unsupervised did not know which children they were responsible for as the counts were off and it was not noticed the child was missing and not on the playground when the class was playing outside. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The last annual fire inspection was conducted 1/10/24 which is over 12 months ago. |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
An incident report was not completed as required for a non-routine situation that occurred in care that placed a child at risk. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Information gathered in the investigation substantiated that a caregiver did not use good judgement by not asking for assistance when they were struggling with a child who did not want to lay down and sleep at nap time. Information gathered supported the caregiver knew they should have called for assistance but did not nor did they ask their co-teacher for help. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A caregiver mopped a floor that was accessible to children in care afterwards. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
6 of 38 staff members have CPR that was completed online only. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
A caregiver involved in the incident being investigated was missing 13 hours of the required 24 hours of annual training. |
— |
| 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
Information gathered in the investigation substantiated that a child was alone unsupervised for approximately 15 minutes when they were able to get into the classroom from outside and then exit the classroom into the hallway and enter the laundry room which was not locked before being found by a staff member. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
An incident report for an incident where a child was alone unsupervised for approximately 15 minutes was not completed and shared with the parent(s) and signed in the required time frame of the incident occurring as the incident occurred on 8/14/25 and the report was signed by the operation and parent on 8/18/25. |
— |
| 3 | — |
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity
The operational policies do not include a policy on the promotion of indoor and outdoor physical activity. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
1 of 5 personnel files evaluated for training was short 12 hours of the required annual training. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
A monthly fire drill was not conducted in June 2023. |
— |
| 5 | — |
746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
During the investigation inspection in the younger infant classroom, a caregiver told me there were 7 children present, but there were 9 children present. Information gathered in the investigation substantiated two caregivers of a child left alone unsupervised did not know which children they were responsible for as the counts were off and it was not noticed the child was missing and not on the playground when the class was playing outside. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The last documented health inspection was conducted 9/10/23. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
1 of 10 children's records evaluated had an immunization record that was not current. Two required immunizations were missing for the child. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The last annual fire inspection was conducted 1/10/24 which is over 12 months ago. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During nap time in the older infant classroom that had a specified age group of 12-17 months old, there were 12 infants with one caregiver. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
There were 7-8 medications being stored for children at the operation that were expired. Note: This was corrected during the inspection. |
Yes |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
18 of 25 staff members had CPR that was completed online and did not include a hands-on skills based portion. |
— |
| 5 | — |
746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Information gathered in the investigation substantiated that a parent(s) was not notified immediately when their child was found alone unsupervised inside the operation. The incident occurred on 8/14/25 in the morning and the parent(s) was not notified until 8/15/25 after 9 pm. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
A caregiver had only completed 9 hours of pre-service training and was short 15 hours of 24 hours at their 90-days of employment. Their hire date was 5/12/25 and the 24 hours of pre-service was not completed by 8/10/25. |
— |
| 3 | — |
746.501(a)(18)(F) - Written Operational Policies - Criteria for Extreme Weather
The operational policies did not include the criteria used to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Information gathered in the investigation substantiated that a caregiver did not use good judgement by not asking for assistance when they were struggling with a child who did not want to lay down and sleep at nap time. Information gathered supported the caregiver knew they should have called for assistance but did not nor did they ask their co-teacher for help. |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
An incident report was not completed as required for a non-routine situation that occurred in care that placed a child at risk. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A caregiver mopped a floor that was accessible to children in care afterwards. |
— |
| 3 | — |
746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The annual liability insurance verification was not completed as required. Note: The verification was completed during the inspection. |
Yes |
| 3 | — |
746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep
Information gathered in the investigation substantiated that a caregiver inappropriately tried to get and keep a child to stay on their nap mat and sleep by wrapping them in their blanket as well as trying to keep them in place on the mat. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver had first aid/cpr that was expired. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was found that a caregiver did not use good judgment when the caregiver improperly lifted/pulled a child's arm. |
— |
| 4 | — |
746.2419(1) - Requirements for Feeding Infants-Hold through 6-months
An infant under 6 months old was not being held while having a bottle. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Information gathered in the investigation substantiated that a caregiver grabbed and pulled a child when stopping them from running and while trying to get them to go to their nap mat and to lay down. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Documentation of current first aid/cpr for one caregiver could not be provided. |
— |
| 4 | — |
746.5103 - Documentation of Fire Inspection
The operation could not provide documentation that the annual fire inspection has been completed. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver had first aid/cpr that expired 1/16/25. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The feeding instructions for all of the infants in the younger infant room had not been reviewed and updated by the parent in the last 30 days. |
— |
| 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
Supervision was not maintained as required when a child in care was left alone unsupervised for approximately twenty-three minutes during a transition from the classroom to the bathroom and playground. |
