Messiah Lutheran Early Childhood

The girl’s restroom floor has an unsecured drain cover, which exposes the drain and could cause a tripping hazard. The operation has a water hose in the play area not wrapped up.

One infant bottle and one bag of breast milk stored in the refrigerator were not labeled with the child's name. There were also two bags of breast milk without a last initial stored in the freezer. Corrected: When caregivers labeled the bottle and bags of breast milk.

Two contract workers from an organization the operation uses did not have orientation for the operation.

The operation did not have the required six feet of surfacing in the use zone of the play structure.

One child did not have an address for their emergency contact. Correct; When the director received the address and updated the file.

When the operation meet with the governing body it was not document that previous deficiencies were discussed.

The operation did not have documentation of when a new batteries being installed in the carbon monoxide detector or the name of the employee who installed the new batteries.

On the emergency evacuation diagram the operation does not have the designated area where children and staff will meet outside the building.

On the emergency evacuation diagram the operation does not have the designated area where children and staff will meet inside the building.

The operation is not following condition one and four. The operation did not review staff files and use form 7250. The operation did not have documentation of a meeting with the director and governing body after the last inspection conducted on 2/9/2026.

The operation gas inspection was last conducted on 1/11/2024, the operation should have received an inspection by 1/11/2026. This inspection is five days past due.

The operation did not have the information for parent rights in the operational policy.

The caterpillar one classroom does not share daily reports with parents.

The operation did not have the correct information for how parents can get minimum standards online, contact the abuse and neglect line, and the HHSC website.

The director did not ensure the operation filled out form 2970 for the safe sleep deficiency. The director has not ensured that caregivers are assigned with duties that match their skill set.

Two infants did not have updated feeding instruction forms, one was last done 10/7/2025 and the other one was done10/31/2025.

The operation did not notify parents about the safe sleep deficiency and they did not use form 2970.

A contract worker for the operation that was counted into ratio did not have the required orientation or training provided by the operation.

A crib in the infant classroom was blocking the exit door.

The bucket swings and play structure did not have the required surfacing under and around it, children were observed using the bucket swings and play structure.

A three month old infant was asleep in a bouncer.

In the caterpillar one classroom three children were not strap in the high chair. In the infant classroom two children were not strap in the bouncer and one child in the high chair. Corrected: When caregiver strap child in the high chairs and removed children out of the bouncers.

The operation updated the information on the form 7250 for the month of July. The director and I spoke about writing staff names who were present doing the observation.

One child did not have the required information to have their immunization exempt.

One child did not have a signed form stating they received the operational policies.

Caregiver did not wash their hands after using cleaning supplies. Corrected: When the caregiver washed hands after cleaning the changing mat and used cleaning supplies.

The operation did not notify CCR inspector of the change in toddler classroom when added a divider in the classroom to make the classroom two different classrooms.

The operation did not follow condition one when they did not have a audit for the month of July on a 7250 form. The operation did not follow condition two when they did not have staff name that was present doing the observation.

The operation did not have documentation of a current fire inspection.

The operation did not follow condition four they is not and documentation that the director meet with the governing body. The operation did not follow condition one when the director did not have documentation that the caregiver was notified they were missing CPR/First Aid training or missing annual hours. The operation did not document on form 7259 for the month of May a staff audit of records.

One caregiver first aid training expired 5-18-2025.

The swings and a climbing equipment did not have the required surfacing material under it.

One caregiver is missing two hours of annual training for training year 1-17-2024 to 1-17-2025.

One child that has been enrolled at the operation for over a year is missing a health statement.

One caregiver CPR training expired 5-18-2025.

The operation's children's product form expired March 3, 2025.

The director did not ensure that a caregiver received CPR/First training before it expired. The operation did not ensure that a child had all required information when they enrolled.

The operation is not following condition two, when conducting weekly walkthroug they did not document the time, names of staff present. The operation is not following condition three when caregivers who care for children under 18 months have not reviewed the standards that are required and a feeding instruction form was not updated.

The operation is not following condition two, when conducting weekly walk through they did not document the time, names of staff present. The operation is not following condition three when caregivers who care for children under 18 months have not reviewed the standards that are required and a feeding instruction form was not updated.

One caregiver stated they had five children, when I counted they were six children in care.

An infant did not have an updated feeding instruction form, the last time it was updated on 1/24/2025.

The operation has not provide proof of liability insurance coverage the insurance expired on 10/1/2024.

The individual is present at the operation twice in 30 days, without the required background check. Corrected: When the individual left for the morning.

One child are still missing address for the emergency contact.

One child did not have immunization records in the file.

Four caregivers are missing annual training year; one caregiver is missing 2 hours of training for training year 6-7-2023 to 6-7-2024, one caregiver is missing 4 hours of training for training year 6-1-2023 to 6-1-2024, one caregiver is missing 1 1/2 hours of training for training year 5-16-2023 to 5-16-2024, one caregiver is missing 8 1/2 hours of training for training year 11-12-2022 to 11-12-2023. Correct: Caregiver that is missing 4 hours had 4 hours from training year 6-1-2024 to 6-1-2025 and caregiver that is missing 2 hours had 2 hours from training year 6-7-2024 to 6-7-2025.

One caregiver had expired first aid training as of 6/2024 and the other caregiver was hired 2-27-24 and did not have first aid training.

One child that turned four did not have a hearing and vision screening.

The director is not ensuring that the operation is following minimum standards when allowing all age groups in the gym and caregivers not following their daily schedules.

One caregiver had expired CPR training as of 6/2024 and the other caregiver was hired 2-27-24 and did not have CPR training.

A child that had a food allergy on his enrollment form did not have a food allergy plan on file at the operation.

Four children are missing address for the emergency contact.

They were 25 children in the gym youngest child was 14 months old and the oldest child was 5 years old. They were three caregivers in the gym caring for the children. It was a difference of 18 months from the youngest child to the oldest.

The operation reduced the child/Caregiver ratio for a infant classroom specified age group 12-17 months old. When a caregiver left one caregiver with eight infants which would be three over the ratio. Corrected: When the director had someone go into the classroom with the other caregiver.

A six month old infant was in a bouncer not strapped in the bouncer.

In the infant classroom two cribs had blankets covering the front of the crib and the caregiver was unable to see the infants.

A six month old infant was swaddled in a bouncer.

In a crib they was a pacifier with a stuffed animal attached. In another crib they was a 10 month old infant with a blanket.

Three caregivers were in the hallway, while the three and four year old where in the classroom napping.

During the inspection I observed a 2 month old infant in a crib on the other side of a half wall alone. Three caregivers were observed on the other side of the wall with 10 infants. When inquired a caregiver stated the infant was asleep. This was corrected when the infant was found to be awake and the caregiver went on the other side of the wall and removed the infant from the crib.

Two children did not have updated immunization records.

One child is missing an enrollment date on the enrollment form.

One caregiver is missing three hours of annual training for training year 6/7/2023-6/7/2024.

One child is missing an address for they emergency contact.

The child did not have information for spacial needs care on the enrollment form.

The director does not have an updated first aid card it expired 6/9/2024.

One child is missing a health statement.

The director does not have an updated CPR card it expired 6/9/2024.

The operation is using space that is not license space.

The operation did not have a emergency evacuation diagram posted in the new classroom for toddlers.

The operation last updated the Children's Products on 8/25/2022.

A caregivers file did not state how they meet education qualifications.

The operation did not have the most updated inspection report posted at the operation. Corrected: When the director posted the inspection form from 12/18/2023.

One caregiver hired 1/29/2024 caring for children 24 months and younger did not have preventing shaken baby syndrome and abusive head trauma, early childhood brain development and SIDS.

One caregiver did not have information that they received the centers policies.

One caregiver did not have information that they received the operational policies.

Three children are missing their health statement from a doctor, on the enrollment form it stated that the health statement would be attached but there was nothing in the file.

The operation did not have on the enrollment forms if parents could document if the child had any special needs.

A caregiver did not have any documentation that they attended orientation.

One child is missing immunization records.

Five feeding instruction forms were not updated, they were last updated on 10/28/2023.

A infant child was not strap into the high chair at the table in the toddler classroom while they were eating snack. Corrected: When the caregiver strap the 14 month child in.

One child does not have immunization records on file.

They were broken toys on the playground.

Two children are missing health statements from the doctor.

One child that turned four on July 19 did not have hearing or vision screen in their file.

Four children were missing information about special care information.

The children in the toddler classroom were not strapped in the high chairs. Corrected: When the caregiver strap the children in the high chair.

The operation did not have a emergency evacuation plan posted in the one of the rooms at the operation. Corrected: When the director posted an emergency evacuation plan was posted.

A outlet did not have a cover over the outlet. Corrected: When the director covered the outlet.

After the caregiver changed a child's diaper, she place the child on the ground and did not was her hands. Corrected: When the caregiver went back and washed the child's hands before she changed another child.

The operation did not use play equipment as stated in the manufacturer's instructions when they did not acre the climber down or have it outside on the playground. The operation also allowed children younger then three years old on the climber which is only for children 3 to 6 years of age. Corrected: When the director removed the equipment.

On the playground the is part of the fence missing, grass is not being maintenance, their are tree branches covering the play structure, and they were branches on the playground.

In the infant and toddler classroom paint is chipping off the walls.

Four caregivers did not have CPR training. One caregivers did not have in person CPR training. Two caregivers are in they 90 days but in the classrooms without someone with CPR and the other caregiver has past her 90 days and CPR has not been taken.

A caregiver dose not have qualifications for having a high school diploma.

Two caregivers did not have first aid training. One caregiver was left alone with children and the other caregiver is past her 90 days of hire.

The operation did not have a schedule post in the infant two or toddler classes. Corrected: When the director printed out and posted schedules in each classroom.

Caregiver did not have control over the classroom when children were able to walk in the building from outside.

It was observed that two children sitting in a high chair was not strap in. Corrected: When the caregiver strap the children in.

Caregiver was not aware of the children's age in the classroom.

The director failed to notify licensing when the operation change the infant and toddler classrooms.

The children did not was their hands when they came from outside and before they ate their snack.

Caregiver stated they had 9 children in care when I counted there were 10 children.

The director is not ensuring that caregivers are follow minimum standards. The director is not ensuring task to caregivers are placed in positions that a match their skill set.

A 4 month old infant was not being held while drinking their bottle.

An four month old infant was left on the side of the room alone, while a caregiver attended to infants in the classroom next door.

In the toddler classroom it was observed that a caregiver had a pending background.

A four month old infant bottle was being prop up by a caterpillar pillow.

The director is not ensuring that classrooms are maintaining the correct ratio and that infants are not mixed in with school age children. The director is not ensuring that caregivers are follow minimum standards.

The operation still has not gotten a emergency contact for the child. Corrected: When the director received the information and updated the file.

Infants and school age children were combined the youngest infant was 6 months of and the oldest school age child was 8 years old.

In the two year old classroom they is still not lids on the trash can where garbage is accessible to children.

A children walked to the classroom alone after being drop off by a parent.

A12 month old infant was in a high chair eating with out being strap in the high chair.

Eight infants did not have a updated feeding instruction form updated since May.

One child's file was missing the health-care statement in their files.

The operations fire inspection report expired 6/29/2022.

They were infants group with a three year old. The youngest infant was 12 months old.

Infants were in buggy ride for over 30 minutes, the infants did not have the opportunity to have floor time. They were some infants that were fuss during this buggy ride.

An infant was unsupervised when left in the classroom next door alone in their crib.

One children is missing a emergency contact information and 3 children were missing an address for their emergency contact.

The two year old classroom and school age children were outside on the playground at the same time, the groups were mixed together for approximately 15 minutes.

They was a four month old infant sleeping in the classroom alone with the lights out in the classroom.

When asked a caregiver how many children they had she stated 13, when I counted their were 14 school age children.

One caregiver is missing 14 hours of annual training.

The director is missing 11 1/2 hours of annual training.

In the infant and two year old classroom did not have lids on the trash can where garbage is accessible to children.

Two children's files was missing the immunizations records.

In the toddler and pre-school classroom the plugs did not have plug covers over them.

Classrooms are out of ratio when a caregiver steps away from the group and leave one caregiver to 7 infants.

Children are not being supervise when allowed to walk to the restrooms and hallways alone. When caregivers are stepping away from the group to get things for children