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Totally Kids Learning Center

8 critical, 40 serious findings across 36 visits in the last 36 months. Most recent critical finding: Oct 16, 2025.

2211 E Griffin Pkwy, Mission, TX 78572 · (956) 205-2207

At a glance

Safety · last 36 monthsMission licensed centers, n=68
Critical findings8 critical, 40 serious, 0 minor across 28 inspections and 8 investigations (36 visits). Most recent critical: Oct 16, 2025.
Critical8 vs median 4
63% of centers have at least one
Serious40 vs median 34
90% of centers have at least one
QualitySince 2020Full Permit
Practical7a–6pMon–Fri · Infant to school · 78 places

Texas HHSC operation #1707959 · last checked against Texas Sep 15, 2026

Programs and services

From the Texas license. A dash means the state does not list it for this daycare.

  • Meals providedyes
  • Snacks providedyes
  • Before-school carenot listed
  • After-school careyes
  • Transportation to/from schoolnot listed
  • Drop-in carenot listed
  • Part-time careyes
  • Field tripsnot listed
  • Skill classesyes
  • Weekend carenot listed
  • Night carenot listed
  • Accreditednot listed
  • Accepts child care subsidiesyes

Inspection record

Every visit Texas has published, newest first. Visits with findings are shown in full; runs of clean visits are folded into one line. Findings are quoted from the inspector's report with the Texas risk level beside our severity.

  1. 2026
  2. Jun 30, 2026 to Jun 30, 20264 investigations
    No findingsShow
    • Jun 30, 2026 complaint investigation
    • Jun 30, 2026 complaint investigation
    • Jun 30, 2026 complaint investigation
    • Jun 30, 2026 complaint investigation
  3. 2025
  4. Oct 16, 2025Inspection
    3 findings · critical
    • CriticalTexas: High

      Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      Last fire inspection was conducted on 08/27/2024.

      Corrected Oct 30, 2025, verified Nov 3, 2025. Technical assistance given. Standard 746.5101(a).

    • SeriousTexas: Medium

      Required Personnel Records -Training Hours

      One out of eight staff training records reviewed is missing up to date first aid and pediatric CPR training certificate.

      Corrected Oct 23, 2025, verified Nov 5, 2025. Standard 746.901(6).

    • SeriousTexas: Medium High

      Fire Drill Monthly - Exit in 3 Minutes

      Last fire drill was conducted on 08/05/2025.

      Corrected Oct 30, 2025, verified Nov 4, 2025. Standard 746.5205(1).

  5. Oct 16, 2025Inspection
    3 findings · critical
    • CriticalTexas: High

      Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      Last fire inspection was conducted on 08/27/2024.

      Corrected Oct 30, 2025, verified Nov 3, 2025. Technical assistance given. Standard 746.5101(a).

    • SeriousTexas: Medium High

      Fire Drill Monthly - Exit in 3 Minutes

      Last fire drill was conducted on 08/05/2025.

      Corrected Oct 30, 2025, verified Nov 4, 2025. Standard 746.5205(1).

    • SeriousTexas: Medium

      Required Personnel Records -Training Hours

      One out of eight staff training records reviewed is missing up to date first aid and pediatric CPR training certificate.

      Corrected Oct 23, 2025, verified Nov 5, 2025. Standard 746.901(6).

  6. Oct 16, 2025Inspection
    3 findings · critical
    • CriticalTexas: High

      Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      Last fire inspection was conducted on 08/27/2024.

      Corrected Oct 30, 2025, verified Nov 3, 2025. Technical assistance given. Standard 746.5101(a).

    • SeriousTexas: Medium High

      Fire Drill Monthly - Exit in 3 Minutes

      Last fire drill was conducted on 08/05/2025.

      Corrected Oct 30, 2025, verified Nov 4, 2025. Standard 746.5205(1).

    • SeriousTexas: Medium

      Required Personnel Records -Training Hours

      One out of eight staff training records reviewed is missing up to date first aid and pediatric CPR training certificate.

      Corrected Oct 23, 2025, verified Nov 5, 2025. Standard 746.901(6).

  7. Oct 16, 2025Inspection
    3 findings · critical
    • CriticalTexas: High

      Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      Last fire inspection was conducted on 08/27/2024.

      Corrected Oct 30, 2025, verified Nov 3, 2025. Technical assistance given. Standard 746.5101(a).

    • SeriousTexas: Medium High

      Fire Drill Monthly - Exit in 3 Minutes

      Last fire drill was conducted on 08/05/2025.