— |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The mulch under the play structure, under the swings, and on the small structures between those two sections of the playground was not at the proper required depth which was evident even without measuring. Under one of the slides on the larger play structure, the black tarp underneath was coming up. Note: Photos were taken. |
— |
| 4 | — |
746.3805(b)(3) - Administering Medication - Not After Expiration date
There was medication for a child that expired 2/24. There was also an expired burn spray with the first aid supplies. Note: This was corrected during the inspection when the expired medication and burn spray was removed and disposed of. |
Yes |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy plan that requires an epi pen had an epi pen that was expired. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
A monthly fire drill was not conducted in June 2023. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy plan that requires an epi pen had an epi pen that was expired. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
18 of 25 staff members had CPR that was completed online and did not include a hands-on skills based portion. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The last annual fire inspection was conducted 1/10/24 which is over 12 months ago. |
— |
| 5 | — |
746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Information gathered in the investigation substantiated that a parent(s) was not notified immediately when their child was found alone unsupervised inside the operation. The incident occurred on 8/14/25 in the morning and the parent(s) was not notified until 8/15/25 after 9 pm. |
— |
| 4 | — |
746.3805(b)(3) - Administering Medication - Not After Expiration date
There was medication for a child that expired 2/24. There was also an expired burn spray with the first aid supplies. Note: This was corrected during the inspection when the expired medication and burn spray was removed and disposed of. |
Yes |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
1 of 10 children's records evaluated had an immunization record that was not current. Two required immunizations were missing for the child. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
There were 7-8 medications being stored for children at the operation that were expired. Note: This was corrected during the inspection. |
Yes |
| 3 | — |
746.501(a)(18)(F) - Written Operational Policies - Criteria for Extreme Weather
The operational policies did not include the criteria used to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was found that a caregiver did not use good judgment when the caregiver improperly lifted/pulled a child's arm. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Information gathered in the investigation substantiated that a caregiver grabbed and pulled a child when stopping them from running and while trying to get them to go to their nap mat and to lay down. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Information gathered in the investigation substantiated that a caregiver did not use good judgement by not asking for assistance when they were struggling with a child who did not want to lay down and sleep at nap time. Information gathered supported the caregiver knew they should have called for assistance but did not nor did they ask their co-teacher for help. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver had first aid/cpr that expired 1/16/25. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One caregiver had first aid/cpr that was expired. |
— |
| 3 | — |
746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The annual liability insurance verification was not completed as required. Note: The verification was completed during the inspection. |
Yes |
| 3 | — |
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity
The operational policies do not include a policy on the promotion of indoor and outdoor physical activity. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A caregiver mopped a floor that was accessible to children in care afterwards. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
An incident report for an incident where a child was alone unsupervised for approximately 15 minutes was not completed and shared with the parent(s) and signed in the required time frame of the incident occurring as the incident occurred on 8/14/25 and the report was signed by the operation and parent on 8/18/25. |
— |
| 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
Information gathered in the investigation substantiated that a child was alone unsupervised for approximately 15 minutes when they were able to get into the classroom from outside and then exit the classroom into the hallway and enter the laundry room which was not locked before being found by a staff member. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
A caregiver involved in the incident being investigated was missing 13 hours of the required 24 hours of annual training. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During nap time in the older infant classroom that had a specified age group of 12-17 months old, there were 12 infants with one caregiver. |
— |
| 4 | — |
746.5103 - Documentation of Fire Inspection
The operation could not provide documentation that the annual fire inspection has been completed. |
— |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The mulch under the play structure, under the swings, and on the small structures between those two sections of the playground was not at the proper required depth which was evident even without measuring. Under one of the slides on the larger play structure, the black tarp underneath was coming up. Note: Photos were taken. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The feeding instructions for all of the infants in the younger infant room had not been reviewed and updated by the parent in the last 30 days. |
— |
| 4 | — |
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
A caregiver had only completed 9 hours of pre-service training and was short 15 hours of 24 hours at their 90-days of employment. Their hire date was 5/12/25 and the 24 hours of pre-service was not completed by 8/10/25. |
— |
| 3 | — |
746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep
Information gathered in the investigation substantiated that a caregiver inappropriately tried to get and keep a child to stay on their nap mat and sleep by wrapping them in their blanket as well as trying to keep them in place on the mat. |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
An incident report was not completed as required for a non-routine situation that occurred in care that placed a child at risk. |
— |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
1 of 5 personnel files evaluated for training was short 12 hours of the required annual training. |
— |
| 5 | — |
746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
During the investigation inspection in the younger infant classroom, a caregiver told me there were 7 children present, but there were 9 children present. Information gathered in the investigation substantiated two caregivers of a child left alone unsupervised did not know which children they were responsible for as the counts were off and it was not noticed the child was missing and not on the playground when the class was playing outside. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Documentation of current first aid/cpr for one caregiver could not be provided. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The last documented health inspection was conducted 9/10/23. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
6 of 38 staff members have CPR that was completed online only. |
— |
104 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.