Messiah Lutheran Early Childhood

Medium-high risk Each infant's bottles and cups must be labelled with the child's name.

State rule 746.2419(6) (minimum standards for child-care centers): "Requirements for Feeding Infants - Label Bottles/Cups"

Inspector's note: One infant bottle and one bag of breast milk stored in the refrigerator were not labeled with the child's name. There were also two bags of breast milk without a last initial stored in the freezer. Corrected: When caregivers labeled the bottle and bags of breast milk.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The building, grounds and equipment must be kept in good repair and clean.

State rule 746.3407 (minimum standards for child-care centers): "Maintenance of Building, Grounds and Equipment"

Inspector's note: The girl?s restroom floor has an unsecured drain cover, which exposes the drain and could cause a tripping hazard. The operation has a water hose in the play area not wrapped up.

Corrected Aug 24, 2026, verified by the state Aug 24, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Training requirements for substitutes, volunteers, and contractors-Orientation

State rule 746.1403(a)(1)(A) (minimum standards for child-care centers): "Training requirements for substitutes, volunteers, and contractors-Orientation"

Inspector's note: Two contract workers from an organization the operation uses did not have orientation for the operation.

Corrected Aug 4, 2026, verified by the state Aug 19, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-low risk Definition- What does Licensing mean by the term use zone?

State rule 746.4801 (minimum standards for child-care centers): "Definition- What does Licensing mean by the term use zone?"

Inspector's note: The operation did not have the required six feet of surfacing in the use zone of the play structure.

Corrected Aug 7, 2026, verified by the state Aug 19, 2026.

Medium-high risk Each child's file must hold an emergency contact.

State rule 746.605(6) (minimum standards for child-care centers): "Required Admission Information - Emergency Contact"

Inspector's note: One child did not have an address for their emergency contact. Correct; When the director received the address and updated the file.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

High risk Requirements during probation

State rule 745.8641 (licensing rules for every operation): "Requirements during probation"

Inspector's note: When the operation meet with the governing body it was not document that previous deficiencies were discussed.

Corrected May 29, 2026, verified by the state May 22, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk An evacuation and relocation diagram must be prepared as the state requires.

State rule 746.5207(a)(3) (minimum standards for child-care centers): "Emergency Evacuation and Relocation Diagram - Designated Location"

Inspector's note: On the emergency evacuation diagram the operation does not have the designated area where children and staff will meet outside the building.

Corrected May 1, 2026, verified by the state May 21, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk An evacuation and relocation diagram must be prepared as the state requires.

State rule 746.5207(a)(4) (minimum standards for child-care centers): "Emergency Evacuation and Relocation Diagram - Designated Location Inside"

Inspector's note: On the emergency evacuation diagram the operation does not have the designated area where children and staff will meet inside the building.

Corrected May 1, 2026, verified by the state May 21, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Carbon-monoxide detectors must be installed, tested and documented as the state requires.

State rule 746.5537(a)(4) (minimum standards for child-care centers): "Electronic or Battery-Operated CO System-Document Tests, New Battery Installation and Name of Responsible Employee"

Inspector's note: The operation did not have documentation of when a new batteries being installed in the carbon monoxide detector or the name of the employee who installed the new batteries.

Corrected May 1, 2026, verified by the state May 21, 2026. The inspector gave technical assistance (advice on how to comply).

High risk Requirements during probation

State rule 745.8641 (licensing rules for every operation): "Requirements during probation"

Inspector's note: The operation is not following condition one and four. The operation did not review staff files and use form 7250. The operation did not have documentation of a meeting with the director and governing body after the last inspection conducted on 2/9/2026.

Corrected Apr 6, 2026, verified by the state Apr 28, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Gas lines and appliances must pass the required gas-leak inspection.

State rule 746.5401 (minimum standards for child-care centers): "Requirement of Gas Leak Inspection"

Inspector's note: The operation gas inspection was last conducted on 1/11/2024, the operation should have received an inspection by 1/11/2026. This inspection is five days past due.

Corrected Jan 26, 2026, verified by the state Jan 23, 2026. The inspector gave technical assistance (advice on how to comply).

High risk The director must operate the center in compliance with the minimum standards.

State rule 746.1003(1) (minimum standards for child-care centers): "Director Responsibilities - Operate in Compliance"

Inspector's note: The director did not ensure the operation filled out form 2970 for the safe sleep deficiency. The director has not ensured that caregivers are assigned with duties that match their skill set.

Corrected Dec 5, 2025, verified by the state Dec 12, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The operation must share the infant's daily report with the parent.

State rule 746.2431 (minimum standards for child-care centers): "Infant Daily Report - Share with Parent"

Inspector's note: The caterpillar one classroom does not share daily reports with parents.