      Corrected Oct 30, 2025, verified Nov 4, 2025. Standard 746.5205(1).

    • SeriousTexas: Medium

      Required Personnel Records -Training Hours

      One out of eight staff training records reviewed is missing up to date first aid and pediatric CPR training certificate.

      Corrected Oct 23, 2025, verified Nov 5, 2025. Standard 746.901(6).

  8. 2024
  9. Dec 19, 2024 to Dec 19, 20244 inspections
    No findingsShow
    • Dec 19, 2024 inspection
    • Dec 19, 2024 inspection
    • Dec 19, 2024 inspection
    • Dec 19, 2024 inspection
  10. Nov 26, 2024Inspection
    4 findings · serious
    • SeriousTexas: Medium High

      Employee Handwashing After Handling or Cleaning Bodily Fluids

      A caregiver did not wash their hands after handling vomit in a pre-k room. Note: This was addressed with the caregiver and the caregiver washed their hands during the inspection.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.3415(7).

    • SeriousTexas: Medium

      Required Records Maintained and Made Available - Personnel and Training Records

      Three caregivers did not have their training record available for review during the inspection.

      Corrected Dec 2, 2024, verified Dec 19, 2024. Standard 746.801(3).

    • SeriousTexas: Medium High

      Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

      A caregiver did not wear gloves when cleaning up vomit from the floor in a pre-k room.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.3425(1).

    • SeriousTexas: Medium High

      Child/Caregiver Ratio - 18 Months Difference in Age

      Two caregivers were observed caring for seven infants and a school-aged child in the infant room. There was more than an 18 month difference in age between the youngest child and oldest child in the group. The youngest child was 3 months of age and the oldest child was 6 years of age.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.1605(1).

  11. Nov 26, 2024Inspection
    4 findings · serious
    • SeriousTexas: Medium High

      Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

      A caregiver did not wear gloves when cleaning up vomit from the floor in a pre-k room.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.3425(1).

    • SeriousTexas: Medium High

      Employee Handwashing After Handling or Cleaning Bodily Fluids

      A caregiver did not wash their hands after handling vomit in a pre-k room. Note: This was addressed with the caregiver and the caregiver washed their hands during the inspection.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.3415(7).

    • SeriousTexas: Medium High

      Child/Caregiver Ratio - 18 Months Difference in Age

      Two caregivers were observed caring for seven infants and a school-aged child in the infant room. There was more than an 18 month difference in age between the youngest child and oldest child in the group. The youngest child was 3 months of age and the oldest child was 6 years of age.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.1605(1).

    • SeriousTexas: Medium

      Required Records Maintained and Made Available - Personnel and Training Records

      Three caregivers did not have their training record available for review during the inspection.

      Corrected Dec 2, 2024, verified Dec 19, 2024. Standard 746.801(3).

  12. Nov 26, 2024Inspection
    4 findings · serious
    • SeriousTexas: Medium High

      Employee Handwashing After Handling or Cleaning Bodily Fluids

      A caregiver did not wash their hands after handling vomit in a pre-k room. Note: This was addressed with the caregiver and the caregiver washed their hands during the inspection.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.3415(7).

    • SeriousTexas: Medium High

      Child/Caregiver Ratio - 18 Months Difference in Age

      Two caregivers were observed caring for seven infants and a school-aged child in the infant room. There was more than an 18 month difference in age between the youngest child and oldest child in the group. The youngest child was 3 months of age and the oldest child was 6 years of age.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.1605(1).

    • SeriousTexas: Medium High

      Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

      A caregiver did not wear gloves when cleaning up vomit from the floor in a pre-k room.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.3425(1).

    • SeriousTexas: Medium

      Required Records Maintained and Made Available - Personnel and Training Records

      Three caregivers did not have their training record available for review during the inspection.

      Corrected Dec 2, 2024, verified Dec 19, 2024. Standard 746.801(3).

  13. Nov 26, 2024Inspection
    4 findings · serious
    • SeriousTexas: Medium High

      Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

      A caregiver did not wear gloves when cleaning up vomit from the floor in a pre-k room.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.3425(1).

    • SeriousTexas: Medium High

      Employee Handwashing After Handling or Cleaning Bodily Fluids

      A caregiver did not wash their hands after handling vomit in a pre-k room. Note: This was addressed with the caregiver and the caregiver washed their hands during the inspection.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.3415(7).

    • SeriousTexas: Medium High

      Child/Caregiver Ratio - 18 Months Difference in Age

      Two caregivers were observed caring for seven infants and a school-aged child in the infant room. There was more than an 18 month difference in age between the youngest child and oldest child in the group. The youngest child was 3 months of age and the oldest child was 6 years of age.

      Corrected Nov 26, 2024, verified Dec 19, 2024. Technical assistance given. Standard 746.1605(1).

    • SeriousTexas: Medium

      Required Records Maintained and Made Available - Personnel and Training Records

      Three caregivers did not have their training record available for review during the inspection.

      Corrected Dec 2, 2024, verified Dec 19, 2024. Standard 746.801(3).

  14. Jan 8, 2024 to May 6, 202412 inspections and 4 investigations
    No findingsShow
    • May 6, 2024 inspection
    • May 6, 2024 inspection
    • May 6, 2024 inspection
    • May 6, 2024 inspection
    • Apr 12, 2024 inspection
    • Apr 12, 2024 inspection
    • Apr 12, 2024 inspection
    • Apr 12, 2024 inspection
    • Apr 9, 2024 complaint investigation
    • Apr 9, 2024 complaint investigation
    • Apr 9, 2024 complaint investigation
    • Apr 9, 2024 complaint investigation
    • Jan 8, 2024 inspection
    • Jan 8, 2024 inspection
    • Jan 8, 2024 inspection
    • Jan 8, 2024 inspection
  15. 2023
  16. Dec 19, 2023Inspection
    5 findings · critical
    • CriticalTexas: High

      Food Service and Preparation Requirement - No Foods That Present Choking Risk

      Pretzels were served as part of the lunch meal to toddler children. This posed a safety hazard as pretzels present a risk of choking. Note: This was addressed with the staff and all pretzels were removed from the toddler children's plates.

      Corrected Dec 19, 2023, verified Jan 8, 2024. Technical assistance given. Standard 746.3317(7).

    • SeriousTexas: Medium

      Written Operational Policies - Criteria for Extreme Weather

      The operation policies reviewed were missing the criteria the center will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play.

      Corrected Dec 22, 2023, verified Dec 27, 2023. Technical assistance given. Standard 746.501(a)(18)(F).

    • SeriousTexas: Medium High

      Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

      Two caregiver's were missing clock hours of pre-service training. A caregiver with a DOE 08/01/2023 was missing 7 of 24 clock hours of pre-service training. A second caregiver with a DOE 8/28/2023 was missing 16 of 24 clock hours of pre-service training.

      Corrected Dec 27, 2023, verified Jan 8, 2024. Technical assistance given. Standard 746.1301(a)(2)(A).

    • SeriousTexas: Medium High

      Requirements for Feeding Infants - Label Bottles/Cups

      Seven infant bottles were not labeled with the child's name and initial of last name in the infant room. Note: This was CORRECTED during the inspection as the bottles were labeled with the required information.

      Corrected during the inspection. Standard 746.2419(6).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      The Children's Products Certification form that is used to certify that the center has reviewed each of the recall notices issued by the CPSC was not current. Note: This was CORRECTED during the inspection as the CPSC website was reviewed and the form was completed.

      Corrected during the inspection. Technical assistance given. Standard 746.4135(b).

  17. Dec 19, 2023Inspection
    5 findings · critical
    • CriticalTexas: High

      Food Service and Preparation Requirement - No Foods That Present Choking Risk

      Pretzels were served as part of the lunch meal to toddler children. This posed a safety hazard as pretzels present a risk of choking. Note: This was addressed with the staff and all pretzels were removed from the toddler children's plates.

      Corrected Dec 19, 2023, verified Jan 8, 2024. Technical assistance given. Standard 746.3317(7).

    • SeriousTexas: Medium

      Written Operational Policies - Criteria for Extreme Weather

      The operation policies reviewed were missing the criteria the center will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play.

      Corrected Dec 22, 2023, verified Dec 27, 2023. Technical assistance given. Standard 746.501(a)(18)(F).

    • SeriousTexas: Medium High

      Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

      Two caregiver's were missing clock hours of pre-service training. A caregiver with a DOE 08/01/2023 was missing 7 of 24 clock hours of pre-service training. A second caregiver with a DOE 8/28/2023 was missing 16 of 24 clock hours of pre-service training.

      Corrected Dec 27, 2023, verified Jan 8, 2024. Technical assistance given. Standard 746.1301(a)(2)(A).

