Itty Bitty Tots In Training

During the inspection, CCR received inaccurate sign-in and sign-out sheet documentation from the directors/owner, and a caregiver.

A caregiver was performing clerical duties while assisting CCR, which took their full attention away from the children.

During the follow-up inspection, the director reported that the operation was closed to prevent CCR from entering the building while children were in care.

A 15-year-old child was observed during naptime at the operation without a background check.

During departure, a caregiver inside the operation did not open the door for CCR to conduct an inspection. Correction: The director arrived at the operation to let CCR into the building.

The operation have not validated the people since 04/02/2025.

The operation did not have a updated fire inspection, the last fire inspection was on 4/10/2024.

The operation has a pending fee that have not been paid in three months.

The operation has a background check fee that have not been paid in a months. Correction: The director paid the fee during the inspection.

During the walkthrough of the multi-play area, I observed several bottles of cleaning products in an unlocked sink cabinet accessible to children.

Four children's files were evaluated, and two of the files were missing immunization records.

The operation have not validated the people since Dec 2024. Correction: The director validated the people list during the inspection.

CCR observed the children's cot has wear and tear, and is no longer waterproof.

The operation was out of ratio; a 4-month-old infant was in a mixed-age group, with the oldest child being 13-years-old. Corrected: A caregiver arrived at the operation and removed the infant from the older children to take the infant in the infant's room.

During the walk-through, CCR observed a four-year-old child in the infant room with a three-month-old infant during naptime.

CCR requested to review six children's files, but the files were unavailable during the inspection.

CCR requested to review six children's files, but the files were unavailable during the inspection.

A caregiver is missing the following documents in their file: the hire date, the Affidavit, the Pre-Employment Affidavit, and the Operational Policies.

The flow caregiver is missing training topics on administering medication and understanding building. The infant caregiver is missing training topics on Preventing and controlling the spread of communicable diseases, Administering medication, food, or an allergic reaction and Understanding building and physical premises safety. The owner/caregiver is missing training on Preventing and controlling the spread of communicable diseases and allergic reactions.

The first aid kit contains three ointments and antiseptic solution that have expired.

The flow caregiver is missing four hours, and the following training hours can be covered under the topics of Guidance and discipline, age-appropriate curriculum, or Teacher-child interaction. The infant caregiver is missing two hours, and the following training hours can be covered under the topic of Age-appropriate curriculum or Teacher-child interaction.

During naptime the operation was found to not have adequate space for caregivers to walk between nap time mats.

An incident in which a child was placed at risk for injury was not reported to CCR as required.

Based on the information found during the investigation, there was sufficient evidence to support that a caregiver and the director popping the children when attempting to redirect them as a form of guidance.

The operation has a pending fee that have not been paid in eight months. Correction: The owner paid the fee during the inspection.

The director attendance records were not available.

The operation have not validated the people since Dec 2023 . Correction: The owner validated the people list during the inspection.

Operation did not provide proof of corrections with children's immunization record and updated immunization waiver by 8/21/24.

Two children did not either an immunization or immunization waiver on file at the operation.

Multiple places in the fence of the outdoor space were broken, bent or severly damaged, exposing children to nails that could impale and holes that could be a cut, pinch or entrapment hazard.

Full garbage bags were seen in plain view near the front door leading to the outdoor space and accessible to children. NOTE: The deficiency was corrected with a caregiver placing the full garbage bags in the trash bin outside the facility.

Four children's records were reviewed. One child's immunization is missing two doses of the PCV13 vaccine. They should have four doses based on their current age.

Based on a DFPS investigation, the operation failed to notify a parent of a less serious injury sustained while a child was in care.

There are broken planks within the fenced in space that increase risk to children.

Scissors and tweezers were missing from the first aid kit. NOTE: The deficiency was corrected at inspection.

The Director was observed coming out of the kitchen which left the group of children she was caring for unsupervised during naptime.

Three staff members did not have all the required trainings for their orientation training.

Two of the 6 children records did not have an address for the emergency contact. This was corrected at the inspection when the owner called the parent and was able to get the address for both students.

The infant caregiver with a hire date of 4/26/22 was observed caring for infants alone without current First Aid training.

A director still has not been designated.

A director has not been designated since February 2022.

During the follw up inspection, a two year old child was observed sleep on a cot in the classroom alone while the other children were in a different room. The caregiver walked to the front lobby area of the center and was caring for the mixed age group of childrenn while leaving the 2 year old alone.

A 17 year old child who has not graduated high school was left alone to care for the infants.

During the follow up inspection, there was a 16 month old in the same class with a 4 year old.

During the follow up inspection, the caregiver with the mixed aged group repeatedly walked out of the classroom leaving the children unattended. The caregiver was observed in the kitchen preparing lunch.

During the follow up inspection, there were several repeated citations, in which the permit holder has not mitigated the risk to the children.

Based on the information obtained during the inspection, the caregiver stated the infants are with the other caregiver prior to her arriving to work. There is only one additional caregiver and all children are placed in the same room until the other caregiver arrives.

Based on the information obtained during the inspection, it was observed that the infant classroom was out of ratio. There were 5 infants with one caregiver.

