Emanuel's Lutheran Day School

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 25 cited deficiencies for Emanuel's Lutheran Day School in the 3 years before October 10, 2026 (11 High, 10 Medium High, 3 Medium, 1 Low).

Records list 32 inspections in this window. Most recent inspection: 2026-09-22.

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 (64)

• 2026-07-20 · 746.3415(13) · Medium High

  Employee Handwashing After Removing Gloves

  Corrected at inspection: No. Correction date: 2026-07-20. Correction verified: 2026-08-05.

  When reviewing video footage, it was determined that a caregiver did not wash her hands after taking off her gloves when assisting with diaper changing.

• 2026-07-20 · 746.3417(3) · Medium High

  Children Handwashing After Toileting or Diapering

  Corrected at inspection: No. Correction date: 2026-07-20. Correction verified: 2026-08-05.

  Upon reviewing the video, it was found that a child did not wash their hands after having their pull-up was changed.

• 2026-07-15 · 745.621(a)(2) · High

  AP Initial background checks submitted - At the time you hire someone

  Corrected at inspection: No. Correction date: 2026-07-15. Correction verified: 2026-07-16.

  There was a caregiver without a background check in the room with direct access to children.

• 2026-07-15 · 746.501(a)(25) · Low

  Written Operational Policies - Breastfeeding Provisions

  Corrected at inspection: No. Correction date: 2026-07-22. Correction verified: 2026-07-22.

  The operational policies did not have a written policy for parents to breastfeed their infant.

• 2026-06-03 · 746.1203(4) · Medium High

  Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

  Corrected at inspection: No. Correction date: 2026-06-24. Correction verified: 2026-07-07.

  It was determined that care that was consistent with a child's habits was not provided when staff did not implement any protocols for a child who had a history of eloping during transitions from the playground.

• 2026-06-03 · 746.1201(1) · High

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

  Corrected at inspection: No. Correction date: 2026-06-24. Correction verified: 2026-07-07.

  It was determined that a lapse in judgment occurred when a caregiver discovered a child had been left outside. Instead of immediately retrieving the child, the caregiver called for the child from the door, then reentered the building to address another caregiver before finally going back outside to bring the child in.

• 2026-06-03 · 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: 2026-06-24. Correction verified: 2026-07-07.

  It was determined in the investigation that proper supervision was not utilized when caregivers failed to ensure that all children were in the group before a transition from the playground, and a child was left on the playground for 6-8 minutes.

• 2026-04-23 · 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: 2026-05-21. Correction verified: 2026-05-27.

  During the course of the investigation, it was determined that a child was left behind in their classroom as the rest of the children were evacuated during a fire alarm.

• 2026-02-26 · 746.1205(a)(2) · High

  Responsibilities of Caregivers - Know number of children responsible for

  Corrected at inspection: No. Correction date: 2026-02-26. Correction verified: 2026-03-10.

  A caregiver did not know the number of children in their care.

• 2026-02-26 · 746.5207(b) · Medium High

  Emergency Evacuation and Relocation Diagram - Posted in Each Room

  Corrected at inspection: Yes. Correction date: 2026-02-26. Correction verified: Not recorded.

  A classroom was missing the fire evacuation plan. *This was corrected at inspection*

• 2025-09-17 · 746.1309(e) · Medium

  Documented Annual Training- Required Content

  Corrected at inspection: No. Correction date: 2025-10-08. Correction verified: 2025-10-06.

  Two out of ten staff training records did not have the required trainings.

• 2025-09-17 · 746.4751(b) · Medium

  Maintenance Procedures for Active Play - Monthly Maintenance Checklist

  Corrected at inspection: No. Correction date: 2025-09-24. Correction verified: 2025-09-17.

  The operation did not have a playground checklist for the past month at review.

• 2025-04-26 · 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: 2025-05-08. Correction verified: 2025-05-19.

  A two year old child was left on the playground for approximately ten seconds. *An admin was outside on the other side of the operation and went to the child. *

• 2025-01-27 · 746.3607(2) · High

  Critical Injury - Give First Aid or CPR

  Corrected at inspection: No. Correction date: 2025-03-19. Correction verified: 2025-03-31.

  During the investigation, multiple caregivers noted a child crying on the playground, but did not assess the child to determine the cause. The child had an injury that required medical treatment that caused the crying.

• 2025-01-27 · 746.4607(b)(1) · Medium High

  Maximum Height - Under Age 2

  Corrected at inspection: No. Correction date: 2025-03-19. Correction verified: 2025-03-31.

  During the investigation, it was stated the victim was seen playing on play structure over 32 inches.

• 2025-01-23 · 746.1205(a)(2) · High

  Responsibilities of Caregivers - Know number of children responsible for

  Corrected at inspection: No. Correction date: 2025-01-23. Correction verified: 2025-02-05.

