Capacity 102. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface The diaper changing mat in the 12 to 18 month old classroom was ripped and could no longer be disinfected. This was corrected when the changing mat was replaced with a new mat. |
Yes |
| 3 | — |
746.1401(h) - Substitutes, Volunteers and Contractors - Counted in Ratio Must Completed Remaining 16 Hours of Pre-Service Within First 90 Days One caregiver did not complete the 24 hours of preservice hours within the first 90 days of employment. |
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| 4 | — |
746.4607(b)(1) - Maximum Height - Under Age 2 During the investigation, it was stated the victim was seen playing on play structure over 32 inches. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days At time of inspection, infant monthly feeding sheets were last updated in June 2024. |
— |
| 3 | — |
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age Two nap mats were torn at the time of inspection. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual Based on the information gathered a caregiver slapped their own child while in care. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A toddler was found unsupervised in operations parking lot on 2.5.24. |
— |
| 4 | — |
746.4001(5) - First Aid Kit - Inaccessible to Children Based on the information gathered the first aid kit was accessible to the children in a classroom that resulted in a child having access to open the kit. |
— |
| 4 | — |
746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games At the time of inspection the caregivers in direct care of children were using their cell phones. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A toddler was found unsupervised in operations playground on 4.30.24. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area At the time of inspection the changing table in the 12 to 18 month was not disinfected after diaper change. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required Two caregivers had expired SIDS and Shaken Baby Training. |
— |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders At the time of inspection, there were not any napkins under the snack served in the four year old classroom. This was corrected when the napkins were placed under the snack being served. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area Based on the information gathered the caregiver did not sanitize the changing table before placing another child on the changing table. |
— |
| 4 | — |
746.1203(6) - Responsibilities of Caregivers - Free of other activities At the time of inspection the caregiver in the infant room was using the cell phone while in direct care of a group of children. This was corrected when the caregiver put the phone away. |
— |
| 5 | — |
746.2429 - Covering Infant's Head or Crib At the time of inspection there was one infant in the 12 to 17 month old classroom with their head covered. THis was corrected when the child's head was uncovered. |
— |
| 4 | — |
746.3503(c)(3) - Diaper Changing Equipment - If Above Floor Level Caregiver Must Face Child and Be Within Arm's Length of Child Based on the information gathered a child was left unattended on the changing table. |
— |
| 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 determined that a child was left unsupervised in the classroom. |
— |
| 4 | — |
746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion Based on the information gathered the caregiver had not obtained a high school diploma or GED, and was alone with two children in the classroom. |
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| 4 | — |
746.3407(1) - Toys and Equipment to be Sanitized Set Aside At time of inspection two diaper changing tables were observed with debris. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training At the tie of inspection one caregiver did not have the first eight hours of pre-service training before being placed in direct care of a group of children. |
— |
| 3 | — |
746.2203(a) - Written Activity Plans At the time of inspection there were not any current activity plans posted as the center is changing the curriculum. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A two year old child was left on the playground for approximately ten seconds. *An admin was outside on the other side of the operation and went to the child. * |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps At the time of inspection, there was two children in the high table in the infant room without their seat belts fastened around them. This was corrected when the caregiver fastened the seatbelt around the children. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area At the time of inspection the caregiver in the toddler room did not sanitize the diaper changing table. This was corrected when the caregiver sanitized the diaper changing table. |
— |
| 4 | — |
746.1109(a)(2) - Caregiver Qualification Age Exemption with HS Diploma/GED- Supervised By Qualified Caregiver Based on the information gathered another caregiver that was not qualified was left alone more than occasion with a group of children. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days One infant feeding schedule was expired at the time of inspection. |
— |
| 4 | — |
746.1013(a)(1) - Director's Absence - Caregiver in Charge Knows in Charge At the time of inspection the caregivers did not know who was in charge of the operation. This was corrected during the inspection. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling Based on the information gathered a caregiver yelled at their own child while in care. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. At time of incindet a caregiver did not have a current CPR/First Aid certification. |
— |
| 4 | — |
746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition At the time of inspection there were very few toys in the toddler classroom. This was corrected when the toys were returned to the classroom. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area The soapy water and clear water were not being used to disinfect the changing tables with the disinfecting solutions at the time of inspection. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist The operation did not have a playground checklist for the past month at review. |
— |
| 4 | — |
746.3505(f) - Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner Based on the information gathered there was a soiled diaper accessible to a child on the changing table. |
— |
| 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 determined in the investigation that proper supervision was not utilized when caregivers failed to ensure that all children were in the group before a transition from the playground, and a child was left on the playground for 6-8 minutes. |
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| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. One caregiver did not have first aid certification before being placed in direct care of a group of children. |
