Cedars International Academy

744.2007(b)(5) - Screen Time Activities - Does not include Advertising or Violence · Medium

At the time of the inspection, a classroom was seen playing the fortnite video This was brought into compliance when the caregiver turned the game off during the inspection.

744.605(10) - Required Admission Information - Physician Information · Medium

At the time of the inspection, 2 children's files reviewed did not have their physician's inforamation.

744.2501(a) - Annual Sanitation Inspection · Medium High

At the time of this inspection, the annual sanitation report had expired.

744.2753(b) - First Aid Kit - Supplies Not Expired · Medium

The operation had two different types if antiseptic ointment in the first aid kit that expired in 2017 and 2022. The director removed these from the first aid kit during inspection.

744.3559(1) - Fire Drill Monthly - Exit in 3 Minutes · Medium High

During the January 2025 fire drill the staff and children were not able to safely exit the building within three minutes. This was corrected at inspection when a drill was conducted and everyone was able to exit under 3 minutes.

744.3559(4) - Documentation of Drills · Medium

The operation did not have any documentation showing the time of fire drills to ensure that they were able to exit in 3 minutes. The staff had to call another staff during inspection to obtain this information as it was not available for review during inspection.

744.3607(a) - Inspect Fire Extinguishers Monthly · Medium High

The fire extinguishers were not inspected in the month of February 2025. This was corrected at inspection when the director conducted the inspection.

744.3619 - Smoke Detectors Testing · High

The smoke detectors were not tested in the month of February 2025. This was corrected at inspection when the director conducted the inspection.

744.3757(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector- Director or Designee Check All Detectors Monthly · Medium High

The carbon monoxide detection system was not tested in the month of February 2025. This was corrected at inspection when the director conducted the inspection.

744.2007(b)(4) - Screen Time Activities - Not Used During Eating or Rest Times · Medium

One group of kids were observed in a classroom eating snack while watching cartoons. This was corrected when the caregiver shut off the television.

744.2507(5) - Garbage Inaccessible to Children; Maintained in Sanitary Manner · Medium High

Four classrooms had garbage accessible to children as the trash cans contained garbage in them and did not have a lid on them. This was corrected when all four trash cans were removed from the classrooms.

744.801(9) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, and Smoke Detectors · Medium

The provider did have any documentation of inspecting the carbon monoxide detectors, smoke detectors, or fire extinguishers monthly. This was corrected at inspection when the provider completed all 3 inspections.

744.603(a)(2) - Children's Records - Admission Information · Medium

Ten children's admission files were missing the following information: emergency contact address, Name, address, and telephone number of the child's physician or anemergency-care facility, and authorization to obtain emergency medical care and to transport the child for emergency medical treatment.

744.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages · Medium High

Four staff did not know the children's ages or have anything to locate what the children's ages were during the inspection.

744.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

One staff allowed children outside on the playground without knowing who the children were left in care with at the end of his shift. During the inspection another staff stated she was only responsible for half of the children and I was able to observe other staff outside present with the other children.

744.1331(a) - Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee's personnel record · Medium Low

The operation did not have documentation of training for ten staff.

744.2003(1) - Care Requirements for Children Younger Than 5 - Written Plan · Medium

The operation did not have a written activity plan for any of the children in care including those under 5 years old.

744.2007(b)(1) - Screen Time Activities - Related to Planned Activities · Medium

Two staff had children watching cartoons in their classrooms. The staff shut off the televisions during the inspection.

744.2401(b) - Nutrition and Food Service - Follow Meal Patterns · Medium High

The operation is not following the meals and snacks must follow the meal patterns established by the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) that is administered by the Texas Department of Agriculture.

744.401(2) - Posting Requirements- Letter or form from the most recent licensing inspection or investigation. · Medium

The letter or form from the most recent Licensing inspection or investigation was not posted.

744.801(1) - Required Records Maintained and Made Available - Children's Records · Medium

The operation did not have children's records available for review during inspection.

744.901 - Required Personnel Records · Medium

Ten staff personnel files were incomplete and missing the required documents.

744.3501(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The operation does not have a fire inspection on file.

744.501(22) - Written Operational Policies - Emergency Preparedness Plans · High

The following policies were not available for review: Procedures for handling medical emergencies; Procedures for parental notifications; Permissions for Transportation, Water Activities, and Fields Trips, if applicable, Animals, Procedures for providing and applying, as needed, insect repellant and sunscreen, including what types will be used, if applicable; Procedures for parents to visit the operation at any time during your hours of operation to observe their child, program activities, the building, the premises, and equipment without having to secure prior approval; Procedures for parents to participate in the operation's activities; Procedures for parents to review a copy of the operation's most recent Licensing inspection report and how the parent may access the minimum standards online; If your operation maintains and administers unassigned epinephrine auto-injectors Procedures for supporting inclusive services to children with special care needs. Parents Rights

744.801(5) - Required Records Maintained and Made Available - Liability Insurance · Medium

The operation does not have the following files required at the operation: liability insurance

744.2507(5) - Garbage Inaccessible to Children; Maintained in Sanitary Manner · Medium High

There are several pieces of garbage on the playground area.

744.2501(a) - Annual Sanitation Inspection · Medium High

The operation does not have a sanitation inspection on file.

744.2501(a) - Annual Sanitation Inspection · Medium High

The operation does not have a sanitation inspection on file.

744.2507(5) - Garbage Inaccessible to Children; Maintained in Sanitary Manner · Medium High

There are several pieces of garbage on the playground area.

744.2507(6) - Floors, ceilings and Walls in Good Repair and Clean · Medium High

There is 2 inch hole in the wall of a classroom.

744.3501(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The operation does not have a fire inspection on file.

744.501(22) - Written Operational Policies - Emergency Preparedness Plans · High

The operation does not have the following operational policies: Illness and exclusion criteria; Procedures for handling medical emergencies; Procedures for parental notifications; Immunization requirements for children, including tuberculosis screening and testing if required by your regional Texas Department of State Health Services or local health authority, Permissions for Transportation, Water Activities, and Fields Trips, if applicable, Animals, Procedures for providing and applying, as needed, insect repellant and sunscreen, including what types will be used, if applicable; Procedures for parents to review and discuss with the director any questions or concerns about the policies and procedures of the operation; Procedures for parents to visit the operation at any time during your hours of operation to observe their child, program activities, the building, the premises, and equipment without having to secure prior approval; Procedures for parents to participate in the operation's activities; Procedures for parents to review a copy of the operation's most recent Licensing inspection report and how the parent may access the minimum standards online; Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website; Emergency preparedness plan; Procedures for conducting health checks, if applicable; Information on vaccine-preventable diseases for employees, unless your operation is in the home of the permit holder, the director, or a caregiver. If your operation maintains and administers unassigned epinephrine auto-injectors to use when a child in care has an emergency anaphylaxis reaction, policies for maintenance, administration, and disposal of unassigned epinephrine auto-injectors that comply with the unassigned epinephrine auto-injector requirements set by the Texas Department of State Health Services, as specified in 25 TAC Chapter 40, Subchapter C (relating to Epinephrine Auto-Injector Policies in Youth Facilities) and Texas Health and Safety Code ?773.0145. Procedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in ?744.2009 of this chapter (relating to What are my responsibilities when planning activities for a child in care with special care needs?)

744.801(5) - Required Records Maintained and Made Available - Liability Insurance · Medium

The operation does not have the following files required at the operation: liability insurance playground maintenance checklists emergency drills documentation