Laura Ellison Child Development Center

Based on the information provided in this investigation, this standard is deficient. Cell phone use was observed by a caregiver during naptime.

Based on the information provided during the investigation, a child was inappropriately disciplined during naptime.

Caregiver did not wash a child hands after a diaper change. This was corrected at inspection.

4 out of 6 infants did not have a current infant feeding instruction to review at the time of the inspection. 2 of the 4 infant feeding instruction were provided and corrected at the time of the inspection.

Safety Straps were not being used at the time of the inspection.

In the infant room a 4 month old was sleeping in a bouncer seat which is a restrictive device. The child was removed from the bouncer seat by the caregiver right away.

A child was left in the hallway unsupervised without a caregiver.

The operational policies were missing a few items to include how to contact the local licensing office and the HHSC website. 10/18/2023--The operational policies were missing a few items to include how to contact the local licensing office and the HHSC website.

One staff out of ten did not have a current CPR/First aid available for review. Expiration on current was 8/9/23.

The operational policies were missing a few items to include how to contact the local licensing office and the HHSC website.

One out of ten files did not have a notarized affidavit available for review.

Based on the information gathered during the investigation visit, it has been determined that a caregiver did not wash her hands after a diaper change.

Based on the information gathered during the investigation visit, it has been determined that a caregiver did not wipe down the diaper changing mat after diaper change procedure.

Based on the information gathered during the investigation visit, it has been determined that a caregiver was not using gloves during a diaper change.

Based on the gatherings during the investigation, it was determined there was concrete evidence to support that prohibited punishment (pulling, grabbing, and slapping hand) has taken place at the operation.

A caregiver was seen handling an infant rough/quick manner.

One child's nap mat was observed blocking the exit during naptime.

The operation was provided with form 2970 due to the citation 746.2415(b). The due date for parent notification was 10/12/2022. The notification 2970 form was sent out on 10/14/2022.

2 out of 2 infant teachers did not have SIDS/safe sleep training available for review.

In the 2 infant classrooms (0-12M), it was observed there was stuffed animals, stuffed mini animals on pacifiers, and voice speakers inside the crib while an infant was sleeping. First class had a 3M infant napping and second class had a 9M infant napping.

One infant feeding schedule in the infant room was not updated. The last date updated was on 8/30/22.

The parent handbook did not provide information about breastfeeding mothers available for review during the visit.

Based on the information gathered during the investigation, it has been determined that child was hurt while in the operation's care. 3 caregivers were not able to report how the child had gotten the injuries on his head.