Mi Casita

I conducted the walkthrough for indoor and outdoor. I observed two playgrounds for toddlers and preschoolers. There are some new wood chips under the equipment, but only 2 inches of loose fill (see picture)

I visited the operation for monitoring on 4/20/2026 and today. The Interim Director is not present both times. According to Admin, the interim director is only at the facility on Thursday and Friday. She is still in the process of moving from Pennsylvania to Texas.

I conducted the walkthrough for indoor and outdoor. I observed two playgrounds for toddlers and preschoolers. There are some new wood chips under the equipment, but only 2 inches of loose fill (see picture)

During the HASA review of 10 children s immunization records, 4 children did not have current immunization records.

During the walk-through, I observed that neither of the outdoor playgrounds has enough loose-fill surfacing (Less 1 inch)

During the inspection, I observed that a child's epinephrine had expired on 3/2026. An assistant called the mother to request the medication.

The caregiver did not interact positively with the child.

The caregiver did not support the child's physical or emotional needs when the child got hurt.

A caregiver was grabbing a child when the child was upset.

The caregivers did not use positive methods of discipline and guidance to improve the behavioral concerns.

Instructions on how a parent may access the Minimum standards on line, Texas Abuse and Neglect Hot line; and HHSC website were not available for review at time of inspection in the operation policies.

Operation policies stating the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter was not available to review at time of inspection.

During an investigation it was determined two infant bottles were not labeled. This resulted in an infant given the incorrect bottle and having an allergic reaction.

It was determined during an investigation an infant was served a food item identified as a diagnosed food allergy resulting in emergency medical treatment.

Three children were observed alone in a room without a qualified caregiver at time of inspection. This was corrected when children were brought to a classroom with a qualified caregiver.

Two children observed at operation did not have enrollment paperwork on file. Corrected when enrollment forms were filled out at time of inspection.

Individual without an active background check was observed alone with children.

Medications no longer in use are not being returned to parent or discarded. The violation was corrected at the time of inspection.

One food allergy plan was not signed by the parent.

There Epi-Pens were not in their orginal container.

The operation failed to have a parent sign a written incident report.

One food allergy plan was not signed by the parent.

Two staff did not have training in First Aid and CPR.

One Epi-Pen expired in 10/2022.

One infant did not have a written feeding schedule available for review at the time of inspection.

One infant's feeding schedule had not bee updated or signed by the parent.