Corrected Dec 3, 2025, verified by the state Dec 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Parental Notification of Deficiency as described in 746.309 within 5 Days

State rule 746.311(a) (minimum standards for child-care centers): "Parental Notification of Deficiency as described in 746.309 within 5 Days"

Inspector's note: The operation did not notify parents about the safe sleep deficiency and they did not use form 2970.

Corrected Dec 2, 2025, verified by the state Dec 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each infant's written feeding instructions must be reviewed and updated every 30 days.

State rule 746.2421(b) (minimum standards for child-care centers): "Written Feeding Instructions - Review and Update Every 30 Days"

Inspector's note: Two infants did not have updated feeding instruction forms, one was last done 10/7/2025 and the other one was done10/31/2025.

Corrected Dec 5, 2025, verified by the state Dec 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation's written policies must cover parent rights.

State rule 746.501(a)(20) (minimum standards for child-care centers): "Written Operational Policies - Parent Rights"

Inspector's note: The operation did not have the information for parent rights in the operational policy.

Corrected Dec 4, 2025, verified by the state Dec 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation's written policies must explain how parents can access the minimum standards online, the Texas abuse/neglect hotline and the state's website.

State rule 746.501(a)(23) (minimum standards for child-care centers): "Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website"

Inspector's note: The operation did not have the correct information for how parents can get minimum standards online, contact the abuse and neglect line, and the HHSC website.

Corrected Dec 4, 2025, verified by the state Dec 2, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Infants may not sleep in car seats, swings or other restrictive devices.

State rule 746.2426(a)(1) (minimum standards for child-care centers): "Infant May Not Sleep in a Restrictive Device"

Inspector's note: A three month old infant was asleep in a bouncer.

Corrected Nov 17, 2025, verified by the state Dec 1, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Cots and mats at nap time must be arranged as the state requires (for example not blocking exits, with room to walk).

State rule 746.2909(1) (minimum standards for child-care centers): "Arrangement of Napping Equipment - Not Blocking Entrances or Exits"

Inspector's note: A crib in the infant classroom was blocking the exit door.

Corrected Nov 17, 2025, verified by the state Dec 1, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Active-play use zones must have loose-fill or unitary surfacing.

State rule 746.4901(a) (minimum standards for child-care centers): "Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing"

Inspector's note: The bucket swings and play structure did not have the required surfacing under and around it, children were observed using the bucket swings and play structure.

Corrected Dec 1, 2025, verified by the state Dec 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Substitutes, volunteers, and contractors counted in ratio

State rule 746.1401(c) (minimum standards for child-care centers): "Substitutes, volunteers, and contractors counted in ratio"

Inspector's note: A contract worker for the operation that was counted into ratio did not have the required orientation or training provided by the operation.

Corrected Nov 24, 2025, verified by the state Dec 1, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Infant equipment such as high chairs and swings must be used with their safety straps.

State rule 746.2407 (minimum standards for child-care centers): "Infant Care Area Furnishings and Equipment -Use of Safety Straps"

Inspector's note: In the caterpillar one classroom three children were not strap in the high chair. In the infant classroom two children were not strap in the bouncer and one child in the high chair. Corrected: When caregiver strap child in the high chairs and removed children out of the bouncers.

Corrected Nov 4, 2025, verified by the state Nov 17, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Requirements during probation

State rule 745.8641 (licensing rules for every operation): "Requirements during probation"

Inspector's note: The operation updated the information on the form 7250 for the month of July. The director and I spoke about writing staff names who were present doing the observation.

Corrected Sep 22, 2025, verified by the state Oct 6, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Children must have the immunizations the state requires, with records or legal exemptions on file.

State rule 746.613(c)(1) (minimum standards for child-care centers): "Immunization Exception or Exemption on File and Verified"

Inspector's note: One child did not have the required information to have their immunization exempt.

Corrected Oct 3, 2025, verified by the state Sep 16, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Provide Parents With Copy of Policies

State rule 746.503 (minimum standards for child-care centers): "Provide Parents With Copy of Policies"

Inspector's note: One child did not have a signed form stating they received the operational policies.

Corrected Sep 16, 2025, verified by the state Sep 12, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Requirements during probation

State rule 745.8641 (licensing rules for every operation): "Requirements during probation"

Inspector's note: The operation did not follow condition one when they did not have a audit for the month of July on a 7250 form. The operation did not follow condition two when they did not have staff name that was present doing the observation.

Corrected Aug 25, 2025, verified by the state Sep 12, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Employees must wash their hands at the times the state requires.

State rule 746.3415(12) (minimum standards for child-care centers): "Employee Handwashing After Using Cleaners or Toxic Chemicals"

Inspector's note: Caregiver did not wash their hands after using cleaning supplies. Corrected: When the caregiver washed hands after cleaning the changing mat and used cleaning supplies.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation must notify the state about a change in its space.

