During the application inspection, the opertational policies were viewed and the following were missing: (5) Procedures for handling medical emergencies (15) Water activities (23) Instructions on how a parent may access the (A) Minimum standards online; (B) Texas Abuse and Neglect Hotline; and (C) HHSC website. (26) Preventing and responding to abuse and neglect of children, including: (A)Required annual training for employees; (B) Methods for increasing employee and parent awareness of issues regarding child abuse and neglect, including warning signs that a child may be a victim of abuse or neglect and factors indicating a child is at risk for abuse or neglect; (C) Methods for increasing employee and parent awareness ofprevention techniques for child abuse and neglect; (D) Strategies for coordination between the center and appropriate community organizations [Medium]; and (E) Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect (28) Information on vaccine-preventable diseases for employees, unless your center is in the home of the permit holder. The policy must address the requirements outlined in ?746.3611 of this chapter (relating to What must a policy for protecting children from vaccine-preventable diseases include?) (29) If your operation maintains and administers unassigned epinephrine auto- injectors to use when a child in care has an emergency anaphylaxis reaction, policies for maintenance, administration, and disposal of unassigned epinephrine auto-injectors that comply with the unassigned epinephrine auto- injector requirements set by the Texas Department of State Health Services, as specified in 25 TAC Chapter 40, Subchapter C (relating to Epinephrine Auto- Injector Policies in Youth Facilities) and in Texas Health and Safety Code ?773.0145.
Correction deadline
August 1, 2025
Correction status
Correction evaluated July 25, 2025
More details
Official Texas risk level
High
Report section
746.201(1) - Policies Comply with Rules
Official code
746.201(1)
Medium concern: Staff training
Report finding
During the inspection, the first aid kit was missing adhesive tape, bandaids and thermometer.
A review of the Employees Who Left Employment in 2024 Survey data from January 17, 2025, revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required.
Based on information obtained, there is sufficient evidence to support a child was injured from falling off a climbing structure that does not have handrails.
Correction deadline
November 6, 2023
Correction status
Correction evaluated November 29, 2023
More details
Official Texas risk level
High
Report section
746.4601(10) - Handrails on Stairs and Steps of Climbing Equipment
Based on information obtained, there is sufficient evidence to support a child was injured from falling off a climbing structure that does not have handrails.
Correction deadline
November 6, 2023
Correction status
Correction evaluated November 29, 2023
More details
Official Texas risk level
High
Report section
746.4601(10) - Handrails on Stairs and Steps of Climbing Equipment
Medium concern: Individual needs and accommodations
Report finding
THe operational policy did not contain the following: Promotion of indoor and outdoor physical activity, the benefits of physical activity and outdoor play, the duration of physical activity at your operation, both indoor and outdoor, the type of physical activity (structured and unstructured) that children may engage in at your operation, each setting in which your physical activity program will take place and a plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.
Correction deadline
August 5, 2022
Correction status
Correction evaluated July 29, 2022
More details
Official Texas risk level
Medium
Report section
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity