2026-09-10 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2026-09-17. Correction verified: 2026-09-22.
2 caregivers were missing out of their personnel file: a copies of their ID and proof of their education. Additionally one was missing proof of orientation and did not have a complete pre-employment affidavit. 1 caregiver file was not available for review during the inspection.
2026-09-10 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2026-09-17. Correction verified: 2026-09-15.
1 child did not have complete immunization records on file at the operation.
2026-09-10 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2026-09-10. Correction verified: 2026-09-15.
One caregiver did not know children's ages or have access to the information showing their ages.
2026-09-10 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2026-09-24. Correction verified: 2026-09-30.
One caregiver did not have proof of first aid/cpr in their file.
2026-04-08 · HRC 42.049(a) · High
Operational Responsibilities- Maintain liability insurance coverage in the amount of $100,000 for each occurrence of negligence
Corrected at inspection: No. Correction date: 2026-04-13. Correction verified: 2026-04-08.
The operation was unable to provide proof of liability insurance.
2026-03-02 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
Corrected at inspection: No. Correction date: 2026-03-02. Correction verified: 2026-03-11.
One caregiver had left the infant space and was responsible for supervising 2 groups of children in two different spaces.
2026-02-25 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-02-25. Correction verified: 2026-03-02.
Two classrooms were out of ratio, with one caregiver supervising 6 infants when they were only allowed to supervise 5 and the other caregiver only being permitted to supervise 11 and there were 13 in the room.
2026-02-25 · 746.3505(a) · Medium High
Diapering Procedures - Caregiver's Hands Washed
Corrected at inspection: No. Correction date: 2026-02-25. Correction verified: 2026-03-02.
A caregiver was again observed changing diapers and did not wash their hands or the children hands after completion. The portable sink in the room has a broken hose and is unable to be used to wash hands.
2026-02-25 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2026-02-27. Correction verified: 2026-03-02.
Background check conditions were not being followed.
2026-02-25 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
Corrected at inspection: No. Correction date: 2026-02-25. Correction verified: 2026-03-02.
A caregiver repeatedly left the room, leaving the caregiver responsible for infants to supervise 2 spaces at one time.
2026-02-25 · 746.1613(a)(4) · Medium High
Naptime Child/Caregiver Ratio - Additional Employee Required
Corrected at inspection: No. Correction date: 2026-02-25. Correction verified: 2026-03-02.
During naptime, ratio was reduced but there was not one other employee/caregiver in the building that wasn't counted in ratio.
2026-02-17 · 746.3505(a) · Medium High
Diapering Procedures - Caregiver's Hands Washed
Corrected at inspection: No. Correction date: 2026-02-17. Correction verified: 2026-02-25.
A caregiver was again observed changing diapers on multiple children and did not wash their hands or the children hands after completion.
2026-02-17 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2026-02-18. Correction verified: 2026-02-18.
Multiple outlets within reach of children were still loose, exposing wires and putting children at risk.
2026-02-17 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2026-02-17. Correction verified: 2026-02-25.
A caregiver did not sanitize the diaper changing surface in between diaper changes.
2026-02-12 · 746.3505(a) · Medium High
Diapering Procedures - Caregiver's Hands Washed
Corrected at inspection: No. Correction date: 2026-02-12. Correction verified: 2026-02-17.
A caregiver was observed changing diapers on multiple children and did not wash their hands or the children hands after completion.
2026-02-12 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2026-02-13. Correction verified: 2026-02-17.
Background check conditions were not being followed.
2026-02-12 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2026-02-16. Correction verified: 2026-02-17.
Multiple outlets within reach of children were loose, exposing wires and putting children at risk.
2025-09-17 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-09-17. Correction verified: 2025-09-22.
With more than 13 children in the building, one group of children exceeded the 18 month age gap by having a child under 18 months with children more than 18 months older.
2025-09-17 · 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: 2025-09-17. Correction verified: 2025-09-22.
A caregiver left the room to answer the door, leaving 4 infants unattended in their space and her unable to intervene. A caregiver allowed children to enter and separate from the outside group when coming inside. They then had to gather outside children to bring them inside, leaving the group inside without supervision.
