745.641 · AP Background check results - Must receive notification prior to allowing subject to be present at your operation

Primary caregiver left JPS employee alone with children while she went to the store. JPS employee does not have a background check.

Corrected Corrected by Feb 6, 2024

Category: ratio. Marked corrected in the state record.

747.203 · Primary Caregiver's Absence - Qualified Caregiver in Charge

Primary caregiver left JPS employee in charge of the children while primary caregiver went to the store. JPS caregiver does not have a background check.This was corrected at inspection by pimary caregiver coming back to the residence.

Corrected Corrected by Feb 6, 2024

Marked corrected in the state record.

747.5005(1) · Fire Drill Monthly - Exit in 3 Minutes

Operation did not complete a June 2023 fire drill. This was corrected at inspection.

Corrected Corrected by Jul 13, 2023

Category: physical safety. Marked corrected in the state record.

747.5337(a)(2) · Electric or Battery Operated CO System-Test Monthly

Last documented carbon monoxide test was dated for 4/2023. This was corrected at inspection.

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.

747.5115 · Smoke Detectors Testing

Last documented smoke detector test was dated for 4/2023. This was corrected at inspection.

Corrected Corrected by Jul 13, 2023

Marked corrected in the state record.

747.3307(d) · Diapering Procedures- Sanitizing the Diapering Area

Caregiver did not sanitize the diapering-changing surface after each use. This was corrected at inspection.

Corrected Corrected by May 23, 2023

Category: health medication. Marked corrected in the state record.

747.3307(c) · Diapering Procedures - Use Disposable Gloves

Caregiver did not discard gloves after each diaper change and wash your hands with soap and running water. This was corrected at inspection.

Corrected Corrected by May 23, 2023

Category: health medication. Marked corrected in the state record.

747.205 · Primary Caregiver Routinely Present During Operating Hours

Primary caregiver is not routinely present at the childcare home.

Corrected Corrected by Feb 13, 2023

Marked corrected in the state record.

745.635(3) · AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

The operation allowed a caregiver with a provisional background check to be left at the operation alone with children unsupervised.

Corrected Corrected by Feb 9, 2023

Category: background checks. Marked corrected in the state record.

747.3211(4) · Caregiver Handwashing After Diapering a Child

Caregiver did not wash hands before changing another child. This was corrected at inspection by having the caregiver wash her hands.

Corrected Corrected by Jan 26, 2023

Category: health medication. Marked corrected in the state record.

747.3213(3) · Children Handwashing After Toileting or Diapering

Caregiver did not wash the children's hands after diapering. This was corrected at inspection by washing the children's hands.

Corrected Corrected by Jan 26, 2023

Category: health medication. Marked corrected in the state record.

747.401(a)(5) · Posting Requirements-List of Employees

Caregiver does not have a list of employees posted.

Corrected Corrected by Jan 20, 2023

Marked corrected in the state record.

747.501(11) · Written Operational Policies - Instructions for Contacting Licensing Office/Online and TX Abuse & Neglect Hotline

Policies lacked instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website.

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

747.501(7) · Written Operational Policies - Animals

There is no animal policy regarding the dogs in the home.

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

747.3703(b) · Animals at Center - Statement of Health from Veterinarian

2 of the dogs in the home lacked health statements.

Corrected Corrected by Jan 20, 2023

Category: health medication. Marked corrected in the state record.

747.501(10) · Written Operational Policies - Procedures for Parents Review Licensing Rules and Reports

Policies lacked procedures for parents to review a copy of the child-care home's most recent Licensing inspection report and how the parent may access the minimum standards online

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

747.2317(2)(B) · Activities for Infants - Not in Restrictive Device for more than 15 Minutes

An 11 month old was in a restrictive device (bouncer) over 30 minutes. This was corrected at inspection by removing the infant from the device.

Corrected Corrected by Jan 13, 2023

Category: physical safety. Marked corrected in the state record.

747.603(a)(3) · Children's Records - Health Statement

4 children's files lacked health statements.

Corrected Corrected by Jan 20, 2023

Category: health medication. Marked corrected in the state record.

747.501(12) · Written Operational Policies - Emergency Preparedness Plan

Operational policies lacked emergency preparedness plan.

