Wolf Ranch YMCA of Central Texas

744.301(7) - Notification of Additional Services Offered · Medium

The operation provided field trips without notifying licensing of offering the new services.

744.2669 - Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent · Medium High

Two children had allergies, but the allergy emergency plans were not available for review.

744.605(11) - Required Admission Information - Emergency Medical Authorization · High

10 children did not have authorization to obtain emergency medical care.

744.605(6) - Required Admission Information-Emergency Contact · Medium High

One child did not have an emergency contact address.

744.623(1) - Immunization Records - Signed Statement from Parent · Medium

9 children did not have their public school information written in to inform where their immunization records were located.

744.2669 - Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent · Medium High

The operation did not have a food allergy plan-emergency for two children with a diagnosed food allergy.

744.1013(c) - Director's Absence - Employees Know Who Is in Charge · Medium

The staff present during inspection did not know was in charge at the operation while there is no director present.

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

The operation's snack that was served during inspection did not follow the meals and snacks 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.

744.2669 - Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent · Medium High

The operation did not have a food allergy plan-emergency for three children with a diagnosed food allergy.

744.401(6) - Posting Requirements - Daily Menu, Including All Snacks and Meals Prepared or Served · Medium

No menu was posted or available for review during inspection.

744.403(a) - Posting Requirements-Prominent, Public, or Binder · Medium

The operation was missing the following required postings: license, the letter or form from the last inspection or investigation. This was corrected at inspection when another staff brought a binder with the postings in them.

744.403(b) - Posting Requirements-List of Child's Food Allergies · Medium High

There was no posting at the operation to indicate which children had a food allergy despite the staff indicating they did have three children with a diagnosed food allergy enrolled.

744.601(c) - Provide Access to Children's Records - Licensing · Medium

The children's records were not available for review during the inspection. This was corrected when another staff arrived to provide access to the children's records during inspection.

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

A caregiver was at the operation without a cleared background check. The caregiver was asked to leave the operation. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.

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

During an investigation it was found that a child was able to leave the cafeteria without the caregivers being aware that the child had left. It was also found that children are able to leave the cafeteria area without supervision from an adult.