“Two staff files hired after 09/01/2023 did not have a pre-employment affidavit available for review.”Texas HHSC inspector, Jun 20, 2024 report. Quoted verbatim.
5findings in 36 months5verified corrected by Texas0corrected during the visit0reported or unverified
Everything above is quoted or counted from Texas HHSC records; nothing is generated. This is not a safety rating.
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Infant · Full-time
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Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
Minor
Two staff observed in the classroom in the role as a caregiver did not have a CPR/First-Aid certification available for review on file. One staff in the infant classroom and one staff observed in the Discover's classroom did not have any form of certification available for Licensing to review.
State verification recorded Oct 19, 2023.
Standard 746.1329(c)(2) · Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests
State severity
Low
Corrected at visit
No
Correction reported
Oct 11, 2023
Technical assistance
Recorded
Finding source ID
1026024906
Visit source ID
905537181
Director Annual Training 30 Hours Required
Serious
A total of 10 out of the required 30 hours were observed for the Designated Director. Topics that were not available for review during the monitor inspection: 1. SIDS/Shaken baby syndrome 2. Brain development 3. Food allergies 4. Administering medication 5. Building and physical premises
State verification recorded Oct 19, 2023.
Standard 746.1311(a) · Director Annual Training 30 Hours Required
State severity
Medium
Corrected at visit
No
Correction reported
Oct 13, 2023
Technical assistance
Recorded
Finding source ID
1025944740
Visit source ID
905537181
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Critical
One infant, 7 months of age was observed with a blanket in the crib during naptime.
State verification recorded Oct 19, 2023.
Standard 746.2415(b) · AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
State severity
High
Corrected at visit
No
Correction reported
Oct 4, 2023
Technical assistance
Recorded
Finding source ID
1025864233
Visit source ID
905537181
Parental Notification - Abuse, Neglect and Exploitation Deficiency Use Form 7266
Serious
As of 10/04/2023, the childcare facility did not notify parents of children enrolled of the abuse/neglect deficiency. The childcare facility was notified of the deficiency on 09/28/2023.
State verification recorded Oct 19, 2023.
Standard 746.311(c) · Parental Notification - Abuse, Neglect and Exploitation Deficiency Use Form 7266
State severity
Medium
Corrected at visit
No
Correction reported
Oct 4, 2023
Technical assistance
Recorded
Finding source ID
1025864234
Visit source ID
905537181
Annual Sanitation Inspection
Serious
The annual sanitation inspection report was dated 07/14/2022.
State verification recorded Oct 5, 2023.
Standard 746.3401(a) · Annual Sanitation Inspection
State severity
Medium High
Corrected at visit
No
Correction reported
Oct 13, 2023
Technical assistance
Recorded
Finding source ID
1026024905
Visit source ID
905537181
Sep 8, 2023Inspection
No findings recorded
Jul 19, 2023Complaint investigation
3 findings
Required Records Maintained and Made Available - Personnel and Training Records
Serious
Based on the information obtained during the DFPS investigation, one staff file was not available for review upon request. There were no training documents available for a staff employed with children under 24 months of age.
State verification recorded Oct 4, 2023.
Standard 746.801(3) · Required Records Maintained and Made Available - Personnel and Training Records
State severity
Medium
Corrected at visit
No
Correction reported
Oct 2, 2023
Technical assistance
Recorded
Finding source ID
1026079868
Visit source ID
905677002
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Serious
Based on the information obtained during the DFPS investigation an incident/illness report was not documented related to an incident that resulted in a child receiving injury. An incident report was not documented, and/or shared with the parent/guardian of the child once the operation was made aware of the incident.
State verification recorded Oct 4, 2023.
Standard 746.701(5) · Licensing Incident/Illness Report Form - Situations Placing Children at Risk
State severity
Medium
Corrected at visit
No
Correction reported
Sep 28, 2023
Technical assistance
Recorded
Finding source ID
1026079872
Visit source ID
905677002
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Critical
Based upon the information gathered during the DFPS investigation, sufficient evidence was available to support a child was popped on their back aggressively during naptime, which resulted in a bruise on the child's back.