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

747.1313(a) · Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers

Primary caregiver CPR first aid certificate is expired with a date of 5/5/2020 for completion date.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

747.401(a)(2) · Posting Requirements-Inspection Report

Inspection report posted has a date of 3/12/2019. This is not the most recent inspection report.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

747.2311(1) · Safety Requirements for Play Yards - Use and Clean According to Manufacturer's Instructions

The substitute caregiver placed a child in play yard with no mattress. There was cardboard and board of wood under the sheet. The play yard did not have manufactures mattress.

Corrected Corrected by Jan 20, 2023

Category: physical safety. Marked corrected in the state record.

747.1501(c)(1) · Responsibilities of Employees and Caregivers -Competency, Good Judgment, Self-control

The substitute caregiver left an infant on the changing table unattended and the infant fell off the changing table.

Corrected Corrected by Jan 13, 2023

Marked corrected in the state record.

747.1313(b) · Pediatric First-Aid and Pediatric CPR Training -skill based and hands on

Subsitute caregiver informed that current CPR training was 100% online and did not involve the use of a mankin.

Corrected Corrected by Jan 31, 2023

Category: recordkeeping. Marked corrected in the state record.

747.501(6) · Written Operational Policies - Safe Sleep for Infants

There is no safe sleep policy in operational policies.

Corrected Corrected by Jan 20, 2023

Category: ratio. Marked corrected in the state record.

747.3213(1) · Children Handwashing Before Eating

Substitute caregiver served food to youth before hand washing. This was corrected at inspection by completing hand washing.

Corrected Corrected by Jan 13, 2023

Marked corrected in the state record.

747.801(14) · Records Maintained and Made Available - Proof of Liability Insurance

Only 2 children's files had notice of lack of liability insurance.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

747.3935(c) · Children's Products- Posting of CPSC website

The children products certification form was located in the primary caregivers file in a binder. It was not posted in a publicly accessible place for parents. This was corrected at inspection by placing the new cpsc form with the date of 1/3/2023 over the cpsc form posted with a date of 1/5/2021.

Corrected Corrected by Jan 13, 2023

Marked corrected in the state record.

747.605(6) · Required Admission Information - Emergency Contact

4 children's files lacked the address to the emergency contact.

Corrected Corrected by Jan 20, 2023

Category: physical safety. Marked corrected in the state record.

747.3703(a) · Animals at Center - Documentation of Vaccinations

4 pets in the home had expired rabies vaccinations with the due date of 8/21/2022.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

747.605(14) · Required Admission Information - School Information for School-age Child

School information was not included in admission information.

Corrected Corrected by Jan 20, 2023

Marked corrected in the state record.

747.401(a)(3) · Posting Requirements-Keeping Children Safe Poster

Caregiver does not have Keeping Children Safe notice posted.

Corrected Corrected by Jan 20, 2023

Marked corrected in the state record.

747.801(2) · Records Maintained and Made Available - Infant Feeding Instructions

11 month old infant did not have infant feeding instructions in the file.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

747.901(4) · Personnel Records - Required Affidavit

Substitute caregiver's file lacked affidavit for applicants for employment form.

Corrected Corrected by Jan 20, 2023

Category: recordkeeping. Marked corrected in the state record.

745.641 · AP Background check results - Must receive notification prior to allowing subject to be present at your operation

The operation has a person in the home that has a pending background check. The person has access to the children.

Corrected Corrected by Nov 29, 2022

Category: ratio. Marked corrected in the state record.

747.2105(a) · Screen Time Activities - Not Used for Under Two

A caregiver turned on the television while supervising children under the age of 24 months.

Corrected Corrected by Nov 29, 2022

Marked corrected in the state record.

747.2311(1) · Safety Requirements for Play Yards - Use and Clean According to Manufacturer's Instructions

During nap time the play yards were covered with blankets on the sides blocking inside and outside view.This was corrected at inspection by removing the blankets.

Corrected Corrected by Nov 29, 2022

Category: physical safety. Marked corrected in the state record.

747.3203 · Sanitation of Building, Grounds and Equipment

Several piles of dog feces was observed in the backyard. Three fence panels were observed to have large holes with one panel containing a protrusion hazard.

Corrected Corrected by Dec 2, 2022

Category: physical safety. Marked corrected in the state record.

747.2319(6) · Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup

During naptime one infant was sleeping in a pack and play with a bottle.

Corrected Corrected by Nov 29, 2022

Category: physical safety. Marked corrected in the state record.

747.3203 · Sanitation of Building, Grounds and Equipment

Several piles of dog feces was observed in the backyard. Three fence panels were observed to have large holes with one panel containing a protrusion hazard.

