“The operation did not use good judgement when they left details out when telling the parents about the incident.”Texas HHSC inspector, Jan 8, 2025 report. Quoted verbatim.
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Infant · Full-time
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Infant: availability not confirmed
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Daily Menus - May Rotate if Keep Record of Dates Menus Used
Serious
The operation has not been maintaining menus for the last three months.
State verification recorded Aug 7, 2023.
Standard 746.3313(2) · Daily Menus - May Rotate if Keep Record of Dates Menus Used
State severity
Medium
Corrected at visit
No
Correction reported
Aug 18, 2023
Technical assistance
Recorded
Finding source ID
1025814574
Visit source ID
905597901
Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.
Serious
The operations' loose fill is decomposed throughout the use zones and did not meet the required 6 inches of loose fill.
State verification recorded Aug 29, 2023.
Standard 746.4907(a)(2) · Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.
State severity
Medium High
Corrected at visit
No
Correction reported
Aug 18, 2023
Technical assistance
Recorded
Finding source ID
1025734805
Visit source ID
905597901
Dec 28, 2022Inspection
No findings recorded
Dec 15, 2022Inspection
5 findings
CPR Training and Recertification Adhere to Guidelines-skill based
Serious
Two caregivers at the operation do not have CPR/First Aid that meet guidelines.
State verification recorded Dec 28, 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 16, 2023
Technical assistance
Not recorded
Finding source ID
1025718873
Visit source ID
905597899
Required Admission Information-Completed Food Allergy Plan
Serious
The operation does not have a food allergy plan for one child in care with an known food allergy.
State verification recorded Dec 28, 2022.
Standard 746.605(16) · Required Admission Information-Completed Food Allergy Plan
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 30, 2022
Technical assistance
Not recorded
Finding source ID
1025959507
Visit source ID
905597899
Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions
Serious
The operation has mediation authorization forms that signed by parents that exceed label directions and authorization forms for mediation not to be used by "said" age group.
State verification recorded Dec 28, 2022.
Standard 746.3803(c) · Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions
State severity
Medium
Corrected at visit
No
Correction reported
Dec 15, 2022
Technical assistance
Recorded
Finding source ID
1025919177
Visit source ID
905597899
Administering Medication - According to Label Directions
Critical
The operation has been administering medication that exceed label directions and do not have a physicians note.
State verification recorded Dec 28, 2022.
Standard 746.3805(a)(1) · Administering Medication - According to Label Directions
State severity
High
Corrected at visit
No
Correction reported
Dec 15, 2022
Technical assistance
Recorded
Finding source ID
1025959508
Visit source ID
905597899
Training Requirements for Employees and Caregivers - Pre-service Training
Serious
Two caregivers that have been employeed for over 90 days do not have the required 24 hours pre-service traning.
State verification recorded Dec 28, 2022.
Standard 746.1301(2)(A) · Training Requirements for Employees and Caregivers - Pre-service Training
State severity
Medium High
Corrected at visit
No
Correction reported
Jan 16, 2023
Technical assistance
Recorded
Finding source ID
1025959506
Visit source ID
905597899
Mar 1, 2022Inspection
No findings recorded
Feb 7, 2022Inspection
No findings recorded
Feb 3, 2022Complaint investigation
1 finding
Child/ Caregiver Ratio - 13 or More Children
Serious
On 02/02/2022, the mini-tots classroom was out of ratio for forty-five minutes during naptime. There were nine children in care and one caregiver in charge. The specified age group was twelve to seventeen months.
State verification recorded Mar 1, 2022.
Standard 746.1601 · Child/ Caregiver Ratio - 13 or More Children
State severity
Medium High
Corrected at visit
No
Correction reported
Feb 22, 2022
Technical assistance
Recorded
Finding source ID
1026134676
Visit source ID
905700902
Feb 1, 2022Inspection
No findings recorded
Jan 27, 2022Inspection
No findings recorded
Jan 18, 2022Inspection
3 findings
Infant May Not Sleep in a Restrictive Device
Critical
An infant was strapped in an infant swing sleeping at naptime.
State verification recorded Jan 27, 2022.
Standard 746.2426 · Infant May Not Sleep in a Restrictive Device
State severity
High
Corrected at visit
No
Correction reported
Jan 18, 2022
Technical assistance
Recorded
Finding source ID
1025920233
Visit source ID
905597894
Diapering Procedures - Caregiver's Hands Washed
Serious
A substitute caregiver hired from a child care temporary employment agency, did not wash their hands after changing an infant's diaper.
State verification recorded Jan 27, 2022.
Standard 746.3505(a) · Diapering Procedures - Caregiver's Hands Washed
State severity
Medium High
Corrected at visit
No
Correction reported
Jan 18, 2022
Technical assistance
Not recorded
Finding source ID
1025879942
Visit source ID
905597894
Diapering Procedures - Wash Infant's Hands
Serious
A substitute caregiver hired from a temporary employment agency, did not wash an infant's hands after changing their diaper.
State verification recorded Jan 27, 2022.
Standard 746.3505(b) · Diapering Procedures - Wash Infant's Hands
State severity
Medium High
Corrected at visit
No
Correction reported
Jan 18, 2022
Technical assistance
Recorded
Finding source ID
1025879941
Visit source ID
905597894
Jan 12, 2022Inspection
No findings recorded
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