“There is sufficient evidence to support that a caregiver did not use good judgment when pulling a child's arm causing nurse's maid elbow.”Texas HHSC inspector, May 5, 2026 report. Quoted verbatim.
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Infant · Full-time
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Based on the information gathered during this investigation, the operation failed to properly supervise a child in care, who was found outside of the fence.
State verification recorded Nov 14, 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
Nov 2, 2023
Technical assistance
Recorded
Finding source ID
1026681078
Visit source ID
905931741
Maintenance Procedures for Active Play - Inspect Daily
Serious
Based on the information obtained during this investigation, the operation failed to conduct daily maintenance procedures, resulting in a child getting out of the fence unattended.
State verification recorded Nov 30, 2023.
Standard 746.4751(a) · Maintenance Procedures for Active Play - Inspect Daily
State severity
Medium High
Corrected at visit
No
Correction reported
Nov 2, 2023
Technical assistance
Recorded
Finding source ID
1026685886
Visit source ID
905931741
Aug 17, 2023Inspection
8 findings
Annual Sanitation Inspection
Serious
During the inspection, the operation did not have the most recent sanitation inspection report available to review.
State verification recorded Aug 30, 2023.
Standard 746.3401(a) · Annual Sanitation Inspection
State severity
Medium High
Corrected at visit
No
Correction reported
Aug 17, 2023
Technical assistance
Recorded
Finding source ID
1026240495
Visit source ID
905823759
Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Serious
During the inspection, the operation had not conducted a carbon monoxide detector test since June of 2023.
State verification recorded Aug 31, 2023.
Standard 746.5537(a)(2) · Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
State severity
Medium High
Corrected at visit
No
Correction reported
Aug 17, 2023
Technical assistance
Recorded
Finding source ID
1026280319
Visit source ID
905823759
Maintenance Procedures for Active Play - Inspect Daily
Serious
During the inspection the operation did not ensure the active play space or equipment was free from hazards prior to children playing outdoors. Note: During the inspection, the operation walked the play space and the equipment. All corrections were made.
State records correction during the inspection; no separate verification date is shown.
Standard 746.4751(a) · Maintenance Procedures for Active Play - Inspect Daily
State severity
Medium High
Corrected at visit
Yes
Correction reported
Aug 17, 2023
Technical assistance
Recorded
Finding source ID
1026441075
Visit source ID
905823759
Required Records Maintained and Made Available - Playground Maintenance Records
Serious
The operation did not have the playground maintenance checklist available to review during the inspection.
State verification recorded Aug 30, 2023.
Standard 746.801(8) · Required Records Maintained and Made Available - Playground Maintenance Records
State severity
Medium
Corrected at visit
No
Correction reported
Aug 17, 2023
Technical assistance
Not recorded
Finding source ID
1026280320
Visit source ID
905823759
Animals at Center - Statement of Health from Veterinarian
Serious
During the inspection, I observed two birds and a dog who did not have a statement of health from the local veterinarian.
State verification recorded Aug 30, 2023.
Standard 746.3903(b) · Animals at Center - Statement of Health from Veterinarian
State severity
Medium
Corrected at visit
No
Correction reported
Aug 17, 2023
Technical assistance
Recorded
Finding source ID
1026240494
Visit source ID
905823759
Inspect Fire Extinguishers Monthly
Serious
During the inspection, the operation had not inspected fire extinghushers since June of 2023.
State verification recorded Aug 31, 2023.
Standard 746.5307(a) · Inspect Fire Extinguishers Monthly
State severity
Medium High
Corrected at visit
No
Correction reported
Aug 17, 2023
Technical assistance
Recorded
Finding source ID
1026521493
Visit source ID
905823759
Fire Drill Monthly - Exit in 3 Minutes
Serious
During the inspection, the operation had not conducted a fire drill since June of 2023.
State verification recorded Sep 19, 2023.
Standard 746.5205(1) · Fire Drill Monthly - Exit in 3 Minutes
State severity
Medium High
Corrected at visit
No
Correction reported
Aug 17, 2023
Technical assistance
Recorded
Finding source ID
1026401186
Visit source ID
905823759
Smoke Detectors Testing
Critical
During the inspection, the operation had not tested the smoke detectors since June of 2023.
State verification recorded Aug 31, 2023.
Standard 746.5319 · Smoke Detectors Testing
State severity
High
Corrected at visit
No
Correction reported
Aug 17, 2023
Technical assistance
Recorded
Finding source ID
1026320837
Visit source ID
905823759
Aug 24, 2022Inspection
No findings recorded
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