Carpe Diem Cedar Park (ES Austin Opco LLC)

746.707 - Incident/Illness Report Form Shared with Parent · Medium

Information obtained throughout the investigation shows that the operation did not obtain a parent signature on the incident report within 48 hours of when the incident occured.

746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps · Medium High

An infant was sleeping in an infant rocker chair without the safety straps fastened. This was corrected when the infant was removed from the chair.

746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device · High

An infant was sleeping in a restrictive device. This was corrected when the infant was removed from the restrictive device.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

A caregiver fed an infant another infant's bottle of breastmilk.

746.2401(6) - Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers · High

An infant was observed sleeping in a crib with a pacifier clip attached to the infant's sleep sack. This was corrected when the caregiver removed the pacifier clip from the crib.

746.2501(4) - Care Requirements for Toddlers - Holding and Comforting · Medium High

Information obtained throughout the investigation shows that one caregivers fails to comfort children when they are crying.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling · High

Information obtained throughout the investigation shows that a caregiver used prohibited punishment when yelling at two children. Information obtained throughout the investigation shows that two caregivers humiliated children by telling them to stop acting like a baby when they have a toileting accident.

746.603(a)(4) - Children's Records - Immunizations · Medium

One child did not have an updated immunization record.

746.2805(3) - Prohibited Punishments - Grabbing and Pulling · High

A caregiver was seen grabbing a child from the table.

746.1301(a)(1)A - Training Requirements for Employees, Caregivers, and Directors - Orientation · Medium High

Five staff were lacking orientation training.

746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training · Medium High

Three caregivers were lacking pre-service training.

746.1309(e) - Documented Annual Training- Required Content · Medium

Eight caregivers were lacking hazardous material training.

746.3401(a) - Annual Sanitation Inspection · Medium High

The operation did not have an environmental sanitation inspection.

746.3803(a)(1) - Medication Authorization - Signed and Dated · Medium High

Three children were lacking signed and dated medication authorizations.

746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date · Medium High

A medication was stored in the medication cabinet not in its original container.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional · Medium High

The operation does not have an emergency plan for a child that requires an Epi-Pen auto injector.

745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone · High

A caregiver was present caring for children without an eligible background check. Caregiver was asked to leave operation until eligible results were produced.

746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual · High

During an investigation it was determined that a caregiver yelled at a child.

746.305(a)(6) - Report Situation Placing Children at Risk · High

The operation failed to notify Childcare Regulation within the required 48-hours of a situation that placed a child at risk.

746.2419(7) - Requirements for Feeding Infants - No Walking or Sleeping with Bottle or Cup · Medium High

An infant was observed sleeping in a crib with a bottle.

746.613(a) - Required Immunizations · High

There was one child enrolled who did not have any immunizations or exemptions on file.

746.901 - Required Personnel Records · Medium

There were several caregivers employed who did not have education qualifications on file.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

One caregiver without a current background check on file was observed to be in a room with children. The background check was submitted during the inspection and the caregiver was removed from any classroom with children pending the eligibility results.

746.1203(6) - Responsibilities of Caregivers - Free of other activities · Medium High

It was observed through video footage that caregivers were not providing adequate supervision due to completing janitorial tasks in one classroom.

746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization · Medium High

It was found that the operation did not report a child injury where medical evaluation was later received.

746.701(1) - Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization · Medium

There was no incident report filled out for a child injury requiring medical evaluation. The report was created during the inspection for parents to sign.

746.2403(5) - Infant Care Area - Space to Walk Between Cribs, Cots or Mats · Medium High · No longer displayed by the state

The cribs in the infant room did not have enough space to walk between them, This was corrected when the cribs were moved to allow for room to walk between.

746.4503(b) - Cots, Beds, Mats Labeled With Child's Name · Medium · No longer displayed by the state

The nap mats in four of the classrooms did not have a child assignment nap map available. This was corrected at inspection when nap assignment chart was completed for the classrooms.

746.605(6) - Required Admission Information - Emergency Contact · Medium High · No longer displayed by the state

One out of ten child files reviewed did not have an emergency address on the admission form. This was corrected at the inspection when the address was obtained.