The Childrens Courtyard

2 children's files did not have health statements at the time of inspection.

One child's file did not have an immunization record at the time of inspection.

1 staff only had 6 out of 24 trainings hours.

The new caregivers hired after September 2023 did not have the pre employment affidavits in their files available for review at the time of inspection

A caregiver in training was in the classroom with children present but did not have an eligible background.

Based on the information received during the investigation it was determined that a caregiver demonstrated poor judgement when laying an infant down by one arm.

A child in care was served food on the food allergy action plan specific to the child.

The nap mats in the Pre- school 3's and 4's room were not labeled to distinguish who's nap mat belongs to who.

The governing body has failed to complete work orders that have been submitted for the playground. The work order was first submitted in August 2022. Compliance date is in alignment with the compliance date to fix the playground. The governing body must follow all the standards at all times.

One of the drivers did not have a current driver's license and has been transporting children. The driver renewed her driver's license during the inspection.

An infants mattress was observed being prop up with a wedge to elevate the child while sleeping.

The operation has several broken peices of euipemnt on the playground. The Early preschool 2 room had part of the basebard that needs to be correct.

Six children were noted as having food allergies without having a food allergy action plan on file from the doctor.

During an investigation it was determined that a caregiver left a child unsupervised on the playground.

A caregiver did not demonstrate good judgement when the caregiver called the child a name which was inappropriate and hurtful to the child's self-esteem. The child perceived the name to be hurtful and was offended.

One child did not have a health statement on file.

Documentation was not available to verify monthly checks/inspections for smoke detection system, fire extinguishers, and carbon monoxide detector. (Note: This was corrected during the inspection)

The operation did not have a copy of the most recent health inspection on file. The health inspection report available for review was from 01/2021.

One caregiver did not have documentation of current first aid training.

One infant in Infant room I did not have updated feeding instructions on file. One infant's feeding instructions was not dated. Four infants in Infant room II did not have updated feeding instructions on file.

A child with a diagnosed food allergy did not have a completed food allergy emergency plan on file.

A caregiver did not demonstrate good judgement when accidentally serving a child food the child is allergic to. The caregiver was aware of the child's known food allergy as the child's food allergies were listed on the child's enrollment application.

Two of the three children have a current immunization record on file. One child still needs a current immunization record.

One child's record was updated to include authorization for emergency medical treatment. Two children's records are still missing authorization for emergency medical treatment.

Two of the four children's records were updated to include complete physician information. Two children's records still lacked complete physician information.

An incident report was not completed for an incident that placed a child at risk.

Based on information obtained during the investigation, it was determined that a caregiver did not demonstrate good judgment when grabbing a child by one arm and then abruptly placing the child down on the rug. The caregiver also did not demonstrate good judgment when grabbing another child by the wrist & escorting the child back in line.

Three children's records were missing authorization for emergency medical treatment.

Three children did not have a current immunization record on file.

Two infants did not have current written feeding instructions on file. The feeding instructions have not been updated in the past 30 days.

Personnel and training records were not available for review at the time of the inspection.

The infant, toddler, preschool, pre-k, and school age classrooms did not have a current activity plan posted.

Two children did not have health statement documentation on file.

One child's record was missing the school information.

Four children's records lacked the name, address, and telephone number of the child's physician or an emergency-care facility

The operational policies did not include all the required information. The operation will need to add the following policies: *Hearing & vision requirement *Information on vaccine preventable diseases for employees *Procedures for parents to review copy of the child care center's most recent Licensing inspection report and how parents may access the minimum standards online *Instructions on how parents may contact the local Licensing office, access the Texas abuse & neglect hotline, and, access HHSC website * Promotion of indoor and outdoor physical activity did not include all the required information

One of the operation's drivers did not have current cpr/first aid training. The training was expired.

This standard was evaluated as part of an investigation and was found to be in non-compliance. It was determined that a caregiver used inappropriate methods of discipline & guidance when observed grabbing a child by the arm, putting the child in a chair in a rough manner, and spanking the child. (Note: This was the caregivers own child.)

Based on a DFPS investigation, this standard was found to be in non-compliance. It was determined that the operation failed to notify Child Care Regulation of an incident that placed a child at risk.

Based on a DFPS investigation, this standard was found to be in non-compliance. The operation did not share a copy of the incident report with the child's parents within the required timeframe. An incident report was not provided until 5 days after the incident.

Based on a DFPS investigation, this standard was found to be in non-compliance. It was determined that the class was out of ratio the day of the incident based on the transition sheet. There were 11 children present with one caregiver. The class was over ratio by 2 children.

There were 7 outlets in the preschool classroom that did not have childproof covers. The outlets were covered during the inspection.

The 3 vehicles used for transporting did not have complete first aid kits. The first aid kits were missing items to include: *cotton balls *thermometer *tweezers *gloves *antiseptic wipes or solution

The building and grounds must be maintained to protect the health and safety of children. The following was observed: The walls in the school age classroom were visibily dirty. The walls were stained with food and dirt. There was surface damage observed on the cabinets in the 2 year old and school age classrooms. The wood on the cabinets were splinteriing and stained. There were a large chip observed in the cabinets. *There was a section of grass around the playground that has deep vehicle tire tracks causing mud and water pooling. *In the school age classroom, the countertop around the sink area is stained and adhesive is pulled away from countetop tiles exposing dirt and grime. There were sections around the sink where the caulking is peeling *There were sections in the back of the building that was visibly dirty with dirt, grime, and cop webs. The back of the building is in need of a pressure wash. The previous violations have not been corrected to include: There was grass and weeds growing through the loose fill surfacing on the preschool playground. One of the seats on Bus #2 had a huge tear in it. The foam padding and wooden board of the seat were exposed. The wooden train on the toddler playground is in need of repair. There were several areas on the train where the wood was damaged and showing signs of weathering. There was also a wooden bench area that was damaged and showing signs of weathering. There were also areas of chipping paint. There was an area on the carpet in the indoor playground that was tatered. There were also loosed carpet fibers that were frayed.

Based on the information obtained during the investigation, this standard was found to be in non-compliance. A caregiver made threats of corporal punishment to children in care.

The following hazards were observed at the operation: 1. There were 3 eletrical outlets in the pre-k classroom that did not have childproof covers. This was corrected during the inspection when the outlets were covered. 2. There was a planter table filled with standing water observed on the preschool playground accessible to children. This was corrected during the inspection when the container of water was dumped out. 3. One of the tables in the preschool classroom was observed to have uneven table legs. One of the table legs was being supported by a pencil box and a small piece of wood. This posed as a tipping hazard. The children were moved from the table & the table will not be used until repaired. A work order was submitted during the inspection.

The 3 vehicles used for transporting did not have complete first aid kits. The first aid kits were missing items to include: *cotton balls *thermometer *tweezers *gloves *antiseptic wipes or solution