A caregiver did not wash their hands after handling vomit in a pre-k room. Note: This was addressed with the caregiver and the caregiver washed their hands during the inspection.
Correction deadline
November 26, 2024
Correction status
Correction evaluated December 19, 2024
More details
Official Texas risk level
Medium High
Report section
746.3415(7) - Employee Handwashing After Handling or Cleaning Bodily Fluids
Official code
746.3415(7)
Higher concern: Other violations
Report finding
A caregiver did not wear gloves when cleaning up vomit from the floor in a pre-k room.
Correction deadline
November 26, 2024
Correction status
Correction evaluated December 19, 2024
More details
Official Texas risk level
Medium High
Report section
746.3425(1) - Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids
Official code
746.3425(1)
Medium concern: Staff training
Report finding
Three caregivers did not have their training record available for review during the inspection.
Correction deadline
December 2, 2024
Correction status
Correction evaluated December 19, 2024
More details
Official Texas risk level
Medium
Report section
746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
Official code
746.801(3)
Higher concern: Staff-to-child ratio
Report finding
Two caregivers were observed caring for seven infants and a school-aged child in the infant room. There was more than an 18 month difference in age between the youngest child and oldest child in the group. The youngest child was 3 months of age and the oldest child was 6 years of age.
Correction deadline
November 26, 2024
Correction status
Correction evaluated December 19, 2024
More details
Official Texas risk level
Medium High
Report section
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
Two caregiver's were missing clock hours of pre-service training. A caregiver with a DOE 08/01/2023 was missing 7 of 24 clock hours of pre-service training. A second caregiver with a DOE 8/28/2023 was missing 16 of 24 clock hours of pre-service training.
Correction deadline
December 27, 2023
Correction status
Correction evaluated January 8, 2024
More details
Official Texas risk level
Medium High
Report section
746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Official code
746.1301(a)(2)(A)
Higher concern: Health or food records
Report finding
Seven infant bottles were not labeled with the child's name and initial of last name in the infant room. Note: This was CORRECTED during the inspection as the bottles were labeled with the required information.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Official code
746.2419(6)
Medium concern: Recordkeeping
Report finding
The operation policies reviewed were missing the criteria the center will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play.
Correction deadline
December 22, 2023
Correction status
Correction evaluated December 27, 2023
More details
Official Texas risk level
Medium
Report section
746.501(a)(18)(F) - Written Operational Policies - Criteria for Extreme Weather
Official code
746.501(a)(18)(F)
Medium concern: Equipment or readiness
Report finding
The Children's Products Certification form that is used to certify that the center has reviewed each of the recall notices issued by the CPSC was not current. Note: This was CORRECTED during the inspection as the CPSC website was reviewed and the form was completed.
Pretzels were served as part of the lunch meal to toddler children. This posed a safety hazard as pretzels present a risk of choking. Note: This was addressed with the staff and all pretzels were removed from the toddler children's plates.
Correction deadline
December 19, 2023
Correction status
Correction evaluated January 8, 2024
More details
Official Texas risk level
High
Report section
746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk
A caregiver caring for a group of children was still missing training in Pediatric first aid with rescue breathing and choking. Re-cited.
Correction deadline
January 18, 2023
Correction status
Correction evaluated February 16, 2023
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)
Higher concern: Staff training
Report finding
A caregiver's pediatric CPR training completed did not adhere to the guidelines for CPR for a layperson established by the American Heart Association. Re-cited.
Correction deadline
January 18, 2023
Correction status
Correction evaluated February 16, 2023
More details
Official Texas risk level
Medium High
Report section
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
The center did not have a carbon monoxide detector.
Correction deadline
December 20, 2022
Correction status
Correction evaluated January 13, 2023
More details
Official Texas risk level
High
Report section
746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Official code
746.5531
Higher concern: Health or food records
Report finding
A list of a child's food allergies was not posted in the kitchen and in each room where the child spends time. Note: This was CORRECTED during the inspection as a list was created and posted in the required rooms.
A caregiver's pediatric CPR training was completed onlline.
Correction deadline
December 23, 2022
Correction status
Correction evaluated January 13, 2023
More details
Official Texas risk level
Medium High
Report section
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
Official code
746.1315(b)(1)
Medium concern: Health or food records
Report finding
1 of 6 children's immuniation records reivewed was not current.
Correction deadline
December 23, 2022
Correction status
Correction evaluated January 13, 2023
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: Staff training
Report finding
A caregiver caring for a group of children was missing training in Pediatric first aid with rescue breathing and choking.
Correction deadline
December 23, 2022
Correction status
Correction evaluated January 13, 2023
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: Equipment or readiness
Report finding
There was no documentation available to verify that the center conducts monthly tests on smoke detectors and carbon monoxide detector or monthly checks on fire extinguishers.
Correction deadline
December 20, 2022
Correction status
Correction evaluated January 13, 2023
More details
Official Texas risk level
Medium
Report section
746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
A container of disinfecting wipes, a can of lysol disinfectant spray, and a bottle of hand sanitizer were observed on top of a rolling cart in a toddler room. This posed a safety hazard to children as the cleaning supplies were within children's reach. Note: This was CORRECTED during the inspection as the cleaning supplies were stored out of children's reach.
Correction status
Completed at time of inspection
More details
Official Texas risk level
High
Report section
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
A caregiver was missing annual training for training year 10/06/2020- 10/05/2021 on the following topics: (1)Recognizing and preventing shaken baby syndrome and abusive head trauma; (2)Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3)Understanding early childhood brain development. -Prevention, recognition, and reporting of child maltreatment; and (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (4) Preventing and responding to emergencies due to food or an allergic reaction; (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (6) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
Correction deadline
January 10, 2022
Correction status
Correction evaluated January 3, 2022
More details
Official Texas risk level
Medium
Report section
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Official code
746.1309(a)
Higher concern: Staff training
Report finding
A caregiver's pediatric first Aid training was expired. The certficate of training had an expiration date of 06/2021.
Correction deadline
December 31, 2021
Correction status
Correction evaluated January 3, 2022
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: Recordkeeping
Report finding
A caregiver's education documentation received outside of the United States was not translated into English.
Correction deadline
December 31, 2021
Correction status
Correction evaluated January 3, 2022
More details
Official Texas risk level
Medium
Report section
746.1111 - Education Outside of U.S.
Official code
746.1111
Higher concern: Staff training
Report finding
A caregiver completed standard CPR training online.
Correction deadline
December 31, 2021
Correction status
Correction evaluated January 3, 2022
More details
Official Texas risk level
Medium High
Report section
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
Official code
746.1315(b)(1)
Higher concern: Equipment or readiness
Report finding
2 of 6 children's records reviewed were missing the child's emergency contact's address. 1 of 6 children's records reviewed did not have an emergency contact listed. Note: This was CORRECTED during the inspection as the required information was documented.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.605(6) - Required Admission Information - Emergency Contact
Official code
746.605(6)
Higher concern: Equipment or readiness
Report finding
There was no Food Allergy Emergency Plan available for review for a child with a diagnosed food allergy.
Correction deadline
December 31, 2021
Correction status
Correction evaluated February 18, 2022
More details
Official Texas risk level
Medium High
Report section
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional