Mama Grace Playhouse

A toddler was observed to be asleep with a bottle in the pack and play. This was corrected when it was addressed and the bottle was removed from the pack and play.

The primary and assistant caregiver do not have current training in pediatric first-aid. The training expired on 05/11/2026.

The primary and assistant caregivers do not have current training in pediatric CPR. The training expired on 05/11/2026.

The food program child meal patterns were not followed during lunch time as the meal was lacking food components such as a vegetable, fruit, and milk. A child was served a bean and cheese taco for lunch.

The operation did not meet the condition regarding creating a plan 30 days prior to the probation ending addressing how the operation plan to maintain compliance.

Complete training records for one caregiver were unavailable for review.

There was not enough food served to provide for a second serving of vegetable, fruit, grain, and milk groups.

The meal served did not follow the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) meal patterns as it was lacking food components such as a fruit and vegetable.

A caregiver fed a child lunch with their hands.

A meal that was provided by a parent for their child was halved and shared with another child in care. The meal was not intended for two children.

The children's product certification had not been certified in over 12 months. It was last certified in September 2024. This was corrected at inspection when the Children's Product Certification form was re-certified.

The operation did not have documentation to indicate which subchapter was reviewed for October and what date it was reviewed. They also did not have it noted down when they reviewed the HHS website.

Re-cite: The operation has not met the conditions set by Child Care Enforcement. They failed to conduct a quarterly review of deficiencies. They also have not completed a child records evaluation form since June 2025. The operation has also not documented areas of concerns identified during daily walkthroughs and what was done to correct the concern.

A child's hands were not washed before sitting down for snack. This was corrected at inspection when it was addressed with the caregiver and hands were washed.

Re-cite: One out of four child records evaluated were lacking a health statement signed by a doctor. The child has been enrolled for over 12 months.

The operation has not met the condition set by Child Care Enforcement. They failed to maintain dated documentation of the subchapters being reviewed. The operation also did not review the HHSC website as required per probation.

Two out of four child records evaluated were lacking a health statement signed by a doctor. Both children have been enrolled for over 12 months.

Two children were served a snack without a sanitary holder. This was corrected at inspection when it was addressed with the caregiver.

The provider did not comply with the conditions set in the corrective action plan. The provider did not create an individual training plan within the required 15 days nor did the provider include screen time in the operational policies within the 15 days.

A menu for the current week was not available for review.

Screen time was being utilized while a child under 2 years of age was present.

Multiple negative statements were witnessed being utilized by a caregiver when redirecting children's behavior.

Four toddler cups were observed to be lacking a label identifying which child it belongs to. A cup was given to the wrong child.

Screen time was observed to exceed one hour.

5 children in care did not participate in outdoor activities in the afternoon for the minimum daily required time.

A caregiver did not use soap and water to wash hands after changing a diaper. This was corrected at inspection when it was addressed with the caregiver.

A diaper was changed on the sofa and there was not a diaper changing mat utilized. This was corrected at inspection when it was addressed and a non-absorbant mat that can be utilized for diaper changing was made available by the owner.

Re-cited: This citation is being recited because operation failed to update and create complete operational policies. The operational polices were lacking several required items including: a statement regarding medication administration, promotion of indoor/outdoor physical activity, parent rights, emergency preparedness, and information on how to access the abuse/neglect hotline and HHSC website.

The operational polices were lacking several required items including: a statement regarding medication administration, promotion of indoor/outdoor physical activity, parent rights, emergency preparedness, and information on how to access the abuse/neglect hotline and HHSC website.

Screen time activities were utilized when a child under 2 years old was present. This was corrected at inspection when it was addressed and the screen time activity ended.

2 out of 4 children's records reviewed were lacking a health statement.

The operational polices were lacking several required items including: a statement regarding medication administration, safe sleep policy for infants, promotion of indoor/outdoor physical activity, parent rights, and emergency preparedness.

The most recent licensing inspection form was not posted.

Documentation for safety drills was not available.

There were no documents to verify that the parents have been notified in writing that the operation does not carry liability insurance.

The Keeping Children Safe poster was not posted.

Re-Cited: 1 out of 4 children's records reviewed were missing immunization records.

The dining room and kitchen area had large amounts of mail, paperwork, and various items that children could access. There were multiple toys along the fenceline outside with spiderwebs. There was also a container of lighter fluid and a large jug of disinfectant solution accessible to children in the backyard play area. There were also a couple of cracked/broken play items outside.

1 out of 4 children's records reviewed was missing an admission date.

There was a ziploc bag with multiple prescription medications located in the dining area and it was accessible to children in care.

1 out of 4 children's records reviewed were missing immunization records.

The primary caregiver and substitute caregiver are both lacking up to date pediatric first aid and CPR. Both caregivers trainings expired in 2023.

2 children were served their afternoon snack on a bare table.

The operational policies were not complete.

Two of seven children's records reviewed lacked address for emergency contact.

The children's product form was not re-certified.

Caregiver lacked 24 annual training hours.

Provider lacked 30 hours of annual training.

Four toddlers were observed sitting in high chairs for more than 40 minutes to ensure they do not run around the infant child on the floor.

One 12 month old baby was left awake in an empty crib for more than 45 minutes.

Scrren time was being used with a child 8 months old and a 13 month old.

One out of four children's files lacked a signed copy of acknowledgment of the operational policy.

Screen time was observed to be utilized for more than one hour in addition, one 4 year old child was allowed to have screen time on a cell phone for more than one hour.

One out of two staff files lacked a signed statement of receiving copy of the operational policy.

One eight month old child not on table food did not have any written feeding instructions. A copy of an example of a feeding form was provided.

Three out of four children's records lavcked a health statemnet signed by a physican.

Two out of two staff records lacked SIDS training.