Ds Heart to Heart

Summary of the record

This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.

Texas Health and Human Services records list 55 cited deficiencies for Ds Heart to Heart in the 3 years before October 10, 2026 (14 High, 19 Medium High, 21 Medium, 1 Low).

Records list 25 inspections in this window. Most recent inspection: 2026-08-25.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (89)

• 2026-08-21 · 746.4103(a) · Medium High

  Policies for Release of Children

  Corrected at inspection: No. Correction date: 2026-09-02. Correction verified: 2026-09-08.

  Based on information gathered, the operation failed to follow operation policy regarding verification of identification at pick up.

• 2025-08-19 · 746.4505 · Medium

  Storage for Individual Belongings

  Corrected at inspection: No. Correction date: 2025-09-02. Correction verified: 2025-08-21.

  The children's storage space was not clearly labeled in toddler classroom.

• 2025-07-22 · 746.401(2) · Medium

  Posting Requirements - Letter or form from the most recent Licensing Inspection or Investigation

  Corrected at inspection: No. Correction date: 2025-07-29. Correction verified: 2025-07-23.

  I did not observe the most recent licensing inspection report posted.

• 2025-07-22 · 746.2206(1) · Medium

  Written Activity Plan - Outdoor Play Opportunities

  Corrected at inspection: Yes. Correction date: 2025-07-22. Correction verified: Not recorded.

  The daily schedule did not include outdoor play times for morning and afternoon in preschool 1 and toddler rooms. Note: corrected during inspection when schedule updated.

• 2025-06-10 · 746.1315(b)(1) · Medium High

  CPR Training and Recertification Adhere to Guidelines-skill based

  Corrected at inspection: No. Correction date: 2025-06-24. Correction verified: 2025-06-24.

  The on-line CPR recertification training obtain did not include use of a CPR manikin.

• 2025-06-10 · 746.1309(c) · Medium

  Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment

  Corrected at inspection: No. Correction date: 2025-06-24. Correction verified: 2025-06-23.

  Four staff files evaluated were missing one hour of child maltreatment training.

• 2025-06-10 · 746.2419(6) · Medium High

  Requirements for Feeding Infants - Label Bottles/Cups

  Corrected at inspection: Yes. Correction date: 2025-06-10. Correction verified: Not recorded.

  I observe two feeding bottles that were not labeled in the infant. Note. this was corrected when caregiver labeled both bottles.

• 2025-06-10 · 746.1105(3) · Low

  Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985)

  Corrected at inspection: No. Correction date: 2025-06-17. Correction verified: 2025-06-23.

  One staff records evaluated was missing notarized affidavit.

• 2025-06-10 · 746.5207(b) · Medium High

  Emergency Evacuation and Relocation Diagram - Posted in Each Room

  Corrected at inspection: Yes. Correction date: 2025-06-10. Correction verified: Not recorded.

  I did not observe emergency and evacuation diagram posted in the infant room. Note: this was corrected when diagram was posted.

• 2025-06-10 · 746.3807(1) · High

  Storage of Medication - Inaccessible to Children

  Corrected at inspection: No. Correction date: 2025-06-10. Correction verified: 2025-06-23.

  I observe bottle of Moltrin medication on a bottom cart in the classroom accessible to children. Note: corrected when staff removed the medication.

• 2025-06-10 · 746.801(3) · Medium

  Required Records Maintained and Made Available - Personnel and Training Records

  Corrected at inspection: No. Correction date: 2025-06-30. Correction verified: 2025-06-27.

  Three staff records evaluated did not have training records available for review.

• 2025-06-10 · 746.2209 · Medium

  Posting of Activity Plan

  Corrected at inspection: Yes. Correction date: 2025-06-10. Correction verified: Not recorded.

  I observe the activity plans not posted in the toddler 1 room. Note: this was corrected when activity plan posted.

• 2025-03-12 · 746.501(a)(18) · Medium

  Written Operational Policies - Promotion of Physical Activity

  Corrected at inspection: No. Correction date: 2025-03-21. Correction verified: 2025-04-04.

  The operational policies did not include the promotion of indoor and outdoor physical activity.

• 2025-03-12 · 746.5101(a) · High

  Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

  Corrected at inspection: No. Correction date: 2025-04-02. Correction verified: 2025-04-04.

  It was found that the annual fire inspection was not conducted. Last inspection was 3/4/2024.

• 2025-03-12 · 746.501(a)(20) · Medium

  Written Operational Policies - Parent Rights

  Corrected at inspection: No. Correction date: 2025-03-21. Correction verified: 2025-04-04.

  A review of the operational policies was conducted and found that the parents rights were not included.

• 2024-12-13 · 746.2805(1) · High

  Prohibited Punishments - Corporal Punishment

  Corrected at inspection: No. Correction date: 2024-12-10. Correction verified: 2024-12-13.

  During the investigation it was found that some of the caregivers were using forms of prohibited punishment, such as hitting, to control unwanted behaviors from the children in their care.

• 2024-11-19 · 746.601(c) · Medium

  Provide Access to Children's Records - Licensing

  Corrected at inspection: No. Correction date: 2024-11-26. Correction verified: 2024-12-20.

  A file for twins was not made accessible to review by licensing upon request.

• 2024-11-15 · 746.2426(a)(1) · High

  Infant May Not Sleep in a Restrictive Device

  Corrected at inspection: No. Correction date: 2024-11-15. Correction verified: 2024-11-19.

  During the inspection two, 4 month old infants, were observed sleeping in a swing with a blanket.

• 2024-11-15 · 746.2607(1) · Medium High

  Activities for Pre-Kindergarten Age - Outdoor Play

  Corrected at inspection: No. Correction date: 2024-11-15. Correction verified: 2024-12-09.

  During the inspection it was observed that the children were not going outside for outdoor play as required. The day of the inspection it was 70 degress and clear.

• 2024-11-15 · 746.2605(1)(A) · Medium

  Furnishings and Equipment for Pre-Kindergarten Age Interest Centers Clearly Defined

  Corrected at inspection: No. Correction date: 2024-11-22. Correction verified: 2024-12-09.

  During the inspection the operation was re-cited as it was observed that the pre k classroom still did not have interest centers available for use in the classroom.

• 2024-11-15 · 746.2207(c)(1) · Medium

  Screen Time Activities - Related to Planned Activities

  Corrected at inspection: No. Correction date: 2024-11-15. Correction verified: 2024-11-19.

  During the inspection it was observed that the pre k classroom was watching the cartoon Resses. This cartoon was not related to their planned activities or meeting educational goals.

• 2024-11-15 · 746.3701 · Medium High

  Safety - Areas Free From Hazards

  Corrected at inspection: No. Correction date: 2024-11-15. Correction verified: 2024-12-09.

  During the inspection it was observed that there was exposed metal on the playground, as well as exposed metal from worn down rain gutters. This metal was sharp and a child could be injured if they fell on it or touched it.

• 2024-11-15 · 746.2405(4) · Medium High

  Infant Care Area Furnishings and Equipment - Hand-washing Sink

  Corrected at inspection: Yes. Correction date: 2024-11-15. Correction verified: Not recorded.

  During the inspection it was observed that both of the diaper changing areas did not have a working sink available for use. This was corrected at the inspection when a sink was added to the infant diaper changing area and water was added to the sink in the toddler diaper changing area so that it would work.

• 2024-11-15 · 746.4305 · Medium High

  Fenced Outdoor Activity Space

  Corrected at inspection: No. Correction date: 2024-11-15. Correction verified: 2024-12-09.

  During the inspection the operation was re-cited as their outdoor activity space was not fully fenced in. While the majority of the playground was surrounded by a fence, there was an area about 4 ft wide that did not have any fencing.

• 2024-11-15 · 746.2207(a) · Medium

  Screen Time Activities - Not Used for Under Two

  Corrected at inspection: No. Correction date: 2024-11-15. Correction verified: 2024-11-19.

  During the inspection it was observed that children under the age of two were observed watching the television.

• 2024-11-15 · 746.2805 · High

  Prohibited Punishments - No Harsh, Cruel or Unusual

  Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-20.

  Based on information obtained for the investigation, a caregiver displayed inappropriate discipline towards a child in care.

• 2024-11-15 · 746.1203(3)(D) · Medium High

  Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

  Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-20.

  Based on information obtained for the investigation, a caregiver was using their cell phone for personal reasons while caring for children.

• 2024-11-15 · 746.1205(a)(4) · High

  Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

  Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-20.

  Based on information obtained for the investigation, a caregiver was not maintaining supervision when engaging on their cell phone for personal reasons unrelated to caregiver responsibilities.

• 2024-11-15 · 746.603(a)(2) · Medium

  Children's Records - Admission Information

  Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-20.

