746.2411(2)(A) · Safety Requirements for Play Yards - Snug Fitting, Firm, Flat Mattress Designed for Use in Play Yard and No Extra Pads

Two play yards used by infants have a mattress that was not firm and flat. There are gaps between the mattress and the play yard sides. Note: The caregiver secured the mattress by placing the mattress pad's Velcro tabs through the slits on the play yard.

Corrected Corrected by Jul 25, 2024

Category: physical safety. Marked corrected in the state record.

746.801(1) · Required Records Maintained and Made Available - Children's Records

There was no record available for review for a child in care.

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

746.2207(a) · Screen Time Activities - Not Used for Under Two

Screen time was provided to a group of children of varying ages including infants in the cafeteria area.

Corrected Corrected by Jul 25, 2024

Marked corrected in the state record.

746.2421(a) · Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

Written feeding instructions were not available for an infant not ready for table food. The written feeding instructions for a second infant were not current. The date on the feeding instructions form was March 2024.

Corrected Corrected by Jul 26, 2024

Category: health medication. Marked corrected in the state record.

746.1205(a)(4) · Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

A school-aged child was observed unsupervised in the after school room located at the entrance of the center. The rest of the children and staff were in the kitchen/cafeteria area waiting for breakfast.

Corrected Corrected by Jul 25, 2024

Category: supervision. Marked corrected in the state record.

746.603(a) · Children's Records Maintained

One of Six childrens imunization records reviewed was not current. One of Six childrens records reivewed was missing the health care provider statement.

Corrected Corrected by Aug 10, 2022

Category: recordkeeping. Marked corrected in the state record.

746.2431 · Infant Daily Report - Share with Parent

Daily reports were not available for 4 infants in care.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

746.201(1) · Policies Comply with Rules

The operational policies reviewed were missing the following information: (1) Procedures for suspension and expulsion of children; (2) Hearing and vision screening requirements; (3) The Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. (4) Procedures for parents to participate in the child-care center s operation and activities. (5) Procedures for parents to review a copy of the child-care center's most recent Licensing inspection report and how the parent may access the minimum standards online; (6) Instructions on how a parent may contact the local Licensing office, and access the HHSC website; (7) ) Preventing and responding to abuse and neglect of children, including: (B)Methods for increasing employee and parent awareness of issues regarding child abuse and neglect, including warning signs that a child may be a victim of abuse or neglect and factors indicating a child is at risk for abuse or neglect; (C)Methods for increasing employee and parent awareness of prevention techniques for child abuse and neglect; and (D) Strategies for coordination between the center and appropriate community organizations; (8) Procedures for conducting health checks; (9) Information on vaccine-preventable diseases for employees.

Corrected Corrected by Aug 10, 2022

Marked corrected in the state record.

746.901 · Required Personnel Records

Two of Five personnel records reviewed were missing documentation showing how the caregivers meet the education qualifications, and a notarized Licensing Affidavit for Applicants for Employment form.

Corrected Corrected by Aug 10, 2022

Category: recordkeeping. Marked corrected in the state record.

746.1309(e) · Documented Annual Training- Required Content

Three of Five caregiver training records reivewed were missing annual training in Preventing and controlling the spread of communicable diseases, including immunizations.

Corrected Corrected by Aug 10, 2022

Category: recordkeeping. Marked corrected in the state record.

746.1309(e) · Documented Annual Training- Required Content

The following trainings were not available for review for the latest training year of two caregivers present during inspection: -Handling, storing, disposing of hazardous materials -Food or allergic reaction

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. Marked corrected in the state record.

746.5202(1) · Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

The following was missing from the Emergency Preparedness Plan: -Procedures for evacuation did not include specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency. -How your staff will evacuate and relocate with the essential documentation.

Corrected Corrected by Aug 11, 2021

Category: physical safety. Marked corrected in the state record.