THE NEST SCHOOL TOWNE LAKE

1 out of 10 children's files evaluated was missing a completed health statement.

1 out of 10 employee files evaluated did not contain the skills-based CPR Training.

1 out of 10 children's files evaluated was missing an immunization record.

Staff files evaluated were missing the following information: - Photo ID or Driver's License - Documentation showing staff meet minimum education requirements - Education documents written in a foreign language were not translated to English - Employment Affidavit Form

Children's files evaluated were missing the following admission information: - Name, Address and Phone number of the emergency medical facility or physician. - Name, Address and Phone number of emergency contact person - Date of Admission

Documentation showing the annual fire inspection report from the local fire marshal was not available to review upon request.

Based on the information obtained, a caregiver did not set appropriate behavior expectations when children were observed climbing on the tables and the couch and fighting with one another.

Based on the information obtained, the operation did not provide parents the opportunity to review an alleged incident of abuse when it was requested.

Based on the information obtained, children were observed running in and out of the restroom unattended.

Based on the information obtained, a caregiver grabbed a child by the arm.

Based on the information obtained from the operation, the skill-based portion of CPR training was not completed for the director.

During the inspection, I observed one classroom with part of the ceiling open. I also observed another classroom with water damages to the wall and water spots on the ceiling.

During a DFPS investigation, it was determined that a caregiver yelled at children in care.

Based on the information obtained during this investigation, the operation will be cited for a caregiver who used prohibited punishment towards a child in care.

During the initial inspection a person who calls themselves the center director did not have a background check on file while present at the operation and around children in care.

The operation failed to designate a qualified director.

During the inspection the operation had not completed the monthly required fire drills for the month of October.

During the inspection the operation had not conducted the October monthly test of the Fire Extinguishers.

During the inspection the operation had not conducted the October monthly test of the smoke detector.

During the inspection the operation had not conducted the October monthly test of the Carbon Monoxide Alarm Detector