    • SeriousTexas: Medium High

      Requirements for Feeding Infants - Label Bottles/Cups

      Seven infant bottles were not labeled with the child's name and initial of last name in the infant room. Note: This was CORRECTED during the inspection as the bottles were labeled with the required information.

      Corrected during the inspection. Standard 746.2419(6).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      The Children's Products Certification form that is used to certify that the center has reviewed each of the recall notices issued by the CPSC was not current. Note: This was CORRECTED during the inspection as the CPSC website was reviewed and the form was completed.

      Corrected during the inspection. Technical assistance given. Standard 746.4135(b).

  18. Dec 19, 2023Inspection
    5 findings · critical
    • CriticalTexas: High

      Food Service and Preparation Requirement - No Foods That Present Choking Risk

      Pretzels were served as part of the lunch meal to toddler children. This posed a safety hazard as pretzels present a risk of choking. Note: This was addressed with the staff and all pretzels were removed from the toddler children's plates.

      Corrected Dec 19, 2023, verified Jan 8, 2024. Technical assistance given. Standard 746.3317(7).

    • SeriousTexas: Medium High

      Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

      Two caregiver's were missing clock hours of pre-service training. A caregiver with a DOE 08/01/2023 was missing 7 of 24 clock hours of pre-service training. A second caregiver with a DOE 8/28/2023 was missing 16 of 24 clock hours of pre-service training.

      Corrected Dec 27, 2023, verified Jan 8, 2024. Technical assistance given. Standard 746.1301(a)(2)(A).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      The Children's Products Certification form that is used to certify that the center has reviewed each of the recall notices issued by the CPSC was not current. Note: This was CORRECTED during the inspection as the CPSC website was reviewed and the form was completed.

      Corrected during the inspection. Technical assistance given. Standard 746.4135(b).

    • SeriousTexas: Medium

      Written Operational Policies - Criteria for Extreme Weather

      The operation policies reviewed were missing the criteria the center will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play.

      Corrected Dec 22, 2023, verified Dec 27, 2023. Technical assistance given. Standard 746.501(a)(18)(F).

    • SeriousTexas: Medium High

      Requirements for Feeding Infants - Label Bottles/Cups

      Seven infant bottles were not labeled with the child's name and initial of last name in the infant room. Note: This was CORRECTED during the inspection as the bottles were labeled with the required information.

      Corrected during the inspection. Standard 746.2419(6).

  19. Dec 19, 2023Inspection
    5 findings · critical
    • CriticalTexas: High

      Food Service and Preparation Requirement - No Foods That Present Choking Risk

      Pretzels were served as part of the lunch meal to toddler children. This posed a safety hazard as pretzels present a risk of choking. Note: This was addressed with the staff and all pretzels were removed from the toddler children's plates.

      Corrected Dec 19, 2023, verified Jan 8, 2024. Technical assistance given. Standard 746.3317(7).

    • SeriousTexas: Medium

      Written Operational Policies - Criteria for Extreme Weather

      The operation policies reviewed were missing the criteria the center will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play.

      Corrected Dec 22, 2023, verified Dec 27, 2023. Technical assistance given. Standard 746.501(a)(18)(F).

    • SeriousTexas: Medium

      Children's Products- Annual Certification

      The Children's Products Certification form that is used to certify that the center has reviewed each of the recall notices issued by the CPSC was not current. Note: This was CORRECTED during the inspection as the CPSC website was reviewed and the form was completed.

      Corrected during the inspection. Technical assistance given. Standard 746.4135(b).

    • SeriousTexas: Medium High

      Requirements for Feeding Infants - Label Bottles/Cups

      Seven infant bottles were not labeled with the child's name and initial of last name in the infant room. Note: This was CORRECTED during the inspection as the bottles were labeled with the required information.

      Corrected during the inspection. Standard 746.2419(6).

    • SeriousTexas: Medium High

      Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

      Two caregiver's were missing clock hours of pre-service training. A caregiver with a DOE 08/01/2023 was missing 7 of 24 clock hours of pre-service training. A second caregiver with a DOE 8/28/2023 was missing 16 of 24 clock hours of pre-service training.

      Corrected Dec 27, 2023, verified Jan 8, 2024. Technical assistance given. Standard 746.1301(a)(2)(A).