  At time of inspection, a caregiver stated they had seven children when they had eight. This was corrected at inspection.

• 2024-11-06 · 746.1203(5) · Medium High

  Responsibilities of Caregivers - Interact positively with children

  Corrected at inspection: No. Correction date: 2024-12-27. Correction verified: 2025-01-23.

  A caregiver did not interact with a child in a positive manner when they pulled a child's hair to prevent them from crossing the street.

• 2024-09-10 · 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: 2024-09-26. Correction verified: 2024-09-26.

  At time of incindet a caregiver did not have a current CPR/First Aid certification.

• 2024-07-11 · 746.2421(b) · Medium

  Written Feeding Instructions - Review and Update Every 30 Days

  Corrected at inspection: No. Correction date: 2024-07-31. Correction verified: 2024-07-12.

  At time of inspection, infant monthly feeding sheets were last updated in June 2024.

• 2024-04-30 · 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: 2024-05-17. Correction verified: 2024-05-30.

  A toddler was found unsupervised in operations playground on 4.30.24.

• 2024-04-17 · 746.3407(11) · Medium High

  Sanitize Tables Tops, Furniture and Similar Equipment

  Corrected at inspection: Yes. Correction date: 2024-04-17. Correction verified: Not recorded.

  At time of inspection two diaper changing stations were observed to have debris. This was corrected at inspection.

• 2024-02-06 · 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: 2024-02-26. Correction verified: 2024-03-05.

  A toddler was found unsupervised in operations parking lot on 2.5.24.

• 2024-01-11 · 746.3407(1) · Medium High

  Toys and Equipment to be Sanitized Set Aside

  Corrected at inspection: No. Correction date: 2024-01-11. Correction verified: 2024-01-25.

  At time of inspection two diaper changing tables were observed with debris.

• 2024-01-11 · 746.2407 · Medium High

  Infant Care Area Furnishings and Equipment -Use of Safety Straps

  Corrected at inspection: No. Correction date: 2024-01-11. Correction verified: 2024-01-25.

  At time of inspection an infant child was observed sitting in a restrictive device and was not strapped in. This was corrected at inspection.

• 2024-01-11 · 746.501(a)(24) · High

  Written Operational Policies - Emergency Preparedness Plans

  Corrected at inspection: No. Correction date: 2024-01-26. Correction verified: 2024-01-26.

  At time of inspection operation did not have emergency preparedness plan included in parent handbook. At time of inspection, operational policies did not include months open, immunizations, promotion of indoor/outdoor activity and gang free zone.

• 2023-10-01 · 746.2805(5) · High

  Prohibited Punishments - Humiliating, Rejecting, Yelling

  Corrected at inspection: No. Correction date: 2023-10-27. Correction verified: 2023-11-08.

  Based on the information gathered a caregiver yelled at their own child while in care.

• 2023-10-01 · 746.2805 · High

  Prohibited Punishments - No Harsh, Cruel or Unusual

  Corrected at inspection: No. Correction date: 2023-10-27. Correction verified: 2023-11-08.

  Based on the information gathered a caregiver slapped their own child while in care.

• 2023-09-20 · 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: 2023-10-16. Correction verified: 2023-10-16.

  Based on the information provided the first aid card was expired for the staff member involved in the incident where a child was injured and required medical treatment.

• 2023-08-04 · 746.1109(a)(2) · Medium High

  Caregiver Qualification Age Exemption with HS Diploma/GED- Supervised By Qualified Caregiver

  Corrected at inspection: No. Correction date: 2023-09-20. Correction verified: 2023-09-22.

  Based on the information gathered another caregiver that was not qualified was left alone more than occasion with a group of children.

• 2023-08-04 · 746.2805 · High

  Prohibited Punishments - No Harsh, Cruel or Unusual

  Corrected at inspection: No. Correction date: 2023-09-20. Correction verified: 2023-09-22.

  Based on the information gathered a caregiver struck a child with a long plastic tube while the class was playing on the playground.

• 2023-08-04 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2023-09-20. Correction verified: 2023-09-22.

  Based on the information gathered a situation that placed a child at risk was not reported within the required time frame.

• 2023-08-03 · 746.2407 · Medium High

  Infant Care Area Furnishings and Equipment -Use of Safety Straps

  Corrected at inspection: No. Correction date: 2023-08-03. Correction verified: 2023-08-10.

  At the time of inspection, there was two children in the high table in the infant room without their seat belts fastened around them. This was corrected when the caregiver fastened the seatbelt around the children.

• 2023-07-25 · 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: 2023-09-07. Correction verified: 2023-09-22.

