Kids R Kids #5

Not included in the 36-month briefing.

1. Oct 24, 2023Inspection

   1 finding

   Director Annual Training - Caring for children under 24 months

   Serious

   The director did not complete a training covering Understanfding Early Childhood Brain Development for the July 2021-July 2022 training year.

   State verification recorded Oct 24, 2023.

   Standard 746.1311(d) · Director Annual Training - Caring for children under 24 months

   State severity

   Medium High

   Corrected at visit

   No

   Correction reported

   Oct 27, 2023

   Technical assistance

   Not recorded

   Finding source ID

   1025787552

   Visit source ID

   905560289

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2. Jul 31, 2023Complaint investigation

   No findings recorded
3. Jul 12, 2023Inspection

   6 findings

   Required Immunizations

   Critical

   Of the 10 children's records evaluated, one was behind with immunizations.

   State verification recorded Aug 1, 2023.

   Standard 746.613(a) · Required Immunizations

   State severity

   High

   Corrected at visit

   No

   Correction reported

   Jul 27, 2023

   Technical assistance

   Not recorded

   Finding source ID

   1025888920

   Visit source ID

   905560288

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   Immunization Exception for Children Who are Homeless or in Foster Care

   Serious

   Of the 10 children's records evaluated, four lacked an immunization record.

   State verification recorded Aug 23, 2023.

   Standard 746.613(c)(2) · Immunization Exception for Children Who are Homeless or in Foster Care

   State severity

   Medium

   Corrected at visit

   No

   Correction reported

   Aug 18, 2023

   Technical assistance

   Not recorded

   Finding source ID

   1025808841

   Visit source ID

   905560288

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   Documented Annual Training Area - 24 Hours Required

   Serious

   Of the 10 personnel records evaluated, 7 did not receive the required number of training hours for their training year and training was not received in all of the required topics. The caregivers will need to receive make-up training hours that will not count towards the current training number.

   State verification recorded Oct 24, 2023.

   Standard 746.1309(a) · Documented Annual Training Area - 24 Hours Required

   State severity

   Medium

   Corrected at visit

   No

   Correction reported

   Oct 13, 2023

   Technical assistance

   Not recorded

   Finding source ID

   1025888924

   Visit source ID

   905560288

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   Director Annual Training 30 Hours Required

   Serious

   The director received 26 of the required 30 clock hours of annual training for July 2021-July 2022 training year. The director needs 4 clock hours of make-up training. The make-up hours will not count towards the current year.

   State verification recorded Oct 24, 2023.

   Standard 746.1311(a) · Director Annual Training 30 Hours Required

   State severity

   Medium

   Corrected at visit

   No

   Correction reported

   Oct 13, 2023

   Technical assistance

   Not recorded

   Finding source ID

   1025768838

   Visit source ID

   905560288

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   Children's Records - Admission Information

   Serious

   Of the 10 children's records evaluated; the following information was missing: 1. One lacked the date of admission. 2. Two lacked the address/phone number for the emergency contact. 3. One lacked the address and phone number of the child's doctor. 4. One lacked the name, address and phone number of the child's doctor. 5. One lacked authorization for emergency medical care. 6. Two lacked the name and phone number of the school the school age children attend. 7. One lacked the results of a heating and vision screening. 8. One child's allergy form was not signed by the parent

   State verification recorded Aug 18, 2023.

   Standard 746.603(a)(2) · Children's Records - Admission Information

   State severity

   Medium

   Corrected at visit

   No

   Correction reported

   Aug 18, 2023

   Technical assistance

   Not recorded

   Finding source ID

   1026009341

   Visit source ID

   905560288

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   Policies Comply with Rules

   Critical

   The operational policies was lacking the following information: 1. Safe sleep policy 2. Description of water activities 3. Requirements for outdoor play and physical activity 4. Instructions for a parent to review a copy of the Minimum Standards and the most recent Licensing inspection report. 5. Information on how parents may contact the local Licensing office, the Texas Abuse Hotline and HHSC website. 6. Information for a space for mothers to breastfeed and procedures to provide breast milk. 7. Staff training requirements for reporting child abuse and neglect, increasing staff and parent awareness, etc. 8. Information on the center being in a gang free zone. 9. Staff vaccination requirements. 10. Emergency Preparedness Plan

   State verification recorded Sep 22, 2023.

   Standard 746.201(1) · Policies Comply with Rules

   State severity

   High

   Corrected at visit

   No

   Correction reported

   Sep 18, 2023

   Technical assistance

   Recorded

   Finding source ID

   1025888922

   Visit source ID

   905560288

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4. Jul 10, 2023Complaint investigation

   No findings recorded
5. Oct 26, 2022Inspection

   No findings recorded
6. Oct 12, 2022Complaint investigation

   1 finding

   Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

   Critical

   One caregiver ignored a parent concern related to children standing on tables in the classroom, which could be considered a hazard. A child was observed standing on the table in Suite 350 on more than one occasion, in which operation staff did not intervene. Although the children were being supervised, the caregiver lacked competency and good judgement by failing to remove the child from the table, and/or acknowledging the parent concerns.

   State verification recorded Dec 12, 2022.

   Standard 746.1201(1) · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

   State severity

   High

   Corrected at visit

   No

   Correction reported

   Dec 9, 2022

   Technical assistance

   Recorded

   Finding source ID

   1026058843

   Visit source ID

   905687343

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7. Oct 11, 2022Inspection

   No findings recorded
8. Oct 6, 2022Complaint investigation

   No findings recorded
9. Sep 29, 2022Complaint investigation

   No findings recorded
10. Sep 20, 2022Inspection

    No findings recorded
11. Sep 8, 2022Complaint investigation

    No findings recorded
12. Sep 8, 2022Self-reported incident

    1 finding

    Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    Critical

    Based on the video footage observed, one caregiver did not portray good judgment by picking up a 3-year-old child by one arm, and by not tending to the child's needs. The child was picked up by one arm, which resulted in nurse maid's elbow. The child was observed crying, and the caregivers present within the classroom continued to walk by the child.

    State verification recorded Nov 15, 2022.

    Standard 746.1201(1) · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    State severity

    High

    Corrected at visit

    No

    Correction reported

    Nov 4, 2022

    Technical assistance

    Recorded

    Finding source ID

    1026058833

    Visit source ID

    905687339

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13. Aug 12, 2022Inspection

    No findings recorded

    Matching entries grouped. Visit IDs: 905560284, 905560283, 905323001, 905323000, 905088147, 905088146, 904854193, 904854192, 904621059, 904621058. Finding IDs: None supplied. These identities have not been confirmed as distinct events.

14. Jul 29, 2022Complaint investigation

    No findings recorded
15. Jul 28, 2022Inspection

    3 findings

    Responsibilities of Caregivers - Children in Control

    Serious

    One child in Suite 500 was observed climbing on the door. The child was observed running around the classroom while other children were observed sitting at the table top. The child was not listening to the caregiver in charge.

    State verification recorded Aug 12, 2022.

    Standard 746.1203(5) · Responsibilities of Caregivers - Children in Control

    State severity

    Medium High

    Corrected at visit

    No

    Correction reported

    Aug 3, 2022

    Technical assistance

    Recorded

    Finding source ID

    1025951986

    Visit source ID

    905560282

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    Responsibilities of Caregivers - Know Children's Names and Ages

    Serious

    The caregiver in Suite 250 was not aware of the youngest or oldest child in care.

    State records correction during the inspection; no separate verification date is shown.

    Standard 746.1203(3) · Responsibilities of Caregivers - Know Children's Names and Ages

    State severity

    Medium High

    Corrected at visit

    Yes

    Correction reported

    Aug 4, 2022

    Technical assistance

    Recorded

    Finding source ID

    1025831210

    Visit source ID

    905560282

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    Supervision and child counts

    Critical

    Two children were observed opening the main door, and the outside door area. One child who is 2 years of age was observed opening the main door to the outside area. Another child who is 3 years of age was observed opening the main door to the hallway.

    State verification recorded Aug 12, 2022.

    Standard 746.1203(4) · Responsibilities of Caregivers - Supervision of Children

    State severity

    High

    Corrected at visit

    No

    Correction reported

    Aug 1, 2022

    Technical assistance

    Recorded

    Finding source ID

    1025871476

    Visit source ID

    905560282

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16. Jul 13, 2022Inspection

    5 findings

    Responsibilities of Caregivers - Know Children's Names and Ages

    Serious

    The caregiver in Suite 250 was not aware of the youngest child in care. The Director had informed that the caregiver had just returned to employment 3 days prior.

    State verification recorded Jul 28, 2022.