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| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean The infant gate was broken in the 12 to 18 month old classroom. This was corrected when the gate was replaced with a new gate. The floors in the toddler classrooms were dirty. |
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| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps At time of inspection an infant child was observed sitting in a restrictive device and was not strapped in. This was corrected at inspection. |
— |
| 5 | — |
746.5209(c) - No Blocked or Locked Doors as Exits At the time of inspection the fire exit was blocked in the two year old classroom. |
— |
| 4 | — |
746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room A classroom was missing the fire evacuation plan. *This was corrected at inspection* |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days One infant feeding schedule was out of date at the time of inspection. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk Based on the information gathered the operation failed to report an incident that placed a child at risk. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface There was a small rip in the changing table in the infant room with the foam protruding from the plastic. |
— |
| 4 | — |
746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs It was determined that care that was consistent with a child's habits was not provided when staff did not implement any protocols for a child who had a history of eloping during transitions from the playground. |
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| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for A caregiver did not know the number of children in their care. |
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| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control It was determined that a lapse in judgment occurred when a caregiver discovered a child had been left outside. Instead of immediately retrieving the child, the caregiver called for the child from the door, then reentered the building to address another caregiver before finally going back outside to bring the child in. |
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| 2 | — |
746.303(b) - Report Number of Employees A review of the Employees Who Left Employment in 2021 data from February 23, 2022 revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022 as required. |
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| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device At the time of inspection there were two infants napping in restrictive devices. This was corrected when the children were placed in the crib to nap. |
— |
| 4 | — |
746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment At time of inspection two diaper changing stations were observed to have debris. This was corrected at inspection. |
Yes |
| 5 | — |
746.501(a)(24) - Written Operational Policies - Emergency Preparedness Plans At time of inspection operation did not have emergency preparedness plan included in parent handbook. At time of inspection, operational policies did not include months open, immunizations, promotion of indoor/outdoor activity and gang free zone. |
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| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk Based on the information gathered a situation that placed a child at risk was not reported within the required time frame. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual Based on the information gathered a caregiver struck a child with a long plastic tube while the class was playing on the playground. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean Three carpets throughout the building were dirty and need to be cleaned. This was corrected when the carpets were removed from the classrooms. |
Yes |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards Two shelves were not secured to the wall in the toddler classroom. This was corrected when the shelves were removed from the classroom. |
Yes |
| 5 | — |
746.3607(2) - Critical Injury - Give First Aid or CPR During the investigation, multiple caregivers noted a child crying on the playground, but did not assess the child to determine the cause. The child had an injury that required medical treatment that caused the crying. |
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| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. Based on the information provided the first aid card was expired for the staff member involved in the incident where a child was injured and required medical treatment. |
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| 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 Based on the information gathered, it was determined that the child was not supervised when the child opened the first aid kit and removed the scissors, and placed the scissors in the child's mouth. The child walked out to the playground and slid down the slide with the scissor still in the child's mouth before another caregiver on another playground noticed the scissors. Note: The rubber gloves and safety pins were also found on the playground from the same first aid kit. |
— |
| 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 During the course of the investigation, it was determined that a child was left behind in their classroom as the rest of the children were evacuated during a fire alarm. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for At time of inspection, a caregiver stated they had seven children when they had eight. This was corrected at inspection. |
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| 4 | — |
746.3701 - Safety - Areas Free From Hazards Based on the information gathered one shelf was not secured in the 18 to 24 month old classroom, when it fell on top of a child. |
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| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Interact positively with children A caregiver did not interact with a child in a positive manner when they pulled a child's hair to prevent them from crossing the street. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days One infant feeding schedule was expired. |
— |
| 4 | — |
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean The paint behind the toilet in the three year old classroom was peeling. |
— |
| 4 | — |
746.3503(c)(2) - Diaper Changing Equipment - If Above Floor Level Must Keep Hand on Child Based on the information gathered the caregiver in the 12 to 17 month old classroom left a child on the changing table while walking across the classroom to the trash can. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content Two out of ten staff training records did not have the required trainings. |
— |
| 4 | — |
