Tiny Tots Childcare

At the inspection, 2 out of 3 children's records reviewed did not have the address for the emergency contact in the file.

At the inspection, 3 out of 3 children's records reviewed did not include a health care provider statement.

At the inspection, the operational policy did not include information related to having an unassigned epipen available for emergency situations.

At the inspection, the grass on the playground was knee high and needs to be mowed.

At the inspection, two out of four training records reviewed did not complete their hours within the training year. Two caregivers need 9 hours of annual training.

At the inspection, the operation did not have a working carbon monoxide detection system.

This standard was evaluated as part of the investigation and found to be deficient. The children in the infant classroom were moved into another room in January after a frozen pipe busted in the classroom. The classroom was not tested for mold until 2 months later and the result was positive.

This standard was evaluated as part of the investigation and found to be deficient. The operation did not notify Child Care Regulation about an arrest of one of the caregivers employed at the center.

At the inspection, the operational policy did not include information supporting inclusive services for children with special needs.

At the inspection, two infants age 7 months and 15 months were present on the playground with the older children through age 7 years old.

At the inspection, the operational policy did not include information regarding having an unassigned epinephrine auto injector at the operation.

At the inspection, the director has recorded 9 hours of annual training and needs 21 hours of training to complete the 2023 training year.

At the inspection, two caregivers violated the conditions set by CBCU by being left alone with a group of children in care at the operation.

At the inspection, 2 out of 2 personnel training records reviewed did not meet the required 24 hours of annual training. One caregiver needs 14 hours of training and the other caregiver needs 11 hours of annual training for the 2023 training year.

This standard was evaluated as part of the investigation and found to be deficient. A caregiver allowed children age 3 & 4 years old to play in the front parking area of the operation and not be fenced or in an enclosed outdoor activity space.

At the investigation inspection, it was determined the fire inspection expired as of 2/24/23.

This standard was evaluated as part of the investigation and found to be deficient. The children present were combined in a classroom together ages 7 months to 5 years old.

11/2/23- At the follow-up inspection, one caregiver needs 5 hours of training to complete the training year. At the inspection, 2 caregivers did not meet the 24 hour requirement of annual training, one caregiver needs 19 hours of training and the other needs 3 hours of annual training for the training year.

At the inspection, the director did not meet the 30 hours of required annual training for the training year and needs 12 hours of training.

At the inspection, the operational policy did not include information related to preventing and respnding to abuse and neglect of children.

At the inspection, 3 out of the 4 children's records reviewed did not include a health care provider statement.

At the inspection, 2 caregivers did not meet the 24 hour requirement of annual training, one caregiver needs 19 hours of training and the other needs 3 hours of annual training for the training year.

At the inspection, the operational policy did not include information related to maintaining and administering unassigned ephinephrine injectors for use during an emergency.

At the inspection, 2 out of 4 children's records reviewed did not include information of receiving the operational policy.

At the inspection, the practice drills documentation was incomplete for half of the 2023 year.

At the inspection, the operational poilcy did not include information related to services for children with special needs.

At the inspection, the operational policy did not include information related to accessing the HHSC website.

This standard was evaluated as part of the investigation and found to be deficient. It was determined the caregiver was taking infant children to the playground one at a time, leaving the room with one infant and leaving the other infants unsupervised in the classroom.

This standard was evaluated as part of an investigation and found to be deficient. The infant caregiver is not sharing a daily report with parents of infant children every day of the week.

At the inspection, the director and the caregivers present did not have current CPR training.

At the inspection, one caregiver that started in May 2022 did not have proof of having completed pre-service training.

At the inspection, the director needs 22 hours of training for the prior training year.

At the inspection, the director and the two caregivers did not have current first aid training.

At the inspection, the operational policy did not include the information related to the promotion of indoor/outdoor physical activity.

At the inspection, one caregiver needs to complete 24 hours of annual training.

This standard was evaluated as part of an investigation and found deficient. The operation failed to self-report a positive case of Covid within the required 48 hours. The operation was informed by a teacher that was positive on 8/4/22 and did not report until 8/10/22.

At the inspection, the director did not have annual training hours for the year 2020-2021.

At the inspection, the operational policy did not include the indoor/outdoor physical activity information.

3 out of 4 childrens records reviewed did not have the information required for emergency contacts.

At the inspection, a bottle was present in the crib of a 10 month old sleeping infant. The operation corrected at inspection.

3 out of 4 childrens records reviewed at the inspection did not include the emergency care authorization information.

The fire inspection for the operation has expired and is dated 7/27/2020.

At the inspection, the director did not have annual training hours for the year 2020-2021.

At the inspection, the caregiver was not expressing positive language or encouraging good behavior with children playing in centers and at clean up time.

1 out of 4 children's records reviewed at the inspection did not include a current immunization.