“3 out of 10 children's files evaluated did not contain authorization for emergency medical attention.”Texas HHSC inspector, Mar 17, 2026 report. Quoted verbatim.
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Not provided
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Not provided
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Operation and Program Director Annual Training 20 Hours Required
Serious
During a monitoring inspection, the operation director did not have annual training clock hours on file for review. Upon follow up, the director provided documentation showing 12 out of 20 hours of training were completed.
State verification recorded May 22, 2023.
Standard 744.1311(a) · Operation and Program Director Annual Training 20 Hours Required
State severity
Medium
Corrected at visit
No
Correction reported
May 29, 2023
Technical assistance
Not recorded
Finding source ID
1026194198
Visit source ID
905724978
Required Personnel Records
Serious
During the monitoring inspection, the director and caregivers did not have their personnel files available. Upon follow up, the personnel files were not provided.
State verification recorded May 22, 2023.
Standard 744.901 · Required Personnel Records
State severity
Medium
Corrected at visit
No
Correction reported
May 29, 2023
Technical assistance
Not recorded
Finding source ID
1026193918
Visit source ID
905724978
Apr 26, 2023Inspection
10 findings
Required Equipment in Vehicles - First-aid Kit
Critical
I evaluated three transportation vehicles. Two of the vehicles had first aid kits that were missing scissors. One vehicle was missing a first aid kit. Note: Corrected when the missing items were added to the first aid kit and a first aid kit was added to the vehicle.
State records correction during the inspection; no separate verification date is shown.
Standard 744.3817(a)(6) · Required Equipment in Vehicles - First-aid Kit
Three caregivers did not have any annual training clock hours on file for review.
State verification recorded Apr 27, 2023.
Standard 744.1309(a)(1) · Documented Annual Training-15 Hours Required Caregiver
State severity
Medium
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Recorded
Finding source ID
1025949804
Visit source ID
905590142
Required Personnel Records
Serious
The director and caregivers did not have their personnel files available for review during the inspection.
State verification recorded May 19, 2023.
Standard 744.901 · Required Personnel Records
State severity
Medium
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Not recorded
Finding source ID
1025788944
Visit source ID
905590142
Sheltering Drill for Severe Weather- 4 times in a calendar year
Serious
Sheltering drill documentation was not on file for review during the inspection.
State verification recorded Apr 27, 2023.
Standard 744.3559(2) · Sheltering Drill for Severe Weather- 4 times in a calendar year
State severity
Medium High
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Not recorded
Finding source ID
1025788942
Visit source ID
905590142
Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
Critical
Three transportation vehicles used to transport children did not have parent emergency contact information.
State verification recorded May 4, 2023.
Standard 744.3817(a)(4) · Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
State severity
High
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Recorded
Finding source ID
1025788943
Visit source ID
905590142
Operation and Program Director Annual Training 20 Hours Required
Serious
The operation director did not have any annual training clock hours on file for review.
State verification recorded May 19, 2023.
Standard 744.1311(a) · Operation and Program Director Annual Training 20 Hours Required
State severity
Medium
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Not recorded
Finding source ID
1025949805
Visit source ID
905590142
Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.
Serious
The director and three caregivers present during the inspection did not have first aid certification on file for review.
State verification recorded Apr 27, 2023.
Standard 744.1315(a) · Each caregiver, operation director, program director, and site director Training in Pediatric First Aid with Rescue Breathing and Choking.
State severity
Medium High
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Recorded
Finding source ID
1025749271
Visit source ID
905590142
Fire Drill Monthly - Exit in 3 Minutes
Serious
There was no fire drill documentation on file for review during the inspection.
State verification recorded Apr 27, 2023.
Standard 744.3559(1) · Fire Drill Monthly - Exit in 3 Minutes
State severity
Medium High
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Recorded
Finding source ID
1026029959
Visit source ID
905590142
Each caregiver, operation director, program director, and site director Pediatric CPR
Serious
The director and three caregivers present during the inspection did not have CPR certification on file for review.
State verification recorded Apr 27, 2023.
Standard 744.1315(b) · Each caregiver, operation director, program director, and site director Pediatric CPR
State severity
Medium High
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Not recorded
Finding source ID
1025749270
Visit source ID
905590142
Transportation Safety Training
Serious
Three caregivers that transport children did not have transportation training on file for review.
State verification recorded Apr 27, 2023.
