Papa & Nanas Child Care

A child's immunization record did not have a healthcare professionals stamp or signature.

The fire extinguisher was not inspected in the months of February or March of 2025. This was corrected at inspection when the provider inspected it during inspection.

The smoke detectors were not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.

One child did not have current immunization records.

The carbon monoxide detection system was not tested in the month of March of 2025. This was corrected at inspection when the director conducted the inspection.

One child did not have a statement of the child's health from a health-care professional.

The operation conducted a fire drill in January of 2025 and did not exit in 3 minutes or less. The operation did not conduct a fire drill in the month of March of 2025.

The provider is not consistently using a sign-in and sign-out tracking system daily. The provider is also not including the required information daily on the tracking system in place such as: the name of each child; the date, time of arrival, and time of departure; and the employee or parent's initials or other unique identifier.

Conditions on a background check were not being followed when the subject was found during an investigation to have been alone with children and caring for them.

One caregiver did not have current training in pediatric first aid with rescue breathing and choking.

One caregiver did not have current training in pediatric CPR.

The provider did not have attendance records or time sheets listing all days and hours worked.

Conditions on a background check were not being followed when the subject was observed alone with a child while taking them to the bathroom.

Four personnel files were reviewed: 3 were missing a record of training hours 4 were missing proof of request for a background check

Two caregivers present did know who was in charge during the director's absence or for how long.

The plastic nap mats being used during inspection were not labeled with the child's name.

One infant was observed asleep in a restrictive device. The caregiver moved the infant from the restrictive device into a crib during the inspection.

Four personnel files were reviewed: 1 was missing dates of hire 1 was missing docmentation showing how the employee meets the minimum age and education qualifications 1 was missing a A Pre-Employment Affidavit form 2912 4 were missing a record of training hours 2 were missing a photo ID 3 were missing proof of request for a background check 1 was missing a statement dated/signed showing that the staff recieved a copy of operational and personnel policies

Two caregivers did not have current pediatric cardiopulmonary resuscitation (CPR).

Two caregivers did not have proof of current pediatric first aid with rescue breathing and choking training.

Two caregivers present did know who was in charge during the director's absence or for how long.

Seven children were left unsupervised in a classroom while the caregiver answered the door. This was corrected when the caregiver returned to the classroom after answering the door.

Two children were missing a statement of the child's health from a health-care professional.

The snacks did not follow the meal 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.

Two people were present without eligible background checks, and left during the inspection.

Children's records on file were missing the release form from the physician.

Meals do not reflect the posted menu, and substitutions are not tracked.

Meals served do not meet the nutritional requirements established by the U.S. Department of Agriculture (USDA).

It is alleged that a caregiver with conditions on the background check was alone with a child or group of children.

A child under the age of two was allowed screen time.

Based on the evidence obtained it was found a child was left unsupervised. A caregiver left the room to answer the front door.

A staff member did not have current first aid training updated.

A staff member did not have current CPR training updated.

Paint was found chipping off the wall in the front and in a classroom.

During a DFPS investigation it was found that time out periods being used can be up to 5-10 minutes in length.

During a DFPS investigation it was found that the operation did not report an injury that required medical attention.

A staff member did not have current first aid training.

A staff member did not have current CPR training.

Caregiver supervising children in care did not have a complete background check on file. This was corrected when the caregiver was asked to leave the operation.

During naptime, the caregiver will sit in the hallway to supervise napping children in two different classrooms.

Based on the information obtained it was determined that the infant room did not have adequate lighting during naptime.