Capacity 65. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.603(a)(2) - Children's Records - Admission Information
Three students were missing emergency contact addresses. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
On 3/25/22 there were cleaning supplies within the children?s reach. There were more than one bookshelf inappropriately positioned. Children were placed for nap time under tables directly behind the door, children could potentially get hurt if someone opened the door. There were boxes stacked on tables , the floor and bookshelves accessible to children. |
— |
| 3 | — |
746.307(c) - Parental Notification of Less Serious Injuries
Based upon the information obtained, minor injuries to children are not being reported to parents. |
— |
| 3 | — |
746.4003(a)(7) - First Aid Kit Incomplete - Thermometer, preferably non-glass
The first aid kit in the van did not contain a thermometer. Note: The provider put a thermometer in the first aid kit during the inspection. |
Yes |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
2 out of 4 children's files evaluated did not contain a health statement. |
— |
| 4 | — |
746.605(15) - Required Admission Information-Child's allergies and Completed Food Allergy Plan
Two children have diagnosed allergies but there is not a Food emergency form on file signed by a medical professional. |
— |
| 4 | — |
746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
The director does not have a current CPR and First aid training on file. The CPR and First aid training certificate expired 2/2020. |
— |
| 4 | — |
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
1 out of 5 employee files evaluated did not contain current CPR and First Aid Training. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
A 2 year old was observed in a high chair and was not strapped in. The caregiver removed the child from the chair. |
Yes |
| 5 | — |
746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, Yelling
During the follow up inspection the Director was heard yelling at a child. The director was also observed grabbing a child by the arm that walked away from the rest of the class during an activity. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Bottles were observed not labeled with the infants first name and first intial of infant's last name. This was corrected during the inspection when the caregiver was observed properly labelig the bottles. |
Yes |
| 4 | — |
746.5101(b) - Annual Fire Inspection - Conducted by Fire Marshal
The annual fire inspection was last conducted on 9/16/2020. An annual fire inspection is due for year 2021. |
— |
| 3 | — |
746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
The operation was observed to be out of ratio. One caregiver was caring for 10 children 4 of wich were under 17 months old. |
— |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
The sanitation inspection was last conducted on 6/23/2020. An Annual sanitation inspection is due for year 2021. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
On 3/25/22 inappropriate discipline as observed. A caregiver aggressively pulled a child?s arm towards her and flicked the child on the wrist. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
Observed expired medication that has not been disposed of or given back to the parents. |
— |
| 5 | — |
746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
During a 2nd follow up inspection a 2 year old child was in a restrictive device. When asked why the child was in the chair the caregiver replied the child was in timeout because he had hit someone. |
— |
| 5 | — |
746.201(1) - Policies Comply with Rules
The documentation provided for review of the centers operational policies did not contain the following information: - The duration of physical activity at your operation, both indoor and outdoor - The criteria used to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play - Instructions on how a parent may access the minimum standards online and the HHS website - Strategies for coordination between the center and appropriate community organizations - Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect Information on vaccine-preventable diseases for employees. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The emergency preparedness plan does not address the following: how the operation will : How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments An emergency evacuation and relocation diagram as outlined in ?746.5207 of this title (relating to Must I have an emergency evacuation and relocation diagram?) How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents and us How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted. |
— |
| 4 | — |
746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired
A wooden playhouse in the outdoor play area contains missing panels and cracked pieces of plastic. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
On 3/25/22 children were not being supervised appropriately. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
During a follow up inspection a child was observed walking out of the toddler classroom. The caregiver was not aware the child had walked out. Children were also observed going to the restroom unsupervised while they were on the playground. |
— |
| 3 | — |
746.4003(b) - First Aid Kit - Supplies Not Expired
First aide materials were dirty and expired, crumbling out of packaging. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
2 out of 6 children's files evaluated were missing a completed health statement. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child was observed coming out of the restroom without washing his hands. Note: The children later washed their hands after coming in from outside and before lunch. |
Yes |
| 4 | — |
746.3401(a) - Annual Sanitation Inspection
Sanitation inspection was not current. |
— |
| 3 | — |
746.603(a)(2) - Children's Records - Admission Information
As of today September 30th, 2024 the operation has not submitted the following missing information for 4 children's files: - Completed Special Care Needs Information - Address to the Emergency Contact Person |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two students were missing health statements from medical professionals. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Feeding instructions were not available for review for one infant during the inspection. Note: The provider obtained the signed feeding instructions from the parent during the inspection. |
Yes |
| 5 | — |
746.2401(6) - Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
On 3/25/22 there were small toys that are a choking hazard in the infant room accessible to mobile infants. |
— |
| 4 | — |
746.5202(4) - Emergency Preparedness Plan-Continuity of Care Until Children Released
The emergency preparedness plan does not address how the operation will continue caring for children until they are released |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Monthly maintenance grounds checklist was not available/current. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
During a2nd follow up inspection a child was observed walking out of the classroom. The caregiver was not aware the child had walked out and I had to tell her. |