  Based on information obtained for the investigation, a child was in care without admission information.

• 2024-11-04 · 746.5007(a) · High

  Fencing Around Swimming Pool - 6 Foot High

  Corrected at inspection: No. Correction date: 2024-11-14. Correction verified: 2024-11-15.

  There is a swimming pool on the property that doers not have fencing to protect children from having access.

• 2024-11-04 · 746.3501(2) · Medium High

  Diaper Changing Steps- Cleanse Child with Individual Cloths

  Corrected at inspection: No. Correction date: 2024-11-04. Correction verified: 2024-11-15.

  During the inspection there was a 16 month old baby with a wet diaper that had not been changed.

• 2024-11-04 · 746.3701(1) · Medium High

  Safety - Electrical Outlets Covered

  Corrected at inspection: Yes. Correction date: 2024-11-04. Correction verified: Not recorded.

  During the follow-up inspection there were at least 4 outlets that were missing their covers, 3 of which were in the room that the children were present in. These were corrected at inspection when they were added.

• 2024-11-04 · 746.2605(1)(A) · Medium

  Furnishings and Equipment for Pre-Kindergarten Age Interest Centers Clearly Defined

  Corrected at inspection: No. Correction date: 2024-11-11. Correction verified: 2024-11-15.

  During the follow-up inspection it was observed that the pre k classroom still did not have interest centers available for use in the classroom. There were puzzles, a handful of toys, and some white boards.

• 2024-11-04 · 746.2207(c)(2) · Medium

  Screen Time Activities - Age-appropriate

  Corrected at inspection: No. Correction date: 2024-11-04. Correction verified: 2024-11-15.

  During the inspection it was observed that the children in care were watching SpiderMan, which is a PG-13 movie. The children in care were 16 months, 2 year, 3 years, and 10 years old.

• 2024-10-24 · 746.2505(3) · Medium

  Furnishings and Equipment for Toddlers - Items Accessible to Children

  Corrected at inspection: No. Correction date: 2024-12-10. Correction verified: 2024-12-13.

  During the investigation there was enough evidence to support that the operation was not providing enough accessible toys and equipment to the children in their care for daily use.

• 2024-10-24 · 746.2805(1) · High

  Prohibited Punishments - Corporal Punishment

  Corrected at inspection: No. Correction date: 2024-12-10. Correction verified: 2024-12-13.

  During the investigation it was found that some of the caregivers were using forms of prohibited punishment, such as hitting, to control unwanted behaviors from the children in their care.

• 2024-10-23 · 745.641 · High

  AP Background check results - Must receive notification prior to allowing subject to be present at your operation

  Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-10-24.

  During the inspection it was observed that there was an individual present at the operation and caring for the toddlers without a cleared background check.

• 2024-10-23 · 746.4403(a) · Medium

  Handwashing Sink in Diaper-Changing Area

  Corrected at inspection: No. Correction date: 2024-11-06. Correction verified: 2024-11-04.

  During the inspection it was observed that there was not a hand washing sink in the diaper changing area for the children aged 18 months - 23 months.

• 2024-10-23 · 746.301(3) · Medium

  Notification of Reduction of Toilets/Sinks

  Corrected at inspection: No. Correction date: 2024-10-23. Correction verified: 2024-11-04.

  During the inspection it was found that the operation was licensed with 15 toilets and 8 sinks and at the time of the inspection only had 10 toilets and 5 sinks that were working and available for children use.

• 2024-10-23 · 746.2505(3) · Medium

  Furnishings and Equipment for Toddlers - Items Accessible to Children

  Corrected at inspection: No. Correction date: 2024-10-30. Correction verified: 2024-11-04.

  During the inspection it was observed that the toddler classroom only had a couple toys available and did not have low shelving for storage of the toys so that the children could play and access the toys without adult supervision.

• 2024-10-23 · 746.3701(1) · Medium High

  Safety - Electrical Outlets Covered

  Corrected at inspection: No. Correction date: 2024-10-23. Correction verified: 2024-11-04.

  During the inspection it was found that at least 7 outlets were not covered throughout the operation in the pre k room and toddler room.

• 2024-10-23 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2024-10-23. Correction verified: 2024-11-04.

  During the inspection it was observed that there was 23 children present, with a specified age of 3 years old, with only 1 caregiver present. This group of children was over ratio by 8.

