Alamo Heights Presbyterian Church

At time of inspection, two prekinder children were seen sleeping in front of entrance/exit of class. This was corrected at inspection.

Two fans in the Pre-K room were accessible to children. One was placed on the floor, and the other was placed on top of a shelf, not mounted. This was corrected when one fan was moved to a secure storage area and the other was stored up away from children's reach.

Three out of the ten children's files reviewed did not have current immunizations.

During the course of the investigation, it was determined that a caregiver left the children alone in the classroom by stepping into the hallway and closing the door, resulting in an injury to a child.

The infant room did not have feeding forms for seven out of the ten children to review in the last thirty days.

Four out of ten files reviewed did not have a health statement on file.

The infant room was found out of ratio. There was 1 staff member and five children in care.

A staff member who had direct access to children in care did not have a background check from the CBCU regarding the persons eligibility. Note: This was corrected at inspection when staff member was sent home during inspection.

A climbing structure on the playground did not have the required use zone.

A staff member was caring for children, unsupervised during nap time with provisional conditions in place. Note: This was corrected at inspection when another caregiver arrived to the classroom to supervise.

The electronic child safety alarm was not functioning in one of the operation's vans used to transport children.

Cribs were not spaced far enough apart to allow space for caregivers to walk and work between the cribs in two infant classrooms.

The operation moved a two year old classroom to the second floor and was unable to provide written approval from the local fire authority approving care of the two year old children on the second floor.

The operation did not notify Child Care Regulation when a two year old classroom was moved upstairs and two infant classrooms were moved from one building to another. Note: This was corrected at inspection when the director notified licensing representative of the change at monitoring inspection.

Cribs stored in the walkway were blocking an exit door.

Cribs were not available inside one of two infant classrooms. Cribs were stored in the walkway outside of the infant classroom.

A staff member who had direct access to children in care did not have a background check. Note: Staff member was sent home during inspection.

During a DFPS investigation it was determined that although the operation had a procedure in place to properly account for all children in care, it was not followed by two caregivers resulting in a child being left in an attached breezeway outside the day care for approximately eight minutes.

During the course of a DFPS investigation, it was determined that neglectful supervision occurred when a child was left outside, in a breezeway that is attached to the daycare for approximately eight minutes without the caregiver's realizing the child was missing. The caregiver's were alerted by two passerby's, when the passerby knocked on the classroom window that child was left alone.

During a DFPS investigation, it was determined that caregivers failed to properly supervise a child in their care, and did not account for child when returning indoors resulting in child being left outside in a breezeway that is attached to the daycare for approximately eight minutes.

A childs food allergy emergency plan was not signed or dated by the child's parents.

The operations emergency preparedness plan was missing specific procedures on the following topics: (1) 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, (2) An emergency evacuation and relocation diagram & (3) How children in attendance at the time of the emergency will be accounted for at the designated safe area or alternate shelter.

There wasn't a copy of the most recent fire inspection report on file at the operation.

The operations emergency preparedness plan was missing specific procedures for how they will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents and licensing.

10 out of the 10 staff records reviewed were missing annual training in the required following topics: (1) Emergency preparedness, (2) Preventing and controlling the spread of communicable diseases, including immunizations, (3) Administering medication, if applicable,(4) Preventing and responding to emergencies due to food or an allergic reaction, (5) 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 & (6) Handling, storing, and disposing of hazardous materials

The operations emergency preparedness plan was missing specific procedures on the following topics: How staff will evacuate and relocate with the essential documentation including (A)Parent and emergency contact telephone numbers for each child in care, (B) Authorization for emergency care for each child in care & (C) The child tracking system information for children in care

There were no monthly inspections of the active play space and equipment, utilizing a general maintenance checklist or safety checklist documented for the last calender year. Note: This was corrected during the inspection when the director conducted an inspection utilizing From 1100 - Daily Building and Grounds Checklist.

Based on information gathered throughout the investigation, it was determined that a caregiver was not allowing infants to maintain his or her own pattern of sleeping and waking periods.

Carpet in the toddler classroom had stains and not been cleaned.