State verification recorded Oct 4, 2023.
Standard 746.1201(4) · AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
State severity
High
Corrected at visit
No
Correction reported
Sep 28, 2023
Technical assistance
Recorded
Finding source ID
1026079871
Visit source ID
905677002
Jun 14, 2023Complaint investigation
1 finding
Supervision and child counts
Critical
One child, two years of age exited the side door in the classroom to the outside area unsupervised. The incident resulted in the child being hurt. The caregivers were not in physical proximity and lacked visual awareness of the child during the time of the incident.
State verification recorded Sep 8, 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
Aug 24, 2023
Technical assistance
Recorded
Finding source ID
1026079862
Visit source ID
905677001
Jun 8, 2023Inspection
2 findings
Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child's Reach
Serious
During the walkthrough a water hose, a swimming pool, and sprinkler equipment was observed near the outdoor play area, which was accessible to children.
State verification recorded Jun 8, 2023.
Standard 746.5015(c) · Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child's Reach
State severity
Medium High
Corrected at visit
No
Correction reported
Jun 8, 2023
Technical assistance
Recorded
Finding source ID
1025734344
Visit source ID
905537179
Safety Requirements for Wading Pools - Stored So Do Not Hold Water
Critical
A pool observed had a standing body of water that was accessible to children. The pool was not gated, and the remainder of the pool water was accessible to children while they were outside. The pool water was removed.
State verification recorded Jun 8, 2023.
Standard 746.5013(a)(3) · Safety Requirements for Wading Pools - Stored So Do Not Hold Water
State severity
High
Corrected at visit
No
Correction reported
Jun 8, 2023
Technical assistance
Not recorded
Finding source ID
1025934658
Visit source ID
905537179
Jun 6, 2023Complaint investigation
1 finding
Report Situation Placing Children at Risk
Critical
On 06/05/2023, a child, 2 years of age opened and exited the side door in the Discover's classroom without adult supervision, which led to a gated outside area. As of 06/08/2023, the Director did not report the incident to childcare regulation.
State verification recorded Jun 21, 2023.
Standard 746.305(a)(6) · Report Situation Placing Children at Risk
State severity
High
Corrected at visit
No
Correction reported
Jun 8, 2023
Technical assistance
Recorded
Finding source ID
1026191786
Visit source ID
905677000
Feb 3, 2023Assessment
1 finding
Report Number of Employees
Minor
The employee list was not validated by January 15th as stated in minimum standards.
State verification recorded Feb 7, 2023.
Standard 746.303(b) · Report Number of Employees
State severity
Medium Low
Corrected at visit
No
Correction reported
Feb 3, 2023
Technical assistance
Recorded
Finding source ID
1026197893
Visit source ID
905722856
Nov 17, 2022Inspection
1 finding
Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
Minor
Four staff records contained incomplete training certificates. The training certificates observed did not include the individual's name. The Director stated that the training certificates has not been completed. The Director printed out certificates while Licensing was present in order to document Health and safety audit certificates.
State records correction during the inspection; no separate verification date is shown.
Standard 746.1329(b)(1) · Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
State severity
Medium Low
Corrected at visit
Yes
Correction reported
Nov 17, 2022
Technical assistance
Not recorded
Finding source ID
1025765685
Visit source ID
905537178
Oct 6, 2022Inspection
6 findings
Training Requirements for Employees, Caregivers, and Directors - Orientation
Serious
Eleven out of eleven staff files did not include documentation of orientation. The Director informed that files were not available for review at the center while Licensing was present.
State verification recorded Nov 1, 2022.
