ABC Daycare

The middle toilet in the children's restroom is leaking from the bottom of the toilet when flushed, two intake vents in the infant classroom had peeling paint with rust, and the coating of a cabinet sink in the infant classroom was peeling.

Recite: Emergency medical transport and treatment authorization forms were not available to the driver when transporting children. Noted: this was corrected during the inspection when the required information from the admission records were copied and placed in the transportation binder.

Recite: three of the six children's files did not have a physician signed health statement. All three children have been enrolled at the operation for more than 12 months.

Recite: The vehicle used to transport children, which was purchased after 12/31/2013, did not have a child safety alarm installed.

Recite: The emergency preparedness plan was reviewed and found to be missing the following information; How children will be evacuated or relocated to the designated safe area or alternate Shelter, How your staff will evacuate and relocate with the essential documentation including:(A)Parent and emergency contact telephone numbers for each child in care , (B)Authorization for emergency care for each child in care and (C)The child tracking system information for children in care, How your staff will continue to care for the children until each child has been released, and How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted.

Recite: The fire extinguisher in the van utilized to transport children was observed not to be secured.

Recite: Emergency medical transport and treatment authorization forms were not available to the driver when transporting children.

Recite: The vehicle used to transport children, which was purchased after 12/31/2013, did not have a child safety alarm installed.

Monthly testing of the Carbon Monoxide detectors was not being conducted.

One of the six children's files reviewed did not have the address for the child's physician.

In a room with a group of children with a specified age of 0-11 months, the group was oiut of ratio iwth five infants to one caregiver. Noted: to come into compliance, chilren were moved around.

The director's file was not available for review.

The fire extinguisher in the van utilized to transport children was observed to not be secured.

Six of the six children's files did not have a physician signed health statement. All six children have been enrolled at the operation for more than 12 months.

One of the six children's files reviewed did not have authorization for emergency medical care.

Five caregivers and the director did not have HASA required training certificates in Preventing and responding to emergencies due to food or an allergic reaction and Handling, storing, and disposing of hazardous materials.

The emergency preparedness plan was reviewed and found to be missing the following information; How children will be evacuated or relocated to the designated safe area or alternate Shelter, How your staff will evacuate and relocate with the essential documentation including:(A)Parent and emergency contact telephone numbers for each child in care , (B)Authorization for emergency care for each child in care and (C)The child tracking system information for children in care, How your staff will continue to care for the children until each child has been released, and How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted.

One of the six children's files reviewed did not include necessary information for their emergency contact, an address.

A record of hours and days present at the operation was not available for the director.

Emergency medical transport and treatment authorization forms were not available to the driver when transporting children.

Two caregivers provided an inaccurate count of the children in their care. An infant caregiver advised she had four children, but there were five in her care. A toddler twos caregiver advised she had eight children, but there were seven children in her care.

Two of the six children's files reviewed did not have up-dated immunization records available.

The vehicle used to transport children, that was purchased after 12/31/2013 did not have a child safety alarm installed,

There was no documentation indicating that the fire extinguishers were being insepected monthly.

Recite: Two caregivers did not have certificates available for review in the required topics listed in this standard: communicable diseases, administering medication, preventing/responding to emergencies due to fool allergies, understanding building and physical premises.

Recite: the director did not have certificates available for review in the required topics listed in this standard: communicable diseases, administering medication, preventing/responding to emergencies due to food allergies, and understanding building and physical premises.

The director did not have training required for caring for children 24 months and younger available for review.

The director did not have training in child maltreatment available for review.

One of the six children's files reviewed did not have all necessary information for the listed emergency contact.

Three caregivers did not have training certificates available for review in required topic, Child Maltreatment.

Two o the six children's files reviewed did not have a signed health statement. Noted: These children have been enrolled over a year and need a physician signed health statement.

The director did not have training in required topics available for review.

The director did not have the required amount of training hours in listed topics available for review.

