Nurturing Nest

747.611(a) · Required Health Statement

Three of the four children records reviewed were missing health statements.

Corrected by Dec 1, 2025

747.1309(d) · Primary Caregiver Annual Training - Required Special Topics without specific hours

The director was missing training in the following topics: emergency preparedness; preventing and controlling the spread of communicable diseases, including immunizations; administering medication; preventing and responding to emergencies due to food or an allergic reaction; understanding building and physical premises safety; handling, storing, and disposing of hazardous materials.

Corrected by Dec 1, 2025

747.1309(c) · Primary Caregiver Annual Training - Special topics for children under 24 months

The director was missing current training in understanding and using safe sleep practices and preventing sudden infant death syndrome.

Corrected by Dec 1, 2025

747.3501 · Safety - Areas Free From Hazards

In the backyard, there was a rake and shovel that were accessible to the children. In the kitchen, the cabinet under the kitchen sink had cleaning supplies and were accessible to the children.

Corrected by May 16, 2025

747.4305 · Storage for Individual Belongings

The operation did have adequate individual storage for all the children's belongings.

Corrected by May 26, 2025

747.3203 · Sanitation of Building, Grounds and Equipment

In the backyard, there was trash in the yard that was accessible to the children. In a half bathroom that the children in care use, there was trash on the floor.

Corrected by May 16, 2025

747.1801 · Child/Caregiver Ratio - Licensed Child Care Home

During the inspection, there was one caregiver with 9 children aged 8 months old, 19 months old, 20 months old, 22 months, 2 years old, 2 years old, 3 years old, 3 years old, and 3 years old. This was corrected at inspection when the 8-month-old and one 3-year-old were picked up from the operation.

Corrected by May 12, 2025

747.4015(1) · Caring for Children Above or Below Ground Level-Written Approval

One child went upstairs while the home day care was operating. This was corrected at inspection when the child came downstairs.

Corrected by May 12, 2025

747.3303(a)(1) · Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

The primary caregiver stated that they are using a blanket on their couch to change diapers for children that in care. This was corrected at inspection when the caregiver removed items from the diaper changing table so that the changing table can be used.

Corrected by May 12, 2025

747.605(12) · Required Admission Information - Emergency Medical Authorization

One of the four children records reviewed was missing parental authorization to obtain emergency medical care and to transport the child for emergency medical treatment.

Corrected by Aug 13, 2024

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

The operational policies were missing the procedures for how parents can 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 by May 6, 2024

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

The operational policies were missing instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website .

Corrected by May 6, 2024

747.501(8)(C) · Written Operational Policies - Plan for Extreme Weather

The operational policies were missing a statement about the plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor time.

Corrected by May 6, 2024