The operational policies were incomplete and/or lacked all the required information, reference standard 747.501. The operational policies lacked and/or required clarity. English version lacked 3, 5, 7, 9, and 11, Spanish version lacked 5, 6, 7, 8, and 9.
The operational policies were not available to review.
Correction status
Correction evaluated September 27, 2022
More details
Official Texas risk level
Medium High
Report section
747.207(1) - Policies Comply with Rules
Official code
747.207(1)
Higher concern: Sleep safety
Report finding
A 10 month old infant was asleep on a play yard with an extra mattress placed in it, a blanket covering the mattress, and the infant on a pillow.
Correction status
Completed at time of inspection
More details
Official Texas risk level
High
Report section
747.2315(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Official code
747.2315(b)
Medium concern: Staff training
Report finding
The required annual training on the following topics had not been completed by caregivers. The required training topics are 2. communicable diseases to include immunizations 3. administering medication 4. preventing and responding to emergencies due to food or an allergic reaction.
Correction deadline
September 27, 2022
Correction status
Correction evaluated September 26, 2022
More details
Official Texas risk level
Medium
Report section
747.1309(d) - Primary Caregiver Annual Training - Required Special Topics without specific hours
Official code
747.1309(d)
Higher concern: Staff training
Report finding
The caregiver had not completed the required annual training for shaken baby syndrome, sudden infant death syndrome, and early brain development. The last time it was obtained was on 11/11/2020.
Correction status
Correction evaluated September 19, 2022
More details
Official Texas risk level
Medium High
Report section
747.1309(c) - Primary Caregiver Annual Training - Special topics for children under 24 months
Official code
747.1309(c)
Medium concern: Health or food records
Report finding
Two children's records did not have the immunization record on file. Two children's records did not have an immunization record. Two children's immunization record were received during the inspection.
Correction status
Correction evaluated September 27, 2022
More details
Official Texas risk level
Medium
Report section
747.603(a)(4) - Children's Records - Immunizations
Official code
747.603(a)(4)
Medium concern: Recordkeeping
Report finding
The provider did not have the safety documents available for review.
Correction status
Correction evaluated September 20, 2022
More details
Official Texas risk level
Medium
Report section
747.801(7) - Records Maintained and Made Available - Safety Drills Documentation
Official code
747.801(7)
Medium concern: Staff training
Report finding
The first aid kit was incomplete. It lacked the guide to first aid guide and adhesive tape.
Correction deadline
September 20, 2022
Correction status
Correction evaluated September 15, 2022
More details
Official Texas risk level
Medium
Report section
747.3803(a) - First Aid Kit - Complete Kit
Official code
747.3803(a)
Higher concern: Recordkeeping
Report finding
There was no documentation of the vaccination for 2 of the cats. The last documentation was from July 2021 requiring vaccinations July 2022.
Correction status
Correction evaluated September 19, 2022
More details
Official Texas risk level
Medium High
Report section
747.3703(a) - Animals at Center - Documentation of Vaccinations