Ds Heart to Heart
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 children's storage space was not clearly labeled in toddler classroom.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
I did not observe the most recent licensing inspection report posted.
source: Texas HHSC CCR verify - Moderate
The daily schedule did not include outdoor play times for morning and afternoon in preschool 1 and toddler rooms. Note: corrected during inspection when schedule updated.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
Three staff records evaluated did not have training records available for review.
source: Texas HHSC CCR verify - Serious
The on-line CPR recertification training obtain did not include use of a CPR manikin.
source: Texas HHSC CCR verify - Critical
I observe bottle of Moltrin medication on a bottom cart in the classroom accessible to children. Note: corrected when staff removed the medication.
source: Texas HHSC CCR verify - Moderate
Four staff files evaluated were missing one hour of child maltreatment training.
source: Texas HHSC CCR verify - Minor
One staff records evaluated was missing notarized affidavit.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
I observe the activity plans not posted in the toddler 1 room. Note: this was corrected when activity plan posted.
source: Texas HHSC CCR verify - Serious
I observe two feeding bottles that were not labeled in the infant. Note. this was corrected when caregiver labeled both bottles.
source: Texas HHSC CCR verify - Serious
I did not observe emergency and evacuation diagram posted in the infant room. Note: this was corrected when diagram was posted.
source: Texas HHSC CCR verify - Critical
It was found that the annual fire inspection was not conducted. Last inspection was 3/4/2024.
source: Texas HHSC CCR verify - Moderate
The operational policies did not include the promotion of indoor and outdoor physical activity.
source: Texas HHSC CCR verify - Moderate
A review of the operational policies was conducted and found that the parents rights were not included.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
A file for twins was not made accessible to review by licensing upon request.
source: Texas HHSC CCR verify - Critical
Based on information obtained for the investigation, a caregiver displayed inappropriate discipline towards a child in care.
source: Texas HHSC CCR verify - Moderate
Based on information obtained for the investigation, a child was in care without admission information.
source: Texas HHSC CCR verify - Serious
Based on information obtained for the investigation, a caregiver was using their cell phone for personal reasons while caring for children.
source: Texas HHSC CCR verify - Critical
Based on information obtained for the investigation, a caregiver was not maintaining supervision when engaging on their cell phone for personal reasons unrelated to caregiver responsibilities.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- source: Texas HHSC CCR
- Critical
During the investigation it was found that some of the caregivers were using forms of prohibited punishment, such as hitting, to control unwanted behaviors from the children in their care.
source: Texas HHSC CCR verify - Critical
During the investigation it was found that some of the caregivers were using forms of prohibited punishment, such as hitting, to control unwanted behaviors from the children in their care.
source: Texas HHSC CCR verify - Moderate
During the investigation there was enough evidence to support that the operation was not providing enough accessible toys and equipment to the children in their care for daily use.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- source: Texas HHSC CCR
- Serious
During the inspection it was observed that the children were not going outside for outdoor play as required. The day of the inspection it was 70 degress and clear.
source: Texas HHSC CCR verify - Serious
During the inspection it was observed that there was exposed metal on the playground, as well as exposed metal from worn down rain gutters. This metal was sharp and a child could be injured if they fell on it or touched it.
source: Texas HHSC CCR verify - Serious
During the inspection the operation was re-cited as their outdoor activity space was not fully fenced in. While the majority of the playground was surrounded by a fence, there was an area about 4 ft wide that did not have any fencing.
source: Texas HHSC CCR verify - Moderate
During the inspection the operation was re-cited as it was observed that the pre k classroom still did not have interest centers available for use in the classroom.
source: Texas HHSC CCR verify - Moderate
During the inspection it was observed that the pre k classroom was watching the cartoon Resses. This cartoon was not related to their planned activities or meeting educational goals.
source: Texas HHSC CCR verify - Critical
During the inspection two, 4 month old infants, were observed sleeping in a swing with a blanket.
source: Texas HHSC CCR verify - Moderate
During the inspection it was observed that children under the age of two were observed watching the television.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
There is a swimming pool on the property that doers not have fencing to protect children from having access.
