Hortencia Gonzalez

Primary caregiver is missing 16 training hours, including the following topics: -Abuse and neglect -Safe Sleep / Shaken Baby -Food Allergies -Hazardous Materials -Administering Medications -Emergency preparedness -Communicable diseases.

Three out of four children files reviewed are missing health statements.

No severe weather / lock down drills have been conducted.

Two staff files were reviewed. Most recent training certificates were not available review for one staff members for the following topics: - Safe sleep / Shaken Baby - Administering Medications - Emergency Preparedness - Communicable Diseases

Emergency plan for a child with a food allergy is missing the possible symptoms if exposed to a food on the list; and the steps to take if the child has an allergic reaction.

Operational policies were reviewed and the following information is missing: (6) Safe Sleep Policy; (8)(c) Plan to ensure physical activity during days of extreme weather that limits outdoor time; (9) Parent' rights; (10)(a) Instructions on how parent may access the minimum standards online; and (10)(c) Instructions on how parents may access HHSC website.

The Children's Products Certification form used to prove that the primary caregiver has reviewed each of the recall notices issued by the CPSC and that there are no unsafe products in the home was not current. The CPSC form available for review had a date of March 23, 2022.

The primary caregiver's training record was not available for review during the inspection.

The operational policies reviewed did not include a plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor time. Note: This was CORRECTED during the inspection as a plan was added to the operational policies.

Animal feces was observed on a dirt area in the children's outdoor playground. This posed a safety hazard as the animal feces was in an area accessible to children. A hole measuring 1 foot 11 inches wide was observed in the children's outdoor playground posing a safety hazard.

5 of 5 children's records reviewed were missing the name and telephone number of the school a school-age child attends. Note: This was CORRECTED during the inspection as information was documented in the children's admission form.

The most recent child care regulation inspection report was not posted. The inspection report posted was from 3/12/2018.

The operational policies reviewed did not include the following information: The Promotion of indoor and outdoor physical activity that is consistent with Subchapter F: (A)The duration of physical activity at your home, both indoor and outdoor; (B)The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; (C) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor time.

The operation did not have an emergency preparedness plan available for review.

The Children's Product Safety report reviewed has not been certified since 4/03/2018.