Little Texans Lake Conroe

A teacher was asked how many children she had. She said 14 but it was verified there were 15 children in care.

Based on the information gathered an ID was not checked when a child was picked up. The ID was not verified with the pick-up list in the child's file.

The emergency preparedness plan does not address how children with special needs or 24 months of age will be evacuated during an emergency.

The emergency prepradness plan does not address contuniity of care.

No fire drills have been conducted Feb., June, July, August, and Sept.

Fire extinguisher has not be checked for the months of Feb., March, April, May, June, July, August and Sept.

An infant was crying and CCR heard the infant teacher say to an upset infant they could cry all day.

CCR could hear staff yelling at children to sit down. CCR was in the front office and the yelling was coming from the back of the center.

Smoke detectors have not been tested for the months of Feb., March, April, May, June, July, August and Sept.

The lock on the back patio gate is coming apart. A picture was taken.

1 of 6 of children's files evaluated did not have the authorization to obtain medical care and to transport the child for emergency medical treatment filled out and signed. 1 of 6 children's files did not have a full date written for the date of enrollment. 1 in 6 children's files did not have an address for the emergency contact.

1 in 6 children's files evaluated did not have a health statement in the file within 12 months of the date of admission with the statement that the parent had signed off on

In one of the classrooms one caregiver had 16 children with a specified age group of three years old which exceeded the maximum of 15 children. In another classroom there were two caregivers with 12 children with a specified age group of 0-11 months which exceeded the maximum of 10 children.

There were six infants that had feeding instructions that had not been reviewed, updated, and signed by the parents in the time frame required.

There is not documentation that an annual sanitation inspection has been conducted since 4/5/21.

1 in 6 personnel records evaluated did not have documentation of their hire date, documentation of orientation, and documentation of whether pre-service training was needed or not.

There is not documentation that an annual fire inspection has been conducted since 4/20/21.

In one of four children's records evaluated, one record had a special care statement that was blank.

In one of four personnel records evaluated, one record was missing a copy of their photo identification. Note: This was corrected during the inspection when a copy of the staff member's photo ID was added to the file.

In one of four children's records evaluated, one record was missing an address for the emergency contact. Note: This was corrected during the inspection when the director contacted the parent for the information and added it to the file.

I did not observe a carbon monoxide detector at the operation.