Kids R Kids #5

Monthly playground checklist for the previous three months were not available for review.

The director has not recieved 30 clcok hours of annual training for the July 2023-July 2024 training year. The director will need to recieve make-up training hours.

Of the 10 children's records evaluated, the following information was missing: 1. One lacked the address of the emergency contact 2. Two lacked the name, address and phone number of the child's doctor or health care facility. 3. Five lacked information regarding water activities 4. One lacked a shot record 5. Six children are behind on immunizations 6. One lacked the phone number of the school the child attends 7. One lacked the name and phone number of the school the child attends

Children did not wash their hands prior to eating breakfast.

This standard was evaluated in regard to a report recieved and compliance was not met. There were 18 children, ages 12 months to 4 years old, with one caregiver. The Specified Age Group was 2 years old which means one caregiver can only care for 11 children.

This standard was evaluated in regard to a report recieved and compliance was not met.Infants were combined with children that were more than 18 monhs older than the youngest child in the group. The youngest child was 12 months old and the oldest child was 4 years old. This was corrected at inspection.

Children under the age of 2 years old were participaitng in a screen tiime activity. This was corrected at inspection.

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. There were 41 children, ages 5-13 years old, with two caregivers. The maximum group size can't exceed 35 children. This was corrected at inspection.

Bottles and cups did not include the initial of the child's last name. This was corrected at inspection.

Staff did not receive training in one or more of the following topics for their respective training year: adminstering medications, preventing and responding to food allergies and handling, storing and disposing of hazardous materials.

The director did not receive training in the following topics for the July 2022-July 2023 training year: Abusive Head Trauma, Shaken Baby Syndrome and Understanding Early Childhood Brain Development.

Staff have not completed annual training hours in one or more of the following topics for their respective training year: SIDS, Shaken Baby Syndrome, Abusive Head Trauma and Early Brain Development.

The director did not receive training in the following topics for the July 2022-July 2023 training year: administering medications, preventing and responding to food allergies and handling, storing and disposing of hazardous materials.

The director and van drivers are not current with transportation safety training.

There were 43 children, ages 5-12 years old, with two caregivers. The maximum group size can't exceed 35 children. This was corrected at inspection.

The employee list is not current; it includes names of staff who are no longer employed at the center.

An infant was observed walking around while drinking their bottle. This was corrected at inspection.

The wrtten activity plans do not include dates and the age group..

This standard was evaluated in regard to a report received and compliance was not met. The written activity plan is not being followed.

Two and three year old children were served whole wieners. This is a choking gazard for chidlren under the age of 4.

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. A caregiver was changing a child's diaper in the bathroom with her back turned to the classroom. The caregiver was unable to see the children in the classroom.

The school-age children were having screen time during rest time.

Staff are not washing their after changing children's diapers.

Children's hands are not being washed after diaper changes.

School-age children were wathcing a PG-rated movie.

This standard was evaluated and compliance was not met. A caregiver was observed on video pulling a child's nap mat closer to her while the child was kneeling on the mat. This could have resulted in the child being injured.

This standard was evaluated in regard to a report received and compliance was not met. A caregiver was changing a child's diaper in the bathroom with her back turned to the classroom. The caregiver was unable to see the children in the classroom.

The director did not complete a training covering Understanfding Early Childhood Brain Development for the July 2021-July 2022 training year.

Of the 10 children's records evaluated; the following information was missing: 1. One lacked the date of admission. 2. Two lacked the address/phone number for the emergency contact. 3. One lacked the address and phone number of the child's doctor. 4. One lacked the name, address and phone number of the child's doctor. 5. One lacked authorization for emergency medical care. 6. Two lacked the name and phone number of the school the school age children attend. 7. One lacked the results of a heating and vision screening. 8. One child's allergy form was not signed by the parent

Of the 10 children's records evaluated, four lacked an immunization record.

Of the 10 personnel records evaluated, 7 did not receive the required number of training hours for their training year and training was not received in all of the required topics. The caregivers will need to receive make-up training hours that will not count towards the current training number.

Of the 10 children's records evaluated, one was behind with immunizations.

