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Registered homeLicensed

Diana Sanchez

12 serious findings across 12 visits in the last 36 months. Most recent serious finding: Apr 8, 2026.

221 Gentle Breeze, Floresville, TX 78114 · (210) 782-2646

At a glance

Inspection record · 36 monthsStatewide licensed centers, n=9,617
Serious findings0 critical, 12 serious, 0 minor across 12 inspections and 0 investigations (12 visits). Most recent serious: Apr 8, 2026.
Critical0 vs median 4
55% of centers have at least one
Serious12 vs median 8
75% of centers have at least one
LicenseSince 2010Registered
Practical7a–6:30pMon, Tue, Wed, Thu, Fri, Sat, Sun · Infant to school · Licensed capacity 12

Texas HHSC operation #1115366 · last checked against Texas Sep 15, 2026

Budget & timing

Tuition & openings

We don’t yet have provider-confirmed prices or availability for this facility. A missing price does not mean care is free.

What will care cost?

Not provided

Ask for a written quote for your child’s age, days per week, and daily hours.

Tuition & billing schedule
Confirm with provider
Registration & supply fees
Confirm with provider
Deposit & refund policy
Confirm with provider
Meals & late pickup fees
Confirm with provider

When can my child start?

Not confirmed

Licensed capacity is the maximum permitted enrollment, not the number of open places.

  • Ask about openings in your child’s age group.
  • Confirm the earliest start date and available schedule.
  • Ask about waitlist fees, timing, and how offers are made.
Help paying for care: The state lists this facility as accepting child care subsidies. Confirm your program and whether a funded place is available.
Call about tuition & openings

Programs and services

From the Texas license. “Not listed” means unknown, not that a service is unavailable. Confirm current services with the provider.

  • Meals providedListed
  • Snacks providedListed
  • Before-school careListed
  • After-school careListed
  • Transportation to/from schoolNot listed
  • Drop-in careNot listed
  • Part-time careListed
  • Field tripsNot listed
  • Skill classesNot listed
  • Weekend careListed
  • Night careNot listed
  • AccreditedNot listed
  • Accepts child care subsidiesListed
Ask about your child’s needs. Curriculum, languages spoken, accessibility, disability support, allergy accommodations, and staff qualifications are not included in our current data. Discuss these directly when you visit.

Inspection record

Visits available in our Texas data, newest first. Visits with findings are shown in full; runs of clean visits are folded into one line. Findings are quoted from the inspector's report with the Texas risk level beside our severity.

Inspection history is one input into your decision, not a guarantee of safety or a rating of care quality. How to read this record.

  1. 2026
  2. Apr 8, 2026Inspection
    2 findings · serious
    • SeriousTexas: Medium High

      Animals at Center - Documentation of Vaccinations

      Two of the three dogs present at the home did not have the required vaccination documentation. Note: The children do not come into contact with the dogs.

      Corrected Apr 22, 2026, verified Apr 15, 2026. Technical assistance given. Standard 747.3703(a).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      A completed form was not available for viewing.

      Corrected Apr 10, 2026, verified Apr 10, 2026. Technical assistance given. Standard 747.3935(b).

  3. Apr 8, 2026Inspection
    2 findings · serious
    • SeriousTexas: Medium High

      Animals at Center - Documentation of Vaccinations

      Two of the three dogs present at the home did not have the required vaccination documentation. Note: The children do not come into contact with the dogs.

      Corrected Apr 22, 2026, verified Apr 15, 2026. Technical assistance given. Standard 747.3703(a).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      A completed form was not available for viewing.

      Corrected Apr 10, 2026, verified Apr 10, 2026. Technical assistance given. Standard 747.3935(b).

  4. Apr 8, 2026Inspection
    2 findings · serious
    • SeriousTexas: Medium High

      Animals at Center - Documentation of Vaccinations

      Two of the three dogs present at the home did not have the required vaccination documentation. Note: The children do not come into contact with the dogs.

      Corrected Apr 22, 2026, verified Apr 15, 2026. Technical assistance given. Standard 747.3703(a).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      A completed form was not available for viewing.

      Corrected Apr 10, 2026, verified Apr 10, 2026. Technical assistance given. Standard 747.3935(b).

