The Childrens Courtyard

An infants mattress was observed being prop up with a wedge to elevate the child while sleeping.

One of the drivers did not have a current driver's license and has been transporting children. The driver renewed her driver's license during the inspection.

The governing body has failed to complete work orders that have been submitted for the playground. The work order was first submitted in August 2022. Compliance date is in alignment with the compliance date to fix the playground. The governing body must follow all the standards at all times.

During an investigation it was determined that a caregiver left a child unsupervised on the playground.

A caregiver did not demonstrate good judgement when the caregiver called the child a name which was inappropriate and hurtful to the child's self-esteem. The child perceived the name to be hurtful and was offended.

The operation did not have a copy of the most recent health inspection on file. The health inspection report available for review was from 01/2021.

Documentation was not available to verify monthly checks/inspections for smoke detection system, fire extinguishers, and carbon monoxide detector. (Note: This was corrected during the inspection)

One caregiver did not have documentation of current first aid training.

One child did not have a health statement on file.

One infant in Infant room I did not have updated feeding instructions on file. One infant's feeding instructions was not dated. Four infants in Infant room II did not have updated feeding instructions on file.

A caregiver did not demonstrate good judgement when accidentally serving a child food the child is allergic to. The caregiver was aware of the child's known food allergy as the child's food allergies were listed on the child's enrollment application.

A child with a diagnosed food allergy did not have a completed food allergy emergency plan on file.

Two of the four children's records were updated to include complete physician information. Two children's records still lacked complete physician information.

Two of the three children have a current immunization record on file. One child still needs a current immunization record.

One child's record was updated to include authorization for emergency medical treatment. Two children's records are still missing authorization for emergency medical treatment.

Based on information obtained during the investigation, it was determined that a caregiver did not demonstrate good judgment when grabbing a child by one arm and then abruptly placing the child down on the rug. The caregiver also did not demonstrate good judgment when grabbing another child by the wrist & escorting the child back in line.

An incident report was not completed for an incident that placed a child at risk.

Three children did not have a current immunization record on file.

One child's record was missing the school information.

Four children's records lacked the name, address, and telephone number of the child's physician or an emergency-care facility

Two children did not have health statement documentation on file.

The operational policies did not include all the required information. The operation will need to add the following policies: *Hearing & vision requirement *Information on vaccine preventable diseases for employees *Procedures for parents to review copy of the child care center's most recent Licensing inspection report and how parents may access the minimum standards online *Instructions on how parents may contact the local Licensing office, access the Texas abuse & neglect hotline, and, access HHSC website * Promotion of indoor and outdoor physical activity did not include all the required information

One of the operation's drivers did not have current cpr/first aid training. The training was expired.

Three children's records were missing authorization for emergency medical treatment.

Personnel and training records were not available for review at the time of the inspection.

The infant, toddler, preschool, pre-k, and school age classrooms did not have a current activity plan posted.

Two infants did not have current written feeding instructions on file. The feeding instructions have not been updated in the past 30 days.

This standard was evaluated as part of an investigation and was found to be in non-compliance. It was determined that a caregiver used inappropriate methods of discipline & guidance when observed grabbing a child by the arm, putting the child in a chair in a rough manner, and spanking the child. (Note: This was the caregivers own child.)

Based on a DFPS investigation, this standard was found to be in non-compliance. The operation did not share a copy of the incident report with the child's parents within the required timeframe. An incident report was not provided until 5 days after the incident.

Based on a DFPS investigation, this standard was found to be in non-compliance. It was determined that the class was out of ratio the day of the incident based on the transition sheet. There were 11 children present with one caregiver. The class was over ratio by 2 children.

Based on a DFPS investigation, this standard was found to be in non-compliance. It was determined that the operation failed to notify Child Care Regulation of an incident that placed a child at risk.

The 3 vehicles used for transporting did not have complete first aid kits. The first aid kits were missing items to include: *cotton balls *thermometer *tweezers *gloves *antiseptic wipes or solution

The building and grounds must be maintained to protect the health and safety of children. The following was observed: The walls in the school age classroom were visibily dirty. The walls were stained with food and dirt. There was surface damage observed on the cabinets in the 2 year old and school age classrooms. The wood on the cabinets were splinteriing and stained. There were a large chip observed in the cabinets. *There was a section of grass around the playground that has deep vehicle tire tracks causing mud and water pooling. *In the school age classroom, the countertop around the sink area is stained and adhesive is pulled away from countetop tiles exposing dirt and grime. There were sections around the sink where the caulking is peeling *There were sections in the back of the building that was visibly dirty with dirt, grime, and cop webs. The back of the building is in need of a pressure wash. The previous violations have not been corrected to include: There was grass and weeds growing through the loose fill surfacing on the preschool playground. One of the seats on Bus #2 had a huge tear in it. The foam padding and wooden board of the seat were exposed. The wooden train on the toddler playground is in need of repair. There were several areas on the train where the wood was damaged and showing signs of weathering. There was also a wooden bench area that was damaged and showing signs of weathering. There were also areas of chipping paint. There was an area on the carpet in the indoor playground that was tatered. There were also loosed carpet fibers that were frayed.

There were 7 outlets in the preschool classroom that did not have childproof covers. The outlets were covered during the inspection.

Based on the information obtained during the investigation, this standard was found to be in non-compliance. A caregiver made threats of corporal punishment to children in care.

The 3 vehicles used for transporting did not have complete first aid kits. The first aid kits were missing items to include: *cotton balls *thermometer *tweezers *gloves *antiseptic wipes or solution

The following hazards were observed at the operation: 1. There were 3 eletrical outlets in the pre-k classroom that did not have childproof covers. This was corrected during the inspection when the outlets were covered. 2. There was a planter table filled with standing water observed on the preschool playground accessible to children. This was corrected during the inspection when the container of water was dumped out. 3. One of the tables in the preschool classroom was observed to have uneven table legs. One of the table legs was being supported by a pencil box and a small piece of wood. This posed as a tipping hazard. The children were moved from the table & the table will not be used until repaired. A work order was submitted during the inspection.

Smoke detectors were not tested in the month of June or July. This was corrected during the inspection when the testing was completed.

The carbon monoxide detector has not been tested since May. This was corrected during the inspection. The carbon monoxide detector was tested during the inspection.

The operation has not conducted a fire drill since May.

The operation's emergency preparedness plan was not available for review at the time of inspection.

The director and 3 caregivers that transport children did not have current transportation safety training.

Two caregivers did not have training in the following topics: *Administering Medication *Handling, storing, & disposing of hazardous materials *Preventing and responding to emergencies due to food or an allergic reaction

The operation did not have a current certification form on file verifying the recall notices were reviewed. The form was last completed 2/2020.

One eletrical outlet in the toddler classroom did not have a child proof cover. This was corrected during the inspection when the outlet was covered.

The operation did not have a current fire inspection on file. The last inspection on file was from 7/2020.

The transportation binder did not contain the parent s names and telephone numbers and emergency telephone numbers for children being transported.

The 3 vehicles used for transporting did not have complete first aid kits. The first aid kits were missing items to include: *cotton balls *thermometer *tweezers *gloves *antiseptic wipes or solution

The transportation binder did not contain emergency medical transport and treatment authorization forms for children being transported.

There was grass and weeds growing through the loose fill surfacing on the preschool playground. One of the seats on Bus #2 had a huge tear in it. The foam padding and wooden board of the seat were exposed. The wooden train on the toddler playground is in need of repair. There were several areas on the train where the wood was damaged and showing signs of weathering. There was also a wooden bench area that was damaged and showing signs of weathering. There were also areas of chipping paint. There was an area on the carpet in the indoor playground that was tatered. There were also loosed carpet fibers that were frayed.

Based on information obtained during an investigation, the caregiver was observed hitting a child on the back.

Based on information obtained during an investigation, it was determined that a caregiver lost patience with a child when the caregiver hit the child on the back when the child would not allow the caregiver to wipe their nose.