Show 28 older visits, not counted above
  1. Apr 26, 2023 to Apr 26, 20234 inspections
    No findingsShow
    • Apr 26, 2023 inspection
    • Apr 26, 2023 inspection
    • Apr 26, 2023 inspection
    • Apr 26, 2023 inspection
  2. Mar 20, 2023Assessment
    1 finding · minor
    • MinorTexas: Low

      Director Certificate Not Renewed

      The director's credential was not maintained and no longer current.

      Corrected Apr 20, 2023, verified Apr 26, 2023. Technical assistance given. Standard 746.1057.

  3. Mar 20, 2023Assessment
    1 finding · minor
    • MinorTexas: Low

      Director Certificate Not Renewed

      The director's credential was not maintained and no longer current.

      Corrected Apr 20, 2023, verified Apr 26, 2023. Technical assistance given. Standard 746.1057.

  4. Mar 20, 2023Assessment
    1 finding · minor
    • MinorTexas: Low

      Director Certificate Not Renewed

      The director's credential was not maintained and no longer current.

      Corrected Apr 20, 2023, verified Apr 26, 2023. Technical assistance given. Standard 746.1057.

  5. Mar 20, 2023Assessment
    1 finding · minor
    • MinorTexas: Low

      Director Certificate Not Renewed

      The director's credential was not maintained and no longer current.

      Corrected Apr 20, 2023, verified Apr 26, 2023. Technical assistance given. Standard 746.1057.

  6. Jan 13, 2023Inspection
    2 findings · serious
    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver caring for a group of children was still missing training in Pediatric first aid with rescue breathing and choking. Re-cited.

      Corrected Jan 18, 2023, verified Feb 16, 2023. Standard 746.1315(a).

    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver's pediatric CPR training completed did not adhere to the guidelines for CPR for a layperson established by the American Heart Association. Re-cited.

      Corrected Jan 18, 2023, verified Feb 16, 2023. Standard 746.1315(b)(1).

  7. Jan 13, 2023Inspection
    2 findings · serious
    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver's pediatric CPR training completed did not adhere to the guidelines for CPR for a layperson established by the American Heart Association. Re-cited.

      Corrected Jan 18, 2023, verified Feb 16, 2023. Standard 746.1315(b)(1).

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver caring for a group of children was still missing training in Pediatric first aid with rescue breathing and choking. Re-cited.

      Corrected Jan 18, 2023, verified Feb 16, 2023. Standard 746.1315(a).

  8. Jan 13, 2023Inspection
    2 findings · serious
    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver caring for a group of children was still missing training in Pediatric first aid with rescue breathing and choking. Re-cited.

      Corrected Jan 18, 2023, verified Feb 16, 2023. Standard 746.1315(a).

    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver's pediatric CPR training completed did not adhere to the guidelines for CPR for a layperson established by the American Heart Association. Re-cited.

      Corrected Jan 18, 2023, verified Feb 16, 2023. Standard 746.1315(b)(1).

  9. Jan 13, 2023Inspection
    2 findings · serious
    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver's pediatric CPR training completed did not adhere to the guidelines for CPR for a layperson established by the American Heart Association. Re-cited.

      Corrected Jan 18, 2023, verified Feb 16, 2023. Standard 746.1315(b)(1).

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver caring for a group of children was still missing training in Pediatric first aid with rescue breathing and choking. Re-cited.

      Corrected Jan 18, 2023, verified Feb 16, 2023. Standard 746.1315(a).

  10. 2022
  11. Dec 19, 2022Inspection
    6 findings · critical
    • CriticalTexas: High

      Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

      The center did not have a carbon monoxide detector.

      Corrected Dec 20, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.5531.

    • SeriousTexas: Medium

      Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

      There was no documentation available to verify that the center conducts monthly tests on smoke detectors and carbon monoxide detector or monthly checks on fire extinguishers.

      Corrected Dec 20, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.801(10).

    • SeriousTexas: Medium High

      Posting Requirements - Child's Food Allergy Plans

      A list of a child's food allergies was not posted in the kitchen and in each room where the child spends time. Note: This was CORRECTED during the inspection as a list was created and posted in the required rooms.

      Corrected during the inspection. Technical assistance given. Standard 746.403(b).

    • SeriousTexas: Medium

      Children's Records - Immunizations

      1 of 6 children's immuniation records reivewed was not current.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.603(a)(4).

    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver's pediatric CPR training was completed onlline.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.1315(b)(1).

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver caring for a group of children was missing training in Pediatric first aid with rescue breathing and choking.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.1315(a).

