Kids R Us Academy

There was a mop bucket full of water in the kitchen area accessible to children.

A child under 5 was observed going to the bathroom outside of their classroom, down the hall, unescorted, unattended, and without supervision.

Three children under 5 years old on three different occasions went to the restrooms by themselves without direct caregiver supervision.

There was an uncovered trashcan and up to 5 large flies were observed during inspection, The flies were in the general classroom areas.

Nine children with one caregiver were out of control; screaming, running, jumping, arguing, and trying to leaving classroom.

Children were observed not following any sort of planned activities.

Caregiver was in the kitchen cooking lunch for up to an hour while not having direct supervision for 3 children in her care.

Caregiver could not give the correct number of children she was caring for in the classroom, insteade gave the number of children in total care.

Two students were missing health statements from medical professionals.

Operational policies handbook was missing the following: Safe sleep policy for infants from birth through 12 months old that is consistent with the rules in subchapter H of this chapter (relating to Basic Requirements for Infants) that relate to sleep requirements and restrictions, including sleep positioning, and crib requirements and restrictions, including mattresses, bedding, blankets, toys, and restrictive devices The benefits of physical activity and outdoor play The duration of physical activity at your operation, both indoor and outdoor The type of physical activity (structured and unstructured) that children may engage in at your operation The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play Parent rights that are consistent with the rules in Division 5 of this subchapter (relating to Parent Rights) Instructions on how a parent may access the Minimum standards online; Texas Abuse and Neglect Hotline; and HHSC website. Your emergency preparedness plan You must also inform the parents that any area within 1,000 feet of a child-care center is a gang-free zone, where criminal offenses related to organized criminal activity are subject to a harsher penalty under the Texas Penal Code.

The emergency preparedness plan does not address the following: how the operation will : How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments An emergency evacuation and relocation diagram as outlined in ?746.5207 of this title (relating to Must I have an emergency evacuation and relocation diagram?) How you will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents and us How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted.

Two children have diagnosed allergies but there is not a Food emergency form on file signed by a medical professional.

Three students were missing emergency contact addresses.

First aide materials were dirty and expired, crumbling out of packaging.

Caregiver gave incorrect head count of 9 children, there were 10 children in care.

The operation was observed to be out of ratio. One caregiver was caring for 10 children 4 of wich were under 17 months old.

Sand box enclosure has rotting boards. and the walkway ramp from indoor is rocking and insecure.

Cribs were not labeled with infants name.

Monthly maintenance grounds checklist was not available/current.

Two children were missing copies of their current immunization records.

Sanitation inspection was not current.

The special needs information was still missing for 1 child's file.

As of today September 30th, 2024 the operation has not submitted the following missing information for 4 children's files: - Completed Special Care Needs Information - Address to the Emergency Contact Person

Observed a green and orange baby walker in the infant room equipped with wheels. Note: The provider removed the wheels from the baby walker during the inspection

6 children's files were evaluated and were missing the following information: - Completed Special Care Needs Information - Address to the Emergency Contact Person

A caregiver placed an infant in their crib and walked out of the classroom with the drop gate down to the crib. Note: Another caregiver lifed and closed the drop gate during the inspection.

A fire extinguisher was not mounted in the 3 year old classroom during the inspection.

A current list of employees was not posted during the inspection. Note: The provider printed and posted the employee list during the inspection.

Observed cleaning supplies stored under the sink in the infant room. The cabinet to the sink was not locked. Note: The provider removed the cleaning supplies from the cabinet during the inspection.

The antiseptic wipes in the first aid kit to the van were expired. Note: The provider disposed of the expired wipes and replaced them with new antiseptic wipes during inspection.

2 out of 6 children's files evaluated were missing a completed health statement.

The first aid kit in the van did not contain a thermometer. Note: The provider put a thermometer in the first aid kit during the inspection.

The documentation provided for review of the centers operational policies did not contain the following information: - The duration of physical activity at your operation, both indoor and outdoor - The criteria used to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play - Instructions on how a parent may access the minimum standards online and the HHS website - Strategies for coordination between the center and appropriate community organizations - Actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect Information on vaccine-preventable diseases for employees.

The emergency preparedness plan does not address how the operation will continue caring for children until they are released

The personnel files for employees was reviewed and were missing the following information: - Employment Start Dates for 2 employees (1 was provided during inspection) - Pre-Employment Affidavit for 1 employee - Notarized Employment Affidavit for 3 employees - HS Diploma or Equivalent for 3 employees - Photo ID for 1 employee

The diaper changing mat in the infant room was torn and cannot be properly sanitized. Note: The provider replaced the changing mat during the inspection with a new one.

1 out of 5 employee files evaluated did not contain current CPR and First Aid Training.

Feeding instructions were not available for review for one infant during the inspection. Note: The provider obtained the signed feeding instructions from the parent during the inspection.

Observed expired medication that has not been disposed of or given back to the parents.

The indicator was in the empty range and has not been serviced as required by the manufacturers instructions. Note: The fire extinguisher was removed from the van and new one was installed.

2 bottles were not properly labeled in the infants classroom.

1 out of 4 children's files evaluated did not have an authorization for emergency medical care.

The children's nap cots are not properly labeled.

2 out of 4 children's files evaluated did not contain a health statement.

The first aid kit contained expired alcohol wipes.

A wooden playhouse in the outdoor play area contains missing panels and cracked pieces of plastic.

Based upon the information obtained, minor injuries to children are not being reported to parents.

The director has not completed the full 30 hours of required annual trainings. A review period was evaluated between September 7th, 2021 to September 7th 2022. An additional 25 hours is needed.

Bottles were observed not labeled with the infants first name and first intial of infant's last name. This was corrected during the inspection when the caregiver was observed properly labelig the bottles.

There were no monthly/daily play space/equipment checklist to review during the inspection.

There were no activity plans posted or available for review for each age group during inspection.

There was no fire drill documented for the month of August during the inspection. This was corrected during the inspection when a fire drill was conducted and documented for the month of September.

There were no infant feeding instruction sheets available for review during the inspection.

During a2nd follow up inspection a child was observed walking out of the classroom. The caregiver was not aware the child had walked out and I had to tell her.

A 2 year old was observed in a high chair and was not strapped in. The caregiver removed the child from the chair.

During a 2nd follow up inspection a 2 year old child was in a restrictive device. When asked why the child was in the chair the caregiver replied the child was in timeout because he had hit someone.

During a follow up visit the caregiver in the toddler class stated there were 7 children, but there were 8 children. The caregiver also did not know the ages of the children.

During the follow up inspection the Director was heard yelling at a child. The director was also observed grabbing a child by the arm that walked away from the rest of the class during an activity.

A child was observed coming out of the restroom without washing his hands. Note: The children later washed their hands after coming in from outside and before lunch.

Three cribs in the infant room did not have tight fitting sheets.

A chair was observed in front of the exit door to the playground. Note: The Director moved the chair from in front of the door and placed it in a classroom.

During a follow up inspection children in the toddler class were observed to be out of control. The children were seen running and walking to the door. The caregiver in charge could not get the children to stay seated.

During a follow up inspection a child was observed walking out of the toddler classroom. The caregiver was not aware the child had walked out. Children were also observed going to the restroom unsupervised while they were on the playground.

The caregiver in charge of the toddler class did not have a cleared background check. Note: The caregiver left the operation when the director told her she could not be there.

On 3/25/22 the caregiver was unable to keep children under control in the classroom.

On 3/25/22 inappropriate discipline as observed. A caregiver aggressively pulled a child?s arm towards her and flicked the child on the wrist.

On 3/25/22 children were not being supervised appropriately.

On 3/25/22 there was an infant sleeping in a restrictive device a bouncer and was never removed out of the bouncer to be placed in the crib.

On 3/25/22 the diaper changing area was in the eating area.

On 3/25/22 there were cleaning supplies within the children?s reach. There were more than one bookshelf inappropriately positioned. Children were placed for nap time under tables directly behind the door, children could potentially get hurt if someone opened the door. There were boxes stacked on tables , the floor and bookshelves accessible to children.

On 3/25/22 there were small toys that are a choking hazard in the infant room accessible to mobile infants.

Based on information obtained during the investigation caregivers were yelling at children.

Based on information obtained during the investigation high chairs were being used for timeout.

A caregiver was observed changing a child's diapers without washing their hands after. Note: The issue was address with the caregiver. The caregiver understood the handwashing procedures.

There were electrical outlets in the infant room and room 4 that does not have safety covers for the outlets.

In the outside play area there was a toy oven door that was cracked in half. There was a play structure that had a broken piece of wood with a nail exposed. There was a playhouse that had a broken plastic window with rough edges from the break. All are accessible to children.

The director does not have a current CPR and First aid training on file. The CPR and First aid training certificate expired 2/2020.

The annual fire inspection was last conducted on 9/16/2020. An annual fire inspection is due for year 2021.

The sanitation inspection was last conducted on 6/23/2020. An Annual sanitation inspection is due for year 2021.

On 9/10/2021 there were two children that ran out of the classroom. The caregivers did not notice the children ran out of the classroom to intervene.