This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver was observed aggressively grabbing a child by both arms, picking the child up, and sitting the child forcefully down on the floor. The caregiver was observed to grab the child again to separate them from the group and then forcefully sit the child on the floor against a wall adjacent to the group.
Correction deadline
November 7, 2023
Correction status
Correction evaluated November 20, 2023
More details
Official Texas risk level
High
Report section
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Official code
746.2805(3)
Higher concern: Other violations
Report finding
This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver is observed entering information on an electronic tablet and was not properly supervising children.
Correction deadline
November 7, 2023
Correction status
Correction evaluated November 20, 2023
More details
Official Texas risk level
Medium High
Report section
746.1203(3)(A) - Administrative and clerical duties that take caregiver's attention away from children
A caregiver did not wash their hands after assisting three toddlers with toileting.
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
Medium High
Report section
746.3415(5) - Employee Handwashing After Assisting a Child with Toileting
Official code
746.3415(5)
Higher concern: Equipment or readiness
Report finding
Several children with known food allergies did not have a completed Food Allergy Emergency Plan in their file.
Correction deadline
August 25, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
Medium High
Report section
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Official code
746.3819
Higher concern: Staff-to-child ratio
Report finding
One caregiver was observed supervising 6 infants under the age of 11 months.
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
Medium High
Report section
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Official code
746.1601
Higher concern: Health or food records
Report finding
Two infants under 5 months old were observed in restrictive devices with bottles propped up with blankets to feed them.
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
High
Report section
746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
Official code
746.2419(3)
Medium concern: Licensing compliance
Report finding
The operation has incurred several high weighted deficiencies that put children at risk. The infant and toddler caregivers are instructed by management not to take small children outside.
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
Medium
Report section
746.1003(2) - Director Responsibilities - Employees Comply with Standards
Official code
746.1003(2)
Higher concern: Staff training
Report finding
A cargiver in Infant I was left unsupervised without CPR training.
Correction deadline
August 11, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
Medium High
Report section
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Official code
746.1301(a)(4)(A)
Higher concern: Sleep safety
Report finding
Two infants were observed sleeping in cribs that contained toys, blankets and pacificers that were attached to the children by a string or leash.
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
High
Report section
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Official code
746.2415(b)
Higher concern: Child guidance
Report finding
A seven month old infant was observed swaddled face down in crib
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
High
Report section
746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File
Official code
746.2428
Higher concern: Sleep safety
Report finding
An infant was placed face down and swaddled in a crib.
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
High
Report section
746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
Official code
746.2427(a)
Higher concern: Staff training
Report finding
A caregiver without Pediatriac First Aid was left unsupervised in the Infant I classroom.
Correction deadline
August 11, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
Medium High
Report section
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Official code
746.1301(a)(3)(A)
Medium concern: Recordkeeping
Report finding
Four children under the age of 13 were in care at the operation who were not enrolled.
Correction deadline
August 2, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
Medium
Report section
746.603(a) - Children's Records Maintained
Official code
746.603(a)
Higher concern: Supervision
Report finding
Children were observed in areas of the operation unattended.
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
High
Report section
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
Official code
746.1205(a)(4)
Higher concern: Sleep safety
Report finding
A caregiver did not remove an infant sleeping in a restrictive device in Infant room I.
Correction deadline
August 1, 2023
Correction status
Correction evaluated August 15, 2023
More details
Official Texas risk level
High
Report section
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
Two children did not have immunization records in their file at the time of inspction. Two children in care did not have the required health statements signed by a physcian. One child did not have required information for a school aged child on their admission form.
A crib in the Infant 2 classroom was observed to have an additional supporting mattress.
Correction deadline
September 12, 2022
Correction status
Correction evaluated September 30, 2022
More details
Official Texas risk level
Medium High
Report section
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
Official code
746.2409(a)(1)
Higher concern: Supervision
Report finding
A school age child in care was observed walking freely into the building alone, to get a wet paper towel. Inspector escorted the child to his teacher outside.
Correction deadline
September 12, 2022
Correction status
Correction evaluated September 30, 2022
More details
Official Texas risk level
High
Report section
746.1203(4) - Responsibilities of Caregivers - Supervision of Children
The operation did not maintain privacy for a child with documented food allergies. This deficiency was corrected at inspection when the Director removed the posted food allergy list and placed it in an area marked Food allergies where staff and parents can view it at any time.
The operation did not have food allergy plans posted in all classrooms. The operation did not maintain privacy for children with documented food allergies.
An initial background check was not completed for a caregiver who was caring for children during the inspection. This was corrected during the inspection as the caregiver went home. A background check was submitted for the caregiver during the inspection.
Correction status
Completed at time of inspection
More details
Official Texas risk level
High
Report section
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation