First Pampa Child Development Center

Four staff personnel records was lacking various topics related to health and safety, including preventing and responding to food allergies, medication training and building and premise safety training.

A food allergy plan for a child in care with a diagnosed food allergy lacks the physician signature.

A classroom that was used for toddlers was changed to be added for infants. The infant classroom previously has been closed and no longer used. Space was changed without a notification to child care regulation. It was corrected at inspection with child care regulation being notified and the added room evaluated for compliance.

The added infant classroom only has one hand washing sink available and it is also used for bottle preparation.

An infant in care was eating in a high chair and the buckle was not fastened after placing the child in the high chair.

Two caregiver records was lacking documentation of pre-service and orientation training. Additionally, orientation was not completely conducted within 7 days of the employment date. One staff member is lacking orientation and a notarized affidavit of employment.

All three first aid kits used in the vans to transport children in care had expired antiseptic wipes. Additional antiseptic wipes that is not expired was placed in the kits at inspection.

Older infants were observed secured in the multi occupancy tables for over 30 minutes prior to meal time and stayed in the seats an additional 30 minutes after meal time.

A caregiver of the operation does not have an eligible notification for one employee that was re-hired on 8/4/22.

Infants were observed at inspection having pretzels served on the bare table without a napkin or plate.

A caregiver sent a child outside of the classroom to a neighboring classroom to complete job tasks, such as turning on the classroom light and sound machine, one two separate occasions. While the child was in the neighboring classroom the caregiver did not have visual or auditory awareness, was not aware of the on going activities and was not within physical proximity. The caregiver was unable to adequately supervise all of the children she was responsible for.

A one month old infant was asleep on a boppy pillow on the floor for over an hour and was not moved to their crib by either of the two caregivers available in the classroom.

Ten personnel records did not have documented orientation. One record was lacking a photo identification. One record was lacking a notarized affidavit of employment.

The most current annual health inspection at inspection was conducted on 1/26/2021 and was due by 1/26/2022.

During naptime, one classroom had one caregiver with 13 children, ranging in age of 17 months to 2 years of age. With the classroom having one caregiver within the group, the classroom is unable to reduce to naptime ratios and were over ratio with a specified age group of two year olds.

Based on interviews with staff, the infants are not having morning and afternoon opportunities daily to be outside. Additionally, the infants only go outside maybe once a week and does not include two daily opportunities in their written activity plan.

The operation re-hired two previously employed caregivers at the operation and did not re-submit their background check prior to having the caregiver supervising children in care. Background checks were re-submitted at inspection and staff left the operation.

Diaper changing was observed with the infants classroom and multiple diaper changing was observed and none of the infants had their hands washed after diapering.

Based on the evidence obtained during the investigation, a child in care was being discipline with being in time out for longer than ten minutes for a pre-k age child.

The last fire inspection was conducted 5/18/2020. The documentation for lock down and severe weather drills was not available for review.

An enrolled child with a known food allergy did not have an emergency food allergy plan.