Standard 744.1317(a) · Transportation Safety Training
State severity
Medium High
Corrected at visit
No
Correction reported
May 3, 2023
Technical assistance
Recorded
Finding source ID
1025829014
Visit source ID
905590142
Jun 14, 2022Inspection
No findings recorded
Jun 10, 2022Inspection
1 finding
Responsibilities of Caregivers - Know Group Responsible For
Critical
All children in care were gathered in the large room/gym to leave for a field trip. The director did not know the number of children they were responsible for during the inspection. The director stated there were 42 children present but there were 47 children present. There were also 3 caregivers present assisting the children.
State verification recorded Jun 14, 2022.
Standard 744.1203(2) · Responsibilities of Caregivers - Know Group Responsible For
State severity
High
Corrected at visit
No
Correction reported
Jun 10, 2022
Technical assistance
Not recorded
Finding source ID
1025767037
Visit source ID
905590140
Jun 9, 2022Inspection
1 finding
Responsibilities of Caregivers - Know Group Responsible For
Critical
The caregiver in the large room/gym did not know the number of children they were responsible for during the inspection. The caregiver stated there were 40 children present but there were 33 children present.
State verification recorded Jun 10, 2022.
Standard 744.1203(2) · Responsibilities of Caregivers - Know Group Responsible For
State severity
High
Corrected at visit
No
Correction reported
Jun 9, 2022
Technical assistance
Not recorded
Finding source ID
1025760129
Visit source ID
905590139
May 25, 2022Inspection
7 findings
Responsibilities of Caregivers - Know Group Responsible For
Critical
The caregiver in the large room did not know the number of children they were responsible for during the inspection.
State verification recorded Jun 9, 2022.
Standard 744.1203(2) · Responsibilities of Caregivers - Know Group Responsible For
State severity
High
Corrected at visit
No
Correction reported
May 25, 2022
Technical assistance
Not recorded
Finding source ID
1025838787
Visit source ID
905590138
Supervision and child counts
Critical
A caregiver left their group of children unsupervised in a classroom. The caregiver left the group to open the front door for the inspector. The same caregiver was observed leaving their group of children unsupervised again later during the inspection.
State verification recorded Jun 9, 2022.
Standard 744.1203(4) · Responsibilities of Caregivers- Supervision of Children
State severity
High
Corrected at visit
No
Correction reported
May 25, 2022
Technical assistance
Not recorded
Finding source ID
1025798942
Visit source ID
905590138
Responsibilities of Caregivers - Know Children's Names and Ages
Serious
The caregiver in the large room did not know the children names and ages during the inspection.
State verification recorded Jun 9, 2022.
Standard 744.1203(3) · Responsibilities of Caregivers - Know Children's Names and Ages
State severity
Medium High
Corrected at visit
No
Correction reported
May 25, 2022
Technical assistance
Not recorded
Finding source ID
1025999447
Visit source ID
905590138
Emergency Preparedness Plan - Evacuation, Relocation, Sheltering/Lock-Down Procedures
Serious
The emergency preparedness plan is missing the name and address of the alternate shelter away from the operation. Note: Correction was made during the inspection.
State records correction during the inspection; no separate verification date is shown.
Standard 744.3553(1) · Emergency Preparedness Plan - Evacuation, Relocation, Sheltering/Lock-Down Procedures
State severity
Medium High
Corrected at visit
Yes
Correction reported
May 25, 2022
Technical assistance
Not recorded
Finding source ID
1025919266
Visit source ID
905590138
Children's Records Maintained
Serious
Four children records reviewed were missing the following from their admission forms: -Date of admission; -Name and address of emergency contact information; -Special needs acknowledgment
State verification recorded May 27, 2022.
Standard 744.603(a) · Children's Records Maintained
State severity
Medium
Corrected at visit
No
Correction reported
May 27, 2022
Technical assistance
Not recorded
Finding source ID
1025759027
Visit source ID
905590138
Documentation of Drills
Serious
Documentation of the emergency practices was not available for review during the inspection.
State verification recorded Jun 9, 2022.
Standard 744.3559(4) · Documentation of Drills
State severity
Medium
Corrected at visit
No
Correction reported
May 25, 2022
Technical assistance
Recorded
Finding source ID
1025718964
Visit source ID
905590138
Training Requirements for -Transportation, Directors and Each Employee who transports
Serious
The operation's director does not have current transportation training.
State verification recorded May 27, 2022.
Standard 744.1301(7)(A) · Training Requirements for -Transportation, Directors and Each Employee who transports
State severity
Medium High
Corrected at visit
No
Correction reported
May 27, 2022
Technical assistance
Not recorded
Finding source ID
1025718963
Visit source ID
905590138
Your tour, better prepared
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State records and provider information have separate sources. Provider claims do not establish independently verified care quality. Missing data is not evidence of an issue-free record.