The Nest School San Antonio

The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.

It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.

A caregiver did not have current training in required topics (Medication administration and Preventing and responding to emergencies due to food or an allergic reaction).

At time of inspection six out of six children files did not have if children can swim without assistance, need a life jacket or if child has a condition that would put them at risk while swimming.

At time of inspection last fire inspection was conducted on 9/27/22.

At time of inspection the loose fill under the swing area was not adequate as ground was visible.

At time of inspection, operation did not have a carbon monoxide detector.

On 6/19/2023, the operation reported to child care regulation that an assistant caregiver was working directly with children without having received a determination of eligibility to be present at the operation.

4 out of 8 children files did not have complete emergency contact information.

5 out of 8 files reviewed were missing employment start date.