Public records from Texas HHSC, shown in full.
Based on the evidence gathered during the investigation, the room arrangement created a tripping hazard and injury to a child.
Based on the evidence gathered during the investigation, good judgment was not used when the required notifications after a child is injured was not made.
A medication was expired at the time of the inspection.
A caregiver did not wash the infant's hands after changing their diaper. This was corrected during the inspection when I asked the caregiver to wash the infant's hands.
Three EpiPens were observed not stored in their original labeled boxes
Of the ten staff files reviewed, one employee was missing the required 24 hours of annual training. Additionally, two employees lacked training in emergency preparedness, two in building and premises safety, two in emergency planning, one in child maltreatment, one in administering medication, and one in discipline and guidance.
Out of the ten staff files reviewed, two employees did not have a notarized affidavit on file.
Feeding instructions for multiple infants had not been updated within the last 30 days.
Of the ten children's files reviewed, four were missing updated immunization records, three were missing health statements, and all ten were missing emergency contact information.
The operation did not have written policies on the following: infant safe sleep, how to access the most recent M.S. inspection form, how to contact Licensing, how to access the DFPS website, and procedures for inclusive care.
The operation did not have a completed playground maintenance checklist available for review.
The operation does not have documentation of completing monthly fire extinguisher tests. This was corrected during the inspection when the fire extinguisher were inspected by the director.
Two caregivers with a pending background check were present with access to children. This was corrected during the inspection when the caregivers were sent home.
Three children do not have a complete food allergy plan. Two of the medicaitons were expired.
The operation has not conducted monthly testing of smoke detectors or carbon monoxide detectors.
Three children do not have updated immunization records on file.
The missing Admission information has been corrected.
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