Based on the information obtained, the caregiver failed to demonstrate good judgement and failed to follow the operational procedures regarding handing bottles and bottle warmers resulting a child receiving a burn.
Correction status
Correction evaluated October 15, 2025
More details
Official Texas risk level
High
Report section
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Official code
746.1201(1)
Higher concern: Incident records
Report finding
Based on the information obtained during the investigation, there is sufficient information to support the operation failed to give proper first aid to a child who was burned in care.
Correction status
Correction evaluated October 15, 2025
More details
Official Texas risk level
High
Report section
746.3607(2) - Critical Injury - Give First Aid or CPR
Based on the video observed, caregiver did not relate to the child's needs when she repeatedly placed a child that was crying in a chair without comforting that child. This was corrected because caregiver was terminated.
Correction status
Completed at time of inspection
More details
Official Texas risk level
High
Report section
746.1201(2) - Responsibilities of Employees and Caregivers -Relate to Children
Five infants who are not ready for table food does not have updated infant feeding instructions sheet on file. Note: Correction was made during the inspection.
Correction status
Completed at time of inspection
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)
Low concern: Staff training
Report finding
The center director provided annual training to caregivers after the operation received an administrative penalty.
A caregiver responsible for a group of 10 children (1 yr olds) did not state the correct number of children present in the classroom. The caregiver stated there were 9 children present in the classroom. Another caregiver responsible for a group of 9 children (4m-8m) did not state the correct number of children present in the classroom. The caregiver stated there were 8 children present in the classroom.
Correction deadline
August 30, 2022
Correction status
Correction evaluated September 7, 2022
More details
Official Texas risk level
High
Report section
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
A caregiver responsbile for a group of 12 children did not state the correct number of children present in the classroom. The caregiver stated there were 14 children present in the classroom.
Correction deadline
August 25, 2022
Correction status
Correction evaluated August 30, 2022
More details
Official Texas risk level
High
Report section
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
During this investigation, the operation failed to notify a child's parent that their child was demonstrating signs of having a possible seizure while in care. The child's symptoms are to include fever, sweating, fatigue, trembling or shaking of the hands, blue/purple nail beds.
Correction deadline
September 1, 2022
Correction status
Correction evaluated September 7, 2022
More details
Official Texas risk level
Medium High
Report section
746.307(b)(2) - AP Parental Communication - Sign or Symptoms Requiring Hospitalization
Official code
746.307(b)(2)
Higher concern: Other violations
Report finding
During this investigation, it was determined a child demonstrated signs of having a possible seizure while in care and the operation did not contact EMS or take the child to the ER.
Correction deadline
September 1, 2022
Correction status
Correction evaluated September 7, 2022
More details
Official Texas risk level
High
Report section
746.3605(b)(1) - Child Becomes Ill in Care and Requires Immediate Treatment or Hospitalization - Contact EMS or take to ER