One child with a diagnosed food allergy was missing medication that was listed on their food allergy plan. The plan requires an epi-pen and antihistamine and they were missing the antihistamine.
Correction deadline
January 9, 2026
Correction status
Correction evaluated January 15, 2026
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: Medication
Report finding
Two children with diagnosed food allergies had expired medication.
Correction deadline
January 9, 2026
Correction status
Correction evaluated January 15, 2026
More details
Official Texas risk level
Medium
Report section
746.3809 - Medication No Longer Used
Official code
746.3809
Higher concern: Medication
Report finding
Two children had medication that were not in the original containers.
Correction deadline
January 9, 2026
Correction status
Correction evaluated January 15, 2026
More details
Official Texas risk level
Medium High
Report section
746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
Official code
746.3805(b)(1)
Higher concern: Equipment or readiness
Report finding
Two infants were sitting in high chairs without the safety straps fastened. This was corrected when the infants were removed from the high chairs.
Correction deadline
December 17, 2025
Correction status
Correction evaluated January 22, 2026
More details
Official Texas risk level
Medium High
Report section
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
The operation changed the design of play equipment, making it no longer in compliance according to manufactures instructions.
Correction deadline
January 29, 2024
Correction status
Correction evaluated February 27, 2024
More details
Official Texas risk level
Medium High
Report section
746.4601(2) - Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
Official code
746.4601(2)
Higher concern: Equipment or readiness
Report finding
One of the ten children records reviewed was lacking a parents signature. Also one of the ten children records reviewed was lacking the parent and health care professional's signature.
Correction deadline
February 14, 2024
Correction status
Correction evaluated February 27, 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: Staff training
Report finding
Twelve of the twelve staff files reviewed were lacking the required annual trainings.
Five of the twelve staff files reviewed had an expired CPR certification.
Correction deadline
February 14, 2024
Correction status
Correction evaluated February 4, 2024
More details
Official Texas risk level
Medium High
Report section
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Official code
746.1315(b)
Higher concern: Health or food records
Report finding
One out of the ten children records reviewed was lacking the required immunizations.
Correction deadline
February 14, 2024
Correction status
Correction evaluated February 1, 2024
More details
Official Texas risk level
Medium High
Report section
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Official code
746.613(b)
Higher concern: Staff training
Report finding
Five of the twelve staff files reviewed had expired first aid.
Correction deadline
February 14, 2024
Correction status
Correction evaluated February 4, 2024
More details
Official Texas risk level
Medium High
Report section
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Official code
746.1315(a)
Medium concern: Health or food records
Report finding
One of the ten children records reviewed was lacking the signature and stamp of the health care professional who admistered their vaccines.
Correction deadline
February 14, 2024
Correction status
Correction evaluated February 27, 2024
More details
Official Texas risk level
Medium
Report section
746.623(2)(D) - Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine