Mama Grace Playhouse

Screen time was being utilized while a child under 2 years of age was present.

Screen time was observed to exceed one hour.

5 children in care did not participate in outdoor activities in the afternoon for the minimum daily required time.

Four toddler cups were observed to be lacking a label identifying which child it belongs to. A cup was given to the wrong child.

Multiple negative statements were witnessed being utilized by a caregiver when redirecting children's behavior.

A caregiver did not use soap and water to wash hands after changing a diaper. This was corrected at inspection when it was addressed with the caregiver.

A diaper was changed on the sofa and there was not a diaper changing mat utilized. This was corrected at inspection when it was addressed and a non-absorbant mat that can be utilized for diaper changing was made available by the owner.

Re-cited: This citation is being recited because operation failed to update and create complete operational policies. The operational polices were lacking several required items including: a statement regarding medication administration, promotion of indoor/outdoor physical activity, parent rights, emergency preparedness, and information on how to access the abuse/neglect hotline and HHSC website.

The operational polices were lacking several required items including: a statement regarding medication administration, promotion of indoor/outdoor physical activity, parent rights, emergency preparedness, and information on how to access the abuse/neglect hotline and HHSC website.

The operational polices were lacking several required items including: a statement regarding medication administration, safe sleep policy for infants, promotion of indoor/outdoor physical activity, parent rights, and emergency preparedness.

Screen time activities were utilized when a child under 2 years old was present. This was corrected at inspection when it was addressed and the screen time activity ended.

The Keeping Children Safe poster was not posted.

The most recent licensing inspection form was not posted.

There were no documents to verify that the parents have been notified in writing that the operation does not carry liability insurance.

2 out of 4 children's records reviewed were lacking a health statement.

Documentation for safety drills was not available.

Re-Cited: 1 out of 4 children's records reviewed were missing immunization records.

The primary caregiver and substitute caregiver are both lacking up to date pediatric first aid and CPR. Both caregivers trainings expired in 2023.

1 out of 4 children's records reviewed was missing an admission date.

There was a ziploc bag with multiple prescription medications located in the dining area and it was accessible to children in care.

1 out of 4 children's records reviewed were missing immunization records.

2 children were served their afternoon snack on a bare table.

The dining room and kitchen area had large amounts of mail, paperwork, and various items that children could access. There were multiple toys along the fenceline outside with spiderwebs. There was also a container of lighter fluid and a large jug of disinfectant solution accessible to children in the backyard play area. There were also a couple of cracked/broken play items outside.

The operational policies were not complete.

Two of seven children's records reviewed lacked address for emergency contact.

Caregiver lacked 24 annual training hours.

Provider lacked 30 hours of annual training.

The children's product form was not re-certified.

One eight month old child not on table food did not have any written feeding instructions. A copy of an example of a feeding form was provided.

Four toddlers were observed sitting in high chairs for more than 40 minutes to ensure they do not run around the infant child on the floor.

One out of two staff files lacked a signed statement of receiving copy of the operational policy.

Screen time was observed to be utilized for more than one hour in addition, one 4 year old child was allowed to have screen time on a cell phone for more than one hour.

One out of four children's files lacked a signed copy of acknowledgment of the operational policy.

Scrren time was being used with a child 8 months old and a 13 month old.

One 12 month old baby was left awake in an empty crib for more than 45 minutes.

Two out of two staff records lacked SIDS training.

Three out of four children's records lavcked a health statemnet signed by a physican.