• 2024-10-23 · 746.4305 · Medium High

  Fenced Outdoor Activity Space

  Corrected at inspection: No. Correction date: 2024-11-08. Correction verified: 2024-11-04.

  During the inspection it was found that the operation did not currently have an outdoor play area that was fenced in and available for children's use. Part of the fence had been torn down during hurricane Beryl in July and not replaced.

• 2024-10-23 · 746.5617(a)(5) · High

  Required Equipment in Vehicles - Fire Extinguisher

  Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-11-04.

  During the inspection it was found that the bus available for use for transportation was not equipped with a fire extinguisher. It was also missing a thermometer from the first aid kit.

• 2024-10-23 · 746.5307(b) · Medium High

  Fire Extinguishers Serviced

  Corrected at inspection: No. Correction date: 2024-10-30. Correction verified: 2024-11-04.

  During the monitoring inspection it was found that the mounted fire extinguishers were not tagged showing that they had been serviced as required.

• 2024-10-23 · 746.2605(1)(A) · Medium

  Furnishings and Equipment for Pre-Kindergarten Age Interest Centers Clearly Defined

  Corrected at inspection: No. Correction date: 2024-10-30. Correction verified: 2024-11-04.

  During the inspection it was observed that the pre k classroom did not have any interest centers available for use.

• 2024-10-23 · 746.5007(a) · High

  Fencing Around Swimming Pool - 6 Foot High

  Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-11-04.

  During the inspection it was observed that there was an above ground pool next to the playground area, with no fence, protective barrier, or any other requirements for swimming pools being met.

• 2024-10-23 · 746.3407(9) · Medium High

  Floors, ceilings and Walls in Good Repair and Clean

  Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-11-04.

  During the inspection it was found that the inside of some of the toilet bowls had not been cleaned recently with dried pee, and toilet rims had what appeared to be poop dried on one of them. The floors in one of the bathrooms and the carpet in the pre k classroom had visible dirt and other debris. The vents throughout the operation were also crusted with dust and dirt.

• 2024-06-18 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2024-06-18. Correction verified: 2024-07-03.

  The infant classroom was over ratio by one as one caregiver was responsible for five infants, ages 4 to 6 months. The Toddler 1 classroom was over ratio as there was one caregiver responsible for children 18 months to 2 years old. The specified age group was 23 months.

• 2024-03-25 · 746.901 · Medium

  Required Personnel Records

  Corrected at inspection: No. Correction date: 2024-03-26. Correction verified: 2024-03-26.

  Two personnel records was missing the following documentation: 1 caregiver did not have proof of education

• 2024-03-25 · 746.1205(a)(2) · High

  Responsibilities of Caregivers - Know number of children responsible for

  Corrected at inspection: Yes. Correction date: 2024-03-25. Correction verified: Not recorded.

  The caregiver did not know how many children she was responsible for. Note: This was corrected at the inspection when I had the caregiver count three separate times until she got the number of children correct.

• 2024-03-25 · 746.5101(a) · High

  Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

  Corrected at inspection: No. Correction date: 2024-04-15. Correction verified: 2024-03-28.

  The operation did not have for reveiw a current fire inspection.

• 2024-03-18 · 746.1301(a)(7)(A) · Medium High

  Training Requirements for Employees, Caregivers, and Directors - Transportation training

  Corrected at inspection: No. Correction date: 2024-04-02. Correction verified: 2024-04-26.

  Transporter did not have transportation training.

• 2024-02-01 · 746.1203(3)(D) · Medium High

  Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

  Corrected at inspection: No. Correction date: 2024-02-12. Correction verified: 2024-02-12.

  There was evidence found that a caregiver used their cell when supervising children.

• 2024-02-01 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2024-02-12. Correction verified: 2024-02-12.

  A caregiver did not use good judgement when videoing two children playing which escalated into the children getting upset.

• 2023-07-20 · 746.5307(b) · Medium High

  Fire Extinguishers Serviced

  Corrected at inspection: No. Correction date: 2023-07-27. Correction verified: 2023-07-27.

  A fire extinguisher dial was off the spring.

• 2023-03-27 · 746.5205(4) · Medium

  Documentation of Drills

  Corrected at inspection: No. Correction date: 2023-03-31. Correction verified: 2023-04-05.

  Fire drills have not been completed since January 2022.

• 2023-03-27 · 746.1205(a)(4) · High

  Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

  Corrected at inspection: No. Correction date: 2023-03-27. Correction verified: 2023-04-11.