— |
| 3 | — |
746.4003(b) - First Aid Kit - Supplies Not Expired
The first aid kit contained expired alcohol wipes. |
Yes |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
1 out of 4 children's files evaluated did not have an authorization for emergency medical care. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
On 3/25/22 there was an infant sleeping in a restrictive device a bouncer and was never removed out of the bouncer to be placed in the crib. |
— |
| 2 | — |
746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
A current list of employees was not posted during the inspection. Note: The provider printed and posted the employee list during the inspection. |
Yes |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control
On 3/25/22 the caregiver was unable to keep children under control in the classroom. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The caregiver in charge of the toddler class did not have a cleared background check. Note: The caregiver left the operation when the director told her she could not be there. |
Yes |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
The children's nap cots are not properly labeled. |
— |
| 4 | — |
746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets
Three cribs in the infant room did not have tight fitting sheets. |
— |
| 4 | — |
746.3503(b) - Diaper Changing Equipment - No Play or Eating Surfaces Used
On 3/25/22 the diaper changing area was in the eating area. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control
During a follow up inspection children in the toddler class were observed to be out of control. The children were seen running and walking to the door. The caregiver in charge could not get the children to stay seated. |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
During a follow up visit the caregiver in the toddler class stated there were 7 children, but there were 8 children. The caregiver also did not know the ages of the children. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
2 bottles were not properly labeled in the infants classroom. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Sand box enclosure has rotting boards. and the walkway ramp from indoor is rocking and insecure. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
There were electrical outlets in the infant room and room 4 that does not have safety covers for the outlets. |
— |
| 4 | — |
746.2415(a)(1) - Prohibited Equipment for Infants - Baby Walkers
Observed a green and orange baby walker in the infant room equipped with wheels. Note: The provider removed the wheels from the baby walker during the inspection |
Yes |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Caregiver gave incorrect head count of 9 children, there were 10 children in care. |
— |
| 5 | — |
746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
Based on information obtained during the investigation high chairs were being used for timeout. |
— |
| 4 | — |
746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired
In the outside play area there was a toy oven door that was cracked in half. There was a play structure that had a broken piece of wood with a nail exposed. There was a playhouse that had a broken plastic window with rough edges from the break. All are accessible to children. |
— |
| 5 | — |
746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information obtained during the investigation caregivers were yelling at children. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
There were no infant feeding instruction sheets available for review during the inspection. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
There were no monthly/daily play space/equipment checklist to review during the inspection. |
— |
| 3 | — |
746.603(a)(2) - Children's Records - Admission Information
The special needs information was still missing for 1 child's file. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The diaper changing mat in the infant room was torn and cannot be properly sanitized. Note: The provider replaced the changing mat during the inspection with a new one. |
Yes |
| 3 | — |
746.401(5) - Posting Requirements - Activity Plans for each group of children in the child care center
There were no activity plans posted or available for review for each age group during inspection. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
There was no fire drill documented for the month of August during the inspection. This was corrected during the inspection when a fire drill was conducted and documented for the month of September. |
Yes |
| 3 | — |
746.603(a)(2) - Children's Records - Admission Information
6 children's files were evaluated and were missing the following information: - Completed Special Care Needs Information - Address to the Emergency Contact Person |
— |
| 3 | — |
746.2409(a)(10) - Safety Requirements for Cribs - Label for Each Infant
Cribs were not labeled with infants name. |
— |
| 3 | — |
746.4003(b) - First Aid Kit - Supplies Not Expired
The antiseptic wipes in the first aid kit to the van were expired. Note: The provider disposed of the expired wipes and replaced them with new antiseptic wipes during inspection. |
Yes |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver was observed changing a child's diapers without washing their hands after. Note: The issue was address with the caregiver. The caregiver understood the handwashing procedures. |
Yes |
| 5 | — |
746.201(1) - Policies Comply with Rules
Operational policies handbook was missing the following: Safe sleep policy for infants from birth through 12 months old that is consistent with the rules in subchapter H of this chapter (relating to Basic Requirements for Infants) that relate to sleep requirements and restrictions, including sleep positioning, and crib requirements and restrictions, including mattresses, bedding, blankets, toys, and restrictive devices The benefits of physical activity and outdoor play The duration of physical activity at your operation, both indoor and outdoor The type of physical activity (structured and unstructured) that children may engage in at your operation The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play Parent rights that are consistent with the rules in Division 5 of this subchapter (relating to Parent Rights) Instructions on how a parent may access the Minimum standards online; Texas Abuse and Neglect Hotline; and HHSC website. Your emergency preparedness plan You must also inform the parents that any area within 1,000 feet of a child-care center is a gang-free zone, where criminal offenses related to organized criminal activity are subject to a harsher penalty under the Texas Penal Code. |
— |
| 4 | — |
746.5305 - Mounting of Fire Extinguishers
A fire extinguisher was not mounted in the 3 year old classroom during the inspection. |
— |
| 5 | — |
746.2409(c) - Safety Requirements for Cribs - Infant Not in Crib with Drop Gate Down
A caregiver placed an infant in their crib and walked out of the classroom with the drop gate down to the crib. Note: Another caregiver lifed and closed the drop gate during the inspection. |
Yes |
| 5 | — |
746.5209(c) - No Blocked or Locked Doors as Exits
A chair was observed in front of the exit door to the playground. Note: The Director moved the chair from in front of the door and placed it in a classroom. |
Yes |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
On 9/10/2021 there were two children that ran out of the classroom. The caregivers did not notice the children ran out of the classroom to intervene. |
— |
| 4 | — |
746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
The director has not completed the full 30 hours of required annual trainings. A review period was evaluated between September 7th, 2021 to September 7th 2022. An additional 25 hours is needed. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Observed cleaning supplies stored under the sink in the infant room. The cabinet to the sink was not locked. Note: The provider removed the cleaning supplies from the cabinet during the inspection. |
Yes |
| 3 | — |
746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
The personnel files for employees was reviewed and were missing the following information: - Employment Start Dates for 2 employees (1 was provided during inspection) - Pre-Employment Affidavit for 1 employee - Notarized Employment Affidavit for 3 employees - HS Diploma or Equivalent for 3 employees - Photo ID for 1 employee |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two children were missing copies of their current immunization records. |
— |
| 4 | — |
746.5307(b) - Fire Extinguishers Serviced
The indicator was in the empty range and has not been serviced as required by the manufacturers instructions. Note: The fire extinguisher was removed from the van and new one was installed. |
Yes |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
A 2 year old was observed in a high chair and was not strapped in. The caregiver removed the child from the chair. |
Yes |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Bottles were observed not labeled with the infants first name and first intial of infant's last name. This was corrected during the inspection when the caregiver was observed properly labelig the bottles. |
Yes |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The diaper changing mat in the infant room was torn and cannot be properly sanitized. Note: The provider replaced the changing mat during the inspection with a new one. |
Yes |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
On 9/10/2021 there were two children that ran out of the classroom. The caregivers did not notice the children ran out of the classroom to intervene. |
— |
| 5 | — |
746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
During a 2nd follow up inspection a 2 year old child was in a restrictive device. When asked why the child was in the chair the caregiver replied the child was in timeout because he had hit someone. |
— |
| 5 | — |
746.5209(c) - No Blocked or Locked Doors as Exits
A chair was observed in front of the exit door to the playground. Note: The Director moved the chair from in front of the door and placed it in a classroom. |
Yes |
| 3 | — |
746.4003(b) - First Aid Kit - Supplies Not Expired
The first aid kit contained expired alcohol wipes. |
Yes |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two children were missing copies of their current immunization records. |
— |
| 5 | — |
746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information obtained during the investigation caregivers were yelling at children. |
— |
| 4 | — |
746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets
Three cribs in the infant room did not have tight fitting sheets. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device
On 3/25/22 there was an infant sleeping in a restrictive device a bouncer and was never removed out of the bouncer to be placed in the crib. |
— |
| 5 | — |
746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
Based on information obtained during the investigation high chairs were being used for timeout. |
— |
| 5 | — |
746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, Yelling
During the follow up inspection the Director was heard yelling at a child. The director was also observed grabbing a child by the arm that walked away from the rest of the class during an activity. |
— |
| 4 | — |
746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
The director does not have a current CPR and First aid training on file. The CPR and First aid training certificate expired 2/2020. |
— |
| 4 | — |
746.5202(4) - Emergency Preparedness Plan-Continuity of Care Until Children Released
The emergency preparedness plan does not address how the operation will continue caring for children until they are released |
— |
| 5 | — |
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
During a follow up visit the caregiver in the toddler class stated there were 7 children, but there were 8 children. The caregiver also did not know the ages of the children. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
There were no infant feeding instruction sheets available for review during the inspection. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
2 out of 6 children's files evaluated were missing a completed health statement. |
— |
| 3 | — |
746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
The operation was observed to be out of ratio. One caregiver was caring for 10 children 4 of wich were under 17 months old. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Children in Control
During a follow up inspection children in the toddler class were observed to be out of control. The children were seen running and walking to the door. The caregiver in charge could not get the children to stay seated. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Feeding instructions were not available for review for one infant during the inspection. Note: The provider obtained the signed feeding instructions from the parent during the inspection. |
Yes |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
During a follow up inspection a child was observed walking out of the toddler classroom. The caregiver was not aware the child had walked out. Children were also observed going to the restroom unsupervised while they were on the playground. |
— |
| 3 | — |
746.603(a)(2) - Children's Records - Admission Information
6 children's files were evaluated and were missing the following information: - Completed Special Care Needs Information - Address to the Emergency Contact Person |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
The caregiver in charge of the toddler class did not have a cleared background check. Note: The caregiver left the operation when the director told her she could not be there. |
Yes |
| 3 | — |
746.2409(a)(10) - Safety Requirements for Cribs - Label for Each Infant
Cribs were not labeled with infants name. |
— |
| 4 | — |
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
2 bottles were not properly labeled in the infants classroom. |
— |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
The children's nap cots are not properly labeled. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
Observed expired medication that has not been disposed of or given back to the parents. |
— |
128 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.