“A caregiver did not use good judgment when the caregiver purposefully tipped over a seat in which a child was seated and strapped in, and when the caregiver's hand slipped it caused the child to fall forward.”Texas HHSC inspector, Oct 28, 2025 report. Quoted verbatim.
Oct 3, 2025InspectionCriticalLoose bedding in an infant's cribTexas: AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age · HighVerified corrected Oct 15, 2025
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Infant · Full-time
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Staff were observed washing their hands after diaper changes, but the older infants were not having their hands washed in the hand washing sink after diapering or before eating lunch.
State verification recorded Dec 21, 2022.
Standard 746.3417(3) · Children Handwashing After Toileting or Diapering
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 20, 2022
Technical assistance
Not recorded
Finding source ID
1026000354
Visit source ID
905613994
Dec 16, 2022Inspection
5 findings
Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
Serious
Diapers that were disposed of in a shared bathroom for older children, were in a trash receptacle that does not have a lid and is accessible to children in care.
State verification recorded Dec 20, 2022.
Standard 746.3505(f) · Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 16, 2022
Technical assistance
Recorded
Finding source ID
1025900257
Visit source ID
905613993
Diapering Procedures - Sanitizing Diaper Changing Area
Serious
Multiple diaper changes were observed and the sanitizing surface was not cleaned after the diaper changes surface. The surface is a hard surface that did not have wax paper utilized.
State verification recorded Dec 20, 2022.
Standard 746.3505(e) · Diapering Procedures - Sanitizing Diaper Changing Area
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 16, 2022
Technical assistance
Recorded
Finding source ID
1025860085
Visit source ID
905613993
Children Handwashing After Toileting or Diapering
Serious
Diaper changes were conducted in the older infant classroom. Various diaper changes were observed and the infants and the staff did not wash their hands after any of the diaper changes. Additionally, the infants hands were not washed prior to eating. Staff were observed cleaning children's noses and also did not wash their hands.
State verification recorded Dec 20, 2022.
Standard 746.3417(3) · Children Handwashing After Toileting or Diapering
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 16, 2022
Technical assistance
Recorded
Finding source ID
1025900258
Visit source ID
905613993
Care Requirements for Toddlers - Holding and Comforting
Serious
Multiple toddlers were upset due to various reasons and instead of comforting the toddlers, the caregiver instructed the children to "stop that" and "do you see anyone else crying" when they were crying. Additionally in the older infant classroom when an infant was upset and required comforting, the caregivers dismissed the child's crying and told them to "stop that".
State verification recorded Dec 20, 2022.
Standard 746.2501(4) · Care Requirements for Toddlers - Holding and Comforting
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 16, 2022
Technical assistance
Recorded
Finding source ID
1025900259
Visit source ID
905613993
Disposing of Gloves after One Use
Serious
Gloves were not able to be disposed of immediately use it's use and a child was able to pick it up and place it in their mouth.
State verification recorded Dec 20, 2022.
Standard 746.3425(3) · Disposing of Gloves after One Use
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 16, 2022
Technical assistance
Not recorded
Finding source ID
1025940662
Visit source ID
905613993
May 5, 2022Inspection
No findings recorded
Nov 29, 2021Inspection
No findings recorded
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