Creative Learning Center

746.2805(6) - Prohibited Punishments - Using Harsh, Abusive or Profane Language · High

It was determined that caregivers were using profane language in the presence of children in care.

746.3809 - Medication No Longer Used · Medium

At the time of the inspection, one medication stored at the operation was expired. It was sent home during the inspection.

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium High

One caregiver was observed to have not washed a child's hands after diapering. This was fixed at inspection when the caregiver washed the child's hands after being asked by the CCR inspector.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling · High

It was determined that caregivers were observed yelling at children in care.

746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk · Medium

The operation did not notify parents of an incident that may have placed a child at risk.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

It was determined a caregiver used poor judgement when redirecting children.

746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised Separation · Medium

It was determined that a caregiver was using inappropriately long timeouts for children in care.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

It was determined that a caregiver used poor judgement while caring for children.

746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised Separation · Medium

During the investigation, it was found that a caregiver was placing 2-year-olds in timeout for 5 minutes for misbehaving.

746.307(c) - Parental Notification of Less Serious Injuries · Medium

During the investigation, it was found that the management staff did not discuss an injury with the parent by phone or during pick-up.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

A child was able to exit the building through an emergency exit door in the classroom without the caregiver noticing.

746.2805(1) - Prohibited Punishments - Corporal Punishment · High

Based on the DFPS investigation, 2 caregivers were observed on video footage hitting children in their care.

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium High

Based on the DFPS investigation, a caregiver was observed on video surveillance not washing children's hands after changing their diapers.

746.3415(4) - Employee Handwashing After Diapering a Child · Medium High

Based on the DFPS investigation, a caregiver was observed wearing the same pair of gloves while changing multiple children's diapers and did not wash their hands between changes.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

There are concerns that a caregiver was observed aggressively sitting children down in their chairs and lifting children by the arm after diaper changes.

746.1309(e) - Documented Annual Training- Required Content · Medium

3 caregivers did not have the required training topics at the time of the inspection.

746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age · High

One infant was sleeping in a crib with a noise machine. This was corrected when the caregiver removed the noise machine from the crib.

746.4135(b) - Children's Products- Annual Certification · Medium

The operation has not certified annually in writing using the Children's Product Certification form provided by HHSC that they have reviewed each of the recall notices issued by the CPSC. This was corrected when the Children's Product Certification Form was emailed to the director to complete.

746.2427 - AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant · High

An infant was placed in a crib on their stomach with the intention of the infant falling asleep. This was corrected when the infant was turned over on their back.

746.2805(1) - Prohibited Punishments - Corporal Punishment · High

Based on the DFPS investigation, it was determined that a caregiver pinched a child which caused an injury

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling · High

Based on the DFPS investigation, there is enough evidence to determine a caregiver was yelling at the children in care.

746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited · High

Based on the DFPS investigation, it was determined that a child was abused in care which resulted in an injury.

746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training · Medium High

1 of 10 personnel files reviewed was missing 5 of the required Pre-service hours required within the first 90 days.

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days · Medium

7 of 8 infant feeding instructions had not been updated within the past 30 days.

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

Caregiver observed supervising children in care with a pending background check on file.

746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child · Medium High

During a DFPS investigation, there was sufficient evidence to support that a caregiver served a child food identified on the child's allergy emergency plan which caused the child to go into anaphylactic shock.

746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited · High

During a DFPS investigation, there was sufficient evidence to support that a caregiver neglectfully supervised a child in care.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children · High

It was determined that a caregiver was not appropriately supervising the children in her group when one of the students were left in the classroom. The owner was walking the halls when she saw the child in the classroom. The owner took over supervision until the child returned to their group. It is unknown how long the child was left alone.

746.305(a)(6) - Report Situation Placing Children at Risk · High

The operation fail to contact CCR when a teacher unknowingly left one of her students in the classroom.