A Place For Children Too INC

Reviewed operational policies handbook and the folllowing minimum standards were missing: (8)Suspension and expulsion of children [Medium-High]; (11) Immunization requirements for children, including tuberculosis screening and testing if required by your regional Texas Department of State Health Services or local health authority [Medium]; (18) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan) [Medium]; your policies must include: (A) The benefits of physical activity and outdoor play [Medium]; (B) The duration of physical activity at your operation, both indoor and outdoor [Medium]; (D) Each setting in which your physical activity program will take place [Medium]; (F) The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play [Medium]; and (20) Procedures for parents to review and discuss with the child-care center director any questions or concerns about the policies and procedures of the child-care center [Medium]; (21) Procedures for parents to participate in the child-care center's operation and activities [Medium-Low]; (23) Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website [Medium]; (26) Preventing and responding to abuse and neglect of children, including: (B) Methods for increasing employee and parent awareness of issues regarding child abuse and neglect, including warning signs that a child may be a victim of abuse or neglect and factors indicating a child is at risk for abuse or neglect [Medium]; (C) Methods for increasing employee and parent awareness ofprevention techniques for child abuse and neglect [Medium]; (D) Strategies for coordination between the center and appropriate community organizations [Medium]; and (E) Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect [Medium]; (28) Information on vaccine-preventable diseases for employees, unless your center is in the home of the permit holder. The policy must address the requirements outlined in ?746.3611 of this chapter (relating to What must a policy for protecting children from vaccine-preventable diseases include?) [Medium]; and (30) Procedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in ?746.2202 of this chapter (relating to What are my responsibilities when planning activities for a child in care with special care needs?) [Medium]. (b)You must also inform the parents that: (1)They may visit the child-care center at any time during your hours of operationto observe their child, the child-care center's program activities, the building, the premises, and the equipment without having to secure prior approval [Medium-Low]; and (2)Under the Texas Penal Code any area within 1,000 feet of a child -care center is a gang-free zone, where criminal offenses related to organized criminal activity are subject to a harsher penalty. You may inform the parents by: (A) Providing this information in the operational policies [Low]; (B) Distributing the information in writing to the parents [Low]; or (C) Informing the parents verbally as part of an individual or group parent orientation. [Low]

Two caregivers were observed not following proper steps of diaper changes. Childrens hands were not being washed after diaper changes.

Caregiver was actively involved in janitorial duties: full length cleaning of mirror and door glass.

The gate and sliding gate are not properly secured. Sliding gate has a gap large enough for a child. Surveillance sign on wall is broken and hanging. there are missing fence boards.

Toddler was observed walking about carrying and drinking from a training cup.

Operation posting of the Product Certification form was expired.

An infant bottle was observed to be without child labeling.

Operations Emergency Preparedness Plan did not contain a plan to take care of children specifically under the age of 24 months.

There are not enough toys for the children under 24 months to play with without fighing.

At least 2 cribs mattresses were observed to have loose fitting sheets.

Operations Emergency Preparedness Plan does not have descriptions of how they will care for children until each child is released.

The proper diaper changing steps are not being followed at the operation.

The operation is not providing daily reports to the parents.