  5. Apr 8, 2026Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Children's Products- Annual Certification

      A completed form was not available for viewing.

      Corrected Apr 10, 2026, verified Apr 10, 2026. Technical assistance given. Standard 747.3935(b).

    • SeriousTexas: Medium High

      Animals at Center - Documentation of Vaccinations

      Two of the three dogs present at the home did not have the required vaccination documentation. Note: The children do not come into contact with the dogs.

      Corrected Apr 22, 2026, verified Apr 15, 2026. Technical assistance given. Standard 747.3703(a).

  6. 2025
  7. Apr 24, 2025Inspection
    1 finding · serious
    • SeriousTexas: Medium

      Required Immunizations Records, Exceptions, and Exemptions Current

      Immunization record was not provided at time of admission for the two new enrolled children.

      Corrected May 9, 2025, verified Apr 30, 2025. Technical assistance given. Standard 747.613(b).

  8. Apr 24, 2025Inspection
    1 finding · serious
    • SeriousTexas: Medium

      Required Immunizations Records, Exceptions, and Exemptions Current

      Immunization record was not provided at time of admission for the two new enrolled children.

      Corrected May 9, 2025, verified Apr 30, 2025. Technical assistance given. Standard 747.613(b).

  9. Apr 24, 2025Inspection
    1 finding · serious
    • SeriousTexas: Medium

      Required Immunizations Records, Exceptions, and Exemptions Current

      Immunization record was not provided at time of admission for the two new enrolled children.

      Corrected May 9, 2025, verified Apr 30, 2025. Technical assistance given. Standard 747.613(b).

  10. Apr 24, 2025Inspection
    1 finding · serious
    • SeriousTexas: Medium

      Required Immunizations Records, Exceptions, and Exemptions Current

      Immunization record was not provided at time of admission for the two new enrolled children.

      Corrected May 9, 2025, verified Apr 30, 2025. Technical assistance given. Standard 747.613(b).

  11. 2023
  12. Nov 21, 2023 to Nov 21, 20234 inspections
    No findingsShow
    • Nov 21, 2023 inspection
    • Nov 21, 2023 inspection
    • Nov 21, 2023 inspection
    • Nov 21, 2023 inspection
Show 20 older visits, not counted above
  1. Mar 2, 2023 to Mar 2, 20234 inspections
    No findingsShow
    • Mar 2, 2023 inspection
    • Mar 2, 2023 inspection
    • Mar 2, 2023 inspection
    • Mar 2, 2023 inspection
  2. 2022
  3. Oct 20, 2022Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Chairs - Safety Straps Used if Required by Manufacturer

      One toddler aged child was observed in a highchair and the safety straps were not being used to secure the child. This was corrected at inspection when the child was removed from the highchair.

      Corrected during the inspection. Standard 747.4301(b).

    • SeriousTexas: Medium

      Screen Time Activities - Not Used for Under Two

      During inspection, there was an educational program playing on the television. There were four children under the age of two years in care. Screen time is prohibited for children in care under the age of two years. This was corrected at inspection when the television was turned off.

      Corrected during the inspection. Standard 747.2105(a).

  4. Oct 20, 2022Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Screen Time Activities - Not Used for Under Two

      During inspection, there was an educational program playing on the television. There were four children under the age of two years in care. Screen time is prohibited for children in care under the age of two years. This was corrected at inspection when the television was turned off.

      Corrected during the inspection. Standard 747.2105(a).

    • SeriousTexas: Medium

      Chairs - Safety Straps Used if Required by Manufacturer

      One toddler aged child was observed in a highchair and the safety straps were not being used to secure the child. This was corrected at inspection when the child was removed from the highchair.

      Corrected during the inspection. Standard 747.4301(b).

  5. Oct 20, 2022Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Chairs - Safety Straps Used if Required by Manufacturer

      One toddler aged child was observed in a highchair and the safety straps were not being used to secure the child. This was corrected at inspection when the child was removed from the highchair.

      Corrected during the inspection. Standard 747.4301(b).

    • SeriousTexas: Medium

      Screen Time Activities - Not Used for Under Two

      During inspection, there was an educational program playing on the television. There were four children under the age of two years in care. Screen time is prohibited for children in care under the age of two years. This was corrected at inspection when the television was turned off.

