Central Storybook Village Day Care · 155 McGovern Rd, Houston

The facility's parent letter explaining the emergency procedures did not include their plan for a lockdown.

An excursion bag containing a first-aid kit was observed in a cube storage unit by the entrance to the older toddler room, where it was accessible to children in care.

The operator's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not include the prevention and identification of child maltreatment, as per Announcement C-22-03.

The record for staff #1 lacked verification of 2 years child care experience required to work as an AGS.

A written plan of daily activities was not posted in the nesting/cribs room.

The file for staff #1 contained an invalid state police clearance. The clearance lacked the dissemination date.

The facility's parent letter explaining emergency procedures did not address accommodations made for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The sink near the diapering tables in the young toddler room lacked steps to allow children to easily approach. Staff were observed holding a child up to the sink to wash hands. Based on statements made by staff, children receiving care in this room are able to use the steps at the other sink in the room.

The following expired medications were observed; an epi pen labeled for child #1 expired 8/2023 and Mylicon Gas Relief for child #2 expired 6/2023.

The following medications lacked written parental consent for administration; Zyrtec labeled for child #3 and Neosporin labeled for child #4.

The file for staff #2 contained consecutive health assessments dated more than 12 months apart. The most recent health assessment on file is now current.

Emergency contact information for 3 children observed in the nap room was not present in the child care space.

The 4 child care rooms in the basement lacked first aid kits.

Basement rooms 2 and 3 lacked toys or materials for auditory development.

Basement rooms 1, 2, and 3 lacked art materials.

The refrigerator located in the kitchen off Basement room 1 lacked a thermometer.

The facility's emergency plan did not address continuity of operations.

A protruding screw with sharp plastic attached was observed on the wall of one of the stalls in the older toddler restroom.

Two loose bells with a diameter of less than 1 inch were observed in a bin containing musical instruments in the older toddler room. Exposed foam batting was observed to be accessible to children on the back of a Fisher Price reclining infant seat in the Nest room.

Tears or cracks, exposing the inner foam filling, were observed on 2 folding chairs used by staff in the young toddler/infant room.

The file for child #1 contained an immunization record which did not include documentation of the child receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. A written exemption was not on file.

The file for staff #1 contained consecutive health assessments conducted more than 24 months apart. The most recent health assessment on file is now current.

The facility's emergency plan did not address accommodations for infants and toddlers.

An emergency drill was not conducted by the 12/19/21 deadline. Documentation of a drill conducted on 8/02/22 is on file and now current.

The fire alarm inspection reports presented were dated more than 1 year apart; 7/30/21 and 8/12/22.

Staff person #2 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet):Pediatric CPR/FA. Current training is now on file.

Staff person #3 did not renew mandated reporter training within 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/26/17 and the most recent training being dated 2/08/22.

The Health Assessments for Staff #2 were dated 8.16.19 and 8.27.21, which exceeded the 24-month renewal requirement.

The Mandated Reporter trainings for Staff #1 were completed on 1.19.15 and 7.7.20, which exceeded the 60-month renewal requirement.