Small Steps Nurturing Center-5th Ward
Repeat pattern: the same regulatory standard was cited more than once within a 60-month window.
Regulatory record
Compiled from the originating licensing authority. Each item links to its source. Severity marked “(inferred)” was derived from the citation, not assigned by the authority.
- Moderate
The policy on file that was documented on 10/16/24 had expired on 9/19/25. Note: this was corrected at inspection when the director entered the updated policy in the on line provider portal account.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
A self-report by the operation was made that a child was left unsupervised in the hallway for a minute.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
One child was left unsupervised in the classroom for several minutes.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
The operation did not complete an incident report or share the report with the parent within 48 hours of the incident.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
4 out of 6 children with diagnosed food allergies did not have a complete and current food allergy emergency plan. 1 kid is missing Benadryl, 2 kids had expired epi-pens, 1 kid missing medication and authorization form.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
Two tv monitors in 2 classrooms were unfastended to the children's bookshelf, posing as a tipping hazard.
source: Texas HHSC CCR verify - Critical
The transportation binder is missing Emergency medical transport and treatment authorization forms for 3 children being transported.
source: Texas HHSC CCR verify - Serious
The Emergency Prepardeness Plan is missing the address of the alternate shelter away from the center.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
8 medications did not have the date received written on the container. Note; this was corrected at inspection when the director wrote on each medication the date it was received from the parent.
source: Texas HHSC CCR verify - Critical
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
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
2 student volunteers, 1 caregiver and 1 contract vendor were with children without approved background checks.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
The director did not have current transportation training, the last training was taken in 2021.
source: Texas HHSC CCR verify - Critical
It was determined that a child was left alone for approximately five minutes.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- source: Texas HHSC CCR
- Critical
Caregivers left a child on the outside patio of the classroom.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
During the walkthrough I observed four buckets of disinfectant wipes and spray bottles with cleaning solution in the reach of children. This was corrected when the director removed the buckets and placed the bottles out of reach.
source: Texas HHSC CCR verify - Critical
During review of transportation the operation was found to not have emergency medical information on van used to transport children. This was corrected when the director updated the transportation binder.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
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- Texas HHSC CCR — https://data.texas.gov
Independent data record assembled from public licensing sources. Not legal advice; not affiliated with any government agency or law firm.