      Corrected during the inspection. Standard 747.2105(a).

  6. Oct 20, 2022Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Chairs - Safety Straps Used if Required by Manufacturer

      One toddler aged child was observed in a highchair and the safety straps were not being used to secure the child. This was corrected at inspection when the child was removed from the highchair.

      Corrected during the inspection. Standard 747.4301(b).

    • SeriousTexas: Medium

      Screen Time Activities - Not Used for Under Two

      During inspection, there was an educational program playing on the television. There were four children under the age of two years in care. Screen time is prohibited for children in care under the age of two years. This was corrected at inspection when the television was turned off.

      Corrected during the inspection. Standard 747.2105(a).

  7. Mar 31, 2022 to Mar 31, 20224 inspections
    No findingsShow
    • Mar 31, 2022 inspection
    • Mar 31, 2022 inspection
    • Mar 31, 2022 inspection
    • Mar 31, 2022 inspection
  8. Mar 22, 2022Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Children's Records - Health Statement

      One out of seven child's records reviewed was missing the required Healthcare Provider Statement.

      Corrected Apr 5, 2022, verified Mar 24, 2022. Standard 747.603(a)(3).

    • SeriousTexas: Medium

      Primary Caregiver Annual Training - Required Special Topics without specific hours

      The primary caregiver was missing proof of the required annual training in 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

      Corrected Apr 5, 2022, verified Mar 24, 2022. Standard 747.1309(d).

  9. Mar 22, 2022Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Children's Records - Health Statement

      One out of seven child's records reviewed was missing the required Healthcare Provider Statement.

      Corrected Apr 5, 2022, verified Mar 24, 2022. Standard 747.603(a)(3).

    • SeriousTexas: Medium

      Primary Caregiver Annual Training - Required Special Topics without specific hours

      The primary caregiver was missing proof of the required annual training in 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

      Corrected Apr 5, 2022, verified Mar 24, 2022. Standard 747.1309(d).

  10. Mar 22, 2022Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Children's Records - Health Statement

      One out of seven child's records reviewed was missing the required Healthcare Provider Statement.

      Corrected Apr 5, 2022, verified Mar 24, 2022. Standard 747.603(a)(3).

    • SeriousTexas: Medium

      Primary Caregiver Annual Training - Required Special Topics without specific hours

      The primary caregiver was missing proof of the required annual training in 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

      Corrected Apr 5, 2022, verified Mar 24, 2022. Standard 747.1309(d).

  11. Mar 22, 2022Inspection
    2 findings · serious
    • SeriousTexas: Medium

      Children's Records - Health Statement

      One out of seven child's records reviewed was missing the required Healthcare Provider Statement.

      Corrected Apr 5, 2022, verified Mar 24, 2022. Standard 747.603(a)(3).

    • SeriousTexas: Medium

      Primary Caregiver Annual Training - Required Special Topics without specific hours

      The primary caregiver was missing proof of the required annual training in 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

      Corrected Apr 5, 2022, verified Mar 24, 2022. Standard 747.1309(d).

  12. 2021
  13. Oct 5, 2021Inspection
    14 findings · serious
    • SeriousTexas: Medium High

      Emergency Preparedness-Continuity of Care

      The emergency preparedness plan did not specify procedures for the staff's responsibility during a sheltering/lock-down emergency, -Being specific in the essential documents, -Communicating with local authorities, -Continuing care, -Reunifying and -Relocation Diagram

      Corrected Nov 5, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.5003(4).

    • SeriousTexas: Medium

      Required Admission Information - Physician Information

      Four of the six children files did not have special care information. Two of the six children did not have address of the Emergency care authorization. Four of the six children files did not have address of Emergency contacts. Four of the six children files did not have admission date.

      Corrected Oct 8, 2021, verified Oct 15, 2021. Technical assistance given. Standard 747.605(11).

    • SeriousTexas: Medium High

      Sign-in and Sign-out Logs Maintained

      A sign in sheet was not available for review.

      Corrected Oct 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.635(a).

    • SeriousTexas: Medium

      Records Maintained and Made Available - Safety Drills Documentation

      The emergency practice for fire drills, fire extinguishers, carbon monoxide, smoke detectors, sheltering/lockdowns were last conducted during the year of 2016.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.801(7).