    Standard 746.1203(3) · Responsibilities of Caregivers - Know Children's Names and Ages

    State severity

    Medium High

    Corrected at visit

    No

    Correction reported

    Jul 13, 2022

    Technical assistance

    Recorded

    Finding source ID

    1025719694

    Visit source ID

    905560281

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    Field Trips - Notification to Parents

    Serious

    The operation did not implement a notification to parents informing of the time frame of the field trip. The operation did not document, and/or inform parents of an expected return time.

    State verification recorded Jul 28, 2022.

    Standard 746.3003 · Field Trips - Notification to Parents

    State severity

    Medium High

    Corrected at visit

    No

    Correction reported

    Jul 15, 2022

    Technical assistance

    Recorded

    Finding source ID

    1025839518

    Visit source ID

    905560281

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    Posting Requirements - List entitled

    Minor

    The operation did not have a current employee list posted within the facility. The office manager provided Licensing a copy of the employee list when requested. The list contained 3 names crossed out due to staff no longer being employed.

    State records correction during the inspection; no separate verification date is shown.

    Standard 746.401(9) · Posting Requirements - List entitled

    State severity

    Medium Low

    Corrected at visit

    Yes

    Correction reported

    Jul 13, 2022

    Technical assistance

    Not recorded

    Finding source ID

    1025719695

    Visit source ID

    905560281

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    Written Activity Plans - Plan Followed by Caregiver

    Serious

    The school age classroom was observed watching a movie in the gym area during the timeframe that table top activities and breakfast was scheduled. The activity schedule for the gym class documents from 6AM-8AM, staff provide table top activities, breakfast, and clean-up.

    State verification recorded Jul 28, 2022.

    Standard 746.2203(b) · Written Activity Plans - Plan Followed by Caregiver

    State severity

    Medium

    Corrected at visit

    No

    Correction reported

    Jul 20, 2022

    Technical assistance

    Not recorded

    Finding source ID

    1026000168

    Visit source ID

    905560281

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    Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

    Critical

    During the walkthrough, the carbon monoxide detector was not in working condition. The carbon monoxide detector portrayed a red blinking light.

    State verification recorded Jul 28, 2022.

    Standard 746.5531 · Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

    State severity

    High

    Corrected at visit

    No

    Correction reported

    Jul 15, 2022

    Technical assistance

    Not recorded

    Finding source ID

    1025719696

    Visit source ID

    905560281

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17. Jul 2, 2022Complaint investigation

    No findings recorded
18. Apr 19, 2022Inspection

    No findings recorded
19. Apr 7, 2022Complaint investigation

    No findings recorded
20. Jan 13, 2022Inspection

    No findings recorded
21. Jan 5, 2022Complaint investigation

    No findings recorded
22. Nov 16, 2021Inspection

    No findings recorded
23. Nov 10, 2021Inspection

    2 findings

    Infant Care Area Furnishings and Equipment - Hand-washing Sink

    Serious

    The hand washing sink near the diaper changing area of the infant classroom was being used to wash toys. Note- This was corrected during the inspection when the toys were removed from the hand washing sink and placed in the dish washing sink.

    State records correction during the inspection; no separate verification date is shown.

    Standard 746.2405(4) · Infant Care Area Furnishings and Equipment - Hand-washing Sink

    State severity

    Medium High

    Corrected at visit

    Yes

    Correction reported

    Nov 10, 2021

    Technical assistance

    Recorded

    Finding source ID

    1025729119

    Visit source ID

    905560277

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    Child/ Caregiver Ratio - 13 or More Children

    Serious

    There was a toddler classroom with a specified age group of two years of age that had 12 children with one caregiver which put the classroom over ratio by one child.

    State verification recorded Nov 16, 2021.

    Standard 746.1601 · Child/ Caregiver Ratio - 13 or More Children

    State severity

    Medium High

    Corrected at visit

    No

    Correction reported

    Nov 10, 2021

    Technical assistance

    Recorded

    Finding source ID

    1025969669

    Visit source ID

    905560277

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24. Nov 5, 2021Complaint investigation

    1 finding

    Infant Daily Report - Times of Diaper Changes

    Serious

    Based on the information obtained, there is sufficient evidence to suggest that diaper changes are not being consistently logged in the infant daily reports.

    State verification recorded Nov 17, 2021.

    Standard 746.2431(3) · Infant Daily Report - Times of Diaper Changes

    State severity

    Medium High

    Corrected at visit

    No

    Correction reported

    Nov 22, 2021

    Technical assistance

    Recorded

    Finding source ID

    1026058825

    Visit source ID

    905687334

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