746.1201(1) · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Caregiver was observed using Clorox aerosol spray to disinfect bedding in the direction of and in the presence of children.

Corrected Corrected by Jun 7, 2024

Marked corrected in the state record.

746.3407(12) · Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

Bottle of Clorox aerosol was sitting next to children within reach.

Corrected Corrected by Jun 7, 2024

Category: nutrition. Marked corrected in the state record.

746.3505(e) · Diapering Procedures - Sanitizing Diaper Changing Area

The diaper changing table was not sanitized following a diaper change.

Corrected Corrected by Apr 19, 2024

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

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

2 play yards in the infant room were not observed to have mattresses fitted for the play yards.

Corrected Corrected by Apr 26, 2024

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

746.2409(a)(4) · Safety Requirements for Cribs - Secure Supports

The bottom support of a crib was observed to be broken

Corrected Corrected by Apr 26, 2024

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

746.2409(a)(9) · Safety Requirements for Cribs - Documentation that Crib Meets Applicable Federal Rules

3 cribs used in the infant room did not have documentation available to verify the date of manufacture.

Corrected Corrected by Apr 26, 2024

Category: recordkeeping. Marked corrected in the state record.

746.1609 · Maximum Group Size 13 or More Children

The 2 year old classroom was observed to be overratio. There were 26 children between 21m-2yrs old. The Sepcified Age Group is 2yrs old. The classroom was over ratio by 4 children

Corrected Corrected by Apr 19, 2024

Category: ratio. Marked corrected in the state record.

746.4601(2) · Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions

Documentation of manufacture instructions for a climbing structure used for the 2 year old group was not available during the inspection. According to the manufacture, the equiment is designed for children 6-10 yrs old

Corrected Corrected by Apr 26, 2024

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

746.401(4) · Posting Requirements - Emergency and evacuation relocation diagram

Several exits doors designated as emergecy exitss and evacutation routes were missing a posted diagram.

Corrected Corrected by Apr 26, 2024

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

746.603(a) · Children's Records Maintained

6 children's records were reviewed and observed to be mssing the following documentation: 3 were missing completed emergency contact 2 were missing contact information for release persons 1 was missing the child's home address 1 did not have emergecy medical authorization.

Corrected Corrected by Apr 26, 2024

Category: recordkeeping. Marked corrected in the state record.

746.3505(c) · Diapering Procedures - Use Disposable Gloves

A caregiver was observed using disposable gloves during a diaper change. The caregiver did not remove the gloves after the diaper change. The caregiver was observed leading children to centers and picking up books before being instructed by CCR to remove the gloves and wash their hands.

Corrected Corrected by Apr 19, 2024

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

746.201(1) · Policies Comply with Rules

Operational policies were observed to be missing the following The duration of physical activity at your operation, both indoor and outdoor Listed source to determine extreme weather conditions prohibit or limit outdoor play. Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website; Preventing and responding to abuse and neglect of children, including: (A) Required annual training for employees; (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; (D) Strategies for coordination between the center and appropriate community organizations; and (E) Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect; Information on vaccine-preventable diseases for employees, unless your center is in the home of the permit holder The operation's open door policy contradicts the minimum stanard requirement and reqires that parent notify the director prior to arrival that they wish to enter the operation.

Corrected Corrected by Apr 26, 2024

Marked corrected in the state record.

746.2401(6) · Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

2 infants were observed to be sleeping in cribs with bibs around their neck.

Corrected Corrected by Apr 19, 2024

Marked corrected in the state record.

746.5209(c) · No Blocked or Locked Doors as Exits

Two doors designated as emergency exits were observed by be blocked by baby gates.

Corrected Corrected by Apr 19, 2024

Marked corrected in the state record.

746.1003(1) · Director Responsibilities - Operate in Compliance

Training records for 9 staff including the director was reviewed. All staff received more than 46-64 hours of training within a 24 hour period. Training certificates were copied and whited out to add a new caregiver's name. Original certificates were not available. Some of the certificates obtained for the director listed the director as the trainer and participant.

Corrected Corrected by Apr 19, 2024

Marked corrected in the state record.

746.4503(b) · Cots, Beds, Mats Labeled With Child's Name

Nap mats used are not labeled with the child's name or number. According to staff, mats are placed down and sleeping spots are identifed once the child's blanket is placed on the mat.

Corrected Corrected by Apr 19, 2024

Marked corrected in the state record.

746.2411(2)(B) · Safety Requirements for Play Yards - Snug Fitting Sheets

4 play yards were observed to have loose fitted sheets

Corrected Corrected by Apr 19, 2024

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

746.611(b) · Health Statement on File within 1 Week of Admission

Three out of five children record evaulated needed a health statement.

Corrected Corrected by May 23, 2022

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