    • SeriousTexas: Medium

      Written Feeding Instructions - Review and Update Every 30 Days

      Feeding schedules were not available for two infants.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.2321(b).

    • SeriousTexas: Medium High

      Infant Care Area Furnishings and Equipment -Non-walking

      Two infants were observed sleeping in one play yard.

      Corrected Oct 6, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.2305(1).

    • SeriousTexas: Medium

      Screen Time Activities - Not Used During Eating or Rest Times

      Three children were observed watching television while eating breakfast. This was corrected at inspection when the television was turned off.

      Corrected during the inspection. Technical assistance given. Standard 747.2105(c)(4).

    • SeriousTexas: Medium

      Primary Caregiver Annual Training -30 Hours Required

      Director is missing 14 hours of required training to invclide; -Emergency Preparedness plan -Food allergies -Handling and storing hazardous material -Remainder can come from 1305 (e) In addition to three hours of management leadership

      Corrected Nov 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.1309(a).

    • SeriousTexas: Medium

      Storage for Individual Belongings

      Individual storage was not observed labeled for diaper bags, and diapers. This was corrected when storage bins were labeled.

      Corrected during the inspection. Technical assistance given. Standard 747.4305.

    • SeriousTexas: Medium High

      Fire Extinguishers Serviced

      The fire extinguisher was last serviced on March 2020.

      Corrected Oct 8, 2021, verified Oct 6, 2021. Technical assistance given. Standard 747.5107(b).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      A children's product was not available for review

      Corrected Oct 5, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.3935(b).

    • SeriousTexas: Medium

      Written Operational Policies - Emergencies

      The facility?s operational policy did not specify the procedure for medical emergencies.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.501(4).

    • MinorTexas: Low

      Caregivers Required Annual Training-Remaining Training Topics

      Assistant caregiver was missing required training in the following; Emergency Preparedness plan -Food allergies -Handling and storing hazardous material

      Corrected Nov 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.1305(e).

    • MinorTexas: Low

      Required Health Statement

      Two of the six children did not have a healthcare statement available for review.

      Corrected Nov 5, 2021, verified Oct 15, 2021. Technical assistance given. Standard 747.611(a).

  14. Oct 5, 2021Inspection
    14 findings · serious
    • SeriousTexas: Medium High

      Fire Extinguishers Serviced

      The fire extinguisher was last serviced on March 2020.

      Corrected Oct 8, 2021, verified Oct 6, 2021. Technical assistance given. Standard 747.5107(b).

    • SeriousTexas: Medium

      Storage for Individual Belongings

      Individual storage was not observed labeled for diaper bags, and diapers. This was corrected when storage bins were labeled.

      Corrected during the inspection. Technical assistance given. Standard 747.4305.

    • SeriousTexas: Medium

      Written Feeding Instructions - Review and Update Every 30 Days

      Feeding schedules were not available for two infants.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.2321(b).

    • SeriousTexas: Medium

      Records Maintained and Made Available - Safety Drills Documentation

      The emergency practice for fire drills, fire extinguishers, carbon monoxide, smoke detectors, sheltering/lockdowns were last conducted during the year of 2016.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.801(7).

    • SeriousTexas: Medium

      Required Admission Information - Physician Information

      Four of the six children files did not have special care information. Two of the six children did not have address of the Emergency care authorization. Four of the six children files did not have address of Emergency contacts. Four of the six children files did not have admission date.

      Corrected Oct 8, 2021, verified Oct 15, 2021. Technical assistance given. Standard 747.605(11).

    • SeriousTexas: Medium High

      Sign-in and Sign-out Logs Maintained

      A sign in sheet was not available for review.

      Corrected Oct 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.635(a).

    • SeriousTexas: Medium

      Primary Caregiver Annual Training -30 Hours Required

      Director is missing 14 hours of required training to invclide; -Emergency Preparedness plan -Food allergies -Handling and storing hazardous material -Remainder can come from 1305 (e) In addition to three hours of management leadership

      Corrected Nov 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.1309(a).

    • SeriousTexas: Medium High

      Infant Care Area Furnishings and Equipment -Non-walking

      Two infants were observed sleeping in one play yard.

