The operation did not follow its own policy for handling medical emergencies when a child sustained a severe injury. Their policy requires staff to contact 911 first in the event of a serious medical emergency. Staff failed to implement this step and did not immediately call emergency services.
Correction deadline
September 29, 2025
Correction status
Correction evaluated September 30, 2025
More details
Official Texas risk level
High
Report section
746.201(1) - Policies Comply with Rules
Official code
746.201(1)
Higher concern: Supervision
Report finding
A child received a severe injury while in care. The injury required immediate medical treatment, and the operation did not contact emergency medical services.
Correction deadline
September 29, 2025
Correction status
Correction evaluated September 30, 2025
More details
Official Texas risk level
High
Report section
746.3607(1) - Critical Injury - Contact EMS After Ensuring Supervision of Group
During the inspection, certain areas of the center exhibited low temperatures. Two thermostats indicated readings of 60 degrees and 64 degrees, while the external temperature was recorded at below 40 degrees.
Correction deadline
February 13, 2025
Correction status
Correction evaluated March 4, 2025
More details
Official Texas risk level
Medium High
Report section
746.3407(10) - Center Heated, Lighted and Ventilated Properly
Official code
746.3407(10)
Higher concern: Facility condition
Report finding
It was determined through interviews and observations that certain areas of the center experience flooding during inclement weather.
Correction deadline
February 19, 2025
Correction status
Correction evaluated March 4, 2025
More details
Official Texas risk level
Medium High
Report section
746.3407 - Maintenance of Building, Grounds and Equipment
The operation was found deficient with this standard. Based on the pictures and information gathered from the parent, it indicates the child was not changed promptly that caused him to have diaper rash and the caregiver did not provide a report to the parent.
This standard was evaluated as part of an investigation and found to be deficient. The caregiver failed to share information with the incoming caregiver.
Correction deadline
November 16, 2022
Correction status
Correction evaluated November 28, 2022
More details
Official Texas risk level
Medium High
Report section
746.1203(11) - Responsibilities of Caregivers - Share Information with Incoming Caregiver
The utility room outside the building has cleaners detergents, plastic liners in there. The room will not lock to keep these hazards inaccessible to the children.
Correction deadline
March 14, 2022
Correction status
Correction evaluated March 28, 2022
More details
Official Texas risk level
Medium High
Report section
746.3701 - Safety - Areas Free From Hazards
Official code
746.3701
Higher concern: Facility condition
Report finding
I observed the 4 year olds having snack when I arrived. They were having graham crackers and milk. You must ensure a supply of drinking water is always available to each child at every snack, mealtime, and after active play and is served in a safe and sanitary manner. I explained this and the children were given water at that time. I spoke to the person who makes the snacks to send to the classroom and she said she will start sending a pitcher of water as well as milk to the classrooms for snack.
Correction deadline
March 9, 2022
Correction status
Correction evaluated March 28, 2022
More details
Official Texas risk level
Medium High
Report section
746.3301(f) - Nutrition and Food Service - Drinking Water Available and Served
Official code
746.3301(f)
Higher concern: Staff-to-child ratio
Report finding
I observed 11 children who were 18 months-2 years old being supervised by only one caregiver. There must be no more than 9 children per 1 caregiver for children 18-23 months old. One child had been sent over there from the 2 year old class by his caregiver because the child wanted to go. I informed her that he must come back to his own classroom as that caregiver already had too many children in her class without that extra one. CHILD CAREGIVER RATIO MUST BE IN COMPLIANCE BY THE COMPLIANCE DATE INDICATED. A FULL PERMIT WILL NOT BE ISSUED WTIHOUT PROPER CHILD CAREGIVER RATIO IN PLACE.
Correction deadline
March 14, 2022
Correction status
Correction evaluated March 28, 2022
More details
Official Texas risk level
Medium High
Report section
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The carbon monoxide detector had not been tested since 10/13/21. The person in charge tested it during the inspection.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Official code
746.5537(a)(2)
Higher concern: Equipment or readiness
Report finding
The operation had not documented a smoke detector test since 10/13/21. I asked the person in charge to check them while I was there and 2 were not working.
Correction deadline
December 17, 2021
Correction status
Correction evaluated December 22, 2021
More details
Official Texas risk level
High
Report section
746.5311(a) - Smoke-Detection System
Official code
746.5311(a)
Higher concern: Equipment or readiness
Report finding
The operation has not had a fire drill since October 14, 2021. You must practice a fire drill every month.
Correction deadline
December 31, 2021
Correction status
Correction evaluated January 4, 2022
More details
Official Texas risk level
Medium High
Report section
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes