Micheline Reese

The primary caregiver needs six hours of annual training in management techniques, leadership, or staff supervision.

Documentation of current transportation training was not available for review during this inspection.

The primary caregiver needs six hours of annual training in management techniques, leadership, or staff supervision.

Records were evaluated for two children enrolled and showed both were in need of a special needs statement.

Documentation of current transportation training was not available for review during this inspection.

An emergency contact is needed for one child enrolled.

The operational policies was reviewed and the following policies are needed: -Safe sleep policy for infants from birth through 12 months old. -Promotion of indoor and outdoor physical activity. -Procedures for parents to visit the child-care home any time during hours of operation. -Procedures for parents 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. -Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website. -The emergency preparedness plan.

Documentation of Safety Drills were not available for review during this inspection.

The primary caregivers Pediatric CPR and First Aid training expired February 2023.

The operational policies were reviewed and the following policies are missing: -Illness and exclusion criteria -Procedures for dispensing medication. -Procedures for handling medical emergencies. -Safe sleep policy. -Promotion of indoor and outdoor physical activity. -Procedures for parents to visit the child-care home any time during your hours of operation without having to secure prior approval. -Procedures for parents 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. -Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website -The emergency preparedness plan.

Documentation of the annual certification was not available for review during this inspection.

Records were evaluated for three children in care and the following was determined: -Three needed emergency contact information. -Two needed a special needs statement. -School information is needed for two school age children. -One needed a health statement. -One needed emergency care information. -One needed an updated immunization record.

The operational policies were reviewed and the following policies are missing: -Illness and exclusion criteria -Procedures for dispensing medication. -Procedures for handling medical emergencies. -Safe sleep policy. -Promotion of indoor and outdoor physical activity. -Procedures for parents to visit the child-care home any time during your hours of operation without having to secure prior approval. -Procedures for parents 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. -Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website -The emergency preparedness plan.

A plan to handle transportation emergencies was not available for review during this inspection.

Records were evaluated for three children in care and the following was determined: -Three needed emergency contact information. -Two needed a special needs statement. -School information is needed for two school age children. -One needed a health statement. -One needed emergency care information. -One needed an updated immunization record.

The Emergency Practices form was not available for review during this inspection.

Documentation of the annual certification was not available for review during this inspection.

The following items were not available for review in the transportation vehicle: -A list of the children being transported -Emergency medical transport and treatment authorization forms for each child being transported -Parent's names and telephone numbers and emergency telephone numbers for each child being transported.

A smoke-detection system was not installed in one room that will be utilized by the children.

The required trainings were not available for review during this inspection.

The fencing in the outdoor activity space requires repair.

Personnel records were not available for review during this inspection.

The first aid kit was missing the following items: A guide to first aid and emergency care Thermometer Cotton Balls

The fire extinguisher was not mounted.

Operational Policies were not available for review during this inspection.