Lori Bermea

The hot water temperature for the restroom used by children exceeded 120 degrees.

The hot water temperature for the restroom used by children exceeded 120 degrees.

The primary caregiver did not have any completed trainings for their last completed training of 1/1/2022 to 01/01/2023.

The operation did not have medication records available for review for the last three months for the children that have been given medication in the last three months.

The hot water temperature for the restroom used by children exceeded 120 degrees.

The CPR training and First Aid training that was last completed expired on 6/2023.

There was no storage available for the individual belongings for the children.

The caregiver was observed during inspection directly handing food to be placed in the children's mouth during snack time and hand-washing did not occur for the staff or the children prior to eating. Diaper changes were also observed and hands were not washed after diaper changes were done by the children.

The operation did not have the last three months of sign-in and sign-out logs for review upon request.

The operational policies were not complete when reviewed as the following policies were not included in the provider's operational policies: Procedures for dispensing medication, or a statement that medication is not dispensed; Procedures for handling medical emergencies; Discipline and guidance policy that is consistent with Subchapter L of this chapter (relating to Discipline and Guidance). A copy of Subchapter L may be used for your discipline and guidance policy; Safe sleep policy for infants from birth through 12 months old that is consistent with the rules in Subchapter H of this chapter (relating to Basic Requirements for Infants) that relate to sleep requirements and restrictions, including sleep positioning, and crib requirements and restrictions, including mattresses, bedding, blankets, toys, and restrictive devices; Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan). Your policies must include: (A)The duration of physical activity at your home, both indoor and outdoor; (B)The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (C) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor time. Procedures for parents to visit the child-care home any time during your hours of operation to observe their child, program activities, the home, the premises, and equipment without having to secure prior approval; Procedures for parents to review a copy of the child-care home's most recent Licensing inspection report and how the parent may access the minimum standards online; Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website; Your emergency preparedness plan.