Standard 746.1301(1)(A) · Training Requirements for Employees, Caregivers, and Directors - Orientation
State severity
Medium High
Corrected at visit
No
Correction reported
Oct 13, 2022
Technical assistance
Recorded
Finding source ID
1025881742
Visit source ID
905537177
Required Records Maintained and Made Available - Personnel and Training Records
Serious
Training records were not observed during the annual inspection. Staff training records were not available upon request. Training topics related to a Health and Safety Audit were not observed. Training topics not observed include: emergency preparedness, food allergies, abuse and neglect, administering medication, and communicable diseases.
State verification recorded Nov 17, 2022.
Standard 746.801(3) · Required Records Maintained and Made Available - Personnel and Training Records
State severity
Medium
Corrected at visit
No
Correction reported
Oct 21, 2022
Technical assistance
Recorded
Finding source ID
1025721751
Visit source ID
905537177
Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Serious
Eleven out of eleven staff files did not have a CPR/First-aid certification available for review. It was reported that four staff are new and has not obtained the required training. Training files were not available for review.
State verification recorded Oct 21, 2022.
Standard 746.1301(4)(A) · Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
State severity
Medium High
Corrected at visit
No
Correction reported
Oct 20, 2022
Technical assistance
Recorded
Finding source ID
1025881744
Visit source ID
905537177
Documented Annual Training - Remaining training hour topics
Serious
Two caregivers observed within the Toddler classroom did not include training related to children with special needs. One child, 3 years of age with down syndrome was observed within the classroom setting.
State verification recorded Nov 17, 2022.
Standard 746.1309(f) · Documented Annual Training - Remaining training hour topics
State severity
Medium
Corrected at visit
No
Correction reported
Oct 14, 2022
Technical assistance
Recorded
Finding source ID
1025721752
Visit source ID
905537177
Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
Minor
Seven out of eleven staff files did not contain certificates. The training certificates observed did not include the individual's name. The Director stated that the training certificates has not been completed.
State verification recorded Nov 17, 2022.
Standard 746.1329(b)(1) · Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record
State severity
Medium Low
Corrected at visit
No
Correction reported
Oct 13, 2022
Technical assistance
Recorded
Finding source ID
1025881743
Visit source ID
905537177
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Serious
Three infant classrooms observed did not include infant feeding instructions for infants enrolled. Each caregiver per classroom acknowledged that they have not obtained infant feeding instructions for infants in care.
State verification recorded Nov 1, 2022.
Standard 746.2421(a) · Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
State severity
Medium
Corrected at visit
No
Correction reported
Oct 14, 2022
Technical assistance
Recorded
Finding source ID
1025922029
Visit source ID
905537177
Jul 19, 2022Inspection
No findings recorded
Jul 5, 2022Inspection
1 finding
Supervision and child counts
Critical
During the walkthrough, one child was observed walking out of room 104 without adult supervision. Two children were observed walking out of the main room while the caregiver was tending to other children. Four infants were observed strapped in the high chair unattended while the caregiver stepped out the classroom. The Director was informed of the safety concerns observed, and compliance was met immediately.
State verification recorded Jul 19, 2022.
Standard 746.1203(4) · Responsibilities of Caregivers - Supervision of Children
State severity
High
Corrected at visit
No
Correction reported
Jul 8, 2022
Technical assistance
Recorded
Finding source ID
1025959573
Visit source ID
905537175
Jun 29, 2022Complaint investigation
1 finding
Report Outbreak of Communicable Illness
Serious
A total of two COVID cases were not reported to CCR. Documentation was received to portray a positive COVID case on 06/01/2022, and another reported on 06/30/2022. Licensing was not notified of positive cases of communicable diseases within the Childcare facility.
State verification recorded Aug 24, 2022.
Standard 746.305(a)(4) · Report Outbreak of Communicable Illness
State severity
Medium High
Corrected at visit
No
Correction reported
Aug 23, 2022
Technical assistance
Recorded
Finding source ID
1026137344
Visit source ID
905676999
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