During the monitoring inspection the parent handbook was viewed and the following information was missing: (11) Immunization requirements for children, including tuberculosis screening and testing if required by your regional Texas Department of State Health Services or local health authority (13) Enrollment procedures, including how and when parents will be notifiedof policy changes (18) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan) [Medium]; your policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; and (G)A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. (20) Parent rights that are consistent with the rules in Division 5 of this subchapter (relating to Parent Rights) (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]; 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
July 7, 2026
Correction status
Correction evaluated July 21, 2026
More details
Official Texas risk level
High
Report section
746.201(1) - Policies Comply with Rules
Official code
746.201(1)
Higher concern: Transportation
Report finding
During the inspection, two employees who transport did not have current transportation training. The director also did not have current transportation training.
Correction deadline
July 7, 2026
Correction status
Correction evaluated July 20, 2026
More details
Official Texas risk level
Medium High
Report section
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Official code
746.1316(a)
Higher concern: Equipment or readiness
Report finding
During the monitoring inspection, it was found a fire extinguisher was empty when inspecting one of the vans.
Correction deadline
July 10, 2026
Correction status
Correction evaluated July 17, 2026
More details
Official Texas risk level
Medium High
Report section
746.5307(b) - Fire Extinguishers Serviced
Official code
746.5307(b)
Higher concern: Equipment or readiness
Report finding
During the monitoring inspection, there was one child file out of six files with no emergency contact information other than the parent.
Correction deadline
July 3, 2026
Correction status
Correction evaluated July 17, 2026
More details
Official Texas risk level
Medium High
Report section
746.605(6) - Required Admission Information - Emergency Contact
Official code
746.605(6)
Medium concern: Staff training
Report finding
During the inspection, there were four staff files out of six staff files with no health and safety training for the annual year based on their hire date.
During the monitoring inspection, when viewing the files, there were two staff with expired Pediatric CPR (8-11-2025 and 10-21-2025) and the director had expired Pediatric CPR (3-22-2026). There was one staff with no Pediatric CPR available for review.
Correction deadline
July 10, 2026
Correction status
Correction evaluated July 20, 2026
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)
Medium concern: Staff training
Report finding
During the monitoring inspection, the director did not have health and safety training for the annual year based on hire date.
Correction deadline
July 10, 2026
Correction status
Correction evaluated July 20, 2026
More details
Official Texas risk level
Medium
Report section
746.1311(e) - Director Annual Training - Additional required topics
Official code
746.1311(e)
Higher concern: Staff training
Report finding
During the monitoring inspection, when viewing the files, there were two staff with expired Pediatric First Aid (8-11-2025 and 10-21-2025) and the director had expired Pediatric First Aid (3-22-2026). There was one staff with no Pediatric First Aid available for review.
Correction deadline
July 10, 2026
Correction status
Correction evaluated July 20, 2026
More details
Official Texas risk level
Medium High
Report section
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Director did not have 30 hours of training available for review for calendar year 2024-2025.
Correction deadline
July 25, 2025
Correction status
Correction evaluated August 11, 2025
More details
Official Texas risk level
Medium
Report section
746.1311(a) - Director Annual Training 30 Hours Required
Official code
746.1311(a)
Medium concern: Staff training
Report finding
4 out of 8 staff files viewed did not have 24 training hours available for review.
Correction deadline
July 25, 2025
Correction status
Correction evaluated August 25, 2025
More details
Official Texas risk level
Medium
Report section
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Official code
746.1309(a)
Higher concern: Licensing compliance
Report finding
During the monitoring inspection, the staff files and childre files were missing the following: Staff Files: - 3 staff were missing pre-employment affidavit (Form 2912) - 1 staff did not have copy of photo i.d - 4 staff did not have proof of education - 6 staff did not have a copy showing they recievied the operational policy and personnel policy - 1 staff did not have an updated background check letter - 2 staff did not have a notarized affidavit Children Files - 4 children files did not have an emergency contact other than their parent - 1 children file did not have a copy of their immunication record
Correction deadline
July 25, 2025
Correction status
Correction evaluated August 11, 2025
More details
Official Texas risk level
High
Report section
746.1003(1) - Director Responsibilities - Operate in Compliance
Official code
746.1003(1)
Higher concern: Staff training
Report finding
2 out of 8 staff files viewed did not have CPR/First Aid certification available for review. 1 out of 8 staff files viewed had an expired CPR/First Aid certifciation (8/14/2021)
Correction deadline
August 1, 2025
Correction status
Correction evaluated August 20, 2025
More details
Official Texas risk level
Medium High
Report section
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Director did not have 30 hours of training available for review for calendar year 2024-2025.
