Read Institute of Texas

3 of the 4 children's files reviewed did not have a health care provider statement during an inspection on 1/4/2024. The operation was given an extension date of 2/23/24 to obtain the health care statements, however, the operation did not obtain all the children's health statements.

Equipment that is required to be mounted per manufacture instructions, was not mounted.

An annual fire inspection had not been conducted. The director stated she was informed in February of 2023 that she needed her own fire panel, but has not had this installed or had a fire inspection completed.

At follow-up, none of the staff present had current CPR/First Aid. This was discussed with the director who stated she was going to have it scheduled for today.

A location where the children and caregivers would evacuate to in case of an emergency is not shown on the evacuation diagram.

The equipment appears to be residential in nature and the operation does not have manufacturer instructions available for review.

There was not any information for the support of inclusive services in the operational policy.

3 of the 4 children's files reviewed did not have a health care provider statement.

A special care needs acknowledgment must be signed by the parent and filed in the children's file.

Playground checklist were not completed monthly, when I asked the director if the checklist had been completed monthly - she stated no. The operation had only completed the checklist for April, May, and August for 2023.

Medication was given to two different children and not signed by either of the parents.

A two year old was walking around with a bottle, after being informed the child cannot walk around with the bottle, the operation continued to allow this.

There was no loose fill installed around any of the play equipment that is used for outdoor play.

3 of 4 employee files reviewed did not have a signed operational policy statement.

Keeping Children Safe notification was not posted.

Cleaning materials were stored on a low shelf in the bathroom accessible to children.

3 of the 4 employee files reviewed did not have personnel policies signed.

Equipment that is required to be mounted per manufacture instructions, was not mounted.

There was not a posting or a policy regarding the operation being a gang free zone.

A location where the children and caregivers would evacuate to in case of an emergency is not shown on the evacuation diagram.

The equipment appears to be residential in nature and the operation does not have manufacturer instructions available for review.

None of the staff present had current CPR/First Aid. This was discussed with the director who stated she was going to have it scheduled for today.

An annual fire inspection had not been conducted. The director stated she was informed in February of 2023 that she needed her own fire panel, but has not had this installed or had a fire inspection completed.

There was not any information for the support of inclusive services in the operational policy.

1 of 4 employee files reviewed did not have a copy of the employee's drivers license or state identification.

No fire drills were documented since August of 2023, smoke detector checks had not been documented since August 2023, fire extinguisher checks had not been documented since August 2023, no lock down drills had been document for 2023, and 2 severe weather drills were documented for 2023 when the requirement is 4. I asked the director if they had done these drills and checks, she informed me she had, but did not document them.

There was no promotion of physical activity in the operational policy.

3 of the 4 children's files reviewed did not have a health care provider statement.

2 of the 4 employee files reviewed did not have orientation.

A special care needs acknowledgment must be signed by the parent and filed in the children's file.

Policies for parents to review compliance reports were not written in the operational policy.

One caregiver did not have a signed affidavit in their file or available for review.

A support staff caregiver was observed to be in direct care of children without an active background check.

The operation was osberved to not have an annual fire inspection or document stating one is scheduled from the county fire deparment or fire marshal.

The operation did not complete the required survey of employees that left employment of the operation.

One child's vision and hearing screening and still not on file for review.

At the time of inspection, one child is still missing their health statement.

The operation had not completed the CPSC certification form at the time of inspection.

At the time of inspection, two children did not have a copy of their vision and hearing screen on file.

The operation had a dome jungle gym present at the center at the time of inspection. The structure had just been purchased and placed at the center over the summer.

At the time of inspection, the director did not have a copy of her Photo ID, notarized affidavit, or personnel form for information on file for review.

The operation's last documented fire drill was in April 2022. No documentation of any other fire, severe weather, or lockdown drills were available since then.

At the time of inspection, one child did not have a health statement on file for review.

The operation had a composite play structure present at the time of inspection. The structure had swings and a slide connected.

At the time of inspection, the operation did not have a copy of their most recent health inspection on file for review.

One child did not have their most current immunization record, according to their age, on file for review.

At the time of inspection, there was no personnel or training documentation present for the second caregiver.

Three caregivers that are in charge of a group of children do not have an active background check on file. A staff member that has access to children do not have an active background check on file.

The operation does not have a current health inspection on file.

The operation does not have a current fire inspection on file.