As We Grow Learning Center - East

746.1315(a) · Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

Three caregivers did not have first aid training.

Corrected by Jul 25, 2025

746.1309(a) · Documented Annual Training Area - 24 Hours Required

One caregiver with a hire date of 2/5/24 was missing 20 hours of training for training year 2/5/24 to 2/5/25. One caregiver with a hire date of 7/24/23 was missing 8 hours of training for training year 7/24/23 to 7/24/24. One caregiver with a hire date of 5/1/24 is missing 3 hours of training for training year 5/1/24 to 5/1/25. Corrected: When using 20 hours of training for training year 2/5/25 to2/5/25, using 8 hours for training year 7/24/25 to 7/24/26 and using 3 hours for training year 5/1/25 to 5/1/26.

Corrected by Jul 2, 2025

746.4805(a) · Measurement of Use Zone for Slides - in Front of Access and on Sides

The play structure's did not have a use zone of six feet, the play structure is only 3 ft and 3 inches from the barrier.

Corrected by Jul 25, 2025

746.501(a)(20) · Written Operational Policies - Parent Rights

The operational polices did not have information on Parent Rights.

Corrected by Jul 9, 2025

746.3407 · Maintenance of Building, Grounds and Equipment

The play strructure on the playground had broken parts.

Corrected by Jul 25, 2025

746.501(a)(23) · Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website

The operation did not have the most updated information on how parents can access the Minimum standards online or the HHS web site.

Corrected by Jul 9, 2025

746.1315(b) · Each Caregiver and the Director Must Have Current Training in pediatric CPR

Three caregivers did ot have CPR training.

Corrected by Jul 25, 2025

746.4405 · Location of Handwashing Sink

During the inspection it was observed that the toddler sink was not equipped with soap and the school age toilet was not equipped with toilet paper.

Corrected by Mar 4, 2025

746.3415(13) · Employee Handwashing After Removing Gloves

During the inspection it was observed that a caregiver removed their gloves after changing a diaper and did not wash their hands before moving on to the next child.

Corrected by Mar 4, 2025

746.2207(a) · Screen Time Activities - Not Used for Under Two

During the inspection it was observed that 4 infants were having screen time, using their caregiver's tablet, sitting in highchairs.

Corrected by Mar 4, 2025

746.201(7) · Operation Open to Parents At All Times

During the inspection it was observed that parents were not being allowed access into the main part of the operation while picking up their children. They were stopped in the front office and their children were brought out to them.

Corrected by Mar 4, 2025

746.4751(a) · Maintenance Procedures for Active Play - Inspect Daily

During the investigation inspection it was found that the operation was not able to show records that they have been conducting their daily or monthly inspections to ensure the safety of the building and grounds for the children present.

Corrected by Mar 5, 2025

746.3417(3) · Children Handwashing After Toileting or Diapering

During the inspection it was observed that a child's diaper was changed and the caregiver did not wash their hands afterwards.

Corrected by Mar 4, 2025

746.3505(e) · Diapering Procedures - Sanitizing Diaper Changing Area

During the inspection it was observed that the changing pad was not sanitzed between each diaper change.

Corrected by Mar 4, 2025

746.1601 · Child/ Caregiver Ratio - 13 or More Children

During the inspection it was observed that the infants had one caregiver with seven infants present. This classroom was over ratio by two infants. It was also observed that there was one caregiver with 12, two year olds. This classroom was over ratio by one toddler.

Corrected by Dec 18, 2024

746.2207(a) · Screen Time Activities - Not Used for Under Two

During the follow-up inspection it was observed that a classroom with children under the age of two were having screen time on the caregiver's cell phone.

Corrected by Dec 18, 2024

746.2426(a)(1) · Infant May Not Sleep in a Restrictive Device

During the follow-up inspection an infant was observed sleeping in a bouncer seat.

Corrected by Dec 18, 2024

746.3417(3) · Children Handwashing After Toileting or Diapering

During the inspection it was observed that a caregiver changed a child's diaper and then sat them at the table and served them a cup of milk without washing their hands or the child's hands first.

Corrected by Dec 9, 2024

746.4409 · Location of Toilets

During the inspection it was observed that the toilet in the toddler classroom was not equipped any toilet paper as required for independent use.

Corrected by Dec 9, 2024

746.2207(a) · Screen Time Activities - Not Used for Under Two

During the inspection it was observed that a classroom with children under the age of two were watching a children's show on the classroom's tablet.

Corrected by Dec 9, 2024

746.4003(a) · First Aid Kit - Incomplete Kit

The first aid kit was incomplete on the transportation van. The kit was missing tweezers and a thermometer. The first aid kit in the building was missing tape. Note:corrected at inspection.

Corrected by Jan 17, 2023

746.4003(b) · First Aid Kit - Supplies Not Expired

There were 3 expired aspirin observed in the kit. Note:corrected at inspection.

Corrected by Jan 17, 2023