746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded At the time of inspection there was a fan accessible to the children in care. This was corrected when the fan was removed for the classroom. |
Yes |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering At the time of inspection the child's hands were not washed with soap. This was corrected when the caregiver, washed the child's hand with soap. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist The operation did not have a playground checklist for the past month at review. |
— |
| 4 | — |
746.4001(5) - First Aid Kit - Inaccessible to Children Based on the information gathered the first aid kit was accessible to the children in a classroom that resulted in a child having access to open the kit. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk Based on the information gathered a situation that placed a child at risk was not reported within the required time frame. |
— |
| 4 | — |
746.1109(a)(2) - Caregiver Qualification Age Exemption with HS Diploma/GED- Supervised By Qualified Caregiver Based on the information gathered another caregiver that was not qualified was left alone more than occasion with a group of children. |
— |
| 5 | — |
746.305(a)(6) - Report Situation Placing Children at Risk Based on the information gathered the operation failed to report an incident that placed a child at risk. |
— |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders At the time of inspection, there were not any napkins under the snack served in the four year old classroom. This was corrected when the napkins were placed under the snack being served. |
— |
| 4 | — |
746.1013(a)(1) - Director's Absence - Caregiver in Charge Knows in Charge At the time of inspection the caregivers did not know who was in charge of the operation. This was corrected during the inspection. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content Two out of ten staff training records did not have the required trainings. |
— |
| 5 | — |
746.2426 - Infant May Not Sleep in a Restrictive Device At the time of inspection there were two infants napping in restrictive devices. This was corrected when the children were placed in the crib to nap. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps At time of inspection an infant child was observed sitting in a restrictive device and was not strapped in. This was corrected at inspection. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area At the time of inspection the changing table in the 12 to 18 month was not disinfected after diaper change. |
— |
| 4 | — |
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area The soapy water and clear water were not being used to disinfect the changing tables with the disinfecting solutions at the time of inspection. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Interact positively with children A caregiver did not interact with a child in a positive manner when they pulled a child's hair to prevent them from crossing the street. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A toddler was found unsupervised in operations playground on 4.30.24. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. One caregiver did not have first aid certification before being placed in direct care of a group of children. |
— |
| 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 Based on the information gathered, it was determined that the child was not supervised when the child opened the first aid kit and removed the scissors, and placed the scissors in the child's mouth. The child walked out to the playground and slid down the slide with the scissor still in the child's mouth before another caregiver on another playground noticed the scissors. Note: The rubber gloves and safety pins were also found on the playground from the same first aid kit. |
— |
| 4 | — |
746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition At the time of inspection there were very few toys in the toddler classroom. This was corrected when the toys were returned to the classroom. |
— |
| 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 During the course of the investigation, it was determined that a child was left behind in their classroom as the rest of the children were evacuated during a fire alarm. |
— |
| 4 | — |
746.1203(6) - Responsibilities of Caregivers - Free of other activities At the time of inspection the caregiver in the infant room was using the cell phone while in direct care of a group of children. This was corrected when the caregiver put the phone away. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for At time of inspection, a caregiver stated they had seven children when they had eight. This was corrected at inspection. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training At the tie of inspection one caregiver did not have the first eight hours of pre-service training before being placed in direct care of a group of children. |
— |
| 4 | — |
746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment At time of inspection two diaper changing stations were observed to have debris. This was corrected at inspection. |
Yes |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required Two caregivers had expired SIDS and Shaken Baby Training. |
— |
| 5 | — |
746.2429 - Covering Infant's Head or Crib At the time of inspection there was one infant in the 12 to 17 month old classroom with their head covered. THis was corrected when the child's head was uncovered. |
— |
| 3 | — |
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age Two nap mats were torn at the time of inspection. |
— |
| 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 determined that a child was left unsupervised in the classroom. |
— |
| 4 | — |
746.3407(1) - Toys and Equipment to be Sanitized Set Aside At time of inspection two diaper changing tables were observed with debris. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for A caregiver did not know the number of children in their care. |
— |
| 3 | — |
746.2203(a) - Written Activity Plans At the time of inspection there were not any current activity plans posted as the center is changing the curriculum. |
— |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A two year old child was left on the playground for approximately ten seconds. *An admin was outside on the other side of the operation and went to the child. * |
— |
| 4 | — |
746.3503(c)(3) - Diaper Changing Equipment - If Above Floor Level Caregiver Must Face Child and Be Within Arm's Length of Child Based on the information gathered a child was left unattended on the changing table. |
— |
| 4 | — |
746.3505(f) - Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner Based on the information gathered there was a soiled diaper accessible to a child on the changing table. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days One infant feeding schedule was expired. |
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264 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.