Primrose School At Austin Village

An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)In the space that serves infants, a child's feeding plan was not on site and was sent home with the family to make changes.

Violation corrected during visit

The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space one (1) and space two (2), serving infant aged children did not have the safe sleep policy posted.

Violation corrected during visit

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space eight (8), several diaper creams/ointments permission forms had expired. In space eight (8), more than one half (1/2) of diaper creams/ointments did not have permission to administer forms.

Violation confirmed corrected by letter received from provider on 2/23/2026

Children were not adequately supervised at all times. One (1) child in the room that serves toddlers left the room when a teacher opened an outside door and was left unsupervised on the outdoor play area for approximately five (5) to (6) minutes.

Violation confirmed corrected by letter received from provider on 5/22/2025

A current activity plan was not posted for each group of children for reference. In each of the classrooms the activity plan was not current for the group of children it serves.

Violation corrected during visit

A valid qualification letter was not on file and available to review at the facility. V.S. did have a letter but it was not on file.

Violation corrected during visit

Children were not adequately supervised at all times. A staff member left seven (7) two year old (2) children alone in a classroom.

Violation confirmed corrected by letter received from provider on 3/20/2025

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A child has a prescription diaper cream that is being administered without written permission and instructions form the parent and authorized health professional.

Violation confirmed corrected by letter received from provider on 3/11/2025

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member's S.M, C.C, and M.S did not have a medical report on file.

Violation confirmed corrected by letter received from provider on 3/11/2025

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member's L.H, M.S, C.C, and S.M did not have documentation of a current passing TB test or screening on file.

Violation confirmed corrected by letter received from provider on 3/11/2025

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member M.S, did not have a health questionnaire on file.

Violation confirmed corrected by letter received from provider on 3/11/2025

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member's L.H, M.C, and C.C did not have Emergency Information form on file on or before the first day of work.

Violation confirmed corrected by letter received from provider on 3/11/2025

All staff records, except financial records, were not made available for review. Staff member B.A's file was not available for review.

Violation confirmed corrected by letter received from provider on 3/11/2025

Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A child's application did not have medical information was not in the child's file for review.

Violation confirmed corrected by letter received from provider on 3/11/2025

Medical exam or health assessment record was not on file before or within 30 days after admission. A child's file did not contain the required medical exam or health assessment within the required timeline.

Violation confirmed corrected by letter received from provider on 3/11/2025

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff member's B.K, C.C, N.M, K.C, M.S, M.R, L.H, J.B, and S. W. did not have signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy in staff files.

Violation corrected during visit

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member A.D. did not completed the required training within the ninety (90) day timeline.

Violation confirmed corrected by letter received from provider on 3/11/2025

A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. A child's file did not have a parent signature acknowledging the receipt and explanation of the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy.

Violation confirmed corrected by letter received from provider on 3/11/2025

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On January 17, 2025, a staff member used explicit language and yelled in front of a classroom of two-year-old children.

Violation confirmed corrected by letter received from provider on 3/6/2025

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In the adult bathroom there was a cabinet, although had a lock was not locked, with a aerosol air freshener. It was placed in locked storage during the visit.

Violation corrected during visit

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In the room serving one (1) and two (2) year old children that did not have correct authorization for topical creams for four (4) children.

Violation confirmed corrected by letter received from provider on 2/28/2024

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In the room that serves one (1) and two (2) year old children there were three (3) expired medication authorizations. In the room that serves two (2) and three (3) year old children there were several authorizations for medications that were expired or in the wrong room

Violation confirmed corrected by letter received from provider on 2/28/2024

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member L.E. did not have a medical report on file.

Violation confirmed corrected by letter received from provider on 3/1/2024

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member L.E. did not have a TB test or screening on file.

Violation confirmed corrected by letter received from provider on 2/28/2024

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member J.T. did not have a health questionnaire on file.

Violation confirmed corrected by letter received from provider on 3/1/2024

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member J.T. did not have an updated Emergency Information form on file.

Violation confirmed corrected by letter received from provider on 2/28/2024

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff members E.M., H.B, and L.E. did not have at least sixteen (16) hours of orientation on file.

Violation confirmed corrected by letter received from provider on 2/28/2024

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members E.M., H.B, and L.E. did not have documentation on file for their first weeks of orientation.

Violation confirmed corrected by letter received from provider on 2/28/2024

A valid qualification letter was not on file and available to review at the facility. Staff member H.B. did not have a qualifying letter on file, but was able to print her current letter and placed it in her file.

Violation corrected during visit

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. There was no shelter in place or lockdown drill documentation on file for the year of 2023 or the current year.

Violation confirmed corrected by letter received from provider on 3/1/2024

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In the room that serves preschool age children, the medication authorization was not on file therefore did not meet the standing authorization to administer the medication if/when needed.

Violation confirmed corrected by letter received from provider on 3/1/2024

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member L.E. did not have a record of Recognizing and Responding to Suspicions of Child Maltreatment in her file.

Violation confirmed corrected by letter received from provider on 3/1/2024

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #7 (seven) 2 (two) outlets were not covered.

Violation corrected during visit

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #8 (eight), there were several hazardous cleaning solutions left in an unlocked cabinet within reach of children in the room.

Violation corrected during visit

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space two (#2) there were plastic bags hanging within reach of the children in the classroom

Violation corrected during visit

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. F.T. did not have a medical report on file prior to employment.

Violation confirmed corrected by letter received from provider on 10/30/2023

A valid qualification letter was not on file and available to review at the facility. F.T. does have a qualifying letter permitting her to work but it was not able to view at the visit.

Violation confirmed corrected by letter received from provider on 10/30/2023

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #6 (six) and space #5 (five) there were epi pens for emergency use without medical administration logs present and medical permission slips for administration did not contain complete information/instructions for use.

Violation confirmed corrected by letter received from provider on 10/30/2023

Fire drills were not practiced monthly and/or the drill record was incomplete. The facility had not completed the monthly fire drills for June, July, and August 2023.

Violation confirmed corrected by follow-up visit made by consultant on 9/20/2023

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Per administrators report and observation of staff files the staff have not complete the required number of hours of on-going training according to their education and experience. Although the training was in process it was not completed within the required time frame.

Violation confirmed corrected by follow-up visit made by consultant on 9/20/2023

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. During today's observation the children from Space 4 had been combined with the children in Space 3 making a total of 25 children. The space capacity for the room was 27 but the youngest child in care in the space was four years old therefore the group size was no more than 25 children.

Violation confirmed corrected by follow-up visit made by consultant on 9/20/2023

Children were not adequately supervised at all times. Per staff persons who observed the incident report one staff person, BM, failed to properly supervise children and left one child unattended in at bathroom for approximately 15 minutes and took the other children outside to the outdoor learning environment. This was reported by the staff person who stated that she opened the playground door and the child who had been in the bathroom in the adjoining classroom who was trying to join the classroom and she reported both groups of children had been on the playground for about 15 minutes.

Violation confirmed corrected by follow-up visit made by consultant on 9/20/2023

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Per teacher who observed the incidents report, one staff person, BP, lifted a child onto the diaper changing table aggressively bumping the child's head on the changing table surface. Per five (5) of the eight (8) interviewed staff persons one staff, BP, repeatedly said derogatory or inappropriate remarks about children or children's family.

Violation confirmed corrected by follow-up visit made by consultant on 9/20/2023