Noemi Hurtado

One out of four children records evaluated did not have an updated immunization record. One out of four children records evaluated did not have an immunization record.

The primary caregiver was pending 15 annual training hours including trainings in hazardous materials, administering medication, emergency preparedness, communicable diseases, and abuse and neglect.

Three out of four children records evaluated did not have a signed health provider statement.

The operational policies did not have information on the duration of outdoor play, recommended clothing and footwear, plan to ensure physical activity occurs when extreme weather prohibits it, how minimum standards can be accessed online, and the HHSC website.

CPSC form was completed on 12/19/2022.

Four children's files were reviewed. Two files were pending updated immunization records.

Primary caregiver was missing training in the following topics: Recognizing and preventing shaken baby syndrome; Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); Understanding early childhood brain development; immunizations; and allergic reactions.

Operational policies are pending information on the emergency preparedness plan, promotion of indoor and outdoor physical activity, instructions on how parents may access the HHSC website, and procedures on how the parent may access the minimum standards online.

Written activity plan was not available for review.

Safety documentation for emergency drills, fire extinguishers, and smoke detectors was not available for review.

Children's attendance records were not available for review.

Four children's files were reviewed. One file was pending an updated immunization record. One file was missing the health statement, and authorization for emergency medical attention.

The mattress in the crib at the operation was observed to be too loose. There were approximately 5 finger widths between the edge of the mattress and the crib side.

Primary caregiver does not have a current FIrst Aid/CPR training certificate.

Garbage can in classroom was observed to be uncovered. Garbage was accessible to children.

Documentation for carbon monoxide monthly tests was not available for review.

Fire extinguisher's monthly inspections have not been conducted.

Four children records were evaluated. One child was pending an updated immunization record.

Primary caregiver is pending training in the following topics: Recognizing and preventing shaken baby syndrome; Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); Understanding early childhood brain development; Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; 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 traffi; and Handling, storing, and disposing of hazardous materials.

Vaccination record for dog present at the operation expired on March 03, 2021.