Kids R Kids of Missouri City (DBA)

746.3420(2) - Hand Sanitizer - Not Used on Visibly Soiled Hands Unless Away From Classroom and Soap & Water Not Available

Children were observed to be using hand sanitizer instead of soap and water to wash hands before eating snack.

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

Children under the age of two was observed to have screen time.

746.3417(3) - Children Handwashing After Toileting or Diapering

Caregiver was observed to not wash the child's hands after a diaper change.

746.1111 - Education Outside of U.S.

1 out of 10 staff records evaluated the education outside of U.S. was not translated to English.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

Fire inspection was observed to be expired on 03/27/2025.

746.3301(f)(1) - Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

Children were observed to not have water made available to them during their outside time.

746.1203(5) - Responsibilities of Caregivers - Interact positively with children

Based on the information obtained, there is sufficient evidence to suggest that a caregiver did not interact with a child in a positive manner.

746.1201(2) - Responsibilities of Employees and Caregivers -Relate to Children

Caregiver was observed grabbing and forcing a child sit down during lunchtime.

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

Caregiver was observed to be present without an initial background check.

746.3809 - Medication No Longer Used

On 08/06/2025, the operation could not locate an Epi pen and another medication for a child with a known food allergy that is diagnosed as a severe allergy by a health care professional. The operation did not locate the medication until thirteen days later on 08/18/2025.

746.3407 - Maintenance of Building, Grounds and Equipment

A wasp nest was observed on the toddler's playground and on the pre-k playground.

746.303(a)(4) - Report Change in Director

Licensing was not notified of change of director.

746.3407 - Maintenance of Building, Grounds and Equipment

A wasp nest was observed on the toddler's playground.

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

Caregiver was observed to be present without an initial background check. Corrected at Inspection - Caregiver was observed to leave premises during the inspection.

746.3417(4) - Children Handwashing After Outdoor Activities

Caregiver was observed to not wash the toddler's hands after outdoor actvities.

746.3417(3) - Children Handwashing After Toileting or Diapering

Caregiver was observed to not wash a toddler's hands after a diaper change.

746.1205(a)(5) - Responsibilities of Caregivers - Intervene to ensure each child's safety

Caregiver was observed to be sitting in a chair and not intervening while children where observed to be running in the classroom and throwing different toys in the classroom at each other.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

Caregiver was observed to be out ratio with fourteen two year olds.

746.3301(f)(1) - Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

Children were observed to not have water made available to them during their outside time.

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

An infant under 12 months of age was asleep in a crib with a pacifier clip attached to them while asleep.

746.1205(a)(5) - Responsibilities of Caregivers - Intervene to ensure each child's safety

Based on the information obtained during the investigation it was determined that a caregiver did not intervene when two children were throwing items at each other that caused both children to have an injury.

746.707 - Incident/Illness Report Form Shared with Parent

There is sufficient evidence to support that the operation did not share a copy of the report to the child's parent to obtain signature on the report indicating the parent had reviewed and received the report within 48 hours of the incident. The incident occurred on June 2nd, and the parents did not review or received the report until June 16th

746.401(10) - Required Postings-Child's Food Allergies

A child with a known food allergy diagnosed by a health care professional was not observed to be posted in the child's classroom with a known food allergy.

746.603(a)(4) - Children's Records - Immunizations

Immunization was not observed in one child's file that was evaluated.

746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups

Two bottles were observed to not be labeled with the infant's names.