Little Nest CDC

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

“Based on the evidence obtained during the investigation a child was able to leave the classroom on their own on two separate occasions in one day. On one occasion, one caregiver did not have auditory or visual awareness of the child which allowed the child to leave the classroom. One another occasion, another caregiver failed to have adequate physical proximity to the child which prevented them from being able to intervene appropriately.”

The state verified the correction on Apr 26, 2024

746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles

“Bottle propping was observed for a younger child when the caregiver used a blanket to prop the bottle for the child during feeding time.”

The state verified the correction on Oct 27, 2023

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

“Children were observed having meal and snack without water being available during these times by staff.”

The state verified the correction on Oct 27, 2023

746.701(2) - Licensing Incident/Illness Report Form - Illness Requiring Hospitalization

“An incident/illness report was not completed when a child was hospitalized. **This was corrected at inspection when it was completed by the staff at inspection.”

The state verified the correction on Oct 27, 2023

746.3415(4) - Employee Handwashing After Diapering a Child

“Based on the evidence obtained during the investigation, a caregiver did not wash hands after wiping a child's nose.”

The state verified the correction on Nov 20, 2023

746.3415(4) - Employee Handwashing After Diapering a Child

“One staff member was observed at inspection conducting diaper changes but did not wash her hands after changing a diaper. Additionally, the young infant did not have their hands cleaned with an individual wipe after their diaper change.”

The state verified the correction on Sep 22, 2023

746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area

“Multiple diaper changes were observed and the diaper changing surface was not sanitized in between diaper changes sessions or at the end of the diaper changes.”

The state verified the correction on Jul 31, 2023

746.3417(3) - Children Handwashing After Toileting or Diapering

“Multiple children were observed having their diaper changed but did not have their hands washed after. In another classroom, a caregiver was observed wiping the noses of multiple children and did not wash her hands at all.”

The state verified the correction on Jul 31, 2023

746.2411(2)(E) - Safety Requirements for Play Yards - Minimum Height of 22 Inches from Top of Railing to Mattress Support at Lowest Level

“A bassinet was observed at inspection as sleep equipment for a 6 month old infant. The manufacturer instructions specifies this sleep equipment is for 0-5 month olds. Additionally, a bassinet of 11.5 inches in height from the sleep surface to the top of the rail does not meet the play yard guidelines of at least 22 inches required.”

The state verified the correction on Jul 31, 2023

746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device

“An infant was observed at inspection asleep in a restrictive device.”

The state verified the correction on Jul 31, 2023

746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“The younger children playground requires additional loose fill in the use zone of the kids trax slide. The amount of loose fill in the use zone various from 0-3 inches but does not have the required 6 inches of loose fill in the use zone. The spring based teeter totter also requires 6 inches of loose fill and various from 0-4 inches of loose fill. The swing set additionally requires 6 inches of loose fill and varies from 0-4 inches of loose fill in the use zone.”

The state verified the correction on Aug 15, 2023

746.3701 - Safety - Areas Free From Hazards

“Multiple classrooms have outlets that require outlet covers. Some outlets have automatic internal locks but these outlets did not have those and did not have outlet covers. Additionally, the barrier to the swing set on the playground has posts that have risen up and have created trip hazards. Three classrooms have cords extending down from a shelf that has the potential to pull items down if a child was to tug on the extended cord. The outlet covers were replaced at inspection and the hanging cords were removed.”

The state verified the correction on Jul 31, 2023

746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages

“Multiple caregivers did not have information to show each child's age in the classrooms they using during morning arrival at the start of the day. One caregiver did not know the names of each of the children she was responsible for. Another caregiver has an incomplete list and did not have all of the children she was responsible for listed and did not know the age of the youngest in her group.”

The state verified the correction on Jul 31, 2023

746.613(a) - Required Immunizations

“One children's records when reviewed did not have current immunizations in the file.”

The state verified the correction on Jun 22, 2023

746.1201(5) - Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

“Evidence obtained during the investigation confirms staff at the operation had suspicions of children in care being Abused and Neglected outside the daycare and did not make a report to the Texas Department of Family and Protective Services.”

The state verified the correction on Nov 2, 2022

746.4801 - Definition- What does Licensing mean by the term ?use zone??

“During the walkthrough, a tire was observed in the use zone of the swings, which were also being used by children, therefore the use zone was not free of hazards.”

The state verified the correction on Jul 21, 2022

746.801(1) - Required Records Maintained and Made Available - Children's Records

“Two children in care did not have admission information available for review at inspection.”

The state verified the correction on Jul 7, 2022

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

“Based on the evidence obtained during the investigation, the operation failed to report a situation that placed a child at risk within the required of 48 hours of the incident occurred. A child was left unsupervised in the playground area without any staff supervision and main caregiver was not aware of the child's ongoing activities.”

The state verified the correction on Aug 3, 2022

746.1203(4) - Responsibilities of Caregivers - Supervision of Children

“Based on the evidence obtained during the investigation, a child was left unsupervised outside on the playground area. The caregiver responsible for the child was not aware that the child was left in the playground area until after arriving to the classroom and therefore, did not have physical proximity. The caregiver was not aware of the child's ongoing activities and did not have auditory or visual awareness of the child, and there was no staff present on the playground responsible for the child.”

The state verified the correction on Aug 3, 2022

746.4801 - Definition- What does Licensing mean by the term ?use zone??

“During the walkthrough, three tires were observed stacked one on top of another and they were underneath a swing, therefore, the use zone of the swing was not free of hazards.”

The state verified the correction on Jul 7, 2022

746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders

“A classroom was observed with all the children having their snack directly on the table and there was no sanitary holder between the snack and the table - such as a napkin or plate.”

The state verified the correction on Jul 7, 2022

746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

“Based on the evidence obtained during the investigation, the operation notified a parent of a child injury that required medical treatment by a health care professional about five hours after the incident occurred.”

The state verified the correction on Jul 21, 2022

746.701(1) - Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

“Based on the evidence obtained, the ouch report did not have all of the same required information as the Child Care Regulation Incident/Illness Report Form as it was lacking a date of when the incident occurred as well as parent signature on the form for when a child was injured and required medical treatment for the injury.”

The state verified the correction on Jul 21, 2022

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

“Based on the evidence obtained during the investigation, a child under two years of age was participating in screen time.”

The state verified the correction on Dec 22, 2021