Clara Ketner

One child's record evaluated did not have parent signed documentation to show that the operation notified the parent of the child in care in writing that you do not carry liability insurance.

The operation did not have documentation of current vaccines for one of the dogs in the home.

The primary caregiver lacked 10.5 hours training to complete last years annual training.

A sampling of children records were evaluated. One child's record lacked their date of admission. One child's record lacked the address of their designated contact. One child's record lacked the names and telephone numbers of persons other than a parent to whom the child may be released. Two children's records lacked documentation the parents received a copy of the operational policies. Two children's records lacked a health statement. One child's record lacked an immunization record. One child's immunization record was observed incomplete. Provided a list of the children and their missing information to the primary caregiver at inspection.

A composite play structure was observed on the playground that contained a glider swing.

A composite structure was observed on the playground that contained swings and slide that did not meet use zones.

Fourteen children were present at inspection. These numbers exceed the operations licensed capacity. This was discussed with the primary caregiver. This was corrected at inspection as two children were picked up.

One caregiver was observed supervising 14 children, ages 2 years, 2 years, 3 years, 3 years, 4 years, 4 years, 4 years, 4 years, 5 years, 5 years, 5 years, 7 years, 9 years, and 11 years at inspection. These numbers exceed the numbers allowed in a Registered Child Care Home with one caregiver. This was discussed with the primary caregiver.

The primary caregiver did not have documentation of their education qualification.

The primary caregiver lacked 10 hours training to complete last years annual training.

The operation did not have documentation that they have notified parents of 4 children enrolled that the operation does not carry liability insurance.

The primary caregiver did not have current CPR/First Aid training.

A sampling of children records were evaluated. One child's record lacked the address of their designated contact; two children's immunization records were observed incomplete; three children's records lacked a health statement.

The operational policies were evaluated and lacked the following written procedures: 1) Safe sleep policy; 2) animals; 3) promotion of indoor and out door activity at your home, both indoor and outdoor; 4) procedures for parents to visit the home any time without having to secure prior approval; 5) procedures for parent to review a copy of the child care homes most recent inspection report and how parents may access the standards online; 6) instructions on how a parent may contact the local licensing office, access the Texas Abuse and Neglect Hotline ([phone redacted]), and access the HHSC website (www.hhs.texas.gov).

The operation did not have a current menu available for all snacks and meals served nor menus available for the past three months of all snacks and meals served.

Seven children were observed in care, ages 2 years, 2 years, 2 years, 3 years, 3 years, 4 years, and 4 years. These numbers exceed the ratios allowed in a Registered Child Care Home. This was discussed with the primary caregiver.

This standard was reviewed as a follow-up to a previous inspection and found deficient. A partial string of rusted barbed wire was observed above the top of one side of the fence around the playground. A metal pole from the fence was protruding out from the fence.

This standard was reviewed on 3/23/2022 as a follow-up to a previous inspection and found deficient. One child's record lacked information regarding whether or not the child has diagnosed food allergies. One child's record lacked documentation that the parent received and reviewed a copy of the operational policies. One child's record lacked an immunization record. One child's record lacked a health statement.

One string of rusted barbed wire was observed above the top of one side of the fence around the playground.

The menus maintained did not include what the operation has served for snack each day. This was corrected at inspection as the operation wrote in what is being served for snack.

A sampling of children records were evaluated. One child's record lacked their date of admission. Two childre's records lacked the address of their designated contact. One child's record lacked emergency care authorization. One child's record lacked the complete address of their physician and the physicians phone number. Two children's record lacked infomration regarding whether or not the child has diagnosed food allergies. One child's record lacked documentation that the parent received and reviewed a copy of the operational policies. One child's record lacked na immunization record. Two children's immunization record were observed incomplete. One child's record lacked a health statement.

The primary caregivers record lacked a notarized affidavit.

The primary caregiver lacked training in the following topics to complete last year's annual training: (1) Emergency preparedness; (2) Preventing and controlling the spread of communicable diseases, including immunizations; (3) Preventing and responding to emergencies due to food or an allergic reaction; (4) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (5) Handling, storing, and disposing of hazardous materials.

The Emergency Preparedness Plan was evaluated and laced written procedures for the following: 1) An emergency evacuation and relocation diagram and 2) Name and address of the alternative shelter away from the home you will use as needed.

The operational policies were evaluated and lacked the following written policies and procedures: 1) animals; 2) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (A-C); 3) Procedures for the parent to review a copy of the child-care home's most recent Licensing inspection report and how the parent may access the minimum standards online; 4) Instructions on how the parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website.