Correction deadline
July 25, 2025
Correction status
Correction evaluated August 11, 2025
More details
Official Texas risk level
Medium
Report section
746.1311(a) - Director Annual Training 30 Hours Required
Official code
746.1311(a)
Medium concern: Staff training
Report finding
4 out of 8 staff files viewed did not have 24 training hours available for review.
Correction deadline
July 25, 2025
Correction status
Correction evaluated August 25, 2025
More details
Official Texas risk level
Medium
Report section
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Official code
746.1309(a)
Higher concern: Staff training
Report finding
2 out of 8 staff files viewed did not have CPR/First Aid certification available for review. 1 out of 8 staff files viewed had an expired CPR/First Aid certifciation (8/14/2021)
Correction deadline
August 1, 2025
Correction status
Correction evaluated August 20, 2025
More details
Official Texas risk level
Medium High
Report section
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Official code
746.1315(a)
Higher concern: Licensing compliance
Report finding
During the monitoring inspection, the staff files and childre files were missing the following: Staff Files: - 3 staff were missing pre-employment affidavit (Form 2912) - 1 staff did not have copy of photo i.d - 4 staff did not have proof of education - 6 staff did not have a copy showing they recievied the operational policy and personnel policy - 1 staff did not have an updated background check letter - 2 staff did not have a notarized affidavit Children Files - 4 children files did not have an emergency contact other than their parent - 1 children file did not have a copy of their immunication record
Correction deadline
July 25, 2025
Correction status
Correction evaluated August 11, 2025
More details
Official Texas risk level
High
Report section
746.1003(1) - Director Responsibilities - Operate in Compliance
Official code
746.1003(1)
Higher concern: Background screening
Report finding
During the inspection, caregiver with conditions on her background was observed supervising (5) 2 year old children alone. Caregiver moved children to another classroom and joined the other caregiver.
Correction deadline
July 11, 2025
Correction status
Correction evaluated July 23, 2025
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
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.
Operation did not have their annual fire inspection. Fire inspection was last conducted April 16, 2023.
Correction deadline
July 31, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
High
Report section
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Official code
746.5101(a)
Medium concern: Recordkeeping
Report finding
Three out of five children files reviewed were missing the date the child was enrolled.
Correction deadline
July 19, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
Medium Low
Report section
746.605(3) - Required Admission Information - Date of Admission
Official code
746.605(3)
Higher concern: Equipment or readiness
Report finding
One out of five children files reviewed were missing their emergency contact information on the admission form.
Correction deadline
July 19, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
Medium High
Report section
746.605(6) - Required Admission Information - Emergency Contact
Official code
746.605(6)
Medium concern: Recordkeeping
Report finding
One out of five children files reviewed did not have their school information listed.
Correction deadline
July 19, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
Medium
Report section
746.605(14) - Required Admission Information - School Information for School-age Child
Official code
746.605(14)
Medium concern: Recordkeeping
Report finding
Four out of five children files were reviewed were missing if child can participate in water activities with or without assistance on the admission form.
Correction deadline
July 19, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
Medium
Report section
746.605(10) - Required Admission Information - Water Activity Permission
Official code
746.605(10)
Low concern: Health or food records
Report finding
One out of five children files reviewed was missing the requied health statement.
Correction deadline
July 19, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
Low
Report section
746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Official code
746.611(a)(1)
Higher concern: Background screening
Report finding
One out of five staff hired after 2023 did not have their preemployment affidavit.
Correction deadline
July 19, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
High
Report section
HRC 42.0563 - Employment affidavit regarding inappropriate relationship with minor
Official code
HRC 42.0563
Medium concern: Recordkeeping
Report finding
After reviewing staff files, three out five files were missing their hire date. Four out of five files were missing the notarized affidavit. One out of five files was missing copy of identification card. One out of five files was missing proof of education.
Correction deadline
July 19, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
Medium
Report section
746.901 - Required Personnel Records
Official code
746.901
Higher concern: Equipment or readiness
Report finding
One out of five children files reviewed was missing the emergency medical information.
Correction deadline
July 19, 2024
Correction status
Correction evaluated August 5, 2024
More details
Official Texas risk level
High
Report section
746.605(12) - Required Admission Information - Emergency Medical Authorization
A child was not supervised when the director step out the room and left the child alone with the inspector. Children were supervised when the director step away from a group in the middle room and step into the infant classroom.
