“Based on the evidence obtained during the investigation, caregivers were not aware of the ongoing activities of children in care on the playground that they were responsible for.”Texas HHSC inspector, Aug 29, 2024 report. Quoted verbatim.
Jun 6, 2024AssessmentCriticalChild not adequately supervisedTexas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · HighVerified corrected Jun 11, 2024
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Infant · Full-time
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Required Admission Information-Completed Food Allergy Plan
Serious
Two children's records indicated a food allergy on the enrollment record but did not have a complete food allergy plan on file.
State verification recorded Sep 11, 2023.
Standard 746.605(16) · Required Admission Information-Completed Food Allergy Plan
State severity
Medium High
Corrected at visit
No
Correction reported
Sep 8, 2023
Technical assistance
Recorded
Finding source ID
1025753492
Visit source ID
905505930
Employee Handwashing After Diapering a Child
Serious
An employee was observe at inspection changing consecutive diaper changes and did not wash their hands in between at the hand washing sink.
State verification recorded Sep 1, 2023.
Standard 746.3415(4) · Employee Handwashing After Diapering a Child
State severity
Medium High
Corrected at visit
No
Correction reported
Aug 25, 2023
Technical assistance
Recorded
Finding source ID
1025833313
Visit source ID
905505930
Feb 1, 2023Inspection
1 finding
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Serious
The director did not have transportation training available for review. The last one available for review in file was dated for 6/15/2021 and this is required to be obtained annually by the director of an operation who provides transportation and prior to providing transportation to children by staff.
State verification recorded Feb 9, 2023.
Standard 746.1316(a) · Transportation Safety Training -Director and Employee Complete 2 Hours Annually
State severity
Medium High
Corrected at visit
No
Correction reported
Feb 8, 2023
Technical assistance
Not recorded
Finding source ID
1025999094
Visit source ID
905505929
Jul 20, 2022Inspection
No findings recorded
Apr 27, 2022Inspection
No findings recorded
Apr 21, 2022Inspection
2 findings
Requirements for Feeding Infants - Other Use of Handwashing Sink
Serious
The hand washing sink in the infant classroom was observed being used to clean pacifiers as well as prepare bottles.
State verification recorded Apr 27, 2022.
Standard 746.2419(8) · Requirements for Feeding Infants - Other Use of Handwashing Sink
State severity
Medium High
Corrected at visit
No
Correction reported
Apr 21, 2022
Technical assistance
Recorded
Finding source ID
1025757941
Visit source ID
905505926
Food safety and dietary needs
Serious
The infant classroom had cheese and crackers for snack and were not provided a plate or napkin for their food to rest on. The food was emptied from the pre packaging onto the bare table. The toddler classroom did have their snack on paper towels.
State verification recorded Apr 27, 2022.
Standard 746.3317(6) · Food Service and Preparation Requirement - Use Sanitary Holders
State severity
Medium High
Corrected at visit
No
Correction reported
Apr 21, 2022
Technical assistance
Not recorded
Finding source ID
1025797879
Visit source ID
905505926
Apr 18, 2022Inspection
3 findings
Maintenance of Building, Grounds and Equipment
Serious
There were various areas of the operation that require maintenance, including but not limited to broken outlets covers with sharp edges, soap dispenser cover that is broken, toy kitchenette that has a broken piece near the sink with a sharp edge, and a pencil sharpener that is only partially secured to the wall with an exposed screw protruding at eye level and the cover to the pencil sharpener is not secured over the grinding mechanism of the pencil sharpener. All identified hazards were fixed at inspection. The two outlet covers were repaired with clear tape so that the sharp edge is not exposed. The sharp edge on the play kitchenette was also covered with tape to prevent the sharp edge from being a risk. The pencil sharpener was removed from the wall. The soap dispenser cover was replaced.
State records correction during the inspection; no separate verification date is shown.
Standard 746.3407 · Maintenance of Building, Grounds and Equipment
State severity
Medium High
Corrected at visit
Yes
Correction reported
Apr 18, 2022
Technical assistance
Recorded
Finding source ID
1025967698
Visit source ID
905505925
Infant Daily Report - Times and Amount of Food
Serious
Each infants daily sheets was incomplete and lacked any information about the amount of food or bottles consumed. The information was not added on several of the daily sheets prior to pick up by the parents.
State verification recorded Apr 21, 2022.
Standard 746.2431(2) · Infant Daily Report - Times and Amount of Food
State severity
Medium High
Corrected at visit
No
Correction reported
Apr 18, 2022
Technical assistance
Not recorded
Finding source ID
1025807193
Visit source ID
905505925
Food safety and dietary needs
Serious
The toddler classroom was having goldfish for snack and were not provided a plate or napkin for their food to rest on. The food was emptied from the pre packaging onto the bare table.
