Papa & Nanas Child Care

Medium risk Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine

State rule 746.623(2)(D) (minimum standards for child-care centers): "Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine"

Inspector's note: A child's immunization record did not have a healthcare professionals stamp or signature.

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

High risk Smoke Detectors Testing

State rule 746.5319 (minimum standards for child-care centers): "Smoke Detectors Testing"

Inspector's note: The smoke detectors were not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.

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

Medium-high risk Fire drills must be held monthly, with everyone out within 3 minutes.

State rule 746.5205(1) (minimum standards for child-care centers): "Fire Drill Monthly - Exit in 3 Minutes"

Inspector's note: The operation conducted a fire drill in January of 2025 and did not exit in 3 minutes or less. The operation did not conduct a fire drill in the month of March of 2025.

Corrected Apr 8, 2025, verified by the state Apr 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Fire extinguishers must be inspected monthly.

State rule 746.5307(a) (minimum standards for child-care centers): "Inspect Fire Extinguishers Monthly"

Inspector's note: The fire extinguisher was not inspected in the months of February or March of 2025. This was corrected at inspection when the provider inspected it during inspection.

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

Medium-high risk Carbon-monoxide detectors must be checked monthly.

State rule 746.5537(a)(2) (minimum standards for child-care centers): "Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly"

Inspector's note: The carbon monoxide detection system was not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.

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

Medium-high risk Immunization records, exceptions and exemptions must be current.

State rule 746.613(b) (minimum standards for child-care centers): "Immunization Records, Exceptions, and Exemptions Current"

Inspector's note: One child did not have current immunization records.

Corrected Apr 18, 2025, verified by the state May 1, 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 did not have a statement of the child's health from a health-care professional.

Corrected Apr 18, 2025, verified by the state Apr 5, 2025. The inspector gave technical assistance (advice on how to comply).

High risk If a person's background check came back with conditions, their duties must be restricted as the conditions say.

State rule 745.635(3) (licensing rules for every operation): "Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions"

Inspector's note: Conditions on a background check were not being followed when the subject was found during an investigation to have been alone with children and caring for them.

Corrected Mar 14, 2025, verified by the state Mar 18, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk A sign-in and sign-out record must be kept for every child, as the state requires.

State rule 746.631(a) (minimum standards for child-care centers): "Sign-in and Sign-out Tracking System"

Inspector's note: The provider is not consistently using a sign-in and sign-out tracking system daily. The provider is also not including the required information daily on the tracking system in place such as: the name of each child; the date, time of arrival, and time of departure; and the employee or parent's initials or other unique identifier.

Corrected Mar 21, 2025, verified by the state Mar 18, 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 did not have current training in pediatric first aid with rescue breathing and choking.

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

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 did not have current training in pediatric CPR.

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

Medium-high risk When the director is away, a qualified caregiver must be in charge.

State rule 746.1013(a)(1) (minimum standards for child-care centers): "Director's Absence - Caregiver in Charge Knows in Charge"

Inspector's note: Two caregivers present did know who was in charge during the director's absence or for how long.

Corrected Mar 10, 2025, verified by the state Mar 4, 2025.

Medium risk Each employee's file must hold the personnel records the state requires (such as signed affidavits, dates of employment and proof of qualifications).

State rule 746.901 (minimum standards for child-care centers): "Required Personnel Records"

Inspector's note: Four personnel files were reviewed: 3 were missing a record of training hours 4 were missing proof of request for a background check

Corrected Mar 10, 2025, verified by the state Mar 7, 2025.

High risk If a person's background check came back with conditions, their duties must be restricted as the conditions say.

State rule 745.635(3) (licensing rules for every operation): "Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions"

Inspector's note: Conditions on a background check were not being followed when the subject was observed alone with a child while taking them to the bathroom.

Corrected Mar 3, 2025, verified by the state Mar 10, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Employees' attendance records must be kept and made available.

State rule 746.801(5) (minimum standards for child-care centers): "Required Records Maintained and Made Available - Employees' Attendance"

Inspector's note: The provider did not have attendance records or time sheets listing all days and hours worked.

Corrected Mar 10, 2025, verified by the state Mar 3, 2025. The inspector gave technical assistance (advice on how to comply).

High risk A person may not be at the operation until their background check result has come back and allows it.

State rule 745.641 (licensing rules for every operation): "Background check results - Must receive notification prior to allowing subject to be present at your operation"

Inspector's note: Two people were present without eligible background checks, and left during the inspection.

Corrected Feb 20, 2025, verified by the state Feb 21, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "Supervision ensures each child's safety, well-being, including physical proximity and auditory or visual awareness of each child's on going activity"

Inspector's note: Seven children were left unsupervised in a classroom while the caregiver answered the door. This was corrected when the caregiver returned to the classroom after answering the door.

Corrected Feb 20, 2025, verified by the state Mar 3, 2025. The inspector gave technical assistance (advice on how to comply).

High risk A sleeping infant must be removed from a restrictive device.

State rule 746.2426(a)(2) (minimum standards for child-care centers): "Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible"

Inspector's note: One infant was observed asleep in a restrictive device. The caregiver moved the infant from the restrictive device into a crib during the inspection.

Corrected Feb 20, 2025, verified by the state Mar 3, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk When the director is away, a qualified caregiver must be in charge.

State rule 746.1013(a)(1) (minimum standards for child-care centers): "Director's Absence - Caregiver in Charge Knows in Charge"

Inspector's note: Two caregivers present did know who was in charge during the director's absence or for how long.

Corrected Feb 21, 2025, verified by the state Mar 3, 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: Two caregivers did not have proof of current pediatric first aid with rescue breathing and choking training.

Corrected Mar 7, 2025, verified by the state Feb 24, 2025. The inspector gave technical assistance (advice on how to comply).

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: Two caregivers did not have current pediatric cardiopulmonary resuscitation (CPR).

Corrected Mar 7, 2025, verified by the state Feb 24, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Meals must follow the required meal patterns.

State rule 746.3301(b) (minimum standards for child-care centers): "Nutrition and Food Service - Follow Meal Patterns"

Inspector's note: The snacks did not follow the meal patterns established by the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) that is administered by the Texas Department of Agriculture.

Corrected Feb 28, 2025, verified by the state Feb 24, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Cots, beds and mats must be labelled with the child's name.

State rule 746.4503(b) (minimum standards for child-care centers): "Cots, Beds, Mats Labeled With Child's Name"

Inspector's note: The plastic nap mats being used during inspection were not labeled with the child's name.

Corrected Feb 28, 2025, verified by the state Feb 24, 2025.

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: Two children were missing a statement of the child's health from a health-care professional.

Corrected Mar 7, 2025, verified by the state Feb 25, 2025.

Medium risk Each employee's file must hold the personnel records the state requires (such as signed affidavits, dates of employment and proof of qualifications).

State rule 746.901 (minimum standards for child-care centers): "Required Personnel Records"

Inspector's note: Four personnel files were reviewed: 1 was missing dates of hire 1 was missing docmentation showing how the employee meets the minimum age and education qualifications 1 was missing a A Pre-Employment Affidavit form 2912 4 were missing a record of training hours 2 were missing a photo ID 3 were missing proof of request for a background check 1 was missing a statement dated/signed showing that the staff recieved a copy of operational and personnel policies

Corrected Feb 27, 2025, verified by the state Mar 3, 2025. The inspector gave technical assistance (advice on how to comply).