A caregiver was missing annual trianing for training year 1/20/2025 - 1/19/2026 on the following topics: (1) Preventing and controlling the spread of communicable diseases, including immunizations; (2) Preventing and responding to emergencies due to food or an allergic reaction; (3) 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 (4) 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?).
The fire extinguisher in 1 of 3 transportation vehicles was stored in the vehilcles trunk.
Correction status
Correction evaluated March 9, 2026
More details
Official Texas risk level
High
Report section
746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
Official code
746.5617(a)(5)
Higher concern: Transportation
Report finding
1 of 3 transportation vehicles had a torn seat with exposed interior material (foam). Note: This was CORRECTED during the inspection as the torn area of the seat was sewn.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.5603(c) - Types of Vehicles Used to Transport Children - Be Maintained Safely
A food allergy emergency plan was not available for review for a child with a known food allergy that has been diagnosed by a health-care professional.
Correction deadline
March 24, 2025
Correction status
Correction evaluated March 21, 2025
More details
Official Texas risk level
Medium High
Report section
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Official code
746.3819
Medium concern: Staff training
Report finding
The first-aid kits in two transportation vehicles were incomplete. The items missing were tweezers, and Waterproof, disposable gloves. NOTE: This was corrected during the inspection as the missing items were obtained and placed in the first-aid kits.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium
Report section
746.4003(a) - First Aid Kit - Incomplete Kit
Official code
746.4003(a)
Higher concern: Equipment or readiness
Report finding
The emergency preparedness plan reviewed did not include specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments.
Correction deadline
March 17, 2025
Correction status
Correction evaluated March 13, 2025
More details
Official Texas risk level
Medium High
Report section
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Official code
746.5202(1)
Higher concern: Sleep safety
Report finding
A play yard being used by an infant did not have a fitted sheet on the mattress.
Correction deadline
March 14, 2025
Correction status
Correction evaluated March 13, 2025
More details
Official Texas risk level
Medium High
Report section
746.2411(2)(B) - Safety Requirements for Play Yards - Snug Fitting Sheets
Official code
746.2411(2)(B)
Higher concern: Health or food records
Report finding
A list of a child's food allergies was not posted in the room where the child may spend time and kitchen. NOTE: This was corrected during the inspection as a list of a child's food allergies was created and posted in the required room/areas of the operation.
Based on the information obtained during the course of the investigation, a caregiver pulled a toy out of a child's hands without providing positive discipline / guidance.
Correction deadline
May 31, 2024
Correction status
Correction evaluated June 7, 2024
More details
Official Texas risk level
Medium High
Report section
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
One out of seven children's records reviewed is missing immunization records.
Correction deadline
April 2, 2024
Correction status
Correction evaluated March 29, 2024
More details
Official Texas risk level
Medium
Report section
746.603(a)(4) - Children's Records - Immunizations
Official code
746.603(a)(4)
Medium concern: Recordkeeping
Report finding
Operational policies reviewed and the following information is missing: 18(a) Physical / outdoor activity benefits 18(c) Type of physical activity 18(d) Setting for physical activity 18(f) Extreme weather criteria 30 Inclusive Care policy
Correction deadline
April 5, 2024
Correction status
Correction evaluated April 2, 2024
More details
Official Texas risk level
Medium
Report section
746.501(a)(18)(A) - Written Operational Policies - Benefits
Potty chair was not sanitized after a child used it. Note: This was corrected at inspection when this was brought to provider's attention and the potty was sanitized.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.3407(5) - Sanitize Potty-Chairs
Official code
746.3407(5)
Medium concern: Recordkeeping
Report finding
Menu posted did not match the food items served during breakfast and lunch.
Correction deadline
April 19, 2023
Correction status
Correction evaluated April 21, 2023
More details
Official Texas risk level
Medium
Report section
746.3313(1) - Daily Menus - Record Comparable Substitutions
Official code
746.3313(1)
Higher concern: Equipment or readiness
Report finding
Operation has three structures in the playground: structure with slide, multi-person spring rider and stationary car. Use zones for structures overlap and do not meet the required 6ft for each of the structures. Note: This was corrected at inspection when provider removed the structure with slide and stationary car.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.4805(d) - Measurement of Use Zone for Slides - No Overlap
Official code
746.4805(d)
Medium concern: Sleep safety
Report finding
A child did not have an individual / designated napping mat. Note: This was corrected at inspection when a mat was designated and labeled for the child.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium
Report section
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
Official code
746.4503(a)
Higher concern: Equipment or readiness
Report finding
Emergency plan is incomplete and missing specific steps for lock down . severe weather and evacuation procedures.
Correction deadline
April 26, 2023
Correction status
Correction evaluated April 21, 2023
More details
Official Texas risk level
Medium High
Report section
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures