Papa & Nanas Child Care

746.623(2)(D) - Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine · Medium

A child's immunization record did not have a healthcare professionals stamp or signature.

746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes · Medium High

The operation conducted a fire drill in January of 2025 and did not exit in 3 minutes or less. The operation did not conduct a fire drill in the month of March of 2025.

746.5307(a) - Inspect Fire Extinguishers Monthly · Medium High

The fire extinguisher was not inspected in the months of February or March of 2025. This was corrected at inspection when the provider inspected it during inspection.

746.5319 - Smoke Detectors Testing · High

The smoke detectors were not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.

746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly · Medium High

The carbon monoxide detection system was not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.

746.603(a)(3) - Children's Records - Health Statement · Medium

One child did not have a statement of the child's health from a health-care professional.

746.613(b) - Immunization Records, Exceptions, and Exemptions Current · Medium High

One child did not have current immunization records.

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions · High

Conditions on a background check were not being followed when the subject was found during an investigation to have been alone with children and caring for them.

746.631(a) - Sign-in and Sign-out Tracking System · Medium High

The provider is not consistently using a sign-in and sign-out tracking system daily. The provider is also not including the required information daily on the tracking system in place such as: the name of each child; the date, time of arrival, and time of departure; and the employee or parent's initials or other unique identifier.

746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. · Medium High

One caregiver did not have current training in pediatric first aid with rescue breathing and choking.

746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR · Medium High

One caregiver did not have current training in pediatric CPR.

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions · High

Conditions on a background check were not being followed when the subject was observed alone with a child while taking them to the bathroom.

746.801(5) - Required Records Maintained and Made Available - Employees' Attendance · Medium

The provider did not have attendance records or time sheets listing all days and hours worked.

746.1013(a)(1) - Director's Absence - Caregiver in Charge Knows in Charge · Medium High

Two caregivers present did know who was in charge during the director's absence or for how long.

746.901 - Required Personnel Records · Medium

Four personnel files were reviewed: 3 were missing a record of training hours 4 were missing proof of request for a background check

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

Two people were present without eligible background checks, and left during the inspection.

746.1013(a)(1) - Director's Absence - Caregiver in Charge Knows in Charge · Medium High

Two caregivers present did know who was in charge during the director's absence or for how long.

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

Seven children were left unsupervised in a classroom while the caregiver answered the door. This was corrected when the caregiver returned to the classroom after answering the door.

746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. · Medium High

Two caregivers did not have proof of current pediatric first aid with rescue breathing and choking training.

746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR · Medium High

Two caregivers did not have current pediatric cardiopulmonary resuscitation (CPR).

746.2426(a)(2) - Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible · High

One infant was observed asleep in a restrictive device. The caregiver moved the infant from the restrictive device into a crib during the inspection.

746.3301(b) - Nutrition and Food Service - Follow Meal Patterns · Medium High

The snacks did not follow the meal patterns established by the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) that is administered by the Texas Department of Agriculture.

746.4503(b) - Cots, Beds, Mats Labeled With Child's Name · Medium

The plastic nap mats being used during inspection were not labeled with the child's name.

746.603(a)(3) - Children's Records - Health Statement · Medium

Two children were missing a statement of the child's health from a health-care professional.

746.901 - Required Personnel Records · Medium

Four personnel files were reviewed: 1 was missing dates of hire 1 was missing docmentation showing how the employee meets the minimum age and education qualifications 1 was missing a A Pre-Employment Affidavit form 2912 4 were missing a record of training hours 2 were missing a photo ID 3 were missing proof of request for a background check 1 was missing a statement dated/signed showing that the staff recieved a copy of operational and personnel policies

746.603(a)(3) - Children's Records - Health Statement · Medium

Children's records on file were missing the release form from the physician.

746.3301(b) - Nutrition and Food Service - Follow Meal Patterns · Medium High

Meals served do not meet the nutritional requirements established by the U.S. Department of Agriculture (USDA).

746.3313(1) - Daily Menus - Record Comparable Substitutions · Medium

Meals do not reflect the posted menu, and substitutions are not tracked.

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions · High

It is alleged that a caregiver with conditions on the background check was alone with a child or group of children.

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

Based on the evidence obtained it was found a child was left unsupervised. A caregiver left the room to answer the front door.

746.2207(a) - Screen Time Activities - Not Used for Under Two · Medium

A child under the age of two was allowed screen time.

746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing · Medium High

A staff member did not have current first aid training updated.

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR · Medium High

A staff member did not have current CPR training updated.

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

During a DFPS investigation it was found that time out periods being used can be up to 5-10 minutes in length.

746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing · Medium High

A staff member did not have current first aid training.

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR · Medium High

A staff member did not have current CPR training.

746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization · Medium High

During a DFPS investigation it was found that the operation did not report an injury that required medical attention.

746.3407 - Maintenance of Building, Grounds and Equipment · Medium High

Paint was found chipping off the wall in the front and in a classroom.

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

Caregiver supervising children in care did not have a complete background check on file. This was corrected when the caregiver was asked to leave the operation.

746.2909(5) - Arrangement of Napping Equipment -All Children Supervised · High

During naptime, the caregiver will sit in the hallway to supervise napping children in two different classrooms.

746.2911 - Adequate Lighting During Naptime · Medium High

Based on the information obtained it was determined that the infant room did not have adequate lighting during naptime.

746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR · Medium High · No longer displayed by the state

Three staff members needed current training in CPR.

746.1309(e) - Documented Annual Training- Required Content · Medium · No longer displayed by the state

3 staff members were missing training in food allergies.

746.613(a) - Required Immunizations · High · No longer displayed by the state

One child needed an up to date immunization record.

746.4135(b) - Children's Products- Annual Certification · Medium · No longer displayed by the state

The operation's last consumer product certification form was signed in 1-2020. This was corrected during inspection when the Director updated the form and posted it.

746.401(6) - Posting Requirements - Daily menu, including all snacks and meals served by the child care center · Medium · No longer displayed by the state

A snack menu must be posted, and available to all family members so that they can assure their child's nutritional values are being met.