Cedars International Academy

Ten children's admission files were missing the following information: emergency contact address, Name, address, and telephone number of the child's physician or anemergency-care facility, and authorization to obtain emergency medical care and to transport the child for emergency medical treatment.

One staff allowed children outside on the playground without knowing who the children were left in care with at the end of his shift. During the inspection another staff stated she was only responsible for half of the children and I was able to observe other staff outside present with the other children.

Ten staff personnel files were incomplete and missing the required documents.

Two staff had children watching cartoons in their classrooms. The staff shut off the televisions during the inspection.

Four staff did not know the children's ages or have anything to locate what the children's ages were during the inspection.

The operation did not have children's records available for review during inspection.

The operation did not have documentation of training for ten staff.

The operation is not following the meals and snacks must follow the meal patterns established by the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) that is administered by the Texas Department of Agriculture.

The letter or form from the most recent Licensing inspection or investigation was not posted.

The operation did not have a written activity plan for any of the children in care including those under 5 years old.

The following policies were not available for review: Procedures for handling medical emergencies; Procedures for parental notifications; Permissions for Transportation, Water Activities, and Fields Trips, if applicable, Animals, Procedures for providing and applying, as needed, insect repellant and sunscreen, including what types will be used, if applicable; Procedures for parents to visit the operation at any time during your hours of operation to observe their child, program activities, the building, the premises, and equipment without having to secure prior approval; Procedures for parents to participate in the operation's activities; Procedures for parents to review a copy of the operation's most recent Licensing inspection report and how the parent may access the minimum standards online; If your operation maintains and administers unassigned epinephrine auto-injectors Procedures for supporting inclusive services to children with special care needs. Parents Rights

The operation does not have a sanitation inspection on file.

The operation does not have the following files required at the operation: liability insurance

There are several pieces of garbage on the playground area.

The operation does not have a fire inspection on file.

The operation does not have the following operational policies: Illness and exclusion criteria; Procedures for handling medical emergencies; Procedures for parental notifications; Immunization requirements for children, including tuberculosis screening and testing if required by your regional Texas Department of State Health Services or local health authority, Permissions for Transportation, Water Activities, and Fields Trips, if applicable, Animals, Procedures for providing and applying, as needed, insect repellant and sunscreen, including what types will be used, if applicable; Procedures for parents to review and discuss with the director any questions or concerns about the policies and procedures of the operation; Procedures for parents to visit the operation at any time during your hours of operation to observe their child, program activities, the building, the premises, and equipment without having to secure prior approval; Procedures for parents to participate in the operation's activities; Procedures for parents to review a copy of the operation's most recent Licensing inspection report and how the parent may access the minimum standards online; Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website; Emergency preparedness plan; Procedures for conducting health checks, if applicable; Information on vaccine-preventable diseases for employees, unless your operation is in the home of the permit holder, the director, or a caregiver. If your operation maintains and administers unassigned epinephrine auto-injectors to use when a child in care has an emergency anaphylaxis reaction, policies for maintenance, administration, and disposal of unassigned epinephrine auto-injectors that comply with the unassigned epinephrine auto-injector requirements set by the Texas Department of State Health Services, as specified in 25 TAC Chapter 40, Subchapter C (relating to Epinephrine Auto-Injector Policies in Youth Facilities) and Texas Health and Safety Code ?773.0145. Procedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in ?744.2009 of this chapter (relating to What are my responsibilities when planning activities for a child in care with special care needs?)

There is 2 inch hole in the wall of a classroom.

The operation does not have a sanitation inspection on file.

There are several pieces of garbage on the playground area.

The operation does not have the following files required at the operation: liability insurance playground maintenance checklists emergency drills documentation

The operation does not have a fire inspection on file.