Kimberly Yvette Bell

A plank was missing from the privacy fence in the backyard which presented a risk to children. This was corrected at inspection. Pictures were taken.

The operational policies did not include information on how a parent may contact the local Child Care Regulation office, website and Texas Abuse Hotline.

The caregiver did not complete annual training hours in communicable diseases including immunizations, food allergies and understanding building and physical premises safety,

The Consumer Product Certification form has not been completed within the last year. The last form was completed January 2023.

The operational policies does not include a Safe Sleep policy for children 0-12 months old.

The diaper changing pad is torn; therefore, it's no longer non-absorbent and needs to be replaced.

The operational policies does not inform parents of how they view a copy of the Minimum Standards.

Uncovered outlets were observed in the room used by children. This was corrected at inspection.

The Emergency Preparedness Plan lacks the following information: 1. How children under the age of 2, children with limited mobility or disabilities will be evacuated. 2. A copy of the emergency evacuation and relocation diagram. 3. How parent contact and emergency contact information will be evacuated. 4. How authorization for emergency medical care forms will be evacuated. 5. How children will be cared for during the emergency. 6. How children will be reunited with their parent once the emergency is over.

Of the four children's records evaluated, all lacked the address for the emergency contact.

Of the four children's records evaluated, one was behind with immunizations.

The operational policies is lacking the following information: 1. The safe sleep policy is not consistent with Minimum Standard requirements. 2. The requirement for outdoor and physical activities.

Parents have not been notified in writing that the childcare home does not have liabilaty insurance,

The operational policy reviewed did not include safe sleep policy.

Cleaning products and hand sanitizer was observed accessible to children sitting on top of a low shelf. This was corrected at inspection when the caregiver was observed removing the products and placing them in a locked cabinet.

There was no emergency evacuation and relocation diagram available to review during inspection.

The operational policy was observed missing the required information on Promotion of indoor/outdoor physical activity.

Two of the six children records observed were missing names and number of other contacts who the children can be release to.