      Corrected Oct 6, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.2305(1).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      A children's product was not available for review

      Corrected Oct 5, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.3935(b).

    • SeriousTexas: Medium High

      Emergency Preparedness-Continuity of Care

      The emergency preparedness plan did not specify procedures for the staff's responsibility during a sheltering/lock-down emergency, -Being specific in the essential documents, -Communicating with local authorities, -Continuing care, -Reunifying and -Relocation Diagram

      Corrected Nov 5, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.5003(4).

    • SeriousTexas: Medium

      Screen Time Activities - Not Used During Eating or Rest Times

      Three children were observed watching television while eating breakfast. This was corrected at inspection when the television was turned off.

      Corrected during the inspection. Technical assistance given. Standard 747.2105(c)(4).

    • SeriousTexas: Medium

      Written Operational Policies - Emergencies

      The facility?s operational policy did not specify the procedure for medical emergencies.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.501(4).

    • MinorTexas: Low

      Required Health Statement

      Two of the six children did not have a healthcare statement available for review.

      Corrected Nov 5, 2021, verified Oct 15, 2021. Technical assistance given. Standard 747.611(a).

    • MinorTexas: Low

      Caregivers Required Annual Training-Remaining Training Topics

      Assistant caregiver was missing required training in the following; Emergency Preparedness plan -Food allergies -Handling and storing hazardous material

      Corrected Nov 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.1305(e).

  15. Oct 5, 2021Inspection
    14 findings · serious
    • SeriousTexas: Medium High

      Infant Care Area Furnishings and Equipment -Non-walking

      Two infants were observed sleeping in one play yard.

      Corrected Oct 6, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.2305(1).

    • SeriousTexas: Medium

      Screen Time Activities - Not Used During Eating or Rest Times

      Three children were observed watching television while eating breakfast. This was corrected at inspection when the television was turned off.

      Corrected during the inspection. Technical assistance given. Standard 747.2105(c)(4).

    • SeriousTexas: Medium High

      Emergency Preparedness-Continuity of Care

      The emergency preparedness plan did not specify procedures for the staff's responsibility during a sheltering/lock-down emergency, -Being specific in the essential documents, -Communicating with local authorities, -Continuing care, -Reunifying and -Relocation Diagram

      Corrected Nov 5, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.5003(4).

    • SeriousTexas: Medium

      Written Feeding Instructions - Review and Update Every 30 Days

      Feeding schedules were not available for two infants.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.2321(b).

    • SeriousTexas: Medium High

      Sign-in and Sign-out Logs Maintained

      A sign in sheet was not available for review.

      Corrected Oct 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.635(a).

    • SeriousTexas: Medium High

      Fire Extinguishers Serviced

      The fire extinguisher was last serviced on March 2020.

      Corrected Oct 8, 2021, verified Oct 6, 2021. Technical assistance given. Standard 747.5107(b).

    • SeriousTexas: Medium

      Records Maintained and Made Available - Safety Drills Documentation

      The emergency practice for fire drills, fire extinguishers, carbon monoxide, smoke detectors, sheltering/lockdowns were last conducted during the year of 2016.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.801(7).

    • SeriousTexas: Medium

      Required Admission Information - Physician Information

      Four of the six children files did not have special care information. Two of the six children did not have address of the Emergency care authorization. Four of the six children files did not have address of Emergency contacts. Four of the six children files did not have admission date.

      Corrected Oct 8, 2021, verified Oct 15, 2021. Technical assistance given. Standard 747.605(11).

    • SeriousTexas: Medium

      Storage for Individual Belongings

      Individual storage was not observed labeled for diaper bags, and diapers. This was corrected when storage bins were labeled.

      Corrected during the inspection. Technical assistance given. Standard 747.4305.

    • SeriousTexas: Medium

      Written Operational Policies - Emergencies

      The facility?s operational policy did not specify the procedure for medical emergencies.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.501(4).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      A children's product was not available for review

      Corrected Oct 5, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.3935(b).

    • SeriousTexas: Medium

      Primary Caregiver Annual Training -30 Hours Required

      Director is missing 14 hours of required training to invclide; -Emergency Preparedness plan -Food allergies -Handling and storing hazardous material -Remainder can come from 1305 (e) In addition to three hours of management leadership

      Corrected Nov 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.1309(a).

