Kinder Care Number 213

746.3701(10) - Safety - Televisions Anchored to Prevent Tip Over

A Television in the 4 year old room was not mounted or anchored. This was corrected at inspection when the television was removed from the classroom.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling

It was determined through the course of the investigation that caregivers have been witnessed yelling at children in care.

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

It was determined throughout the course of the Investigation that a child in care was injured at the operation and cast was placed on the child's arm. The incident occurred on 10/28/2025. This incident was not reported to CCR by the operation.

746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

The infant caregiver was observed placing the infant on their stomach to sleep. This was immediately corrected during the inspection when CCR prompted the caregiver to place the infant on their back.

746.4309 - Fenced Outdoor Activity Space -Gates Locked

During the inspection the playground gate was observed to be locked. The caregiver did not have the key on their persons while supervising children in care on the playground. This was immediately corrected during the inspection by placing the key to the gate by the exit door for caregivers to access while outside.

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

It was determined throughout the course of the HHS Investigation a child in care was injured at the operation and subsequently sought medical treatment. The incident occurred on 7/10/2025. The incident was not reported to CCR until 7/15/2025 during an investigation inspection.

745.8411(a) - Responsibilities - Not interfere with an inspection or investigation

CCR arrived at the facility. CCR rang the doorbell numerous times. CCR contacted operation staff by phone after no personnel answered the door. Operation staff still did not come to the door. Operation staff on the playground observed CCR waiting at the door and still did not answer. It was approximately 8-9 minutes before CCR was allowed access to the building. CCR was eventually allowed access inside the building by a parent, not personnel.

746.3407 - Maintenance of Building, Grounds and Equipment

The toilets at the center were not functioning and overflowing when CCR tested. The contaminated water from the toilets was overflowing onto the floors. This was immediately corrected when children in care were sent home due to unsanitary conditions.

746.305(a)(1) - Report Unsafe Facility Occurrence

It was determined throughout the course of the HHS Investigation that children in care were exposed to unsanitary conditions regarding plumbing concerns. The unsanitary conditions started on 4/8/25. CCR arrived at the facility to investigate on 4/11/25.

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

Two employees were present and actively supervising children in care in a classroom without an eligible background check. This was immediately corrected during the inspection placing the operation back into compliance.

746.2209 - Posting of Activity Plan

Current activity plans were not posted in the classrooms.

745.903(2) - Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901

A governing body change was not updated as required. The new area director started on 10/1/24. The new area director was not listed as a controlling person during the inspection.

746.3407 - Maintenance of Building, Grounds and Equipment

During the unannounced walk-through inspection there were numerous hazards observed. The toilets utilized by children in care were dirty with either urine/fecal matter or both. There was what appeared to be possible mold underneath a refrigerator in a classroom. There were cleaning supplies accessible in a bathoom utilized by children in care. This was immediatly corrected during the isnpection by removing the cleaning supplies. There were mice droppings observed inside the operation.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling

An operational staff was observed yelling at numerous children in care on numerous occasions when the children wouldn't listen or behave.

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

An operational employee responsible for children in care and counted in child/caregiver ratio failed to maintain supervision on multiple occasions. The employee went to the office to retrieve their computer, their phone, or to work. The employee also left the classroom unattended to answer the door.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

It was determined throughout the course of the HHS Investigation that caregivers lacked good judgment when they were screaming at one another, using profanity, and threatening one another while children were in care. The director failed to address numerous health or safety concerns such as mold, mice, and mice droppings. The permit holder failed to utilize good judgment when interviewing an operational employee with the director present, breaching confidentiality.

746.305(a)(6) - Report Situation Placing Children at Risk

It was determined throughout the course of the HHS Investigation that numerous operational staff failed to report to CCR when they had concerns of minimum standard violations.

746.3703(b) - No Alcohol or Controlled Substances Consumed

It was determined throughout the course of the HHS Investigation that an operational employee was under the influence of alcohol while present at the operation during operating hours and actively on the clock.

746.2805(3) - Prohibited Punishments - Grabbing and Pulling

It was determined throughout the course of the HHS investigation that an operational employee grabbed and pulled children in care on more than one occasion.