“An 11 month old infant was observed sleeping in a restrictive device for approximately ten minutes.”Texas HHSC inspector, Nov 12, 2024 report. Quoted verbatim.
Nov 16, 2023InspectionSeriousImmunization records out of dateTexas: Immunization Records, Exceptions, and Exemptions Current · Medium HighVerified corrected Nov 17, 2023
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Infant · Full-time
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Not provided
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Infant: availability not confirmed
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People, policies & environment
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There was sufficient evidence through video footage that showed a caregiver who was supervising children, walking out of the toddler classroom for more than two minutes during naptime.
State verification recorded Oct 10, 2023.
Standard 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
State severity
High
Corrected at visit
No
Correction reported
Oct 3, 2023
Technical assistance
Recorded
Finding source ID
1026671288
Visit source ID
905909304
Discipline and treatment of children
Critical
There was sufficient evidence through video footage that showed a toddler caregiver yanking and pulling a child.
State verification recorded Oct 10, 2023.
Standard 746.2805(3) · Prohibited Punishments - Grabbing and Pulling
State severity
High
Corrected at visit
No
Correction reported
Oct 3, 2023
Technical assistance
Recorded
Finding source ID
1026671596
Visit source ID
905909304
Mar 28, 2023Inspection
No findings recorded
Mar 26, 2023Complaint investigation
No findings recorded
Nov 30, 2022Inspection
2 findings
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Serious
The director did not have a current CPR on file. The one on file expired 8.2022.
State verification recorded Dec 2, 2022.
Standard 746.1315(b) · Each Caregiver and the Director Must Have Current Training in pediatric CPR
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 14, 2022
Technical assistance
Not recorded
Finding source ID
1026310031
Visit source ID
905766650
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Serious
The director did not have a current first aid on file. The one on file expired 8.2022.
State verification recorded Dec 2, 2022.
Standard 746.1315(a) · Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 14, 2022
Technical assistance
Recorded
Finding source ID
1026310030
Visit source ID
905766650
Dec 15, 2021Inspection
No findings recorded
Dec 8, 2021Inspection
9 findings
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Serious
A child that has a diagnosed food allergy and requires an EpiPen does not have a food allergy plan on file at the operation. Note: The Director received the food allergy plan from the child's parent. The plan is signed and dated by the healthcare professional and parent.
State records correction during the inspection; no separate verification date is shown.
Standard 746.3819 · Food Allergy Emergency Plan Signed by Parents and Health Care Professional
State severity
Medium High
Corrected at visit
Yes
Correction reported
Dec 8, 2021
Technical assistance
Recorded
Finding source ID
1026473971
Visit source ID
905766648
Children's Records Maintained
Serious
A child's record reviewed was missing the following form the admission form: 1. Permission for transportation, 2. A statement of the child?s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use
State verification recorded Dec 15, 2021.
Standard 746.603(a) · Children's Records Maintained
State severity
Medium
Corrected at visit
No
Correction reported
Dec 10, 2021
Technical assistance
Not recorded
Finding source ID
1026434095
Visit source ID
905766648
Infant May Not Sleep in a Restrictive Device
Critical
An 8-month-old infant was observed asleep in a bouncer. Note: A photo was taken. The caregiver removed the child from the bouncer and placed the child in the crib.
State verification recorded Dec 15, 2021.
Standard 746.2426 · Infant May Not Sleep in a Restrictive Device
State severity
High
Corrected at visit
No
Correction reported
Dec 8, 2021
Technical assistance
Recorded
Finding source ID
1026353908
Visit source ID
905766648
Documentation of Fire Inspection
Serious
The operation does not have documentation that a recent fire inspection have been conducted. The last inspection conducted was on 10/27/2020.
State verification recorded Dec 15, 2021.
Standard 746.5103 · Documentation of Fire Inspection
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 15, 2021
Technical assistance
Recorded
Finding source ID
1026473972
Visit source ID
905766648
Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
Serious
An 8-month-old infant was observed asleep in a bouncer with a milk bottle.
State verification recorded Dec 15, 2021.
Standard 746.2419(7) · Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup
State severity
Medium High
Corrected at visit
No
Correction reported
Dec 8, 2021
Technical assistance
Not recorded
Finding source ID
1026473969
Visit source ID
905766648
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Serious
The building and grounds checklist has not been completed on a monthly basis. The checklist was last completed in October. Note: The Director completed the checklist for today during the inspection.
State records correction during the inspection; no separate verification date is shown.
Standard 746.4751(b) · Maintenance Procedures for Active Play - Monthly Maintenance Checklist
State severity
Medium
Corrected at visit
Yes
Correction reported
Dec 8, 2021
Technical assistance
Recorded
Finding source ID
1026353909
Visit source ID
905766648
Maintenance of Building, Grounds and Equipment
Serious
The diaper changing pad in the infant room contains rips/tears in it. Note: The Director replaced the changing pad with a new one that didn't contain any rips/tears in it.
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 8, 2021
Technical assistance
Recorded
Finding source ID
1026514368
Visit source ID
905766648
Immunization Records, Exceptions, and Exemptions Current
Serious
A child enrolled does not have an immunization record on file at the operation. Note: The Director obtained a copy of the child's immunization record during the inspection and placed it in the child's file.
State records correction during the inspection; no separate verification date is shown.
Standard 746.613(b) · Immunization Records, Exceptions, and Exemptions Current
State severity
Medium High
Corrected at visit
Yes
Correction reported
Dec 8, 2021
Technical assistance
Recorded
Finding source ID
1026473970
Visit source ID
905766648
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Serious
The emergency preparedness plan is missing the following: 1. The name and address is missing from the emergency preparedness plan. 2.How your staff will continue to care for the children until each child has been released. 3. How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted. Note: The Director added the missing procedures to the plan during the inspection.
State records correction during the inspection; no separate verification date is shown.
Standard 746.5202(1) · Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
State severity
Medium High
Corrected at visit
Yes
Correction reported
Dec 8, 2021
Technical assistance
Recorded
Finding source ID
1026313644
Visit source ID
905766648
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