Lavalette International Montessori Institute, L.L.C.

Soiled diapers were observed in waste baskets without a lid in two children's restrooms.

The emergency practices form was not maintained. The safety tests documentation for fire extinguishers, smoke detectors, and Carbon Monoxide detector were on August 2022.

Notification was not received when there was a change in space. A toddler room and infant room were switched.

The director was miising annual training on the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development. (4) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (5) Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

The emergency exit gate leading into the outdoor playground was locked. Caregivers supervising a group of children did not have the key to the lock while in the outdoor playground. Note: This was addressed with the director and the key to the locks was provided to the caregivers.

1 of 8 children's records reviewed were missing the child's emergency contact address. 1 of 8 children's records reviewed was missing the authorization signature to obtain emergency medical care and to transport the child for emergency medical treatment. 1 of 8 children's file reviewed did not include the child's immunization record.

The operational policies reviewewed were missing the following information: The Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

A group of children of varying ages including children under 2 years of age were sitting on the floor watching a cartoon show on an ipad in the infant room.

Caregivers did not ensure that three children wash their hands after a diaper change in the infant room. note: This was addressed during the inspection and the children's hands were washed.

A caregiver used the same pair of disposable gloves and did not discard the gloves in between diaper changes in the infant room.

A caregiver's education documentation was not translated into English.

A caregiver's records reviewed was missing a notarized Licensing Affidavit for Applicants for Employment form.