source: Texas HHSC CCR verify - Serious
During the inspection there was a 16 month old baby with a wet diaper that had not been changed.
source: Texas HHSC CCR verify - Serious
During the inspection it was observed that both of the diaper changing areas did not have a working sink available for use. This was corrected at the inspection when a sink was added to the infant diaper changing area and water was added to the sink in the toddler diaper changing area so that it would work.
source: Texas HHSC CCR verify - Moderate
During the follow-up inspection it was observed that the pre k classroom still did not have interest centers available for use in the classroom. There were puzzles, a handful of toys, and some white boards.
source: Texas HHSC CCR verify - Moderate
During the inspection it was observed that the children in care were watching SpiderMan, which is a PG-13 movie. The children in care were 16 months, 2 year, 3 years, and 10 years old.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
During the monitoring inspection it was found that the mounted fire extinguishers were not tagged showing that they had been serviced as required.
source: Texas HHSC CCR verify - Critical
During the inspection it was found that the bus available for use for transportation was not equipped with a fire extinguisher. It was also missing a thermometer from the first aid kit.
source: Texas HHSC CCR verify - Moderate
During the inspection it was observed that there was not a hand washing sink in the diaper changing area for the children aged 18 months - 23 months.
source: Texas HHSC CCR verify - Moderate
During the inspection it was observed that the toddler classroom only had a couple toys available and did not have low shelving for storage of the toys so that the children could play and access the toys without adult supervision.
source: Texas HHSC CCR verify - Critical
During the inspection it was observed that there was an above ground pool next to the playground area, with no fence, protective barrier, or any other requirements for swimming pools being met.
source: Texas HHSC CCR verify - Moderate
During the inspection it was observed that the pre k classroom did not have any interest centers available for use.
source: Texas HHSC CCR verify - Serious
During the inspection it was found that at least 7 outlets were not covered throughout the operation in the pre k room and toddler room.
source: Texas HHSC CCR verify - Serious
During the follow-up inspection there were at least 4 outlets that were missing their covers, 3 of which were in the room that the children were present in. These were corrected at inspection when they were added.
source: Texas HHSC CCR verify - Serious
During the inspection it was found that the inside of some of the toilet bowls had not been cleaned recently with dried pee, and toilet rims had what appeared to be poop dried on one of them. The floors in one of the bathrooms and the carpet in the pre k classroom had visible dirt and other debris. The vents throughout the operation were also crusted with dust and dirt.
source: Texas HHSC CCR verify - Serious
During the inspection it was found that the operation did not currently have an outdoor play area that was fenced in and available for children's use. Part of the fence had been torn down during hurricane Beryl in July and not replaced.
source: Texas HHSC CCR verify - Moderate
During the inspection it was found that the operation was licensed with 15 toilets and 8 sinks and at the time of the inspection only had 10 toilets and 5 sinks that were working and available for children use.
source: Texas HHSC CCR verify - Serious
During the inspection it was observed that there was 23 children present, with a specified age of 3 years old, with only 1 caregiver present. This group of children was over ratio by 8.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
During the inspection it was observed that there was an individual present at the operation and caring for the toddlers without a cleared background check.
source: Texas HHSC CCR verify - Serious
The infant classroom was over ratio by one as one caregiver was responsible for five infants, ages 4 to 6 months. The Toddler 1 classroom was over ratio as there was one caregiver responsible for children 18 months to 2 years old. The specified age group was 23 months.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
Transporter did not have transportation training.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
The operation did not have for reveiw a current fire inspection.
source: Texas HHSC CCR verify - Moderate
Two personnel records was missing the following documentation: 1 caregiver did not have proof of education
source: Texas HHSC CCR verify - Critical
The caregiver did not know how many children she was responsible for. Note: This was corrected at the inspection when I had the caregiver count three separate times until she got the number of children correct.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
A caregiver did not use good judgement when videoing two children playing which escalated into the children getting upset.
