We Care Family Day Care

Children's Records Maintained

2 of 5 children's immunization records reviewed were not current. 3 of 5 children's records reivewed were missing the child's emergency contact address. 1 of the children's file was missing the child's emergency contact information. 3 of 5 children's records reviewed were missing a statement of the child s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use.

Corrected Dec 5, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.603(a).

Director Annual Training 30 Hours Required

The director is was missing annual training on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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; and

Corrected Dec 9, 2022, verified Dec 2, 2022. Standard 746.1311(a).

First Aid Kit - Incomplete Kit

The First Aid Kit one transportation vehicle was incomplete. The following items were missing: (1) Tweezers; (2) Waterproof, disposable gloves. (3) Cotton balls; and (4) Thermometer

Corrected Nov 30, 2022, verified Nov 29, 2022. Technical assistance given. Standard 746.4003(a).

Written Operational Policies - Plan for Extreme Weather

The operational policies reviewed were missing information on the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); operational policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

Corrected Dec 5, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.501(a)(18)(F).

Written Activity Plans

There was no written activity plan available for the infnat group. Activity plans reviewed for toddler and pre-k children did not include the dates the plans covered.

Corrected Dec 2, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.2203(a).

Documented Annual Training Area - 24 Hours Required

A caregiver was missing annual training on Preventing and responding to emergencies due to food or an allergic reaction; A caregiver was missing annual training on the following topics for training year 8/05/2021 - 8/04/2022: (1) Emergency preparedness; (2) Preventing and responding to emergencies due to food or an allergic reaction; and (3) 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; and A caregiver was missing annual trainng on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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.

Corrected Dec 9, 2022, verified Dec 2, 2022. Technical assistance given. Standard 746.1309(a).

Director Annual Training 30 Hours Required

The director is was missing annual training on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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; and

Corrected Dec 9, 2022, verified Dec 2, 2022. Standard 746.1311(a).

Written Activity Plans

There was no written activity plan available for the infnat group. Activity plans reviewed for toddler and pre-k children did not include the dates the plans covered.

Corrected Dec 2, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.2203(a).

Documented Annual Training Area - 24 Hours Required

A caregiver was missing annual training on Preventing and responding to emergencies due to food or an allergic reaction; A caregiver was missing annual training on the following topics for training year 8/05/2021 - 8/04/2022: (1) Emergency preparedness; (2) Preventing and responding to emergencies due to food or an allergic reaction; and (3) 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; and A caregiver was missing annual trainng on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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.

Corrected Dec 9, 2022, verified Dec 2, 2022. Technical assistance given. Standard 746.1309(a).

Children's Records Maintained

2 of 5 children's immunization records reviewed were not current. 3 of 5 children's records reivewed were missing the child's emergency contact address. 1 of the children's file was missing the child's emergency contact information. 3 of 5 children's records reviewed were missing a statement of the child s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use.

Corrected Dec 5, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.603(a).

First Aid Kit - Incomplete Kit

The First Aid Kit one transportation vehicle was incomplete. The following items were missing: (1) Tweezers; (2) Waterproof, disposable gloves. (3) Cotton balls; and (4) Thermometer

Corrected Nov 30, 2022, verified Nov 29, 2022. Technical assistance given. Standard 746.4003(a).

Written Operational Policies - Plan for Extreme Weather

The operational policies reviewed were missing information on the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); operational policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

Corrected Dec 5, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.501(a)(18)(F).

Written Activity Plans

There was no written activity plan available for the infnat group. Activity plans reviewed for toddler and pre-k children did not include the dates the plans covered.

Corrected Dec 2, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.2203(a).

Director Annual Training 30 Hours Required

The director is was missing annual training on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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; and

Corrected Dec 9, 2022, verified Dec 2, 2022. Standard 746.1311(a).

Documented Annual Training Area - 24 Hours Required

A caregiver was missing annual training on Preventing and responding to emergencies due to food or an allergic reaction; A caregiver was missing annual training on the following topics for training year 8/05/2021 - 8/04/2022: (1) Emergency preparedness; (2) Preventing and responding to emergencies due to food or an allergic reaction; and (3) 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; and A caregiver was missing annual trainng on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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.

Corrected Dec 9, 2022, verified Dec 2, 2022. Technical assistance given. Standard 746.1309(a).

First Aid Kit - Incomplete Kit

The First Aid Kit one transportation vehicle was incomplete. The following items were missing: (1) Tweezers; (2) Waterproof, disposable gloves. (3) Cotton balls; and (4) Thermometer

Corrected Nov 30, 2022, verified Nov 29, 2022. Technical assistance given. Standard 746.4003(a).

Children's Records Maintained

2 of 5 children's immunization records reviewed were not current. 3 of 5 children's records reivewed were missing the child's emergency contact address. 1 of the children's file was missing the child's emergency contact information. 3 of 5 children's records reviewed were missing a statement of the child s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use.

Corrected Dec 5, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.603(a).

Written Operational Policies - Plan for Extreme Weather

The operational policies reviewed were missing information on the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); operational policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

Corrected Dec 5, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.501(a)(18)(F).

Children's Records Maintained

2 of 5 children's immunization records reviewed were not current. 3 of 5 children's records reivewed were missing the child's emergency contact address. 1 of the children's file was missing the child's emergency contact information. 3 of 5 children's records reviewed were missing a statement of the child s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use.

Corrected Dec 5, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.603(a).

Written Operational Policies - Plan for Extreme Weather

The operational policies reviewed were missing information on the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); operational policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

Corrected Dec 5, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.501(a)(18)(F).

First Aid Kit - Incomplete Kit

The First Aid Kit one transportation vehicle was incomplete. The following items were missing: (1) Tweezers; (2) Waterproof, disposable gloves. (3) Cotton balls; and (4) Thermometer

Corrected Nov 30, 2022, verified Nov 29, 2022. Technical assistance given. Standard 746.4003(a).

Documented Annual Training Area - 24 Hours Required

A caregiver was missing annual training on Preventing and responding to emergencies due to food or an allergic reaction; A caregiver was missing annual training on the following topics for training year 8/05/2021 - 8/04/2022: (1) Emergency preparedness; (2) Preventing and responding to emergencies due to food or an allergic reaction; and (3) 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; and A caregiver was missing annual trainng on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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.

Corrected Dec 9, 2022, verified Dec 2, 2022. Technical assistance given. Standard 746.1309(a).

Written Activity Plans

There was no written activity plan available for the infnat group. Activity plans reviewed for toddler and pre-k children did not include the dates the plans covered.

Corrected Dec 2, 2022, verified Dec 1, 2022. Technical assistance given. Standard 746.2203(a).

Director Annual Training 30 Hours Required

The director is was missing annual training on the following topics for training year 6/05/2021 - 6/04/2022: (1) Preventing and responding to emergencies due to food or an allergic reaction; (2) 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; and

Corrected Dec 9, 2022, verified Dec 2, 2022. Standard 746.1311(a).

Children's Records Maintained

There was no record available for review for a child in care. Two of four children's files reviewed did not have the child's current immunization record.

Corrected Dec 10, 2021, verified Dec 7, 2021. Technical assistance given. Standard 746.603(a).

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

The center director did not have training in transportation safety.

Corrected Dec 10, 2021, verified Dec 6, 2021. Standard 746.1316(a).

Documented Annual Training- Required Content

Three caregivers were missing annual training on the following topics: 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 traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Dec 10, 2021, verified Dec 6, 2021. Technical assistance given. Standard 746.1309(e).

Director Annual Training - Additional required topics

The director was missing annual traiing on the following topics: 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 traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Dec 10, 2021, verified Dec 6, 2021. Standard 746.1311(e).

Director Annual Training - Additional required topics

The director was missing annual traiing on the following topics: 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 traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Dec 10, 2021, verified Dec 6, 2021. Standard 746.1311(e).

Children's Records Maintained

There was no record available for review for a child in care. Two of four children's files reviewed did not have the child's current immunization record.

Corrected Dec 10, 2021, verified Dec 7, 2021. Technical assistance given. Standard 746.603(a).

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

The center director did not have training in transportation safety.

Corrected Dec 10, 2021, verified Dec 6, 2021. Standard 746.1316(a).

Documented Annual Training- Required Content

Three caregivers were missing annual training on the following topics: 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 traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Dec 10, 2021, verified Dec 6, 2021. Technical assistance given. Standard 746.1309(e).

Director Annual Training - Additional required topics

The director was missing annual traiing on the following topics: 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 traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Dec 10, 2021, verified Dec 6, 2021. Standard 746.1311(e).

Documented Annual Training- Required Content

Three caregivers were missing annual training on the following topics: 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 traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Dec 10, 2021, verified Dec 6, 2021. Technical assistance given. Standard 746.1309(e).

Children's Records Maintained

There was no record available for review for a child in care. Two of four children's files reviewed did not have the child's current immunization record.

Corrected Dec 10, 2021, verified Dec 7, 2021. Technical assistance given. Standard 746.603(a).

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

The center director did not have training in transportation safety.

Corrected Dec 10, 2021, verified Dec 6, 2021. Standard 746.1316(a).

Director Annual Training - Additional required topics

The director was missing annual traiing on the following topics: 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 traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Dec 10, 2021, verified Dec 6, 2021. Standard 746.1311(e).

Children's Records Maintained

There was no record available for review for a child in care. Two of four children's files reviewed did not have the child's current immunization record.

Corrected Dec 10, 2021, verified Dec 7, 2021. Technical assistance given. Standard 746.603(a).

Documented Annual Training- Required Content

Three caregivers were missing annual training on the following topics: 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 traffic; and Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Corrected Dec 10, 2021, verified Dec 6, 2021. Technical assistance given. Standard 746.1309(e).

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

The center director did not have training in transportation safety.

Corrected Dec 10, 2021, verified Dec 6, 2021. Standard 746.1316(a).