“During an investigation, it was determined that the method that the caregiver reached and placed the children on the cot was inappropriate.”Texas HHSC inspector, Sep 30, 2024 report. Quoted verbatim.
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Infant · Full-time
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Infant: availability not confirmed
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People, policies & environment
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There were three children's records that lacked the updated immunization record for their current age.
State verification recorded Dec 27, 2023.
Standard 746.603(a)(4) · Children's Records - Immunizations
State severity
Medium
Corrected at visit
No
Correction reported
Dec 22, 2023
Technical assistance
Recorded
Finding source ID
1025756943
Visit source ID
905573325
Written Feeding Instructions - Review and Update Every 30 Days
Serious
There were four infants that lacked the updated written feeding instructions from the parent.
State verification recorded Nov 28, 2023.
Standard 746.2421(b) · Written Feeding Instructions - Review and Update Every 30 Days
State severity
Medium
Corrected at visit
No
Correction reported
Oct 12, 2023
Technical assistance
Recorded
Finding source ID
1025756941
Visit source ID
905573325
Jul 25, 2023Inspection
No findings recorded
Jun 13, 2023Inspection
No findings recorded
Jun 8, 2023Complaint investigation
No findings recorded
Jun 2, 2023Complaint investigation
No findings recorded
Feb 3, 2023Inspection
1 finding
Employee Handwashing After Removing Gloves
Serious
A caregiver did not wash hands after removing the glove. This was corrected at the inspection when the inspector pointed it out. The caregiver washed her hands.
State records correction during the inspection; no separate verification date is shown.
Standard 746.3415(13) · Employee Handwashing After Removing Gloves
State severity
Medium High
Corrected at visit
Yes
Correction reported
Feb 3, 2023
Technical assistance
Recorded
Finding source ID
1025719789
Visit source ID
905573322
Jan 10, 2023Inspection
2 findings
Employee Handwashing After Removing Gloves
Serious
A caregiver did not wash hands after removing the glove and replacing it with a new one.
State verification recorded Feb 3, 2023.
Standard 746.3415(13) · Employee Handwashing After Removing Gloves
State severity
Medium High
Corrected at visit
No
Correction reported
Jan 13, 2023
Technical assistance
Recorded
Finding source ID
1025843126
Visit source ID
905573321
Food safety and dietary needs
Serious
The caregiver in Infant 3 classroom was providing the infants the snacks on their hands. The process continued after each infant ate it and reached out for more. This was corrected during the inspection when the inspector stopped the method of serving. The caregiver placed a napkin down on the table and placed the snack on it for the children to reach and eat it.
State records correction during the inspection; no separate verification date is shown.
Standard 746.3317(6) · Food Service and Preparation Requirement - Use Sanitary Holders
State severity
Medium High
Corrected at visit
Yes
Correction reported
Jan 10, 2023
Technical assistance
Recorded
Finding source ID
1026003799
Visit source ID
905573321
Dec 30, 2022Complaint investigation
No findings recorded
Oct 11, 2022Inspection
4 findings
Children's Records - Health Statement
Serious
Two children's files required the health statement from a health care professional.
State verification recorded Oct 26, 2022.
Standard 746.603(a)(3) · Children's Records - Health Statement
State severity
Medium
Corrected at visit
No
Correction reported
Oct 25, 2022
Technical assistance
Not recorded
Finding source ID
1025882391
Visit source ID
905573320
Required Records Maintained and Made Available - Infant Feeding Instructions
Serious
Eight infants did not have the updated written infant feeding instructions. The instructions last signed by a parent were some in August and others in September.
State verification recorded Oct 26, 2022.
Standard 746.801(2) · Required Records Maintained and Made Available - Infant Feeding Instructions
State severity
Medium
Corrected at visit
No
Correction reported
Oct 17, 2022
Technical assistance
Not recorded
Finding source ID
1025842193
Visit source ID
905573320
Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Serious
Two caregivers did not have the educational qualifications on file. One caregivers document was received during the inspection.
