Patricia Stock

Of the 8 children's files reviewed, 5 do not have the Date of Admission recorded.

Of the 8 children's files reviewed, 1 did not have the Emergency Medical Authorization in their file.

The caregiver is not developing a written caregiver-initiated activity plan.

Of the 8 children's files revied, 7 did not have a Health Statement in their file.

Of the 8 children's files reviewed, 3 did not have an Immunization record in their file.

Of the 8 children files reviewed, 3 did not have the Special Needs section of the admission Form completed.

The Fire Extinguisher is not being inspected monthly.

Exit times are not being documented.

Fire Extinguisher has not serviced since November of 2022.

The required documents for the household member were not made readily available.

The Benadryl and Neosporin were both expired and in the first Aid Kit.

The provider had no documentation that fire extinguishers, carbon monoxide detectors, or smoke alarms were being checked monthly.

The provider's First Aid and CPR Certification expired in Sept. 2023.

The provider was missing vaccinations for two dogs in the home.

The operation was missing two severe weather and two lock down drills for 2023-2024 year.

The provider was missing training for 2022-2023 for SIDS, Shaken Baby, and Early Brain.

The operation failed to conduct monthly fire drills. The last drill documented was April 2024.

Four out of four children's records were not maintained and were missing information in their files. Information included but not limited to the health statement from a doctor, admission date, special needs section, and release information. This is a re-cite.

The operation had an assistant caregiver present at the operation who did not have a file available during the inspection. The assistant did not have any trainings on file as well. This is a re-cite.

The outdoor play area had an extension cord that was accessible to the children. There were many leaves in the play area and the ground could not be seen. This is a re-cite.

The provider did not have documentation of lock down drills available at the time of inspection. This is a re-cite.

The provider was missing trainings for food allergies, hazardous materials including blood borne pathogens, and emergency preparedness. This is a re-cite.

The outdoor play area had an extension cord that was accessible to the children. There were many leaves in the play area and the ground could not be seen.

The provider did not have documentation of lock down drills available at the time of inspection.

Inspector observed a 14 month old infant in a walker with wheels.

The provider was missing trainings for food allergies, hazardous materials including blood borne pathogens, and emergency preparedness.

Four out of four children's records were not maintained and were missing information in their files. Information included but not limited to the health statement from a doctor, admission date, special needs section, and release information.

The operation had an assistant caregiver present at the operation who did not have a file available during the inspection. The assistant did not have any trainings on file as well.

The operation lacked fire drills for the month of February, March, May, July, and September of 2022.

The operation lacked information on the procedures for parents to review the licensing rules and reports.

The fire extinguisher had not been serviced since 9/21/21.

The operational policies lacked information on procedures for parental visits.

The operational policy lacked information on the promotion of physical activity.

The primary caregiver lacked 22 hours of annual training.

The operational policies lacked information on instructions for contacting the licensing office/online and TX Abuse Neglect Hotline.

The operation did not have the fire extinguisher mounted.

The operation lacked a completed emergency preparedness plan on file.

Two out of the four children's records evaluated lacked a health statement on file.

At the time of the follow up inspection, three children were in the home.

A carbon monoxide detection system was not made available in the home.

Smoke detectors were not made available in the children's play room.

The operational policies did not inform parents that animals were on the premesis.

The fire extinguishers have not been serviced.

The applicants First- Aid and CPR certification expired as of 8/7/21.

Two electrical cords were observed on the backyard floor between the house and a storage shed.