San Angelo Early Childhood Center

Infant was bottle fed once. Caregivers did not follow the feeding instructions given by parent.

Instructions for infant to be fed based on feeding schedule were not followed, resulting in the infant not being fed an afternoon bottle.

Older infant caregivers did not consistently provide parents with a daily report.

Caregiver and children were observed not washing their hands after diaper changing. Children were observed not washing their hands before snack. Children and caregiver were observed washing hands after inspector approached them.

An infant was observed sleeping on a bouncer. Deficiency was corrected during inspection when I asked caregiver to place baby on a crib.

During outdoor time, toddler children were observed playing closed to the playground back fence for around 19 minutes without been supervise by caregivers.

A written incident report was not provided to parent whose child was injured falling off a play structure and needed medical attention.

Caregiver in charge of a toddler's class failed to supervise a 20-month-old child who fell from a play structure. The toddler was observed on the ground for about 15 seconds before a caregiver noticed.

During walkthrough 4 years old classroom was observed having screen time while eating lunch. Deficiency was corrected during inspection. I explained caregiver standards about screen time. Caregiver was asked to turn Television off.

During walkthrough 12 infants ages 3-11 months were observed in room 8. Corrected during inspection. Director was asked to use 3rd caregiver present to move 2 infants out of room 8.

Caregiver was observed inappropriately grabbing children by arm, leg and face. Caregiver was observed throwing a child’s lunch away before the child finished eating.

Caregiver was observed inappropriately grabbing children by arm, leg and face. Caregiver was found to be abusive in that these actions placed the children at risk for injury.

Caregiver was observed not washing her hands after changing babies' diapers. Caregiver was told that after each diaper change, she must wash her hands.

A toddler was observed sleeping on a stack of 7 cots. Deficiency was corrected during inspection when inspector asked caregivers to place toddler on one cot.

A child was not buckled while in a buggy and fell out.

Caregiver without First Aid Certification was left alone with children.

Caregiver in a 12-17 months infant room was out of ratio. Caregiver was alone with 8 infants.

An infant was not properly supervised while seated in a buggy. Caregiver was involved in a conversation with another staff and was not able to intervene when the infant fell out of the buggy and was injured.