  12. Dec 19, 2022Inspection
    6 findings · critical
    • CriticalTexas: High

      Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

      The center did not have a carbon monoxide detector.

      Corrected Dec 20, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.5531.

    • SeriousTexas: Medium

      Children's Records - Immunizations

      1 of 6 children's immuniation records reivewed was not current.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.603(a)(4).

    • SeriousTexas: Medium High

      Posting Requirements - Child's Food Allergy Plans

      A list of a child's food allergies was not posted in the kitchen and in each room where the child spends time. Note: This was CORRECTED during the inspection as a list was created and posted in the required rooms.

      Corrected during the inspection. Technical assistance given. Standard 746.403(b).

    • SeriousTexas: Medium

      Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

      There was no documentation available to verify that the center conducts monthly tests on smoke detectors and carbon monoxide detector or monthly checks on fire extinguishers.

      Corrected Dec 20, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.801(10).

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver caring for a group of children was missing training in Pediatric first aid with rescue breathing and choking.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.1315(a).

    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver's pediatric CPR training was completed onlline.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.1315(b)(1).

  13. Dec 19, 2022Inspection
    6 findings · critical
    • CriticalTexas: High

      Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

      The center did not have a carbon monoxide detector.

      Corrected Dec 20, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.5531.

    • SeriousTexas: Medium

      Children's Records - Immunizations

      1 of 6 children's immuniation records reivewed was not current.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.603(a)(4).

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver caring for a group of children was missing training in Pediatric first aid with rescue breathing and choking.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.1315(a).

    • SeriousTexas: Medium

      Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

      There was no documentation available to verify that the center conducts monthly tests on smoke detectors and carbon monoxide detector or monthly checks on fire extinguishers.

      Corrected Dec 20, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.801(10).

    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver's pediatric CPR training was completed onlline.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.1315(b)(1).

    • SeriousTexas: Medium High

      Posting Requirements - Child's Food Allergy Plans

      A list of a child's food allergies was not posted in the kitchen and in each room where the child spends time. Note: This was CORRECTED during the inspection as a list was created and posted in the required rooms.

      Corrected during the inspection. Technical assistance given. Standard 746.403(b).

  14. Dec 19, 2022Inspection
    6 findings · critical
    • CriticalTexas: High

      Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

      The center did not have a carbon monoxide detector.

      Corrected Dec 20, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.5531.

    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver's pediatric CPR training was completed onlline.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.1315(b)(1).

    • SeriousTexas: Medium High

      Posting Requirements - Child's Food Allergy Plans

      A list of a child's food allergies was not posted in the kitchen and in each room where the child spends time. Note: This was CORRECTED during the inspection as a list was created and posted in the required rooms.

      Corrected during the inspection. Technical assistance given. Standard 746.403(b).

    • SeriousTexas: Medium

      Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

      There was no documentation available to verify that the center conducts monthly tests on smoke detectors and carbon monoxide detector or monthly checks on fire extinguishers.

      Corrected Dec 20, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.801(10).

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver caring for a group of children was missing training in Pediatric first aid with rescue breathing and choking.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.1315(a).

    • SeriousTexas: Medium

      Children's Records - Immunizations

      1 of 6 children's immuniation records reivewed was not current.

      Corrected Dec 23, 2022, verified Jan 13, 2023. Technical assistance given. Standard 746.603(a)(4).

  15. May 23, 2022Inspection
    1 finding · critical
    • CriticalTexas: High

      Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

      A container of disinfecting wipes, a can of lysol disinfectant spray, and a bottle of hand sanitizer were observed on top of a rolling cart in a toddler room. This posed a safety hazard to children as the cleaning supplies were within children's reach. Note: This was CORRECTED during the inspection as the cleaning supplies were stored out of children's reach.

      Corrected during the inspection. Technical assistance given. Standard 746.3407(12).

  16. May 23, 2022Inspection
    1 finding · critical
    • CriticalTexas: High

      Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

      A container of disinfecting wipes, a can of lysol disinfectant spray, and a bottle of hand sanitizer were observed on top of a rolling cart in a toddler room. This posed a safety hazard to children as the cleaning supplies were within children's reach. Note: This was CORRECTED during the inspection as the cleaning supplies were stored out of children's reach.

      Corrected during the inspection. Technical assistance given. Standard 746.3407(12).

