746.611(b) · Health Statement on File within 1 Week of Admission

Four children's records were reviewed. Four files were pending the health statement.

Corrected Corrected by Apr 4, 2024

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

746.3401(a) · Annual Sanitation Inspection

Sanitation inspection was conducted on November 04th, 2022.

Corrected Corrected by Apr 22, 2024

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

746.605(6) · Required Admission Information - Emergency Contact

Four files were evaluated. One file was missing the admission form, including emergency contacts.

Corrected Corrected by Mar 20, 2024

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

746.2205(a)(1) · Written Activity Plan - Group Name and Dates

There were four classrooms being used during inspection. In the infant classroom, the activity plan did not have the date. In a second classroom, the activity plan was not for the current week.

Corrected Corrected by Mar 20, 2024

Marked corrected in the state record.

746.2421(a) · Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

There were three children in the infant class. The feeding instruction form for one child was not available for review. Two forms were last updated on August 2023.

Corrected Corrected by Mar 25, 2024

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

746.5101(a) · Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

Last fire inspection was conducted and approved by the fire department on August 23, 2023.

Corrected Corrected by Sep 25, 2023

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

746.801(5) · Required Records Maintained and Made Available - Employees' Attendance

Attendance records for two employees were not available for review.

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

746.1301(2)(A) · Training Requirements for Employees and Caregivers - Pre-service Training

Four employee files were reviewed. One employee was missing 10 hours of preservice training.

Corrected Corrected by Apr 17, 2023

Category: recordkeeping. Marked corrected in the state record.

746.3503(a) · Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

Diaper changing mat in infant classroom is torn. It has a two inch opening.

Corrected Corrected by Mar 8, 2023

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

746.613(a) · Required Immunizations

Four children's files were evaluated. Two files were did not have an immunization record. Two files were pending updated immunization records.

Corrected Corrected by Apr 17, 2023

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

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

Classroom caregiver was observed to step out of the classroom, leaving a group of 5 children unattended inside the classroom.

Corrected Corrected by Mar 7, 2023

Category: supervision. Marked corrected in the state record.

746.2206(1) · Written Activity Plan - Outdoor Play Opportunities

Activity plans did not include outdoor activities. Activity plans for the current week were not posted in three out five classrooms.

Corrected Corrected by Mar 13, 2023

Marked corrected in the state record.

746.2421(a) · Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

Feeding instructions for infants were not available for review.

Corrected Corrected by Mar 17, 2023

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

746.3501(6) · Diaper Changing Steps-Supplies Kept Out of Child's Reach

Diaper changing supplies were within children's reach in three classrooms.

Corrected Corrected by Mar 8, 2023

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

746.1301(6)(A) · Training Requirements for Directors 30- Annual Training

Four employee files were reviewed. Annual training for Director and one caregiver was not available for review.

Corrected Corrected by Jun 23, 2023

Category: recordkeeping. Marked corrected in the state record.

746.1601 · Child/ Caregiver Ratio - 13 or More Children

During inspection, one caregiver was observed supervising an infant group consisting of 5 children. The Specified Age Group was 0-11 months. Two caregivers are required to supervise the group. The second caregiver had stepped out of the classroom, leaving the child/caregiver ratio deficient. Note: It was corrected during inspection when the second caregiver returned to the classroom.

Corrected Corrected by Oct 14, 2022

Category: ratio. Marked corrected in the state record.

746.3407(8) · Garbage Inaccessible to Children; Maintained in Sanitary Manner

Trash can containing diapers was uncovered in infants' room. Trash cans in restroom used by children were uncovered.

Corrected Corrected by Oct 3, 2022

Marked corrected in the state record.

746.2426 · Infant May Not Sleep in a Restrictive Device

Two infants ages 7 months and 10 months were observed sleeping in bouncers. Note: Infants were moved to cribs during inspection.

Corrected Corrected by Sep 30, 2022

Category: physical safety. 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

Three individuals were observed supervising children in the infant, K2, and K4 classrooms did not have active, eligible background checks on file. Individual in the infant classroom was counted in child/caregiver ratio. Note: It was corrected during inspection. Individuals left the operation during inspection.

Corrected Corrected by Sep 30, 2022

Category: ratio. Marked corrected in the state record.

746.1315(b)(1) · CPR Training and Recertification Adhere to Guidelines-skill based

Four employee files were evaluated. Two employees completed their First Aid/CPR training 100 % online. The training did not included practice on manikins.

Corrected Corrected by Mar 2, 2022

Category: recordkeeping. Marked corrected in the state record.

746.901(4) · Required Personnel Records - Required Affidavit

Four employee files were evaluated. Two records were pending the required employment affidavit.

Corrected Corrected by Feb 23, 2022

Category: recordkeeping. Marked corrected in the state record.

746.4901(a) · Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

There was a slide in the outside playground, with a platform of 22 inches with no surfacing. Note: It was corrected during inspection by moving the slide to the area of the playground that has unitary surfacing.

Corrected Corrected by Feb 16, 2022

Marked corrected in the state record.

746.3701(1) · Safety - Electrical Outlets Covered

Electrical outlets in two clasrroms were observed to be uncovered.

Corrected Corrected by Jan 10, 2022

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

746.3701 · Safety - Areas Free From Hazards

Outdoor activity space is not ready for use by children. The space has clutter and there is not a clear path to access the outdoor space without having to use the parking lot area.

Corrected Corrected by Sep 24, 2021

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

746.501(a)(8) · Written Operational Policies - Suspension and Expulsion

The operation does not have the following on their operational policies: -Procedures for parental notifications -Suspension and expulsion of children -Safe sleep policy for infants from birth through 12 months old -Hearing and vision screening requirements -Enrollment procedures, including how and when parents will be notified of policy changes -Water activities -Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter including (A) - (F) -How the parent may access the minimum standards online -Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website -Your emergency preparedness plan -Your provisions to provide a comfortable place with an adult sized seat in your center or within a classroom that enables a mother to breastfeed her child. -Preventing and responding to abuse and neglect of children, including (A) - (E) -Information on vaccine-preventable diseases for employees -Inform the parents that they may visit the child-care center at any time during your hours of operation to observe their child, the child-care center's program activities, the building, the premises, and the equipment without having to secure prior approval, and -Under the Texas Penal Code any area within 1,000 feet of a child -care center is a gang-free zone, where criminal offenses related to organized criminal activity are subject to a harsher penalty.

Corrected Corrected by Sep 15, 2021

Category: ratio. Marked corrected in the state record.