• High

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

  At time of inspection, one caregiver with a pending background check was present supervising seven children alone.

  Corrected Corrected by Apr 10, 2026

  Category: ratio. Marked corrected in the state record.

• Medium

  746.4003(a) · First Aid Kit - Incomplete Kit

  During the inspection, the first aid kit was missing adhesive tape, bandaids and thermometer.

  Corrected Corrected by Jul 25, 2025

  Marked corrected in the state record.

• High

  746.201(1) · Policies Comply with Rules

  During the application inspection, the opertational policies were viewed and the following were missing: (5) Procedures for handling medical emergencies (15) Water activities (23) Instructions on how a parent may access the (A) Minimum standards online; (B) Texas Abuse and Neglect Hotline; and (C) HHSC website. (26) Preventing and responding to abuse and neglect of children, including: (A)Required annual training for employees; (B) Methods for increasing employee and parent awareness of issues regarding child abuse and neglect, including warning signs that a child may be a victim of abuse or neglect and factors indicating a child is at risk for abuse or neglect; (C) Methods for increasing employee and parent awareness ofprevention techniques for child abuse and neglect; (D) Strategies for coordination between the center and appropriate community organizations [Medium]; and (E) Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect (28) Information on vaccine-preventable diseases for employees, unless your center is in the home of the permit holder. The policy must address the requirements outlined in ?746.3611 of this chapter (relating to What must a policy for protecting children from vaccine-preventable diseases include?) (29) If your operation maintains and administers unassigned epinephrine auto- injectors to use when a child in care has an emergency anaphylaxis reaction, policies for maintenance, administration, and disposal of unassigned epinephrine auto-injectors that comply with the unassigned epinephrine auto- injector requirements set by the Texas Department of State Health Services, as specified in 25 TAC Chapter 40, Subchapter C (relating to Epinephrine Auto- Injector Policies in Youth Facilities) and in Texas Health and Safety Code ?773.0145.

Based upon interviews conducted, it was determined that a caregiver used their finger to flick a child as a form of discipline.

Disposition: Deficiency Cited

Disposition: No Deficiencies Cited

Disposition: No Deficiencies Cited

Disposition: No Deficiencies Cited

Based on information obtained, there is sufficient evidence to support a child was injured from falling off a climbing structure that does not have handrails.

Disposition: Deficiency Cited