  17. May 23, 2022Inspection
    1 finding · critical
    • CriticalTexas: High

      Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

      A container of disinfecting wipes, a can of lysol disinfectant spray, and a bottle of hand sanitizer were observed on top of a rolling cart in a toddler room. This posed a safety hazard to children as the cleaning supplies were within children's reach. Note: This was CORRECTED during the inspection as the cleaning supplies were stored out of children's reach.

      Corrected during the inspection. Technical assistance given. Standard 746.3407(12).

  18. May 23, 2022Inspection
    1 finding · critical
    • CriticalTexas: High

      Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

      A container of disinfecting wipes, a can of lysol disinfectant spray, and a bottle of hand sanitizer were observed on top of a rolling cart in a toddler room. This posed a safety hazard to children as the cleaning supplies were within children's reach. Note: This was CORRECTED during the inspection as the cleaning supplies were stored out of children's reach.

      Corrected during the inspection. Technical assistance given. Standard 746.3407(12).

  19. Mar 1, 2022Assessment
    1 finding · minor
    • MinorTexas: Medium Low

      Report Number of Employees

      A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.

      Corrected Mar 4, 2022, verified Mar 25, 2022. Technical assistance given. Standard 746.303(b).

  20. Mar 1, 2022Assessment
    1 finding · minor
    • MinorTexas: Medium Low

      Report Number of Employees

      A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.

      Corrected Mar 4, 2022, verified Mar 25, 2022. Technical assistance given. Standard 746.303(b).

  21. Mar 1, 2022Assessment
    1 finding · minor
    • MinorTexas: Medium Low

      Report Number of Employees

      A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.

      Corrected Mar 4, 2022, verified Mar 25, 2022. Technical assistance given. Standard 746.303(b).

  22. Mar 1, 2022Assessment
    1 finding · minor
    • MinorTexas: Medium Low

      Report Number of Employees

      A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.

      Corrected Mar 4, 2022, verified Mar 25, 2022. Technical assistance given. Standard 746.303(b).

  23. 2021
  24. Dec 20, 2021Inspection
    6 findings · serious
    • SeriousTexas: Medium

      Education Outside of U.S.

      A caregiver's education documentation received outside of the United States was not translated into English.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Standard 746.1111.

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver's pediatric first Aid training was expired. The certficate of training had an expiration date of 06/2021.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Technical assistance given. Standard 746.1315(a).

    • SeriousTexas: Medium High

      Required Admission Information - Emergency Contact

      2 of 6 children's records reviewed were missing the child's emergency contact's address. 1 of 6 children's records reviewed did not have an emergency contact listed. Note: This was CORRECTED during the inspection as the required information was documented.

      Corrected during the inspection. Technical assistance given. Standard 746.605(6).

    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver completed standard CPR training online.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Technical assistance given. Standard 746.1315(b)(1).

    • SeriousTexas: Medium

      Documented Annual Training Area - 24 Hours Required

      A caregiver was missing annual training for training year 10/06/2020- 10/05/2021 on the following topics: (1)Recognizing and preventing shaken baby syndrome and abusive head trauma; (2)Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3)Understanding early childhood brain development. -Prevention, recognition, and reporting of child maltreatment; and (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (4) Preventing and responding to emergencies due to food or an allergic reaction; (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (6) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

      Corrected Jan 10, 2022, verified Jan 3, 2022. Technical assistance given. Standard 746.1309(a).

    • SeriousTexas: Medium High

      Food Allergy Emergency Plan Signed by Parents and Health Care Professional

      There was no Food Allergy Emergency Plan available for review for a child with a diagnosed food allergy.

      Corrected Dec 31, 2021, verified Feb 18, 2022. Technical assistance given. Standard 746.3819.

  25. Dec 20, 2021Inspection
    6 findings · serious
    • SeriousTexas: Medium

      Documented Annual Training Area - 24 Hours Required

      A caregiver was missing annual training for training year 10/06/2020- 10/05/2021 on the following topics: (1)Recognizing and preventing shaken baby syndrome and abusive head trauma; (2)Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3)Understanding early childhood brain development. -Prevention, recognition, and reporting of child maltreatment; and (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (4) Preventing and responding to emergencies due to food or an allergic reaction; (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (6) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

      Corrected Jan 10, 2022, verified Jan 3, 2022. Technical assistance given. Standard 746.1309(a).

    • SeriousTexas: Medium High

      Required Admission Information - Emergency Contact

      2 of 6 children's records reviewed were missing the child's emergency contact's address. 1 of 6 children's records reviewed did not have an emergency contact listed. Note: This was CORRECTED during the inspection as the required information was documented.