source: Texas HHSC CCR verify - Serious
There was evidence found that a caregiver used their cell when supervising children.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
A fire extinguisher dial was off the spring.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
A caregiver left the 4 children unattended in their class while getting other children up from a nap. Note:corrected during inspection when caregiver was settled in the class.
source: Texas HHSC CCR verify - Moderate
Fire drills have not been completed since January 2022.
source: Texas HHSC CCR verify - Moderate
One child file did not have the meal section filled out. Three children files did not have the emergency section filled out. One child file did not have the water activity section filled out. Two children's files did not have their "date of enrollment" filled out. One child file did not have the special needs section filled out. One child did not have the operational policies filled out.
source: Texas HHSC CCR verify - Moderate
The center did not have a list of the current employees. Note: corrected at inspection when center posted the list.
source: Texas HHSC CCR verify - Moderate
Two staff files did not have their start date. Note:corrected at inspection by the start date being filled out.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
The infant room was out of ratio by 1 infant. The specified age is 3 months. Note: corrected at inspection when a child was picked up.
source: Texas HHSC CCR verify - Serious
The playground is not properly fenced off due to construction at the operation.
source: Texas HHSC CCR verify - Serious
A caregiver had 12 children to supervise in the toddler room. The infant room is over ratio by 2 children. The specified age group is 9 months.
source: Texas HHSC CCR verify - Serious
One staff member did not have the operational policies checked off as received. Note corrected at inspection by caregiver completing form.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
There was evidence and interviews proving that there was a caregiver who left children unsupervised.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
The older toddler group did not wash their hands before eating snacks. Note:corrected at inspection.
source: Texas HHSC CCR verify - Serious
There were no evacuation plans posted in any classrooms.
source: Texas HHSC CCR verify - Moderate
A infant child was not strapped into their high chair. Note: corrected during inspection.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
The center did not have the infant daily report available for review.
source: Texas HHSC CCR verify - Moderate
There was no building playground checklist available for review during inspection.
source: Texas HHSC CCR verify - Moderate
The center did not have the menu available for review.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
There were 5 infants combined with older children. The youngest child was 3 months and the oldest was 10 yrs old. There was a 17 month infant in 18 month and up room.
source: Texas HHSC CCR verify - Moderate
Two caregivers and the Directors file are incomplete.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
There were 4 infants combined with older children. The youngest child was 3 months and the oldest was 10 yrs old.
source: Texas HHSC CCR verify - Serious
There were bottles observed that were not labeled with children's names.
source: Texas HHSC CCR verify - Moderate
Two caregivers and the Directors file are incomplete.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
The infant room had a rocking chair blocking the fire exit. The toddler room had a broken chair in front of the fire exit. Outside had toys blocking the door way. Note: corrected during inspection.
source: Texas HHSC CCR verify - Serious
The electrical outlets were not covered in the infant and toddler room.
source: Texas HHSC CCR verify - Moderate
There was a caregiver who is aged 17 and still in high school providing care for children counted in ratio.
source: Texas HHSC CCR verify - Critical
There was a caregiver at the center that did not have a background check counted in ratio at the center.
source: Texas HHSC CCR verify - Serious
There were two 17 month infants in the mixed toddler classroom. The oldest child in that class was 10 years old. Note: The two infants were placed back in their respective rooms.
source: Texas HHSC CCR verify - Serious
There was a cloth covering the diaper changing pad therefore making it an absorbent surface. Note: corrected at inspection.
source: Texas HHSC CCR verify - Moderate
The center was not able to provide records for staff upon request.
source: Texas HHSC CCR verify - Serious
There is one electrical outlet not covered in the toddler room. Note corrected at inspection.
source: Texas HHSC CCR verify - Moderate
There was no documentation of fire/evacuation drills available for review during inspection.
source: Texas HHSC CCR verify - Serious
There were cleaning supplies accessible to children on the changing table. Note:corrected at inspection.
source: Texas HHSC CCR verify - Serious
There were air freshener plugs throughout the center during inspection. There was also cleaning supplies accesible to children. Note:corrected at inspection.
source: Texas HHSC CCR verify - Critical
There was a space heater plugged in during inspection. Note: corrected at inspection.
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.