Three caregivers did not have certificates available for review in required topics listed in this standard.

Two of the six children's files reviewed did not have signed authorization for emergency medical care.

At time of inspection, two out of the six children files did not have updated immunizations.

At time of inspection, three out of the six children files did not have date of admission.

At time of inspection, the last fire drills documented were in May and February 2024.

At time of inspection, two out of the six children files did not have the complete information for the emergency contact.

At time of inspection, two caregivers that work with children under twenty-four months did not have: (1) Recognizing and preventing shaken baby syndrome; (2) Preventing sudden infant death syndrome; and (3) Understanding early childhood brain development.

At time of inspection fire inspection was last conducted September 2023.

At time of inspection a fifteen year old was observed in a toddler class without a cleared background check. This was corrected at inspection.

At time of inspection a toddler caregiver did not redirect a child with positive statements when child was not following instructions.

At time of inspection, director did not have a current transportation training, last reviewed was in 09/2022.

During a DFPS investigation inspection, a caregiver was observed and heard yelling at children in care.

During the course of a DFPS investigation, caregivers admitted to placing a child in a restrictive device to limit the child's movement for over 20 minutes until the child fell asleep in the device and was moved approximately five minutes later.

At time of inspection five out of the six staff files did not have education qualifications for review.

At time of inspection three out of the six children files did not have complete emergency contact information.

At time of inspection three out of the six staff files evaluated did not have employment start date.

At time of inspection, three out of the six children files evaluated were not answered in the following sections: transportation, field trips and water activities.

Infant class was observed to have 5 children to 1 caregiver. This was corrected during inspection.

At time of inspection there was a caregiver with no active background check in a toddler class. This was corrected at inspection, caregiver left operation.

During inspection infant room had 5 children to one caregiver.

During inspection infant room had 7 children to one caregiver.

Fire drills only had date and time conducted documented, no initials of staff nor length of evacuation.

4 sleeping mats were observed to be torn in multiple toddler rooms.

3 out of 4 children files were missing date of admission.

Vehicle used to transport children did not have fire extinguisher at time of inspection.

4 out of the 5 staff files reviewed at inspection did not have begin day of employment.

Two caregivers are still lacking current SIDS, Shaken Baby Syndrome, and Early childhood brain development training.

An individual with a pending background check was observed alone supervising children.

Two infants did not have their hands washed after getting their diapers changed.

A caregiver did not wash their hands after changing an infants diaper and before changing the next infant's diaper. This was corrected when the caregiver washed her hands after it was addressed.

A classroom with the specified age group of 17 months was out of ratio. There were 7 children with 1 caregiver.

Three caregivers who care for infants do not have current training hours in the following topics: SIDS, Shaken Baby Syndrome, and Early childhood brain development.

The operation does not have documentation on file of the emergency drills they have conducted. The operation has not conducted fire drills since January 2022.

Three play yards with infants sleeping inside had loose sheets not securely snug to mattress. This was corrected when it was addressed with caregivers and they tighten the sheets.

Five employees do not have current training hours in the following topics: -Handling, storing, and disposing of hazardous materials -preventing and responding to emergencies due to food or an allergic reaction

The infant classroom was 1 infant over their maximum group size. The class had 11 infants between ages 0-10 months with 2 caregivers.

A caregiver did not redirect a child with positive statements when they threatened to put the child in a high chair if they didn't behave.

There were no written infant feeding instructions for the infants being cared for in the infant room.

Pre-service training and annual training hours in health and safety topics were not available for review for 5 employees. Caregivers observed caring for infants did not have infant safe sleep training on file for review.

The safety strap on one of the high chairs in the infant room was missing the center fastener not allowing the straps to securely fasten.

The operation did not have documentation on file of the emergency drills they have conducted.

9 play yards in the infant room did not have snug fitted sheets on matress.

Two individuals with pending background checks were observed in the classroom with children. Addressed with director who stated they will not return until they receive an eligible status.