A caregiver did not wash the infant's hands after changing their diaper. This was corrected during the inspection when I asked the caregiver to wash the infant's hands.
Of the ten staff files reviewed, one employee was missing the required 24 hours of annual training. Additionally, two employees lacked training in emergency preparedness, two in building and premises safety, two in emergency planning, one in child maltreatment, one in administering medication, and one in discipline and guidance.
Correction deadline
July 18, 2025
Correction status
Correction evaluated July 15, 2025
More details
Official Texas risk level
Medium
Report section
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Official code
746.1309(a)
Medium concern: Individual needs and accommodations
Report finding
The operation did not have written policies on the following: infant safe sleep, how to access the most recent M.S. inspection form, how to contact Licensing, how to access the DFPS website, and procedures for inclusive care.
Correction deadline
July 11, 2025
Correction status
Correction evaluated July 1, 2025
More details
Official Texas risk level
Medium
Report section
746.501(a)(30) - Written Operational Policies - Support inclusive services
Official code
746.501(a)(30)
Medium concern: Health or food records
Report finding
Feeding instructions for multiple infants had not been updated within the last 30 days.
Correction deadline
June 27, 2025
Correction status
Correction evaluated July 1, 2025
More details
Official Texas risk level
Medium
Report section
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Official code
746.2421(b)
Medium concern: Recordkeeping
Report finding
The operation did not have a completed playground maintenance checklist available for review.
Correction status
Correction evaluated June 27, 2025
More details
Official Texas risk level
Medium
Report section
746.801(8) - Required Records Maintained and Made Available - Playground Maintenance Records
Official code
746.801(8)
Medium concern: Recordkeeping
Report finding
Of the ten children's files reviewed, four were missing updated immunization records, three were missing health statements, and all ten were missing emergency contact information.
Correction deadline
July 18, 2025
Correction status
Correction evaluated July 15, 2025
More details
Official Texas risk level
Medium
Report section
746.603(a) - Children's Records Maintained
Official code
746.603(a)
Higher concern: Medication
Report finding
Three EpiPens were observed not stored in their original labeled boxes
Correction deadline
July 18, 2025
Correction status
Correction evaluated July 15, 2025
More details
Official Texas risk level
Medium High
Report section
746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
The operation has not conducted monthly testing of smoke detectors or carbon monoxide detectors.
Correction deadline
August 29, 2024
Correction status
Correction evaluated August 20, 2024
More details
Official Texas risk level
High
Report section
746.5319 - Smoke Detectors Testing
Official code
746.5319
Higher concern: Equipment or readiness
Report finding
The operation does not have documentation of completing monthly fire extinguisher tests. This was corrected during the inspection when the fire extinguisher were inspected by the director.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.5307(a) - Inspect Fire Extinguishers Monthly
Official code
746.5307(a)
Higher concern: Equipment or readiness
Report finding
Three children do not have a complete food allergy plan. Two of the medicaitons were expired.
Correction deadline
August 29, 2024
Correction status
Correction evaluated August 20, 2024
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
Medium concern: Health or food records
Report finding
Three children do not have updated immunization records on file.
Correction deadline
August 29, 2024
Correction status
Correction evaluated August 23, 2024
More details
Official Texas risk level
Medium
Report section
746.603(a)(4) - Children's Records - Immunizations
Official code
746.603(a)(4)
Higher concern: Background screening
Report finding
Two caregivers with a pending background check were present with access to children. This was corrected during the inspection when the caregivers were sent home.
Correction deadline
August 15, 2024
Correction status
Correction evaluated September 16, 2024
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
Based on the evidence gathered during the investigation, the room arrangement created a tripping hazard and injury to a child.
Correction deadline
August 1, 2024
Correction status
Correction evaluated August 14, 2024
More details
Official Texas risk level
Medium High
Report section
746.2403(5) - Infant Care Area - Space to Walk Between Cribs, Cots or Mats
Official code
746.2403(5)
Higher concern: Child guidance
Report finding
Based on the evidence gathered during the investigation, good judgment was not used when the required notifications after a child is injured was not made.
Correction deadline
August 1, 2024
Correction status
Correction evaluated August 14, 2024
More details
Official Texas risk level
High
Report section
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control