Vickie Marie Taylor

When I arrived at the operation an infant was asleep in a swing. This was corrected when I asked the caregiver to remove the child from the device.

4 children's files were reviewed and none of them had an address for their emergency contacts.

The fire extinguisher was observed sitting on a book shelf.

The operation did not have documentation of emergency/safety drills.

The provider did not have operational policies for the Procedure for the release of children, Illness and exclusion criteria, Procedures for dispensing medication, or a statement that medication is not dispensed, Procedures for handling medical emergencies, Discipline and guidance, Safe sleep policy for infants from birth through 12 months old, Promotion of indoor and Information on vaccine-preventable diseases for employees or a policy regarding maintains and administers unassigned epinephrine auto-injectors to use when a child in care has an emergency anaphylaxis reaction.

The home still did not have a evacuation or relocation diagram for review.

The provider did not have operational policies for the Procedure for the release of children, Illness and exclusion criteria, Procedures for dispensing medication, or a statement that medication is not dispensed, Procedures for handling medical emergencies, Discipline and guidance, Safe sleep policy for infants from birth through 12 months old, Animals, Promotion of indoor and outdoor physical activity, Procedures for parents to visit the child-care home any time during your hours of operation to observe their child, program activities, the home, the premises, and equipment without having to secure prior approval. The provider did not have operational policies regarding 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 on line, Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hot line, and access the HHSC website, an emergency preparedness plan, Procedures for conducting health checks, Information on vaccine-preventable diseases for employees or a policy regarding maintains and administers unassigned epinephrine auto-injectors to use when a child in care has an emergency anaphylaxis reaction.

The air conditioning unit in the backyard did not have a safe guard to keep children from accessing the unit.

The emergency telephone numbers were not posted at the home for review.

The home did not have a evacuation or relocation diagram for review.

The provider did not have a first aid kit at the home.

The provider did not have transportation training.

The most recent inspection report from the last inspection conducted at the home was not posted for review.

The home did not have a fire extinguisher.

The employee list was not posted at the home nor was it on file readily available for review.