As We Grow Learning Center - East

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805(1) (minimum standards for child-care centers): "Prohibited Punishments - Corporal Punishment"

Inspector's note: A caregiver used an object to hit a child.

Corrected Feb 17, 2026, verified by the state Feb 23, 2026. 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: Three caregivers did not have first aid training.

Corrected Jul 25, 2025, verified by the state Jul 2, 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: Three caregivers did ot have CPR training.

Corrected Jul 25, 2025, verified by the state Jul 25, 2025.

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 play strructure on the playground had broken parts.

Corrected Jul 25, 2025, verified by the state Jul 17, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Slides must have a clear use zone in front of the access and on the sides.

State rule 746.4805(a) (minimum standards for child-care centers): "Measurement of Use Zone for Slides - in Front of Access and on Sides"

Inspector's note: The play structure's did not have a use zone of six feet, the play structure is only 3 ft and 3 inches from the barrier.

Corrected Jul 25, 2025, verified by the state Jul 17, 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 with a hire date of 2/5/24 was missing 20 hours of training for training year 2/5/24 to 2/5/25. One caregiver with a hire date of 7/24/23 was missing 8 hours of training for training year 7/24/23 to 7/24/24. One caregiver with a hire date of 5/1/24 is missing 3 hours of training for training year 5/1/24 to 5/1/25. Corrected: When using 20 hours of training for training year 2/5/25 to2/5/25, using 8 hours for training year 7/24/25 to 7/24/26 and using 3 hours for training year 5/1/25 to 5/1/26.

Corrected while the inspector was there. 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 operational polices did not have information on Parent Rights.

Corrected Jul 9, 2025, verified by the state Jul 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 most updated information on how parents can access the Minimum standards online or the HHS web site.

Corrected Jul 9, 2025, verified by the state Jul 2, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must step in when needed to keep each child safe.

State rule 746.1205(a)(5) (minimum standards for child-care centers): "Responsibilities of Caregivers - Intervene to ensure each child's safety"

Inspector's note: The caregiver did not intervene when a child was seen choking from a string wrapped around their neck.

Corrected Jun 13, 2025, verified by the state Jul 2, 2025. The inspector gave technical assistance (advice on how to comply).

High risk The operation must report to the state any situation that places children at risk.

State rule 746.305(a)(6) (minimum standards for child-care centers): "Report Situation Placing Children at Risk"

Inspector's note: The operation failed to make a report when a child was placed at risk.

Corrected Jun 13, 2025, verified by the state Jul 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Caregivers may not use personal phones or other electronic devices in ways that take their attention from the children.

State rule 746.1203(3)(D) (minimum standards for child-care centers): "Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games"

Inspector's note: A caregiver was using a cell phone while tasked with supervision of children.

Corrected Jun 13, 2025, verified by the state Jul 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk The licensing incident/illness report form must be used for situations that place children at risk.

State rule 746.701(5) (minimum standards for child-care centers): "Licensing Incident/Illness Report Form - Situations Placing Children at Risk"

Inspector's note: The operation did not provide an incident report when a parent made an allegation that a child was place at risk.

Corrected Jun 18, 2025, verified by the state Jul 2, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Food service and preparation must be safe and sanitary.

State rule 746.3317 (minimum standards for child-care centers): "Food Service and Preparation Requirement - Safe and Sanitary"

Inspector's note: During the follow-up inspection it was observed that sippy cups, a jug of milk, and a box of crackers, were all sitting on the changing table while the caregivers passed out snack and filled up the children's sippy cups. This was corrected at inspection when the caregivers were asked to move the snack supplies onto a shelf rather than the changing table, and they did.

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

Medium-high risk Employees must wash their hands after removing gloves.

State rule 746.3415(13) (minimum standards for child-care centers): "Employee Handwashing After Removing Gloves"

Inspector's note: During the inspection it was observed that a caregiver removed their gloves after changing a diaper and did not wash their hands before moving on to the next child.

Corrected Mar 4, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Children must wash their hands after using the toilet or being diapered.

State rule 746.3417(3) (minimum standards for child-care centers): "Children Handwashing After Toileting or Diapering"

Inspector's note: During the inspection it was observed that a child's diaper was changed and the caregiver did not wash their hands afterwards.

Corrected Mar 4, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The diaper-changing area must be sanitized after each use.

State rule 746.3505(e) (minimum standards for child-care centers): "Diapering Procedures - Sanitizing Diaper Changing Area"

Inspector's note: During the inspection it was observed that the changing pad was not sanitzed between each diaper change.

Corrected Mar 4, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Outdoor play equipment must be inspected daily.

State rule 746.4751(a) (minimum standards for child-care centers): "Maintenance Procedures for Active Play - Inspect Daily"

Inspector's note: During the investigation inspection it was found that the operation was not able to show records that they have been conducting their daily or monthly inspections to ensure the safety of the building and grounds for the children present.

Corrected Mar 5, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk The operation must be open to parents at all times.