State verification recorded Apr 21, 2022.
Standard 746.3317(6) · Food Service and Preparation Requirement - Use Sanitary Holders
State severity
Medium High
Corrected at visit
No
Correction reported
Apr 18, 2022
Technical assistance
Recorded
Finding source ID
1025846945
Visit source ID
905505925
Mar 1, 2022Inspection
1 finding
Substitutes, Volunteers and Contractors - Counted in Ratio
Serious
The contracted caregiver counted in ratio received one hour of child abuse training in recognizing, reporting, and preventing abuse. However annual training that is still lacking includes health and safety training in emergency preparedness; preventing and controlling the spread of communicable diseases, including immunizations; administering medication, if applicable, preventing and responding to emergencies due to food or an allergic reaction; understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and handling, storing, and disposing of hazardous materials.
State verification recorded Mar 29, 2022.
Standard 746.1401(d) · Substitutes, Volunteers and Contractors - Counted in Ratio
State severity
Medium
Corrected at visit
No
Correction reported
Mar 25, 2022
Technical assistance
Not recorded
Finding source ID
1025879385
Visit source ID
905505924
Feb 8, 2022Inspection
1 finding
Substitutes, Volunteers and Contractors - Counted in Ratio
Serious
One contracted caregiver that is counted in ratio does not have documentated annual training hours for her last complete training year of 7/22/2019 to 7/22/2021.
State verification recorded Mar 1, 2022.
Standard 746.1401(d) · Substitutes, Volunteers and Contractors - Counted in Ratio
State severity
Medium
Corrected at visit
No
Correction reported
Feb 22, 2022
Technical assistance
Not recorded
Finding source ID
1025802056
Visit source ID
905505923
Jan 31, 2022Complaint investigation
No findings recorded
Dec 21, 2021Inspection
5 findings
Requirements for Feeding Infants - Other Use of Handwashing Sink
Serious
The hand washing sink in the infant classroom was observed being used to clean pacifiers as well as prepare bottles.
State verification recorded Feb 8, 2022.
Standard 746.2419(8) · Requirements for Feeding Infants - Other Use of Handwashing Sink
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 21, 2021
Technical assistance
Not recorded
Finding source ID
1026009186
Visit source ID
905505922
Safety Requirements for Cribs - Waterproof, Washable Mattress
Serious
Two mattresses in the infant room are torn that exposes the foam of the mattress and is no longer waterproof.
State verification recorded Mar 1, 2022.
Standard 746.2409(a)(3) · Safety Requirements for Cribs - Waterproof, Washable Mattress
State severity
Medium High
Corrected at visit
No
Correction reported
Mar 2, 2022
Technical assistance
Recorded
Finding source ID
1026009185
Visit source ID
905505922
CPR Training and Recertification Adhere to Guidelines-skill based
Serious
Two caregivers that have been employed for more than 90 days do not have current training in CPR and First Aid Training. One had training that expired on 12/4/21 and one had training that expired on 8/22/21.
State verification recorded Jan 26, 2022.
Standard 746.1315(b)(1) · CPR Training and Recertification Adhere to Guidelines-skill based
State severity
Medium High
Corrected at visit
No
Correction reported
Jan 3, 2022
Technical assistance
Recorded
Finding source ID
1025848591
Visit source ID
905505922
Substitutes, Volunteers and Contractors - Counted in Ratio
Serious
One contracted caregiver that is counted in ratio does not have documentated annual training hours for her last complete training year of 7/22/2019 to 7/22/2021.
State verification recorded Feb 8, 2022.
Standard 746.1401(d) · Substitutes, Volunteers and Contractors - Counted in Ratio
State severity
Medium
Corrected at visit
No
Correction reported
Jan 31, 2022
Technical assistance
Recorded
Finding source ID
1025848589
Visit source ID
905505922
Maintenance of Building, Grounds and Equipment
Serious
The toddler playground had several tricycles and toys that are broken and require repair or replacement. There were hard pieces of plastic from the broken toys that is scattered across the playground that present a choking hazard. It was corrected at inspection with the tricycles and pieces of plastic being removed.
State records correction during the inspection; no separate verification date is shown.
Standard 746.3407 · Maintenance of Building, Grounds and Equipment
State severity
Medium High
Corrected at visit
Yes
Correction reported
Dec 21, 2021
Technical assistance
Not recorded
Finding source ID
1025848590
Visit source ID
905505922
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