Correction deadline
March 8, 2024
Correction status
Correction evaluated March 26, 2024
More details
Official Texas risk level
High
Report section
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Official code
746.1205(a)(4)
Higher concern: Environmental health
Report finding
Children did not wash their hands before eating breakfast or snack.
Correction deadline
March 8, 2024
Correction status
Correction evaluated March 26, 2024
More details
Official Texas risk level
Medium High
Report section
746.3417(1) - Children Handwashing Before Eating
Official code
746.3417(1)
Higher concern: Background screening
Report finding
They was one caregiver in the infant classroom without an eligible background. Corrected: When the caregiver was asked to leave and the director was going to contact CBCU unit.
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
The infant children sat in the high chair from 9:05 am until 9:55 am, for circle time they were then given snack at 10:00 am which ended at 10:10 am and the children were still in high charis.
Correction deadline
March 25, 2024
Correction status
Correction evaluated March 26, 2024
More details
Official Texas risk level
High
Report section
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
Official code
746.2417(2)(B)
Higher concern: Other violations
Report finding
In the infant classroom the youngest child is 8 months old and the oldest child is 23 months old, they is a two month difference for a child being 18 months older then the youngest child.
Correction deadline
March 25, 2024
Correction status
Correction evaluated March 26, 2024
More details
Official Texas risk level
Medium High
Report section
746.2403(3) - Infant Care Area - Separate from Older Children
Director and staff hired on 5/24/2019 had invalid CPR card. Staff hired on 1/10/2022, 2/7/2022, 9/17/2021 and June of 2021 did not have CPR training on file. Noted: picture was taken
Correction deadline
July 29, 2022
Correction status
Correction evaluated August 8, 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: Staff training
Report finding
Director had 28 hours of annual training for the 2021-2022 year.
Correction status
Correction evaluated July 21, 2022
More details
Official Texas risk level
Medium High
Report section
746.1301(6)(A) - Training Requirements for Directors 30- Annual Training
Official code
746.1301(6)(A)
Higher concern: Staff training
Report finding
Staff hired on 5/24/2019 had 7 hours of annual training for 2021-2022 year. Staff hired on 9/17/2021 had 0 annual training for the 2021-2022 year. Staff hired in June of 2021 had 0 annual training for the 2021-2022 year.
Correction deadline
July 29, 2022
Correction status
Correction evaluated August 8, 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: Transportation
Report finding
Staff that transport with hired date of 6/8/2011 and director did not have current driver's license on file. Noted: Pictures were taken.
Correction status
Correction evaluated July 21, 2022
More details
Official Texas risk level
Medium
Report section
746.901(9) - Required Personnel Records- Current Driver's License
Official code
746.901(9)
Higher concern: Staff training
Report finding
Staff hired on 1/10/2022, 2/7/2022, 9/17/2021 and June of 2021 did not have First Aid training on file.
Correction deadline
July 29, 2022
Correction status
Correction evaluated August 8, 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: Equipment or readiness
Report finding
During inspection, two children were missing addresses for emergency contact on admission form.
Correction status
Correction evaluated July 21, 2022
More details
Official Texas risk level
Medium High
Report section
746.605(6) - Required Admission Information - Emergency Contact
The operation has an open bottom climbing jungle gym in the outdoor play area, which is considered prohibited equipment. A picture was taken of the jungle gym.
Correction deadline
December 28, 2021
Correction status
Correction evaluated January 11, 2022
More details
Official Texas risk level
High
Report section
746.4603(2) - Prohibited Equipment - Allows Children To Fall Inside Structure Onto Other Parts
Official code
746.4603(2)
Higher concern: Staff-to-child ratio
Report finding
There was one caregiver in the infant room caring for 7 infants ages 5 months to 16 months old. The caregiver was over ratio by 3 infants. This was corrected during the inspection when another caregiver was placed in the room.
Correction deadline
December 28, 2021
Correction status
Correction evaluated January 11, 2022
More details
Official Texas risk level
Medium High
Report section
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Official code
746.1601
Medium concern: Other violations
Report finding
One caregiver was caring for 6 school age children in the front office. The children were sitting on the floor, and playing with toys and cards.
Correction deadline
December 28, 2021
Correction status
Correction evaluated January 11, 2022
More details
Official Texas risk level
Medium
Report section
746.2705 - School-age Furnishings and Equipment
Official code
746.2705
Higher concern: Background screening
Report finding
Two caregivers with hire dates of 9/30/2021 and 1/13/2021 were present in the operation and working with children without current background checks.
Correction deadline
December 28, 2021
Correction status
Correction evaluated January 11, 2022
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