Medium concern: Individual needs and accommodations
Report finding
It was observed screen time was used for the schoolers during rest time at the operation. The schoolers were observed watching TV and using iPads during the inspection.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium
Report section
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times
Official code
746.2207(c)(4)
Medium concern: Individual needs and accommodations
Report finding
The required information to support inclusive care for children with special needs was not found in the operational policies during the inspection.
Correction deadline
April 29, 2024
Correction status
Correction evaluated April 23, 2024
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
The infant feeding instructions for five infants were observed has not been reviewed and signed by parents every 30 days.
Correction deadline
April 29, 2024
Correction status
Correction evaluated April 23, 2024
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)
Higher concern: Staff training
Report finding
Three caregivers who were hired on 12/2023, 4/2024 did not have the pre-service training certificate available for review before being left in charge of the classroom during the inspection.
Correction deadline
April 29, 2024
Correction status
Correction evaluated April 23, 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: Staff training
Report finding
Two employees did not have the CPR/FA training certificates available on file for review during the inspection
Correction status
Correction evaluated April 29, 2024
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: Supervision
Report finding
A caregiver from 12mo classroom were observed using the tablet to complete their school homework while supervising children during nap time.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Official code
746.1203(3)(D)
Medium concern: Staff training
Report finding
One employee file hired in 5/2023 did not have the Abuse/Neglect training certificate for reviewed.
Correction deadline
April 29, 2024
Correction status
Correction evaluated April 23, 2024
More details
Official Texas risk level
Medium
Report section
746.1303(3) - Orientation-Policy on prevention, recognition and reporting of child maltreatment
Official code
746.1303(3)
Higher concern: Facility condition
Report finding
It was observed the infants from the Infants Classroom did not have their hands washed after their diaper changed. This was corrected when the caregiver was made aware and washed the infants hands during the inspection.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.3417(3) - Children Handwashing After Toileting or Diapering
Official code
746.3417(3)
Higher concern: Background screening
Report finding
One staff member with "Provisional" background check status was observed present and supervising 10 children ages 2 years old alone during naptime on the inspection date 4/15/2024.
Correction deadline
April 15, 2024
Correction status
Correction evaluated April 16, 2024
More details
Official Texas risk level
High
Report section
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
One employee with "Inactive" background check status was confirmed present and was on the field trip with the children in care. This was corrected when the Background check for the employee was resubmitted 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
Based on the information obtained from the investigation, the incident report completed for the incident that occurred to a child in care was not completed properly when the information entered was incorrect.
Correction deadline
September 22, 2022
Correction status
Correction evaluated September 29, 2022
More details
Official Texas risk level
Medium
Report section
746.701(1) - Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
The completed admission information for one child was not available for review during the inspection.
Correction deadline
August 19, 2022
Correction status
Correction evaluated August 24, 2022
More details
Official Texas risk level
Medium
Report section
746.603(a)(2) - Children's Records - Admission Information
Official code
746.603(a)(2)
Higher concern: Sleep safety
Report finding
Although the operation has cribs available for infants to sleep in, they were obseved not being used and two infants ages 3 months old and one 6 months old were observed sleeping on the floor during the inspection.
Correction deadline
August 15, 2022
Correction status
Correction evaluated August 24, 2022
More details
Official Texas risk level
Medium High
Report section
746.2405(2) - Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
Based on the information obtained from the investigation, it is determined that self-control was not being maintained by a caregiver when interacting with children in care.
Correction deadline
August 26, 2022
Correction status
Correction evaluated September 2, 2022
More details
Official Texas risk level
High
Report section
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
The director personnel file was observed missing the driver license; notarized affidavit One employee did not have proof of highschool diploma or equipvalency documentaton available for reivew.
Correction deadline
July 7, 2022
Correction status
Correction evaluated July 6, 2022
More details
Official Texas risk level
Medium
Report section
746.901 - Required Personnel Records
Official code
746.901
Medium concern: Health or food records
Report finding
Seven infants from Infant 1 classroom did not have their most current feeding instructions available for review.
Correction deadline
July 7, 2022
Correction status
Correction evaluated July 6, 2022
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)
Higher concern: Staff training
Report finding
Annual training documentation for three employees were not available for review during the inspection; One employee who was hired in January 2021 missing 13 hours of annual training; One employee who was hired in February 2021 missing 7 hours of annual training; One employee who was hired in 6/2/21 missing 18 hours of annual training. One employee who was hired in May 2021 did not have annual training documentation available for review.
Correction deadline
July 7, 2022
Correction status
Correction evaluated July 6, 2022
More details
Official Texas risk level
Medium High
Report section
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
Official code
746.1301(5)(A)
Medium concern: Staff training
Report finding
The medication administration traininng documentation for two employees are not available for reviewed.
First aid certification for six employees were not available for review during the inspection.
Correction deadline
July 7, 2022
Correction status
Correction evaluated July 6, 2022
More details
Official Texas risk level
Medium High
Report section
746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Official code
746.1301(3)(A)
Higher concern: Staff training
Report finding
CPR certification for six employees were not available for review during the inspection.
Correction deadline
July 7, 2022
Correction status
Correction evaluated July 6, 2022
More details
Official Texas risk level
Medium High
Report section
746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Official code
746.1301(4)(A)
Higher concern: Transportation
Report finding
The transportation training documentation for the director and two employees were not available for review.
Correction deadline
July 7, 2022
Correction status
Correction evaluated July 6, 2022
More details
Official Texas risk level
Medium High
Report section
746.1301(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation Training
Official code
746.1301(7)(A)
Medium concern: Administrative posting
Report finding
List of current employees was observed not being posted during the inspection walkthough; This was corrected when list of updated employees was updated and posted.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium Low
Report section
746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
Official code
746.401(9)
Higher concern: Equipment or readiness
Report finding
Emergency Safety Drill documentation was reviewed showing Fire drill was last conducted in April 2022
Correction deadline
July 7, 2022
Correction status
Correction evaluated July 8, 2022
More details
Official Texas risk level
Medium High
Report section
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes