Handprints Child Care 10 LLC dba Handprints Academy

Required documents for activity plans, menus, emergency phone numbers, evacuation plan and diagram, employee list, and emergency telephone numbers were missing.

The first aid kit in the transportation vehicle was missing scissors, tweezers and a thermometer. The items were added to the kit, Bringing the kit into compliance.

Staff providing transportation, did not have transportation training, medication, or responding to medical emergencies due to food or allergic reaction. This was corrected when the caregiver took the required transportation training.

The enrollment agreement was missing parent signatures, shot records, and dates of admission on 5 of the 6 records evaluated.

Fire and disaster drills had not been conducted and documented.

During the inspection a caregiver was observed leaving children in a classroom. The caregiver returned to the room.

During the inspection, two classrooms were observed out of ratio. One classroom was observed with 6 children. The age group is 0-11 months old, bringing the room of ratio by 2. This was corrected during the inspection, when a second caregiver was placed in the room. The second classroom had 24 children, with one caregiver. The age group for the room is 3 years old. The age group for the room is 15. The room was out of ratio by 9 children.

An infant was observed asleep in a restrictive device.

The diaper changing pad had tears in the surface. This was corrected when the pad was removed and replaced with an new one.

An employee with a pending background check was counted in ratio and has assess to children. This was corrected when the caregiver was removed from the classroom to complete training hours.

An infant was observed asleep in a restrictive device.

Staff was allowed to be present at the operation, with an pending background.

A caregiver with a pending background was present at the operation, counted in the classroom and had access to children. The caregiver was removed from the operation and replaced with another caregiver.

An ineligible caregiver was allowed to be present at the operation and have access to children in care.

The operation was notified by mail, that a caregiver was the subject of an investigation by DFPS. The operation allowed the caregiver to remain employed, while having access to children.

A staff was allowed to be present at the operation, with an ineligible background.

An employee with conditions was providing care for children unsupervised.

The operation has failed to provide parents with incident reports for less serious and serious injuries.

A caregiver did not demonstrate good judgment. The caregiver was observed wiping a table with a dirty cloth and then wiping the face of a child with the same towel.

Staff did not follow the regulations in accordance with the minimum standards. A caregiver was observed, by a staff member, wiping the face of a child with a towel used to clean a table. That caregiver was not reprimanded for her actions.

Cribs were observed with loose fitted sheets.

During the walk through, a child was observed asleep in a restrictive device. This was corrected when the child was removed and placed in a crib.

During the inspection, the operation failed to follow CBCU guidelines for employees. One staff was observed alone and providing care for children. This was corrected when another employee came in to work. The employee did not have conditions.

Children's records were evaluated and the following items were missing: health statements, parent signatures, allergy statements for children with diagnosed allergies, and immunizations.

During the inspection, first aid supplies was observed. The kit was missing supplies and had items that were expired.

During the inspection it was found that the infant cribs did not contain fitted sheets.

A caregiver was left in charge of the operation but has a condition on their background check.

During the inspection a caregiver was observed changing a diaper but did not wash the child's hands.

During the inspection it was found that the fire drill had only been done for the month of September and November.

The changing pad in the infant classroom contained a hole.

The toddler classroom had 12 kids total (18-23 months) with one caregiver. There were 15 preschool children (4 years) with one caregiver but then 9 school age children arrived increasing the total number of kids to 24 with a specified age of 4 years. That classroom is not in ratio once school-age children arrive. This was corrected at inspection as another caregiver went into the toddler classroom and the director went into the school age classroom.

The school-age classroom had 45 children (ages 2-10 years) with one caregiver. The toddler classroom (specified age 18-23 months) had 12 children with one caregiver. The two year old classroom had 13 children (ages 2-2.5 years) with one caregiver.

There were two caregivers present and directly working with children without cleared background checks.

The school-age classroom had a total of 45 children exceeding the maximum group size for children ages 4 years and up.

Food was observed being prepped on a bare table instead of a sanitary surface.

In the two-year-old classroom, outlets were observed uncovered and accessible to children.

Outside, there was a broken fence, a water slide tied to the swing set to be used as a swinging rope, and some broken play equipment.

Out of ten children's records read, eight children did not have signed health statements by a health care professional in their first 12 months of enrollment.

A caregiver was present and caring for children who did not have a cleared background check.

The operation did not have an up to date health inspection.

The operation did not have an up to date fire inspection.

Out of ten personnel records read, one caregiver did not have up to date first aid and CPR certification.

During the inspection it was found that the written feeding instructions have not been reviewed and updated every 30 days.

During the inspection it was found that the operation did not have a fire extinguisher or first aid kit in one of the vehicles used to transport children in care. This was corrected at inspection when a fire extinguisher and first aid kit was placed in the vehicle.

From the investigation it was found that the area accessible to children was not free from hazards.

From interviews completed during the investigation it was found that cleaning supplies was not inaccessible to children.

From interviews completed during the investigation it was found that a caregiver did not use good judgment during sanitization process.

From interviews for the investigation it was found that the operation was not properly using hazardous materials such as cleaning supplies.

From the interviews and completion of an investigation it was found that the caregiver did demonstrate use of good judgement.

From interviews and completion of an investigation it was found that the operation did not notify the parent of less serious injuries when the parent picks the child up from the child-care center.

During the inspection it was found that 1 out of the 9 children records reviewed did not have immunization records.