Kids R Kids of Missouri City (DBA)

Caregiver was observed to be present without an initial background check.

Caregiver was observed grabbing and forcing a child sit down during lunchtime.

A wasp nest was observed on the toddler's playground and on the pre-k playground.

On 08/06/2025, the operation could not locate an Epi pen and another medication for a child with a known food allergy that is diagnosed as a severe allergy by a health care professional. The operation did not locate the medication until thirteen days later on 08/18/2025.

A wasp nest was observed on the toddler's playground.

Caregiver was observed to be present without an initial background check. Corrected at Inspection - Caregiver was observed to leave premises during the inspection.

Licensing was not notified of change of director.

Caregiver was observed to not wash the toddler's hands after outdoor actvities.

Caregiver was observed to not wash a toddler's hands after a diaper change.

Caregiver was observed to be sitting in a chair and not intervening while children where observed to be running in the classroom and throwing different toys in the classroom at each other.

Caregiver was observed to be out ratio with fourteen two year olds.

An infant under 12 months of age was asleep in a crib with a pacifier clip attached to them while asleep.

Children were observed to not have water made available to them during their outside time.

Based on the information obtained during the investigation it was determined that a caregiver did not intervene when two children were throwing items at each other that caused both children to have an injury.

There is sufficient evidence to support that the operation did not share a copy of the report to the child's parent to obtain signature on the report indicating the parent had reviewed and received the report within 48 hours of the incident. The incident occurred on June 2nd, and the parents did not review or received the report until June 16th

A child with a known food allergy diagnosed by a health care professional was not observed to be posted in the child's classroom with a known food allergy.

Caregiver was observed to not wash their hands after cleaning a child's nose that was bleeding.

Two bottles were observed to not be labeled with the infant's names.

Three children's records did not have parent's rights forms in their file.

Two infants were observed to not have current feeding instructions.

One child's file was observed to not have an address for the emergency contact.

Immunization was not observed in one child's file that was evaluated.

Three toilets were observed to be broken in three different classrooms.

Caregiver was observed to not wash their hands after diaper change.

The school age classroom did not have a list with the children's names and ages.

The unitary surfacing was observed to be in need of repair and was not installed according to manufactures specifications.

4 out of 5 employee files reviewed did not have a completed affidavit Form 2912 in their file.

Six children's records were reviewed. Three children have immunization records that are outdated based on current age.

The loose-fill material surrounding the swing set area is below the required depth of six inches.

The loose-fill material surrounding the composite play structure is below the required depth of nine inches.

The operation did not have a fire inspection conducted prior to issuance of the initial permit.