Corrected Corrected by Dec 2, 2022

Category: physical safety. Marked corrected in the state record.

747.1501(c)(4) · Additional Responsibilities of Caregivers- Supervision of Children Adjusting Appropriately for Different Ages and Abilities

The caregiver was unaware that a child was left unattended in a bathroom. The caregiver did not know the ages of the children that they were supervising. The caregiver did not know the names of the children that they were supervising.

Corrected Corrected by Nov 18, 2022

Category: supervision. Marked corrected in the state record.

747.2105(a) · Screen Time Activities - Not Used for Under Two

A caregiver turned on the television while supervising children under the age of 24 months.

Corrected Corrected by Nov 18, 2022

Marked corrected in the state record.

747.3211(4) · Caregiver Handwashing After Diapering a Child

A caregiver did not wash their hands after changing two children's diapers.

Corrected Corrected by Nov 18, 2022

Category: health medication. Marked corrected in the state record.

747.5105 · Mounting of Fire Extinguishers

The fire extingusher was not mounted nor fully charged.

Corrected Corrected by Nov 21, 2022

Category: physical safety. Marked corrected in the state record.

747.3213(1) · Children Handwashing Before Eating

Two children's hands were not washed before eating and after diaper changes.

Corrected Corrected by Nov 18, 2022

Marked corrected in the state record.

747.1303(1)(A) · Training Requirements for Caregivers - Orientation

The substitute caregiver did not have required trainings available at the time of inspection.

Corrected Corrected by Dec 2, 2022

Category: recordkeeping. Marked corrected in the state record.

747.203 · Primary Caregiver's Absence - Qualified Caregiver in Charge

A household memeber was seen left alone with children in care.

Corrected Corrected by Aug 22, 2022

Marked corrected in the state record.

745.641 · AP Background check results - Must receive notification prior to allowing subject to be present at your operation

There were two ladies at the home with pending background checks with 8 children in care,

Corrected Corrected by Sep 2, 2022

Category: ratio. Marked corrected in the state record.

747.1303(4)(A) · Training Requirements for Caregivers Licensed -24 hours Annual Training

A household memeber was left in charge completing a substitute duties. The caregiver is missing a total of 24 hours of training in the following topics: Child abuse, Child growth and development, postiive guidance and discpline, age appropriate currciculum, infection control, sids, injury prevention, poison prevention, and emergency planning.

Corrected Corrected by Aug 22, 2022

Category: recordkeeping. Marked corrected in the state record.

747.2405(4)(A) · Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler

There were two training cups and a bottle seen on the counter not labeled.

Corrected Corrected by Aug 12, 2022

Category: recordkeeping. Marked corrected in the state record.

747.3935(b) · Children's Products- Annual Certification

The children's product certification verification form was last completed on 1/5/2021.

Corrected Corrected by Aug 12, 2022

Marked corrected in the state record.

747.4303(b) · Cots, Beds, Mats Labeled With Child's Name

There were mats seen at the home, but did not have the labels of the children name on the mats.

Corrected Corrected by Aug 12, 2022

Marked corrected in the state record.

747.501(8)(A) · Written Operational Policies - Duration of Physical Activity

-The operational policies did not have information on how parents can contact licensing or the abuse and neglect hotline. -The operatinoal policies did not have information on vaccine preventable diseases for the employees.

Corrected Corrected by Aug 12, 2022

Category: ratio. Marked corrected in the state record.

745.621(a)(7) · AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

There were two people seen at the home without a cleared background check. -One lady left the home at the home at the time of inspection. An administrative penalty in the amount of 100% of the daily maximum, per HRC 42.078(a-2) will be recommended as a result of this citation. An additional penalty in the amount of the daily maximum will be recommended for each day past the Compliance Date that the deficiency is not corrected. It is your responsibility to notify Licensing when you have corrected the deficiency

Corrected Corrected by Aug 5, 2022

Category: background checks. Marked corrected in the state record.

747.3113(1) · Maintain Menus

The menu observed at the operation was for infants and was only completed for lunch,pm snack, and super.

Corrected Corrected by Aug 12, 2022

Marked corrected in the state record.

747.3803(a) · First Aid Kit - Complete Kit

A first aid kit was seen at the home incomplete. The first aid kit was missing: A pair of gloves, assorted sized bandaids,guaze that are enclosed, antescpetic that is useful ( The antesceptic was dry) , Tape, and a thermometer.

Corrected Corrected by Aug 12, 2022

Marked corrected in the state record.