Instituto Mexico En Texas, LLC

• Non-critical Children's Products- Annual Certification
  Inspector's note: Operation has not completed the annual children's products certification. Risk level: Medium. Corrected by 2025-12-31.
• Non-critical Children's Records Maintained
  Inspector's note: Three out of ten children's records reviewed are missing immunization records. One file is missing allergy plan including the symptoms and steps to take during an emergency. Risk level: Medium. Corrected by 2026-01-08.
• Critical Requirement of Gas Leak Inspection
  Inspector's note: A gas leak inspection has not been conducted. Risk level: Medium High. Corrected by 2026-01-08.
• Critical Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
  Inspector's note: Emergency practices form was reviewed: last fire drill was documented on 07/2025 and last CO detector and fire extinguisher checks on 8/2025. Per provider a fire drill was conducted last month but was not documented. Note: This was corrected at inspection when fire drill was documented and provider conducted a CO detector and fire extinguisher check during inspection. Risk level: Medium High. Corrected during the inspection.

No infractions recorded at this inspection.

• Non-critical Required Personnel Records- Meets Requirements
  Inspector's note: One out of ten staff files reviewed is missing copy of high school diploma or equivalent. Risk level: Medium. Corrected by 2025-01-23.
• Critical Fire Drill Monthly - Exit in 3 Minutes
  Inspector's note: Last fire drill was documented on 6/14/2024 and last CO detector and fire extinguinsher checks were documented on 6/17/2024. No lock down drills were documented for the year of 2024. Per provider last fire drill was conducted on 11/2024 but was not documented. Note: CO detector and fire extinguisher checks were conducted and documented by provider during the inspection. Risk level: Medium High. Corrected by 2025-01-30.
• Non-critical Children's Records Maintained
  Inspector's note: Ten children's records were reviewed. One file is missing emergency food allergy plan, a second file is missing immunization records and a third file is missing hearing / vision screening. Risk level: Medium. Corrected by 2025-02-05.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
  Inspector's note: An infant was observed asleep with a boppy pillow in a crib. Note: This was addressed with the caregiver and the boppy pillow was removed from the crib. Risk level: High. Corrected by 2024-07-26.

• Critical Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
  Inspector's note: Loose fill surfacing (mulch) was not maintained at the proper depth of 6 inches for a play structure in the outdoor play area. The plastic underneath the mulch was visible in different areas. Risk level: Medium High. Corrected by 2024-02-19.
• Critical Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
  Inspector's note: Several cans/bottles of disinfectant sprays were stored under a sink and on top of a sink. This posed a safety hazard as the cleaning supplies were within children reach. Note: This was CORRECTED during the inspection as the cleaning supplies were removed and stored in an area out of children's reach. Risk level: High. Corrected during the inspection.
• Critical Emergency Evacuation and Relocation Diagram - Posted in Each Room
  Inspector's note: Am emergency evacuation and relocation diagram was not posted in two classrooms that children use. Note: This was CORRECTED during the inspection as an emergency evacuation and relocation diagram was posted in both rooms. Risk level: Medium High. Corrected during the inspection.
• Non-critical Documented Annual Training Area - 24 Hours Required
  Inspector's note: Three of ten personnel records reviewed were mising annual training in the following topics: A caregiver with DOE 6/25/2021 was missing annual trianing in: (1)Emergency preparedness, and (2)Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic. A caregiver with a DOE 3/15/2021 was missing annual training in: (1)Emergency preparedness; (2)Preventing and responding to emergencies due to food or an allergic reaction; and (3)Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A caregiver with a DOE 11/25/2019 was missing annual training in the following topics: (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Preventing and responding to emergencies due to food or an allergic reaction; (4) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?); and (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development. Risk level: Medium. Corrected by 2024-03-01.
• Critical CPR Training and Recertification Adhere to Guidelines-skill based
  Inspector's note: A caregiver completed pediatric CPR training online. Risk level: Medium High. Corrected by 2024-02-19.

No infractions recorded at this inspection.

• Critical Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
  Inspector's note: 6 of 6 cribs in the infant room were supplemented with an additional mattress. Note: This additional mattress was removed from each crib during the inspection. Risk level: Medium High. Corrected during the inspection.
• Non-critical Documented Annual Training Area - 24 Hours Required
  Inspector's note: 4 of 7 caregivers records reviewed were missing annual training on the following topics. Two caregivers were missing annual training on the following topics: (1) Preventing and controlling the spread of communicable diseases, including immunizations; (2) Administering medication,; and (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic. A third caregiver was missing annual training on the following topics for training year 11/01/2021 - 10/31/2022: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development (4) Emergency preparedness; (5) Preventing and controlling the spread of communicable diseases, including immunizations; (6) Administering medication,; (7) Preventing and responding to emergencies due to food or an allergic reaction; (8) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (9) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A fourth caregiver was missing annual training on the following topics for training year 8/17/2021 - 8/16/2022: (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Administering medication; (4) Preventing and responding to emergencies due to food or an allergic reaction; (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (6) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). Risk level: Medium. Corrected by 2023-03-03.
• Critical Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
  Inspector's note: The diaper changing mat in an infant room and a toddler room were observed torn. Note: This was CORRECTED during the inspection as both diaper changing mats were replaced with new mats. Risk level: Medium High. Corrected during the inspection.
• Non-critical Director Annual Training 30 Hours Required
  Inspector's note: The director was missing annual training on the following topics: (1) Preventing and controlling the spread of communicable diseases, including immunizations; (2) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (4) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). The Second director was missing annual training on the following topics: (1) Preventing and controlling the spread of communicable diseases, including immunizations; (2) Administering medication, if applicable, including compliance with 746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?); (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; Risk level: Medium. Corrected by 2023-02-24.
• Critical Fire Extinguishers Serviced
  Inspector's note: The fire extinguisher in the transportation vehicle was not currently serviced. The service date on the tag was January 2022. Risk level: Medium High. Corrected by 2023-02-17.
• Critical Infant Care Area Furnishings and Equipment -Use of Safety Straps
  Inspector's note: Safety straps were not fastened for an infant using a bouncer seat in an infant room. 4 children sitting at a kidney shaped table were did not have a safety strap fastened. Chairs to the kidney shaped table were missing the safety straps in a second infant room. Risk level: Medium High. Corrected by 2023-02-15.
• Non-critical Children's Records - Immunizations
  Inspector's note: 4 of 6 Children's files reviewed were missing the child's immunization record. Risk level: Medium. Corrected by 2023-03-03.