  A caregiver left the 4 children unattended in their class while getting other children up from a nap. Note:corrected during inspection when caregiver was settled in the class.

• 2023-03-27 · 746.1303(2) · Medium High

  Orientation-Operational policies including discipline, guidance and release of children

  Corrected at inspection: Yes. Correction date: 2023-03-27. Correction verified: Not recorded.

  One staff member did not have the operational policies checked off as received. Note corrected at inspection by caregiver completing form.

• 2023-03-27 · 746.401(9) · Medium Low

  Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

  Corrected at inspection: Yes. Correction date: 2023-03-31. Correction verified: Not recorded.

  The center did not have a list of the current employees. Note: corrected at inspection when center posted the list.

• 2023-03-27 · 746.603(a)(2) · Medium

  Children's Records - Admission Information

  Corrected at inspection: No. Correction date: 2023-03-31. Correction verified: 2023-04-05.

  One child file did not have the meal section filled out. Three children files did not have the emergency section filled out. One child file did not have the water activity section filled out. Two children's files did not have their "date of enrollment" filled out. One child file did not have the special needs section filled out. One child did not have the operational policies filled out.

• 2023-03-27 · 746.901 · Medium

  Required Personnel Records

  Corrected at inspection: Yes. Correction date: 2023-03-31. Correction verified: Not recorded.

  Two staff files did not have their start date. Note:corrected at inspection by the start date being filled out.

• 2023-03-20 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2023-03-20. Correction verified: 2023-03-27.

  The infant room was out of ratio by 1 infant. The specified age is 3 months. Note: corrected at inspection when a child was picked up.

• 2023-03-01 · 746.3417(1) · Medium High

  Children Handwashing Before Eating

  Corrected at inspection: Yes. Correction date: 2023-03-01. Correction verified: Not recorded.

  The older toddler group did not wash their hands before eating snacks. Note:corrected at inspection.

• 2023-03-01 · 746.5207(b) · Medium High

  Emergency Evacuation and Relocation Diagram - Posted in Each Room

  Corrected at inspection: No. Correction date: 2023-03-01. Correction verified: 2023-03-01.

  There were no evacuation plans posted in any classrooms.

• 2023-03-01 · 746.4501(b) · Medium

  Chairs - Safety Straps Used if Required by Manufacturer

  Corrected at inspection: Yes. Correction date: 2023-03-01. Correction verified: Not recorded.

  A infant child was not strapped into their high chair. Note: corrected during inspection.

• 2023-03-01 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: No. Correction date: 2023-03-03. Correction verified: 2023-03-27.

  The playground is not properly fenced off due to construction at the operation.

• 2023-03-01 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2023-03-01. Correction verified: 2023-03-27.

  A caregiver had 12 children to supervise in the toddler room. The infant room is over ratio by 2 children. The specified age group is 9 months.

• 2023-02-21 · 746.1205(a)(4) · High

  Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

  Corrected at inspection: No. Correction date: 2023-03-14. Correction verified: 2023-03-20.

  There was evidence and interviews proving that there was a caregiver who left children unsupervised.

• 2023-01-24 · 746.801(8) · Medium

  Required Records Maintained and Made Available - Playground Maintenance Records

  Corrected at inspection: No. Correction date: 2023-01-27. Correction verified: 2023-01-25.

  There was no building playground checklist available for review during inspection.

• 2023-01-24 · 746.2431 · Medium High

  Infant Daily Report - Share with Parent

  Corrected at inspection: No. Correction date: 2023-01-27. Correction verified: 2023-01-25.

  The center did not have the infant daily report available for review.

• 2023-01-24 · 746.401(6) · Medium

  Posting Requirements - Daily menu, including all snacks and meals served by the child care center

  Corrected at inspection: No. Correction date: 2023-01-27. Correction verified: 2023-01-25.

  The center did not have the menu available for review.

• 2023-01-03 · 746.1605 · Medium High

  Child/Caregiver Ratio - 18 Months Difference in Age

  Corrected at inspection: No. Correction date: 2023-01-03. Correction verified: 2023-01-11.

  There were 5 infants combined with older children. The youngest child was 3 months and the oldest was 10 yrs old. There was a 17 month infant in 18 month and up room.

• 2023-01-03 · 746.901 · Medium

  Required Personnel Records

  Corrected at inspection: No. Correction date: 2023-01-06. Correction verified: 2023-01-11.

  Two caregivers and the Directors file are incomplete.