2025-09-17 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2025-10-01. Correction verified: 2025-10-03.
One child with a food allergy written by the parent did not have a food allergy emergency plan on file.
2025-09-09 · 746.1011(a) · Medium High
Director present-Minimum 75%
Corrected at inspection: No. Correction date: 2025-09-15. Correction verified: 2025-09-17.
The operation was unable to provide timesheets showing the director is present at least 75% of the operating hours.
2025-09-09 · 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: 2025-09-09. Correction verified: 2025-09-17.
A caregiver left the room to cook, leaving one caregiver in charge of 4 infants and 6 other children in two spaces.
2025-09-09 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-09-23. Correction verified: 2025-09-17.
The most recent fire inspection was conducted more than 12 months ago on 8/6/24.
2025-09-09 · 746.801(2) · Medium
Required Records Maintained and Made Available - Infant Feeding Instructions
Corrected at inspection: No. Correction date: 2025-09-12. Correction verified: 2025-09-17.
The operation was unable to provide monthly feeding schedules for the infants enrolled and present at the operation.
2025-09-09 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-09-15. Correction verified: 2025-09-17.
One child whose parent is not participating in immunizations did not have the health department waiver on file at the operation.
2025-09-09 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2025-09-15. Correction verified: 2025-09-17.
One child with a food allergy written by the parent did not have a food allergy emergency plan on file.
2025-09-09 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2025-09-15. Correction verified: 2025-09-17.
There was one caregiver that did not have an employee file available for review.
2024-11-21 · 746.605(11) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2024-12-02. Correction verified: 2024-12-04.
3 children did not have parent signatures giving the operation authorization to obtain emergency medical care on file. 1 was corrected at inspection.
2024-11-21 · 746.605(10) · Medium
Required Admission Information - Physician Information
Corrected at inspection: No. Correction date: 2024-12-02. Correction verified: 2024-12-04.
One child did not have an address or phone number listed for their physician. No hospital was named.
2024-09-09 · 746.801(5) · Medium
Required Records Maintained and Made Available - Employees' Attendance
Corrected at inspection: No. Correction date: 2024-09-12. Correction verified: 2024-09-18.
There were no employee time sheets available for review.
2024-04-30 · 746.1015 · Medium High
Director Qualifications - 13 or More Children
Corrected at inspection: No. Correction date: 2024-06-04. Correction verified: 2024-06-06.
The operation does not have a qualified director in place at the operation.
2024-01-19 · 746.201(1) · High
Policies Comply with Rules
Corrected at inspection: No. Correction date: 2024-02-02. Correction verified: 2024-02-05.
The operational policies did not include a completed emergency preparedness plan, hours of operation, an abuse/neglect policy, medication policy, safe sleep, hearing and vision, enrollment procedures, promotion of indoor and outdoor activities including benefits, length of time and types, insect/sunscreen procedures, procedures for parents to review policies/have questions, how to review 2936, how to contact HHSC, breastfeeding policy and how to support inclusive services (although ADA is mentioned).
2024-01-19 · 746.2403(3) · Medium High
Infant Care Area - Separate from Older Children
Corrected at inspection: No. Correction date: 2024-02-02. Correction verified: 2024-02-05.
There was no barrier between the infant space and older children's space that would prevent infants from leaving their space and older children from entering.
2024-01-19 · 746.4405 · Medium
Location of Handwashing Sink
Corrected at inspection: No. Correction date: 2024-02-02. Correction verified: 2024-02-05.
There was no handwashing sink or diaper changing area in an area that will be used by children in diapers.
2024-01-19 · 746.2203(a) · Medium
Written Activity Plans
Corrected at inspection: No. Correction date: 2024-02-02. Correction verified: 2024-02-05.
The written activity plans were not specific enough for each age of children they plan to serve.
2024-01-19 · 746.2403(1) · High
Infant Care Area - Able to See, Hear and Intervene
Corrected at inspection: No. Correction date: 2024-02-02. Correction verified: 2024-02-05.
The handwashing sink and diaper changing area were not set up in such a way that caregivers can see and hear infants at all times.