The director received 26 of the required 30 clock hours of annual training for July 2021-July 2022 training year. The director needs 4 clock hours of make-up training. The make-up hours will not count towards the current year.

The operational policies was lacking the following information: 1. Safe sleep policy 2. Description of water activities 3. Requirements for outdoor play and physical activity 4. Instructions for a parent to review a copy of the Minimum Standards and the most recent Licensing inspection report. 5. Information on how parents may contact the local Licensing office, the Texas Abuse Hotline and HHSC website. 6. Information for a space for mothers to breastfeed and procedures to provide breast milk. 7. Staff training requirements for reporting child abuse and neglect, increasing staff and parent awareness, etc. 8. Information on the center being in a gang free zone. 9. Staff vaccination requirements. 10. Emergency Preparedness Plan

One caregiver ignored a parent concern related to children standing on tables in the classroom, which could be considered a hazard. A child was observed standing on the table in Suite 350 on more than one occasion, in which operation staff did not intervene. Although the children were being supervised, the caregiver lacked competency and good judgement by failing to remove the child from the table, and/or acknowledging the parent concerns.

Based on the video footage observed, one caregiver did not portray good judgment by picking up a 3-year-old child by one arm, and by not tending to the child's needs. The child was picked up by one arm, which resulted in nurse maid's elbow. The child was observed crying, and the caregivers present within the classroom continued to walk by the child.

One child in Suite 500 was observed climbing on the door. The child was observed running around the classroom while other children were observed sitting at the table top. The child was not listening to the caregiver in charge.

The caregiver in Suite 250 was not aware of the youngest or oldest child in care.

Two children were observed opening the main door, and the outside door area. One child who is 2 years of age was observed opening the main door to the outside area. Another child who is 3 years of age was observed opening the main door to the hallway.

The school age classroom was observed watching a movie in the gym area during the timeframe that table top activities and breakfast was scheduled. The activity schedule for the gym class documents from 6AM-8AM, staff provide table top activities, breakfast, and clean-up.

The caregiver in Suite 250 was not aware of the youngest child in care. The Director had informed that the caregiver had just returned to employment 3 days prior.

The operation did not implement a notification to parents informing of the time frame of the field trip. The operation did not document, and/or inform parents of an expected return time.

During the walkthrough, the carbon monoxide detector was not in working condition. The carbon monoxide detector portrayed a red blinking light.

The operation did not have a current employee list posted within the facility. The office manager provided Licensing a copy of the employee list when requested. The list contained 3 names crossed out due to staff no longer being employed.

The hand washing sink near the diaper changing area of the infant classroom was being used to wash toys. Note- This was corrected during the inspection when the toys were removed from the hand washing sink and placed in the dish washing sink.

There was a toddler classroom with a specified age group of two years of age that had 12 children with one caregiver which put the classroom over ratio by one child.

Based on the information obtained, there is sufficient evidence to suggest that diaper changes are not being consistently logged in the infant daily reports.

Sixteen children were observed in Suite 500. Children within the classroom were observed throwing toys, hitting other children, and screaming. The classroom was out of control.

One caregiver was observed with 14 children, 2-3 years of age. The caregiver was not within ratio, due to the age group of children in care.

Four out five staff/caregivers records observed did not include the required 24 annual training topics/hours. File 1 contained 5 out of 24 annual training hours. File 2 contained 9 out of 24 annual training hours. File 3 contained 6 out of 24 annual training hours. File 4 contained 9 out of 24 annual training hours.

Four out of seven staff records did not include documentation of orientation. The caregivers did not check on the personnel form that orientation was received. The form was not signed, nor dated by the caregivers, or Director.

Children in Suite 500 were observed walking out of the classroom, and walking into other classrooms. One caregiver was observed with 16 children, which prevented the caregiver from all children in care.

Two out of two Director records observed did not have the required 30 annual training topics. The Director's file did not include the required annual training hours, or topics. File 1 contained 14.5 out of the 30 annual training hours. File 2 contained 22 out of the 30 annual training hours.

Based on the information obtained throughout the investigation, supervision concerns were addressed. A child was bitten in the Suite 150 classroom. The incident was not observed by either caregiver present.