2026-05-21 · 746.2419(3) · High
Requirements for Feeding Infants - Never Prop Bottles
Corrected at inspection: No. Correction date: 2026-05-21. Correction verified: 2026-05-27.
During inspection, a four moth old infant was found in its crib feeding from a bottle that was propped up by a blanket. The caregiver removed the blanket and bottle upon my request.
2025-06-16 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-07-11.
During inspection, two caregivers had 0 annual training hours 2024-2025.
2025-06-16 · 746.901(5) · Medium Low
Required Personnel Records - Required Affidavit (Form 2912)
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-06-30.
During inspection, one caregiver was missing pre employment affidavit.
2025-06-16 · 746.501(a)(12) · Medium
Written Operational Policies - Vision and Hearing Screening
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-07-11.
During inspection, vision and hearing requirements were not observed in Operational Policies.
2025-06-16 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-07-11.
During inspection, parents rights was not observed in Operational Policies.
2025-06-16 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-06-23. Correction verified: 2025-06-23.
During inspection, the last fire inspection documented was dated 9/6/2023.
2025-06-16 · 746.605(10) · Medium
Required Admission Information - Physician Information
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-06-30.
During inspection, one child was missing physician and or emergency room information on admission form.
2025-06-16 · 746.501(a)(5) · Medium
Written Operational Policies - Emergencies
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-07-11.
During inspection, procedures for medical emergencies was not observed in Operational Policies.
2025-06-16 · 746.501(a)(9) · High
Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Corrected at inspection: No. Correction date: 2025-06-23. Correction verified: 2025-06-23.
During inspection, Infant Safe Sleep requirements was not observed in Operational Policies.
2025-06-16 · 746.501(a)(23) · Medium
Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-06-23.
During inspection, abuse and neglect hotline number/website, HHSC website and minimum standard link for parents to access was not listed in Operational Policies.
2025-06-16 · 746.1301(a)(6)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-06-23.
During inspection two directors had 0 annual training hours for 2024-2025.
2025-06-16 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit (Form 2985)
Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-06-23.
During inspection, one caregiver was missing notarized affidavit.
2024-06-24 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2024-06-24. Correction verified: 2024-07-02.
Children under 2 years old were observed watching television during the inspection. Screen time is prohibited for children under the age of two.
2024-06-24 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-07-01. Correction verified: 2024-07-02.
During the inspection, one of the children's infant feeding sheet was not completed along with parents signature.
2024-06-24 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Corrected at inspection: No. Correction date: 2024-06-24. Correction verified: 2024-07-02.
During the inspection, 6 month old was observed with bottle and boppy pillow during feeding in the crib.
2023-06-29 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2023-09-25. Correction verified: 2023-10-31.
The first aid certification is expired for all caregivers.
2023-06-29 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2023-09-25. Correction verified: 2023-10-31.
There are no annual training records available for review by licensing.
2023-06-29 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2023-09-25. Correction verified: 2023-10-31.
The CPR certification is expired for all caregivers.
2022-12-29 · 746.801(10) · Medium
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
Corrected at inspection: No. Correction date: 2023-01-05. Correction verified: 2023-01-05.
I did not observe documentation to show CO alarm, smoke detector, and fire extinguisher tested.
2022-06-07 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: Yes. Correction date: 2022-06-07. Correction verified: Not recorded.
Two children files were missing an emergency contact. Two children files were missing an address to their emergency contact. Note: These were corrected during my inspection.
2022-06-07 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2022-06-17. Correction verified: 2022-06-16.
Staff files were not available during my inspection.
2022-03-10 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2022-03-18. Correction verified: 2022-03-11.
There is no documentation of the fire drills being conducted.
2022-01-04 · 746.5317 · High
Installation of Smoke Detectors
Corrected at inspection: No. Correction date: 2022-01-07. Correction verified: 2022-01-05.
A smoke detector was heard beeping during the inspection.
2022-01-04 · 746.2409(a)(2) · Medium High
Safety Requirements for Cribs - Snug Fitting Sheets
Corrected at inspection: No. Correction date: 2022-01-07. Correction verified: 2022-01-05.
The sheets do not fit snuggly on the mattresses causing an entanglement concern.