State rule 746.301(2) (minimum standards for child-care centers): "Notification of Change in Space"

Inspector's note: The operation did not notify CCR inspector of the change in toddler classroom when added a divider in the classroom to make the classroom two different classrooms.

Corrected Aug 25, 2025, verified by the state Sep 12, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Documentation of the fire inspection must be kept on file.

State rule 746.5103 (minimum standards for child-care centers): "Documentation of Fire Inspection"

Inspector's note: The operation did not have documentation of a current fire inspection.

Corrected Jul 25, 2025, verified by the state Jul 25, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Requirements during probation

State rule 745.8641 (licensing rules for every operation): "Requirements during probation"

Inspector's note: The operation did not follow condition four they is not and documentation that the director meet with the governing body. The operation did not follow condition one when the director did not have documentation that the caregiver was notified they were missing CPR/First Aid training or missing annual hours. The operation did not document on form 7259 for the month of May a staff audit of records.

Corrected Jul 3, 2025, verified by the state Jul 14, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Requirements during probation

State rule 745.8641 (licensing rules for every operation): "Requirements during probation"

Inspector's note: The director did not ensure that a caregiver received CPR/First training before it expired. The operation did not ensure that a child had all required information when they enrolled.

Corrected May 30, 2025, verified by the state Jun 19, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The director and each caregiver must have current pediatric first aid training (with rescue breathing and choking).

State rule 746.1315(a) (minimum standards for child-care centers): "Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking."

Inspector's note: One caregiver first aid training expired 5-18-2025.

Corrected Jun 6, 2025, verified by the state May 29, 2025.

Medium-high risk The director and each caregiver must have current pediatric CPR training.

State rule 746.1315(b) (minimum standards for child-care centers): "Each Caregiver and the Director Must Have Current Training in pediatric CPR"

Inspector's note: One caregiver CPR training expired 5-18-2025.

Corrected Jun 6, 2025, verified by the state May 29, 2025.

Medium-high risk Active-play use zones must have loose-fill or unitary surfacing.

State rule 746.4901(a) (minimum standards for child-care centers): "Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing"

Inspector's note: The swings and a climbing equipment did not have the required surfacing material under it.

Corrected May 30, 2025, verified by the state Jun 19, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Caregivers must complete 24 hours of annual training, and it must be documented.

State rule 746.1309(a) (minimum standards for child-care centers): "Documented Annual Training Area - 24 Hours Required"

Inspector's note: One caregiver is missing two hours of annual training for training year 1-17-2024 to 1-17-2025.

Corrected May 26, 2025, verified by the state Jun 19, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation must certify every year that it has no recalled or unsafe children's products.

State rule 746.4135(b) (minimum standards for child-care centers): "Children's Products- Annual Certification"

Inspector's note: The operation's children's product form expired March 3, 2025.

Corrected May 23, 2025, verified by the state Jun 19, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each child's file must hold a health statement.

State rule 746.603(a)(3) (minimum standards for child-care centers): "Children's Records - Health Statement"

Inspector's note: One child that has been enrolled at the operation for over a year is missing a health statement.

Corrected Jun 6, 2025, verified by the state Jun 19, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Recommend or impose an enforcement action

State rule 745.8605 (licensing rules for every operation): "Recommend or impose an enforcement action"

Inspector's note: The operation is not following condition two, when conducting weekly walkthroug they did not document the time, names of staff present. The operation is not following condition three when caregivers who care for children under 18 months have not reviewed the standards that are required and a feeding instruction form was not updated.

Corrected Feb 28, 2025, verified by the state Feb 26, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Requirements during probation

State rule 745.8641 (licensing rules for every operation): "Requirements during probation"

Inspector's note: The operation is not following condition two, when conducting weekly walk through they did not document the time, names of staff present. The operation is not following condition three when caregivers who care for children under 18 months have not reviewed the standards that are required and a feeding instruction form was not updated.

Corrected Feb 28, 2025, verified by the state Feb 26, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Each caregiver must know how many children they are responsible for.

State rule 746.1205(a)(2) (minimum standards for child-care centers): "Responsibilities of Caregivers - Know number of children responsible for"

Inspector's note: One caregiver stated they had five children, when I counted they were six children in care.

Corrected Feb 24, 2025, verified by the state Mar 4, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each infant's written feeding instructions must be reviewed and updated every 30 days.

State rule 746.2421(b) (minimum standards for child-care centers): "Written Feeding Instructions - Review and Update Every 30 Days"

Inspector's note: An infant did not have an updated feeding instruction form, the last time it was updated on 1/24/2025.

Corrected Feb 28, 2025, verified by the state Mar 26, 2025. The inspector gave technical assistance (advice on how to comply).