Papa & Nanas Child Care

One caregiver did not have current training in pediatric first aid with rescue breathing and choking.

Conditions on a background check were not being followed when the subject was observed alone with a child while taking them to the bathroom.

The provider did not have attendance records or time sheets listing all days and hours worked.

Four personnel files were reviewed: 3 were missing a record of training hours 4 were missing proof of request for a background check

Two caregivers present did know who was in charge during the director's absence or for how long.

Seven children were left unsupervised in a classroom while the caregiver answered the door. This was corrected when the caregiver returned to the classroom after answering the door.

Four personnel files were reviewed: 1 was missing dates of hire 1 was missing docmentation showing how the employee meets the minimum age and education qualifications 1 was missing a A Pre-Employment Affidavit form 2912 4 were missing a record of training hours 2 were missing a photo ID 3 were missing proof of request for a background check 1 was missing a statement dated/signed showing that the staff recieved a copy of operational and personnel policies

Two caregivers did not have current pediatric cardiopulmonary resuscitation (CPR).

The plastic nap mats being used during inspection were not labeled with the child's name.

Two children were missing a statement of the child's health from a health-care professional.

Two caregivers present did know who was in charge during the director's absence or for how long.

The snacks did not 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.

Two people were present without eligible background checks, and left during the inspection.

Two caregivers did not have proof of current pediatric first aid with rescue breathing and choking training.

One infant was observed asleep in a restrictive device. The caregiver moved the infant from the restrictive device into a crib during the inspection.

Children's records on file were missing the release form from the physician.

Meals served do not meet the nutritional requirements established by the U.S. Department of Agriculture (USDA).

Meals do not reflect the posted menu, and substitutions are not tracked.

Based on the evidence obtained it was found a child was left unsupervised. A caregiver left the room to answer the front door.

A child under the age of two was allowed screen time.

It is alleged that a caregiver with conditions on the background check was alone with a child or group of children.

A staff member did not have current CPR training updated.

A staff member did not have current first aid training updated.

A staff member did not have current first aid training.

A staff member did not have current CPR training.

During a DFPS investigation it was found that time out periods being used can be up to 5-10 minutes in length.

Paint was found chipping off the wall in the front and in a classroom.

During a DFPS investigation it was found that the operation did not report an injury that required medical attention.

Caregiver supervising children in care did not have a complete background check on file. This was corrected when the caregiver was asked to leave the operation.

Based on the information obtained it was determined that the infant room did not have adequate lighting during naptime.

During naptime, the caregiver will sit in the hallway to supervise napping children in two different classrooms.

A snack menu must be posted, and available to all family members so that they can assure their child's nutritional values are being met.

Three staff members needed current training in CPR.

The operation's last consumer product certification form was signed in 1-2020. This was corrected during inspection when the Director updated the form and posted it.

One child needed an up to date immunization record.

3 staff members were missing training in food allergies.