• 2023-01-03 · 746.2419(6) · Medium High

  Requirements for Feeding Infants - Label Bottles/Cups

  Corrected at inspection: No. Correction date: 2023-01-03. Correction verified: 2023-01-03.

  There were bottles observed that were not labeled with children's names.

• 2022-12-28 · 746.3407(13) · Medium High

  Using, Storing and Disposing of Hazardous Materials

  Corrected at inspection: Yes. Correction date: 2022-12-28. Correction verified: Not recorded.

  There were cleaning supplies accessible to children on the changing table. Note:corrected at inspection.

• 2022-12-28 · 746.3701(1) · Medium High

  Safety - Electrical Outlets Covered

  Corrected at inspection: Yes. Correction date: 2022-12-28. Correction verified: Not recorded.

  There is one electrical outlet not covered in the toddler room. Note corrected at inspection.

• 2022-12-28 · 746.901 · Medium

  Required Personnel Records

  Corrected at inspection: No. Correction date: 2023-01-04. Correction verified: 2023-01-03.

  Two caregivers and the Directors file are incomplete.

• 2022-12-28 · 746.3503(a) · Medium High

  Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

  Corrected at inspection: Yes. Correction date: 2022-12-28. Correction verified: Not recorded.

  There was a cloth covering the diaper changing pad therefore making it an absorbent surface. Note: corrected at inspection.

• 2022-12-28 · 746.1605 · Medium High

  Child/Caregiver Ratio - 18 Months Difference in Age

  Corrected at inspection: No. Correction date: 2022-12-28. Correction verified: 2023-01-03.

  There were 4 infants combined with older children. The youngest child was 3 months and the oldest was 10 yrs old.

• 2022-12-22 · 746.5205(4) · Medium

  Documentation of Drills

  Corrected at inspection: No. Correction date: 2022-12-28. Correction verified: 2022-12-28.

  There was no documentation of fire/evacuation drills available for review during inspection.

• 2022-12-22 · 746.5501(g) · High

  Heating Devices Safe - Fireplace, Wood-burning Stove, Space Heater

  Corrected at inspection: Yes. Correction date: 2022-12-22. Correction verified: Not recorded.

  There was a space heater plugged in during inspection. Note: corrected at inspection.

• 2022-12-22 · 746.1107(1) · Medium

  Additional Minimum Qualifications for Caregivers - Age Requirement

  Corrected at inspection: No. Correction date: 2022-12-26. Correction verified: 2022-12-28.

  There was a caregiver who is aged 17 and still in high school providing care for children counted in ratio.

• 2022-12-22 · 745.641 · High

  AP Background check results - Must receive notification prior to allowing subject to be present at your operation

  Corrected at inspection: No. Correction date: 2022-12-26. Correction verified: 2022-12-28.

  There was a caregiver at the center that did not have a background check counted in ratio at the center.

• 2022-12-22 · 746.5209(c) · High

  No Blocked or Locked Doors as Exits

  Corrected at inspection: No. Correction date: 2022-12-22. Correction verified: 2022-12-28.

  The infant room had a rocking chair blocking the fire exit. The toddler room had a broken chair in front of the fire exit. Outside had toys blocking the door way. Note: corrected during inspection.

• 2022-12-22 · 746.3701(1) · Medium High

  Safety - Electrical Outlets Covered

  Corrected at inspection: No. Correction date: 2022-12-22. Correction verified: 2022-12-28.

  The electrical outlets were not covered in the infant and toddler room.

• 2022-12-22 · 746.3407(13) · Medium High

  Using, Storing and Disposing of Hazardous Materials

  Corrected at inspection: Yes. Correction date: 2022-12-22. Correction verified: Not recorded.

  There were air freshener plugs throughout the center during inspection. There was also cleaning supplies accesible to children. Note:corrected at inspection.

• 2022-12-22 · 746.909 · Medium

  Access to Personnel Records

  Corrected at inspection: No. Correction date: 2022-12-26. Correction verified: 2022-12-28.

  The center was not able to provide records for staff upon request.

• 2022-12-22 · 746.1605 · Medium High

  Child/Caregiver Ratio - 18 Months Difference in Age

  Corrected at inspection: No. Correction date: 2022-12-22. Correction verified: 2022-12-28.

  There were two 17 month infants in the mixed toddler classroom. The oldest child in that class was 10 years old. Note: The two infants were placed back in their respective rooms.