Houston Racquet Club

One caregiver was observed caring for a group of 27 children ages 8-14 years old. The caregiver did not have an eligible background check. Note: The caregiver left during today's inspection.

The emergency preparedness plan did not include written procedures for evacuating and relocating children with limited mobility or who otherwise may need assistance in an emergency.

The emergency preparedness plan did not indicate how staff will continue to care for children until each child has been released.

The operational policies provided for review during today's inspection did not include the following policies: -Procedures for handling medical emergencies. -Procedures for parental notifications. -Discipline and guidance that is consistent with Subchapter G. -Meals and food service practices. -Procedures for providing and applying, as needed, insect repellant and sunscreen, including what types will be used. -Parent rights. -Procedures for parents to review and discuss with the director any questions or concerns about the policies and procedures of the operation. -Instructions on how a parent may access the Minimum standards online, Texas Abuse and Neglect Hotline, and the HHSC website. -Information on vaccine-preventable diseases for employees. -Procedures for supporting inclusive services to children with special care needs.

The emergency preparedness plan did not include written procedures stating how staff will evacuate and relocate with the essential documentation such as authorization for emergency care for each child in care.

The emergency preparedness plan did not include how the operation will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted.

As of today, July 23rd, 2024 the operation has not provided documentation showing completion of the skills-based portion of pediatric CPR training for 1 caregiver.

Children's files evaluated did not contain the following information: (A)Any limitations or restrictions on the child's activities (B)Special care the child requires, including: (i) Any reasonable accommodations or modifications (ii) Any adaptive equipment provided for the child, including instructions for (A)Any limitations or restrictions on the child's activities (B)Special care the child requires, including: (i) Any reasonable accommodations or modifications (ii) Any adaptive equipment provided for the child, including instructions for how to use the equipment; and (iii) Symptoms or indications of potential complications related to a physical, cognitive, or mental condition that may warrant prevention or intervention while the child is in care; and (C)Any medications prescribed for continuous, long-term usehow to use the equipment and (iii) Symptoms or indications of potential complications related to a physical, cognitive, or mental condition that may warrant prevention or intervention while the child is in care and (C)Any medications prescribed for continuous, long-term use Authorized release contact information

2 caregivers did not have documentation showing the skills based cpr portion of the training was completed.

4 out of 10 staff files evaluated did not contain valid photo identification as they were expired.

The annual sanitation inspection has not been conducted since March of 2022.

A food allergy emergency plan has not been signed by a health care professional.

Documentation showing the employees attendance records was not available for review upon request during the inspection.