Tammys Angels

The changing mat was observed torn with exposed foam.

The director lacked documentation of completion of training in the following topics to complete last years annual training: 1) Emergency Preparedness; 2) Preventing and responding to emergencies due to food or an allergic reaction; 3) Understanding building and physical premises safety; and 4) Handling, storing, and disposing of hazardous materials.

A sampling of children records were evaluated. One child's record lacked information whether or not the parent gives permission for transportation (such as for emergency care), one child's immunization record was observed incomplete, and one child's record lacked a health statement.

The operation did not have written infant feeding instructions on file for the 9 month old.

The director lacked documentation of completion of one hour of training in the following topic to complete last years annual training: (1) Recognizing and preventing shaken baby syndrome; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development.

The operation did not have documentation on file showing they have notified parents of two children enrolled that the operation does not carry liability insurance.

The operational policies were evaluated and lacked written procedures for the following: 1) Promotion of indoor and outdoor physical activity and 2) How parents may access the HHSC website (www.hhs.texas.gov).

A sampling of children records were evaluated. One child's record lacked the address of the responsible individual (friend or relative) who should be contacted in an emergency when the parent cannot be reached.

The operation did not have documentation that the operation tested the smoke detectors and carbon monoxide detector for the month of April 2022.

An individual was present at inspection without a background check. This was corrected at inspection as the individuals background check was submitted.

A sampling of children records were evaluated. One child's record lacked a health statement. Two children's immunization records were observed incomplete. Provided a list of the children and their missing immunizations to the director during inspection.