Mama Grace Playhouse

• Non-critical Required Immunizations Records, Exceptions, and Exemptions Current
  Inspector's note: Two out of three child records evaluated had out of date immunizations on file. Risk level: Medium. Corrected by 2026-09-16.

• Non-critical Required Immunizations Records, Exceptions, and Exemptions Current
  Inspector's note: Two out of three child records evaluated had out of date immunizations on file. Risk level: Medium. Corrected by 2026-09-16.

• Non-critical Required Immunizations Records, Exceptions, and Exemptions Current
  Inspector's note: Two out of three child records evaluated had out of date immunizations on file. Risk level: Medium. Corrected by 2026-09-16.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Non-critical Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
  Inspector's note: 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. Risk level: Medium. Corrected by 2026-06-16.
• Critical Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
  Inspector's note: The primary and assistant caregivers do not have current training in pediatric CPR. The training expired on 05/11/2026. Risk level: Medium High. Corrected by 2026-06-30.
• Critical Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
  Inspector's note: The primary and assistant caregiver do not have current training in pediatric first-aid. The training expired on 05/11/2026. Risk level: Medium High. Corrected by 2026-06-30.
• Critical Nutrition and Food Service - Follow Meal Patterns
  Inspector's note: 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. Risk level: Medium High. Corrected by 2026-06-22.

• Critical Requirements during probation
  Inspector's note: 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. Risk level: High. Corrected by 2026-04-24.
• Non-critical Records Maintained and Made Available - Personnel and Training
  Inspector's note: Complete training records for one caregiver were unavailable for review. Risk level: Medium. Corrected by 2026-04-22.

• Non-critical Parent Provided Meals/Snacks - Provide Safe Storage
  Inspector's note: 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. Risk level: Medium. Corrected by 2026-03-19.
• Critical Food Service and Preparation - Safe and Sanitary
  Inspector's note: A caregiver fed a child lunch with their hands. Risk level: Medium High. Corrected by 2026-03-18.
• Non-critical Nutrition and Food Service - Second Serving
  Inspector's note: There was not enough food served to provide for a second serving of vegetable, fruit, grain, and milk groups. Risk level: Medium. Corrected by 2026-03-19.
• Critical Nutrition and Food Service - Follow Meal Patterns
  Inspector's note: 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. Risk level: Medium High. Corrected by 2026-03-19.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Non-critical Children's Products- Annual Certification
  Inspector's note: 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. Risk level: Medium. Corrected during the inspection.
• Critical Requirements during probation
  Inspector's note: 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. Risk level: High. Corrected by 2025-11-17.

No infractions recorded at this inspection.

• Non-critical Required Health Statement
  Inspector's note: 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. Risk level: Low. Corrected by 2025-09-30.
• Critical Children Handwashing Before Eating
  Inspector's note: 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. Risk level: Medium High. Corrected during the inspection.
• Critical Requirements during probation
  Inspector's note: 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. Risk level: High. Corrected by 2025-09-29.

• Non-critical Required Health Statement
  Inspector's note: 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. Risk level: Low. Corrected by 2025-09-09.
• Critical Requirements during probation
  Inspector's note: 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. Risk level: High. Corrected by 2025-09-05.

No infractions recorded at this inspection.

• Critical Food Service and Preparation - Use Sanitary Holders
  Inspector's note: Two children were served a snack without a sanitary holder. This was corrected at inspection when it was addressed with the caregiver. Risk level: Medium High. Corrected during the inspection.

No infractions recorded at this inspection.

• Critical Requirements during probation
  Inspector's note: 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. Risk level: High. Corrected by 2025-06-05.

• Non-critical Menus Available to Licensing
  Inspector's note: A menu for the current week was not available for review. Risk level: Medium. Corrected by 2025-04-15.

No infractions recorded at this inspection.

• Non-critical Written Activity Plan - Outdoor Play Opportunities
  Inspector's note: 5 children in care did not participate in outdoor activities in the afternoon for the minimum daily required time. Risk level: Medium. Corrected by 2025-02-06.
• Non-critical Screen Time Activities - Not Exceed One Hour Daily
  Inspector's note: Screen time was observed to exceed one hour. Risk level: Medium. Corrected by 2025-02-05.
• Critical Positive Methods of Discipline and Guidance - Redirecting Behavior
  Inspector's note: Multiple negative statements were witnessed being utilized by a caregiver when redirecting children's behavior. Risk level: Medium High. Corrected by 2025-02-06.
• Non-critical Screen Time Activities - Not Used for Under Two
  Inspector's note: Screen time was being utilized while a child under 2 years of age was present. Risk level: Medium. Corrected by 2025-02-05.
• Non-critical Furnishings and Equipment for Toddlers - Bottles & Training Cups Labeled for Each Toddler
  Inspector's note: Four toddler cups were observed to be lacking a label identifying which child it belongs to. A cup was given to the wrong child. Risk level: Medium. Corrected by 2025-02-06.

• Critical Handwashing Procedures
  Inspector's note: 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. Risk level: Medium High. Corrected during the inspection.
• Critical Diaper Changing Equipment - No Play or Eating Surfaces Used
  Inspector's note: 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. Risk level: Medium High. Corrected during the inspection.

• Critical Policies Comply with Rules
  Inspector's note: 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. Risk level: Medium High. Corrected by 2024-12-13.

No infractions recorded at this inspection.

• Critical Policies Comply with Rules
  Inspector's note: 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. Risk level: Medium High. Corrected by 2024-11-05.

• Non-critical Records Maintained and Made Available - Proof of Liability Insurance
  Inspector's note: There were no documents to verify that the parents have been notified in writing that the operation does not carry liability insurance. Risk level: Medium. Corrected by 2024-10-08.
• Non-critical Health Statement on File
  Inspector's note: 2 out of 4 children's records reviewed were lacking a health statement. Risk level: Medium. Corrected by 2024-10-08.
• Non-critical Posting Requirements-Inspection Report
  Inspector's note: The most recent licensing inspection form was not posted. Risk level: Medium. Corrected by 2024-10-01.
• Critical Policies Comply with Rules
  Inspector's note: 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. Risk level: Medium High. Corrected by 2024-10-08.
• Non-critical Posting Requirements-Keeping Children Safe Poster
  Inspector's note: The Keeping Children Safe poster was not posted. Risk level: Medium. Corrected by 2024-10-01.
• Non-critical Screen Time Activities - Not Used for Under Two
  Inspector's note: 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. Risk level: Medium. Corrected during the inspection.
• Non-critical Records Maintained and Made Available - Safety Drills Documentation
  Inspector's note: Documentation for safety drills was not available. Risk level: Medium. Corrected by 2024-10-01.

• Non-critical Children's Records - Immunizations
  Inspector's note: Re-Cited: 1 out of 4 children's records reviewed were missing immunization records. Risk level: Medium. Corrected by 2024-05-15.

• Critical Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
  Inspector's note: The primary caregiver and substitute caregiver are both lacking up to date pediatric first aid and CPR. Both caregivers trainings expired in 2023. Risk level: Medium High. Corrected by 2024-05-22.
• Critical Sanitation of Building, Grounds and Equipment
  Inspector's note: 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. Risk level: Medium High. Corrected by 2024-04-25.
• Non-critical Children's Records - Immunizations
  Inspector's note: 1 out of 4 children's records reviewed were missing immunization records. Risk level: Medium. Corrected by 2024-04-29.
• Critical Food Service and Preparation - Use Sanitary Holders
  Inspector's note: 2 children were served their afternoon snack on a bare table. Risk level: Medium High. Corrected by 2024-04-22.
• Critical Storage of Medication - Inaccessible to Children
  Inspector's note: There was a ziploc bag with multiple prescription medications located in the dining area and it was accessible to children in care. Risk level: High. Corrected by 2024-04-22.
• Non-critical Required Admission Information - Date of Admission
  Inspector's note: 1 out of 4 children's records reviewed was missing an admission date. Risk level: Medium Low. Corrected by 2024-04-23.

• Critical Required Admission Information - Emergency Contact
  Inspector's note: Two of seven children's records reviewed lacked address for emergency contact. Risk level: Medium High. Corrected by 2023-11-10.
• Critical Training Requirements for Caregivers Licensed -24 hours Annual Training
  Inspector's note: Caregiver lacked 24 annual training hours. Risk level: Medium High. Corrected by 2023-11-10.
• Critical Policies Comply with Rules
  Inspector's note: The operational policies were not complete. Risk level: Medium High. Corrected by 2023-10-13.
• Non-critical Children's Products- Annual Certification
  Inspector's note: The children's product form was not re-certified. Risk level: Medium. Corrected by 2023-10-13.
• Critical Training Requirements for Primary Caregiver -30 Hours Annual Training
  Inspector's note: Provider lacked 30 hours of annual training. Risk level: Medium High. Corrected by 2023-11-10.