Clara Ketner

The primary caregiver lacked 10 hours training to complete last years annual training.

A sampling of children records were evaluated. One child's record lacked the address of their designated contact; two children's immunization records were observed incomplete; three children's records lacked a health statement.

The primary caregiver did not have current CPR/First Aid training.

The operation did not have documentation that they have notified parents of 4 children enrolled that the operation does not carry liability insurance.

The operational policies were evaluated and lacked the following written procedures: 1) Safe sleep policy; 2) animals; 3) promotion of indoor and out door activity at your home, both indoor and outdoor; 4) procedures for parents to visit the home any time without having to secure prior approval; 5) procedures for parent to review a copy of the child care homes most recent inspection report and how parents may access the standards online; 6) instructions on how a parent may contact the local licensing office, access the Texas Abuse and Neglect Hotline (1-800-252-5400), and access the HHSC website (www.hhs.texas.gov).

Seven children were observed in care, ages 2 years, 2 years, 2 years, 3 years, 3 years, 4 years, and 4 years. These numbers exceed the ratios allowed in a Registered Child Care Home. This was discussed with the primary caregiver.

This standard was reviewed as a follow-up to a previous inspection and found deficient. A partial string of rusted barbed wire was observed above the top of one side of the fence around the playground. A metal pole from the fence was protruding out from the fence.

One string of rusted barbed wire was observed above the top of one side of the fence around the playground.

This standard was reviewed on 3/23/2022 as a follow-up to a previous inspection and found deficient. One child's record lacked information regarding whether or not the child has diagnosed food allergies. One child's record lacked documentation that the parent received and reviewed a copy of the operational policies. One child's record lacked an immunization record. One child's record lacked a health statement.

The primary caregivers record lacked a notarized affidavit.

A sampling of children records were evaluated. One child's record lacked their date of admission. Two childre's records lacked the address of their designated contact. One child's record lacked emergency care authorization. One child's record lacked the complete address of their physician and the physicians phone number. Two children's record lacked infomration regarding whether or not the child has diagnosed food allergies. One child's record lacked documentation that the parent received and reviewed a copy of the operational policies. One child's record lacked na immunization record. Two children's immunization record were observed incomplete. One child's record lacked a health statement.

The operational policies were evaluated and lacked the following written policies and procedures: 1) animals; 2) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (A-C); 3) Procedures for the parent to review a copy of the child-care home's most recent Licensing inspection report and how the parent may access the minimum standards online; 4) Instructions on how the parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website.

The menus maintained did not include what the operation has served for snack each day. This was corrected at inspection as the operation wrote in what is being served for snack.

The Emergency Preparedness Plan was evaluated and laced written procedures for the following: 1) An emergency evacuation and relocation diagram and 2) Name and address of the alternative shelter away from the home you will use as needed.

The primary caregiver lacked training in the following topics to complete last year's annual training: (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Preventing and responding to emergencies due to food or an allergic reaction; (4) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (5) Handling, storing, and disposing of hazardous materials.