State rule 746.201(7) (minimum standards for child-care centers): "Operation Open to Parents At All Times"

Inspector's note: During the inspection it was observed that parents were not being allowed access into the main part of the operation while picking up their children. They were stopped in the front office and their children were brought out to them.

Corrected Mar 4, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Screen time must not be used for children under two.

State rule 746.2207(a) (minimum standards for child-care centers): "Screen Time Activities - Not Used for Under Two"

Inspector's note: During the inspection it was observed that 4 infants were having screen time, using their caregiver's tablet, sitting in highchairs.

Corrected Mar 4, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Location of Handwashing Sink

State rule 746.4405 (minimum standards for child-care centers): "Location of Handwashing Sink"

Inspector's note: During the inspection it was observed that the toddler sink was not equipped with soap and the school age toilet was not equipped with toilet paper.

Corrected Mar 4, 2025, verified by the state Mar 20, 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: During the investigation it was found that the operation had been deficient in supervision when caregivers were unaware of some of the school age children's behaviors and actions.

Corrected Mar 19, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk There must be enough caregivers for the number and ages of children in the group (the state's child-to-caregiver ratio).

State rule 746.1601 (minimum standards for child-care centers): "Child/ Caregiver Ratio - 13 or More Children"

Inspector's note: During the investigation it was found that the operation is sometimes out of compliance with state required caregiver to child ratios. One caregiver will be left responsible for a higher number of children than they should have by themselves. This has occurred with the infants, toddlers, and school age children at different times in the past month.

Corrected Mar 19, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The center must be properly heated, lighted and ventilated.

State rule 746.3407(10) (minimum standards for child-care centers): "Center Heated, Lighted and Ventilated Properly"

Inspector's note: During the investigation it was found that there was a 2-3 day period in February 2025 in which the operation did not have their air conditioner running and this caused the operation to be too hot inside for ideal and/or safe conditions for the children present.

Corrected Mar 19, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Garbage must be kept out of children's reach and handled in a sanitary way.

State rule 746.3407(8) (minimum standards for child-care centers): "Garbage Inaccessible to Children; Maintained in Sanitary Manner"

Inspector's note: During the inspection dead roaches were observed in the building and garbage was observed on the playground.

Corrected Mar 4, 2025, verified by the state Mar 20, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Areas children use must be kept free of safety hazards, such as uncovered electrical outlets, unprotected heaters or fans, or reachable water.

State rule 746.3701 (minimum standards for child-care centers): "Safety - Areas Free From Hazards"

Inspector's note: During the investigation inspection it was found that the operation had a broken toilet lid, with broken porcelain, accessible to the children in care. It was also found that the changing table in the infant room has a broken strap and is unstable, causing the potential of a baby sliding off. In it's current state, it is not suitable for use and presents a safety hazard.

Corrected Mar 11, 2025, verified by the state Mar 20, 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: During the follow-up inspection an infant was observed sleeping in a bouncer seat.

Corrected Dec 18, 2024, verified by the state Dec 23, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk There must be enough caregivers for the number and ages of children in the group (the state's child-to-caregiver ratio).

State rule 746.1601 (minimum standards for child-care centers): "Child/ Caregiver Ratio - 13 or More Children"

Inspector's note: During the inspection it was observed that the infants had one caregiver with seven infants present. This classroom was over ratio by two infants. It was also observed that there was one caregiver with 12, two year olds. This classroom was over ratio by one toddler.

Corrected Dec 18, 2024, verified by the state Dec 23, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Screen time must not be used for children under two.

State rule 746.2207(a) (minimum standards for child-care centers): "Screen Time Activities - Not Used for Under Two"

Inspector's note: During the follow-up inspection it was observed that a classroom with children under the age of two were having screen time on the caregiver's cell phone.

Corrected Dec 18, 2024, verified by the state Dec 23, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Children must wash their hands after using the toilet or being diapered.

State rule 746.3417(3) (minimum standards for child-care centers): "Children Handwashing After Toileting or Diapering"

Inspector's note: During the inspection it was observed that a caregiver changed a child's diaper and then sat them at the table and served them a cup of milk without washing their hands or the child's hands first.

Corrected Dec 9, 2024, verified by the state Dec 18, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Screen time must not be used for children under two.

State rule 746.2207(a) (minimum standards for child-care centers): "Screen Time Activities - Not Used for Under Two"

Inspector's note: During the inspection it was observed that a classroom with children under the age of two were watching a children's show on the classroom's tablet.

Corrected Dec 9, 2024, verified by the state Dec 18, 2024. The inspector gave technical assistance (advice on how to comply).

Medium risk Location of Toilets

State rule 746.4409 (minimum standards for child-care centers): "Location of Toilets"

Inspector's note: During the inspection it was observed that the toilet in the toddler classroom was not equipped any toilet paper as required for independent use.

Corrected Dec 9, 2024, verified by the state Dec 18, 2024. The inspector gave technical assistance (advice on how to comply).