Ester Tyler-Aikens
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.
- Serious
One child with special care needs didn't have an accommodation plan available during the inspection.
source: Texas HHSC CCR verify - Moderate
The primary caregiver was missing training in emergency preparedness.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
One child lacked a health statement.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
Two children lacked health statements at the time of the inspection.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
The primary caregiver was missing four hours of the annual training in management techniques, leadership, or staff supervision.
source: Texas HHSC CCR verify - Serious
The primary caregiver was missing training for the previous training year in the following topics: Recognizing and preventing shaken baby syndrome, Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS), Understanding early childhood brain development.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
A statement of health from a local veterinarian for two dos present at the home was not made available for licensing
source: Texas HHSC CCR verify - Serious
The carbon monoxide detector, smoke detector, and fire extinguisher were not being checked monthly. In February 2024, this equipment was not checked by the primary caregiver.
source: Texas HHSC CCR verify - Serious
The primary caregiver was missing training for the previous training year in the following topics: Recognizing and preventing shaken baby syndrome, Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS), Understanding early childhood brain development.
source: Texas HHSC CCR verify - Serious
The carbon monoxide detector, smoke detector, and fire extinguisher were not being checked monthly. In February 2024, this equipment was not checked by the primary caregiver.
source: Texas HHSC CCR verify - Moderate
The consumer product safety recall form had not been updated annually. The last update was on 09/10/2022. This was corrected during the inspection when the operation re-certified their form and ensured the home has no recalled items.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
Upon reviewing children's records, two children did not have updated immunizations.
source: Texas HHSC CCR verify - Moderate
A health statement is not on record for one child enrolled in care.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
The operation has two medications present at the operation with no medication authorization forms.
source: Texas HHSC CCR verify - Moderate
The operation has two household pets that do not have statements of health.
source: Texas HHSC CCR verify - Moderate
The operation has expire medication on file for a child with known food allergies.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
The operation does not have documentation of any drills conducted.
source: Texas HHSC CCR verify - Serious
The primary caregiver has 24 hours of the required 30 hours of annual training. The primary caregiver does not have the following annual required trainings: emergency preparedness, administering medication, understanding building and physical premises safety, and handling storing, and disposing of hazardous materials.
source: Texas HHSC CCR verify - Critical
A household member was present in the home during operational hours.
source: Texas HHSC CCR verify - Moderate
Two children at the operation do not have updated immunization records.
source: Texas HHSC CCR verify - Serious
The operations emergency preparedness plan is not complete.
source: Texas HHSC CCR verify - Serious
The operation has a dog in the home and has a dog mentioned in the operations policies but does not have a file for the dog at the operation.
source: Texas HHSC CCR verify - Moderate
A household member does not have orientation.
source: Texas HHSC CCR verify - Moderate
The operations polies are missing the following (1), (8), (9), and (10).
source: Texas HHSC CCR verify - Serious
The primary caregiver does not have a current CPR/First Aid.
source: Texas HHSC CCR verify - Serious
The operations fire extinguisher was observed to not be mounted.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
Children were observed being served food multiple times during inspection before washing their hands.
source: Texas HHSC CCR verify - Serious
The operations fire extinguisher was observed to not be mounted.
source: Texas HHSC CCR verify - Serious
The operation was observed using absorbent sheet for diaper changing.
source: Texas HHSC CCR verify - Serious
Children were observed not washing their hands after toileting. The primary caregiver was observed not washing their hands following diapering.
source: Texas HHSC CCR verify - Critical
The operation has a child in care with documentation of known food allergy. The operation did not use good judgment by not having listed medications on file at the operation.
source: Texas HHSC CCR verify - Serious
Cleaning supplies were observed accessible to children throughout the restroom children use while in care.
source: Texas HHSC CCR verify - Serious
The operation does not have documentation of any drills conducted.
source: Texas HHSC CCR verify - Critical
The operations firearm and was observed to be in a firearm and ammunition in a bag under the table during inspection.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
The operation did not have a completed first aid kit. CI: The primary caregiver gathered items from throughout the home during inspection.
source: Texas HHSC CCR verify
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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.