    • MinorTexas: Low

      Caregivers Required Annual Training-Remaining Training Topics

      Assistant caregiver was missing required training in the following; Emergency Preparedness plan -Food allergies -Handling and storing hazardous material

      Corrected Nov 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.1305(e).

    • MinorTexas: Low

      Required Health Statement

      Two of the six children did not have a healthcare statement available for review.

      Corrected Nov 5, 2021, verified Oct 15, 2021. Technical assistance given. Standard 747.611(a).

  16. Oct 5, 2021Inspection
    14 findings · serious
    • SeriousTexas: Medium High

      Fire Extinguishers Serviced

      The fire extinguisher was last serviced on March 2020.

      Corrected Oct 8, 2021, verified Oct 6, 2021. Technical assistance given. Standard 747.5107(b).

    • SeriousTexas: Medium

      Primary Caregiver Annual Training -30 Hours Required

      Director is missing 14 hours of required training to invclide; -Emergency Preparedness plan -Food allergies -Handling and storing hazardous material -Remainder can come from 1305 (e) In addition to three hours of management leadership

      Corrected Nov 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.1309(a).

    • SeriousTexas: Medium

      Written Operational Policies - Emergencies

      The facility?s operational policy did not specify the procedure for medical emergencies.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.501(4).

    • SeriousTexas: Medium

      Records Maintained and Made Available - Safety Drills Documentation

      The emergency practice for fire drills, fire extinguishers, carbon monoxide, smoke detectors, sheltering/lockdowns were last conducted during the year of 2016.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.801(7).

    • SeriousTexas: Medium High

      Emergency Preparedness-Continuity of Care

      The emergency preparedness plan did not specify procedures for the staff's responsibility during a sheltering/lock-down emergency, -Being specific in the essential documents, -Communicating with local authorities, -Continuing care, -Reunifying and -Relocation Diagram

      Corrected Nov 5, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.5003(4).

    • SeriousTexas: Medium

      Required Admission Information - Physician Information

      Four of the six children files did not have special care information. Two of the six children did not have address of the Emergency care authorization. Four of the six children files did not have address of Emergency contacts. Four of the six children files did not have admission date.

      Corrected Oct 8, 2021, verified Oct 15, 2021. Technical assistance given. Standard 747.605(11).

    • SeriousTexas: Medium

      Storage for Individual Belongings

      Individual storage was not observed labeled for diaper bags, and diapers. This was corrected when storage bins were labeled.

      Corrected during the inspection. Technical assistance given. Standard 747.4305.

    • SeriousTexas: Medium

      Screen Time Activities - Not Used During Eating or Rest Times

      Three children were observed watching television while eating breakfast. This was corrected at inspection when the television was turned off.

      Corrected during the inspection. Technical assistance given. Standard 747.2105(c)(4).

    • SeriousTexas: Medium High

      Infant Care Area Furnishings and Equipment -Non-walking

      Two infants were observed sleeping in one play yard.

      Corrected Oct 6, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.2305(1).

    • SeriousTexas: Medium High

      Sign-in and Sign-out Logs Maintained

      A sign in sheet was not available for review.

      Corrected Oct 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.635(a).

    • SeriousTexas: Medium

      Written Feeding Instructions - Review and Update Every 30 Days

      Feeding schedules were not available for two infants.

      Corrected Oct 8, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.2321(b).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      A children's product was not available for review

      Corrected Oct 5, 2021, verified Oct 7, 2021. Technical assistance given. Standard 747.3935(b).

    • MinorTexas: Low

      Required Health Statement

      Two of the six children did not have a healthcare statement available for review.

      Corrected Nov 5, 2021, verified Oct 15, 2021. Technical assistance given. Standard 747.611(a).

    • MinorTexas: Low

      Caregivers Required Annual Training-Remaining Training Topics

      Assistant caregiver was missing required training in the following; Emergency Preparedness plan -Food allergies -Handling and storing hazardous material

      Corrected Nov 5, 2021, verified Oct 8, 2021. Technical assistance given. Standard 747.1305(e).

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