A Place For Children Too INC

Upon entering the 2yr old group during napptime, the caregiver was observed to be laying then sitting on a child's cot with a blanket. The caregiver's phone was observed in their hand. From the caregivers position there was a table that separated the group and many children in the group could not be seen.

Operation did not have the manufacturers specifications and instructions for the rubber mats under the toddler slide.

A copy of the current liability insurance was not available for review during inspection.

Caregiver in the school children room did not know the ages of the children in her care.

A caregiver did not intervene timely when a child was standing on the cistern of a toilet in the bathroom and when children in care were cutting their hair with school scissors during class time.

There was a climb and slide structure with no loosefill beneath the use zones. NOTE: Director removed slide during inspection to come into compliance.

There was a broken gate in the outdoor play area. NOTE: Director removed gate during inspection to come back into compliance.

Reviewed employees nor the director did not have their form 2912 in their employee records.

Two caregivers were observed not following proper steps of diaper changes. Childrens hands were not being washed after diaper changes.

Reviewed operational policies handbook and the folllowing minimum standards were missing: (8)Suspension and expulsion of children [Medium-High]; (11) Immunization requirements for children, including tuberculosis screening and testing if required by your regional Texas Department of State Health Services or local health authority [Medium]; (18) Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan) [Medium]; your policies must include: (A) The benefits of physical activity and outdoor play [Medium]; (B) The duration of physical activity at your operation, both indoor and outdoor [Medium]; (D) Each setting in which your physical activity program will take place [Medium]; (F) The criteria you will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play [Medium]; and (20) Procedures for parents to review and discuss with the child-care center director any questions or concerns about the policies and procedures of the child-care center [Medium]; (21) Procedures for parents to participate in the child-care center's operation and activities [Medium-Low]; (23) Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website [Medium]; (26) Preventing and responding to abuse and neglect of children, including: (B) Methods for increasing employee and parent awareness of issues regarding child abuse and neglect, including warning signs that a child may be a victim of abuse or neglect and factors indicating a child is at risk for abuse or neglect [Medium]; (C) Methods for increasing employee and parent awareness ofprevention techniques for child abuse and neglect [Medium]; (D) Strategies for coordination between the center and appropriate community organizations [Medium]; and (E) 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 [Medium]; (28) Information on vaccine-preventable diseases for employees, unless your center is in the home of the permit holder. The policy must address the requirements outlined in ?746.3611 of this chapter (relating to What must a policy for protecting children from vaccine-preventable diseases include?) [Medium]; and (30) Procedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in ?746.2202 of this chapter (relating to What are my responsibilities when planning activities for a child in care with special care needs?) [Medium]. (b)You must also inform the parents that: (1)They may visit the child-care center at any time during your hours of operationto observe their child, the child-care center's program activities, the building, the premises, and the equipment without having to secure prior approval [Medium-Low]; and (2)Under the Texas Penal Code 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. You may inform the parents by: (A) Providing this information in the operational policies [Low]; (B) Distributing the information in writing to the parents [Low]; or (C) Informing the parents verbally as part of an individual or group parent orientation. [Low]

Caregiver was actively involved in janitorial duties: full length cleaning of mirror and door glass.

The gate and sliding gate are not properly secured. Sliding gate has a gap large enough for a child. Surveillance sign on wall is broken and hanging. there are missing fence boards.

Toddler was observed walking about carrying and drinking from a training cup.

There are not enough toys for the children under 24 months to play with without fighing.

Operation posting of the Product Certification form was expired.

An infant bottle was observed to be without child labeling.

Operations Emergency Preparedness Plan does not have descriptions of how they will care for children until each child is released.

Operations Emergency Preparedness Plan did not contain a plan to take care of children specifically under the age of 24 months.

At least 2 cribs mattresses were observed to have loose fitting sheets.

The operation is not providing daily reports to the parents.

The proper diaper changing steps are not being followed at the operation.