  Based on the information gathered, it was determined that the child was not supervised when the child opened the first aid kit and removed the scissors, and placed the scissors in the child's mouth. The child walked out to the playground and slid down the slide with the scissor still in the child's mouth before another caregiver on another playground noticed the scissors. Note: The rubber gloves and safety pins were also found on the playground from the same first aid kit.

• 2023-07-25 · 746.4001(5) · Medium High

  First Aid Kit - Inaccessible to Children

  Corrected at inspection: No. Correction date: 2023-09-07. Correction verified: 2023-09-22.

  Based on the information gathered the first aid kit was accessible to the children in a classroom that resulted in a child having access to open the kit.

• 2023-07-25 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2023-09-12. Correction verified: 2023-09-22.

  Based on the information gathered the operation failed to report an incident that placed a child at risk.

• 2023-07-25 · 746.3505(f) · Medium High

  Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner

  Corrected at inspection: No. Correction date: 2023-09-12. Correction verified: 2023-09-22.

  Based on the information gathered there was a soiled diaper accessible to a child on the changing table.

• 2023-07-25 · 746.3505(e) · Medium High

  Diapering Procedures - Sanitizing Diaper Changing Area

  Corrected at inspection: No. Correction date: 2023-09-12. Correction verified: 2023-09-22.

  Based on the information gathered the caregiver did not sanitize the changing table before placing another child on the changing table.

• 2023-07-25 · 746.3503(c)(3) · Medium High

  Diaper Changing Equipment - If Above Floor Level Caregiver Must Face Child and Be Within Arm's Length of Child

  Corrected at inspection: No. Correction date: 2023-09-12. Correction verified: 2023-09-22.

  Based on the information gathered a child was left unattended on the changing table.

• 2023-07-25 · 746.1107(2) · Medium High

  Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

  Corrected at inspection: No. Correction date: 2023-09-12. Correction verified: 2023-09-22.

  Based on the information gathered the caregiver had not obtained a high school diploma or GED, and was alone with two children in the classroom.

• 2023-06-13 · 746.2429 · High

  Covering Infant's Head or Crib

  Corrected at inspection: No. Correction date: 2023-06-13. Correction verified: 2023-06-20.

  At the time of inspection there was one infant in the 12 to 17 month old classroom with their head covered. THis was corrected when the child's head was uncovered.

• 2023-05-31 · 746.5209(c) · High

  No Blocked or Locked Doors as Exits

  Corrected at inspection: No. Correction date: 2023-05-31. Correction verified: 2023-06-13.

  At the time of inspection the fire exit was blocked in the two year old classroom.

• 2023-05-31 · 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: 2023-05-31. Correction verified: 2023-06-13.

  At the time of inspection the caregivers in direct care of children were using their cell phones.

• 2023-05-31 · 746.1013(a)(1) · Medium High

  Director's Absence - Caregiver in Charge Knows in Charge

  Corrected at inspection: No. Correction date: 2023-05-31. Correction verified: 2023-06-13.

  At the time of inspection the caregivers did not know who was in charge of the operation. This was corrected during the inspection.

• 2023-05-31 · 746.3407(9) · Medium High

  Floors, ceilings and Walls in Good Repair and Clean

  Corrected at inspection: No. Correction date: 2023-06-07. Correction verified: 2023-06-13.

  The infant gate was broken in the 12 to 18 month old classroom. This was corrected when the gate was replaced with a new gate. The floors in the toddler classrooms were dirty.

• 2023-05-31 · 746.3505(e) · Medium High

  Diapering Procedures - Sanitizing Diaper Changing Area

  Corrected at inspection: No. Correction date: 2023-05-31. Correction verified: 2023-06-13.

  At the time of inspection the changing table in the 12 to 18 month was not disinfected after diaper change.

• 2023-04-05 · 746.3505(e) · Medium High

  Diapering Procedures - Sanitizing Diaper Changing Area

  Corrected at inspection: No. Correction date: 2023-04-05. Correction verified: 2023-04-19.

  At the time of inspection the caregiver in the toddler room did not sanitize the diaper changing table. This was corrected when the caregiver sanitized the diaper changing table.

• 2023-04-05 · 746.3417(3) · Medium High

  Children Handwashing After Toileting or Diapering

  Corrected at inspection: No. Correction date: 2023-04-05. Correction verified: 2023-04-19.

  At the time of inspection the child's hands were not washed with soap. This was corrected when the caregiver, washed the child's hand with soap.

• 2023-02-09 · 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: 2023-03-31. Correction verified: 2023-04-05.

  It was determined that a child was left unsupervised in the classroom.

• 2023-01-11 · 746.3701 · Medium High

  Safety - Areas Free From Hazards

  Corrected at inspection: Yes. Correction date: 2023-01-11. Correction verified: Not recorded.

  Two shelves were not secured to the wall in the toddler classroom. This was corrected when the shelves were removed from the classroom.

• 2023-01-11 · 746.2421(b) · Medium

  Written Feeding Instructions - Review and Update Every 30 Days

  Corrected at inspection: No. Correction date: 2023-01-18. Correction verified: 2023-01-18.

  One infant feeding schedule was expired at the time of inspection.

• 2023-01-11 · 746.3407(9) · Medium High

  Floors, ceilings and Walls in Good Repair and Clean

  Corrected at inspection: Yes. Correction date: 2023-01-11. Correction verified: Not recorded.

  Three carpets throughout the building were dirty and need to be cleaned. This was corrected when the carpets were removed from the classrooms.

• 2023-01-11 · 746.3503(a) · Medium High

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

  Corrected at inspection: Yes. Correction date: 2023-01-11. Correction verified: Not recorded.

  The diaper changing mat in the 12 to 18 month old classroom was ripped and could no longer be disinfected. This was corrected when the changing mat was replaced with a new mat.

• 2022-11-07 · 746.3701(3) · Medium High

  Safety - Air Conditioners, Fans, Heaters Safeguarded

  Corrected at inspection: Yes. Correction date: 2022-11-07. Correction verified: Not recorded.

  At the time of inspection there was a fan accessible to the children in care. This was corrected when the fan was removed for the classroom.

• 2022-09-29 · 746.3317(6) · Medium High

  Food Service and Preparation Requirement - Use Sanitary Holders

  Corrected at inspection: No. Correction date: 2022-09-29. Correction verified: 2022-11-07.

  At the time of inspection, there were not any napkins under the snack served in the four year old classroom. This was corrected when the napkins were placed under the snack being served.

• 2022-09-29 · 746.2505(2) · Medium High

  Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition

  Corrected at inspection: No. Correction date: 2022-09-29. Correction verified: 2022-11-07.

  At the time of inspection there were very few toys in the toddler classroom. This was corrected when the toys were returned to the classroom.

• 2022-09-15 · 746.3503(c)(2) · Medium High

  Diaper Changing Equipment - If Above Floor Level Must Keep Hand on Child

  Corrected at inspection: No. Correction date: 2022-10-27. Correction verified: 2022-11-07.

  Based on the information gathered the caregiver in the 12 to 17 month old classroom left a child on the changing table while walking across the classroom to the trash can.

• 2022-07-05 · 746.3701 · Medium High

  Safety - Areas Free From Hazards

  Corrected at inspection: No. Correction date: 2022-08-09. Correction verified: 2022-07-13.

  Based on the information gathered one shelf was not secured in the 18 to 24 month old classroom, when it fell on top of a child.

• 2022-06-13 · 746.4503(a) · Medium

  Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

  Corrected at inspection: No. Correction date: 2022-06-17. Correction verified: 2022-06-23.

  Two nap mats were torn at the time of inspection.

• 2022-06-13 · 746.3407(9) · Medium High

  Floors, ceilings and Walls in Good Repair and Clean

  Corrected at inspection: No. Correction date: 2022-06-17. Correction verified: 2022-06-23.

  The paint behind the toilet in the three year old classroom was peeling.

• 2022-06-13 · 746.2426 · High

  Infant May Not Sleep in a Restrictive Device

  Corrected at inspection: No. Correction date: 2022-06-13. Correction verified: 2022-06-23.

  At the time of inspection there were two infants napping in restrictive devices. This was corrected when the children were placed in the crib to nap.

• 2022-06-13 · 746.1401(h) · Medium

  Substitutes, Volunteers and Contractors - Counted in Ratio Must Completed Remaining 16 Hours of Pre-Service Within First 90 Days

  Corrected at inspection: No. Correction date: 2022-06-24. Correction verified: 2022-06-23.

  One caregiver did not complete the 24 hours of preservice hours within the first 90 days of employment.

• 2022-06-13 · 746.2421(b) · Medium

  Written Feeding Instructions - Review and Update Every 30 Days

  Corrected at inspection: No. Correction date: 2022-06-17. Correction verified: 2022-06-23.

  One infant feeding schedule was expired.

• 2022-06-13 · 746.1309(d) · Medium High

  Documented Annual Training - Caregivers of Children Under 24 Months Required

  Corrected at inspection: No. Correction date: 2022-06-17. Correction verified: 2022-06-23.

  Two caregivers had expired SIDS and Shaken Baby Training.

• 2022-03-01 · 746.303(b) · Medium Low

  Report Number of Employees

  Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-03-01.

  A review of the Employees Who Left Employment in 2021 data from February 23, 2022 revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022 as required.