State verification recorded Oct 12, 2022.
Standard 746.1107(2) · Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
State severity
Medium High
Corrected at visit
No
Correction reported
Oct 14, 2022
Technical assistance
Not recorded
Finding source ID
1025762387
Visit source ID
905573320
Children's Records - Immunizations
Serious
Nine children's files lacked the updated immunization record.
State verification recorded Oct 26, 2022.
Standard 746.603(a)(4) · Children's Records - Immunizations
State severity
Medium
Corrected at visit
No
Correction reported
Oct 25, 2022
Technical assistance
Recorded
Finding source ID
1026002896
Visit source ID
905573320
Jul 1, 2022Inspection
No findings recorded
Jun 24, 2022Complaint investigation
1 finding
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Critical
The operation staff lacked judgment when it leased a dunk tank that was set on concrete with no other safety precautions taken. In addition, a substance was used on the slip n slide to create bubbles.
State verification recorded Sep 19, 2022.
Standard 746.1201(1) · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
State severity
High
Corrected at visit
No
Correction reported
Sep 23, 2022
Technical assistance
Recorded
Finding source ID
1026066487
Visit source ID
905691916
Jun 17, 2022Inspection
1 finding
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
Serious
There was a crib in infant 3 classroom that was blocking the door. This was corrected at inspection when the crib was moved away from the door.
State records correction during the inspection; no separate verification date is shown.
Standard 746.2909(1) · Arrangement of Napping Equipment - Not Blocking Entrances or Exits
State severity
Medium High
Corrected at visit
Yes
Correction reported
Jun 17, 2022
Technical assistance
Not recorded
Finding source ID
1025806541
Visit source ID
905573318
May 19, 2022Inspection
1 finding
Child/ Caregiver Ratio - 13 or More Children
Serious
Infant 3 had 6 infants in care with 1 caregiver. The specified age group (SAG) was 14 months. Toddler 1 had 14 children in care with 2 caregivers. The SAG was 17 months. Both classrooms had 1 child over the child/caregiver ratio.
State verification recorded Jun 17, 2022.
Standard 746.1601 · Child/ Caregiver Ratio - 13 or More Children
State severity
Medium High
Corrected at visit
No
Correction reported
May 26, 2022
Technical assistance
Recorded
Finding source ID
1026000047
Visit source ID
905573317
May 18, 2022Complaint investigation
2 findings
Provide Access to Children's Records - Parents
Serious
The parent's name was on the admission form. The parent was not provided access to the child's records when requested. It was provided after further documentation was received by the operation.
State verification recorded Aug 1, 2022.
Standard 746.601(b) · Provide Access to Children's Records - Parents
State severity
Medium
Corrected at visit
No
Correction reported
Jul 22, 2022
Technical assistance
Recorded
Finding source ID
1026066483
Visit source ID
905691915
Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
Minor
The operational policies state the parents must obtain management approval to enter the classrooms.
State verification recorded Aug 1, 2022.
Standard 746.501(b)(1) · Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
State severity
Medium Low
Corrected at visit
No
Correction reported
Jul 22, 2022
Technical assistance
Not recorded
Finding source ID
1026066484
Visit source ID
905691915
Apr 22, 2022Inspection
1 finding
Responsibilities of Caregivers - Free of other activities
Serious
A caregiver in care of a group of children on the playground was seen using personal cell phone.
State verification recorded May 19, 2022.
Standard 746.1203(6) · Responsibilities of Caregivers - Free of other activities
State severity
Medium High
Corrected at visit
No
Correction reported
Apr 27, 2022
Technical assistance
Recorded
Finding source ID
1025998538
Visit source ID
905573316
Mar 31, 2022Inspection
No findings recorded
Mar 29, 2022Self-reported incident
No findings recorded
Mar 22, 2022Complaint investigation
No findings recorded
Nov 4, 2021Inspection
No findings recorded
Oct 8, 2021Complaint investigation
No findings recorded
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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.