      Corrected during the inspection. Technical assistance given. Standard 746.605(6).

    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver completed standard CPR training online.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Technical assistance given. Standard 746.1315(b)(1).

    • SeriousTexas: Medium

      Education Outside of U.S.

      A caregiver's education documentation received outside of the United States was not translated into English.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Standard 746.1111.

    • SeriousTexas: Medium High

      Food Allergy Emergency Plan Signed by Parents and Health Care Professional

      There was no Food Allergy Emergency Plan available for review for a child with a diagnosed food allergy.

      Corrected Dec 31, 2021, verified Feb 18, 2022. Technical assistance given. Standard 746.3819.

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver's pediatric first Aid training was expired. The certficate of training had an expiration date of 06/2021.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Technical assistance given. Standard 746.1315(a).

  26. Dec 20, 2021Inspection
    6 findings · serious
    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver completed standard CPR training online.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Technical assistance given. Standard 746.1315(b)(1).

    • SeriousTexas: Medium High

      Required Admission Information - Emergency Contact

      2 of 6 children's records reviewed were missing the child's emergency contact's address. 1 of 6 children's records reviewed did not have an emergency contact listed. Note: This was CORRECTED during the inspection as the required information was documented.

      Corrected during the inspection. Technical assistance given. Standard 746.605(6).

    • SeriousTexas: Medium

      Education Outside of U.S.

      A caregiver's education documentation received outside of the United States was not translated into English.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Standard 746.1111.

    • SeriousTexas: Medium

      Documented Annual Training Area - 24 Hours Required

      A caregiver was missing annual training for training year 10/06/2020- 10/05/2021 on the following topics: (1)Recognizing and preventing shaken baby syndrome and abusive head trauma; (2)Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3)Understanding early childhood brain development. -Prevention, recognition, and reporting of child maltreatment; and (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (4) Preventing and responding to emergencies due to food or an allergic reaction; (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (6) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

      Corrected Jan 10, 2022, verified Jan 3, 2022. Technical assistance given. Standard 746.1309(a).

    • SeriousTexas: Medium High

      Food Allergy Emergency Plan Signed by Parents and Health Care Professional

      There was no Food Allergy Emergency Plan available for review for a child with a diagnosed food allergy.

      Corrected Dec 31, 2021, verified Feb 18, 2022. Technical assistance given. Standard 746.3819.

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver's pediatric first Aid training was expired. The certficate of training had an expiration date of 06/2021.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Technical assistance given. Standard 746.1315(a).

  27. Dec 20, 2021Inspection
    6 findings · serious
    • SeriousTexas: Medium High

      CPR Training and Recertification Adhere to Guidelines-skill based

      A caregiver completed standard CPR training online.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Technical assistance given. Standard 746.1315(b)(1).

    • SeriousTexas: Medium High

      Food Allergy Emergency Plan Signed by Parents and Health Care Professional

      There was no Food Allergy Emergency Plan available for review for a child with a diagnosed food allergy.

      Corrected Dec 31, 2021, verified Feb 18, 2022. Technical assistance given. Standard 746.3819.

    • SeriousTexas: Medium

      Education Outside of U.S.

      A caregiver's education documentation received outside of the United States was not translated into English.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Standard 746.1111.

    • SeriousTexas: Medium High

      Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      A caregiver's pediatric first Aid training was expired. The certficate of training had an expiration date of 06/2021.

      Corrected Dec 31, 2021, verified Jan 3, 2022. Technical assistance given. Standard 746.1315(a).

    • SeriousTexas: Medium High

      Required Admission Information - Emergency Contact

      2 of 6 children's records reviewed were missing the child's emergency contact's address. 1 of 6 children's records reviewed did not have an emergency contact listed. Note: This was CORRECTED during the inspection as the required information was documented.

      Corrected during the inspection. Technical assistance given. Standard 746.605(6).

    • SeriousTexas: Medium

      Documented Annual Training Area - 24 Hours Required

      A caregiver was missing annual training for training year 10/06/2020- 10/05/2021 on the following topics: (1)Recognizing and preventing shaken baby syndrome and abusive head trauma; (2)Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3)Understanding early childhood brain development. -Prevention, recognition, and reporting of child maltreatment; and (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (4) Preventing and responding to emergencies due to food or an allergic reaction; (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (6) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

      Corrected Jan 10, 2022, verified Jan 3, 2022. Technical assistance given. Standard 746.1309(a).

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