During the follow up inspection, the caregivers were overwhelmed and there was chaos at the operation. There have been several repeated citations, in which the permit holder has not mitigated the risk to the children.

A 6 month old was observed sleeping in a bouncer.

During the follow up, the person in charge was unable to locate the file to provde the food allergy information.

There were 5 infants with one caregiver in the infant room. The specified age was 11 months old.

During the follow up inspection, there were 5 infants laying in the cribs screaming annd crying. The infants did not receive any comfort and remained in the crib crying and fussing during the entire inspection.

The caregiver with the mixed aged group repeatedly walked out of the classroom leaving the children unattended. The caregiver would also go in the infant room to assist with the infants leaving the other children alone.

During the follow up inspection, the operational policies were not available for review. The person in charge did not know where the documents were located.

During the follow up inspection, there was a repeated citation in which there have been several discussions about. The permit holder has not maintained compliance with minimum standards.

During the follow up inspection, a 15 month old and a 17 month old was in the same room eating snack with a group of 8 older children. The oldest child in the same room with the infants was a 4 year old.

A caregiver in the mixed age room, did not know how many children she was caring for. The caregiver could not locate the list of the children she was responsible for. The caregiver also miscounted how many children was in her care.

During the follow up inspections, the permit holder has not hired enough caregivers and has not made an attempt to mitigate the risk to children in care. The permit holder has not maintained compliance with minimum standards. There have been several deficiencies with repeated violations. There have also been discussions with the permit holder in regards to the issues and how to remain in compliance with minimum standards.

The caregiver in the infant room did not know the correct ages of the infants. The caregiver had to ask another caregiverr for their ages.

The permit holder has not hired enough caregivers and has not made an attempt to mitigate the risk to children in care. The permit holder has not maintained compliance with minimum standards. There have been several deficiencies with repeated violations. There have also been discussions with the permit holder in regards to the issues and how to remain in compliance with minimum standards.

There were 4 infants, aged 6-12 months old, left alone in the classroom with the doors closed, while the only caregiver available was caring for the other children.

I observed the director caring for 26 children aged 6 months through 7 years old. The children were split up in three classrooms: 4 infants, 9 (2-7 year olds), and 13 toddlers were taking a nap.

Based on the evidence obtained during the investigation, there is suifficent information to suggest that supervision is not being properly maintained. There were instances where there is one caregiver providing care to all groups at the center.

A 6 month old was laying in a crib with a clip on pacifier with dangling beads on it.

During the follow up inspection, there was a 6 month old infant laying in the crib with a blanket.

A six month old was left alone laying in the crib which was placed in the toddler room while the caregiver watched the toddlers in a separate room during snacktime.

During the follow up inspection, an 8 month old, was in the same classroom as a 7 year old.

During the previous inspectionsm there have been some repeat citations and violations with minimum standards.

Two infants, 8 and 9 months old, were in the same classroom as a 9 year old.

A caregiver was in the presence of children prior to having a completed inital background check. This was corrected when she left the center.

Two infants, 8 and 9 months old, were in the same classroom as a 9 year old.

The admisison showing the child's special care needs was not available for review.

An 8 month old was observed laying in a criib with a hanging pacifier. The pacifier was snapped and hanging from the infants shirt.

During the followup inspection, there is still a sewer cover in the middle of the playground exposed to the children.

Based on the information obtained during the investigation, the operational policy was not available to determine if the information to allow parents was included. The parent stated she was not allowed to tour the center after she admitted her child.

Based on the information obtained, the permit holder was unable to provide the information regarding a food allergy.

The caregiver in the infant room did not have a list of the infants and did not know their ages.

During the follow-up inspection, the fire inspection report was not available for review.

There were mutliple active ant beds and water hose on the outdoor play area. There is a sewer cover in the middle of the playground exposed to the children.

During the follow-up inspection, the proof of liability insurance was not available for review.

During the follow-up inspection, a three year old was left alone in the infant classroom roaming by himself. A two year old was left in the front office sitting on the floor alone.

The caregiver in the infant room repeatedly walked out of the infant room to other areas of the daycare, leaving 4 infants alone in the classroom without proper supervision.

The proof of liability insurance was not available for review.

The fire inspection report was not available for review.

The caregiver in the infant room repeatedly walked out of the infant room to other area of the daycare, leaving 4 infants alone in the classroom without proper supervision.

The caregiver in the mixed age group class left the children unattended for 10 minutes while looking for files in the operation's office.

The caregiver in the infant room did not have a list of the infants and did not know their ages.

There were mutliple active ant beds and water hose on the outdoor play area. There is a sewer cover in the middle of the playground exposed to the children.

A 6 month old infant was in the same classroom with an 11 year old child.

The caregivers in the infant room and mixed group did not know how many children they were caring for.

There was not enough ligthing to supervise the children during naptime. NOTE: Director turned on security lighting and corrected deficiency at inspecton.

A caregiver was overheard disciplining a child in a condescending tone. NOTE: Caregiver later observed giving discipline in a softer tone and used positive reinforcement during inspection.

A wall in the Early Learners room has several paint chips and in disrepair.