Ruth Academy

One out of ten student files were missing updated immunization.

Parents of infants in the 12-17 month classroom do not regularly receive daily reports. Daily reports do not include infant activities.

Three of the 10 children's records reviewed have incomplete emergency contact information.

Three infants that are not on table food do not have current feeding instructions.

The operational policies are missing the following sections. 746.501 (18)(B),(C),(D),(E),(F),(G), (19),(22),(23),(26)(B),(C),(D),(E), (28) and (30).

One of the five caregiver records reviewed do not have first aid training. Two of the five caregiver records reviewed are not current in pediatric first aid training.

Four of the 10 children's records reviewed have incomplete physician or emergency care facility information.

One of the five personnel records reviewed does not have a notarized affidavit on file.

Caregivers are unable to properly supervise during times in which administrative duties were completed. This included preparing food.

Classrooms do not have the list of ages for children. Caregivers are not aware of children's ages.

A classroom was observed watching a movie during naptime. This was corrected at inspection when the movie was turned off.

A tall bookshelf was not anchored to the wall.

A class was not served water with snack. This was corrected at inspection when water was served.

Children's attendance records are not properly maintained. Not all children are signed in and out daily.

This standard was tasked as part of an investigation and found deficient. Caregivers were observed on their phones while supervising a classroom.

This standard was tasked as part of an investigation and found deficient. Napping children were not properly supervised.

6 out of 10 student files did not include a date of admission to the center.

The operation did not have a current fire inspection on file..

Hazards on the playgrounds at the operation included several protruding nails, loose seat fixtures, and a large inoperable table.

The operation did not have a current gas inspection on file.

The operation did not have a current health inspection on file at the time of the inspection.

5 out of 10 student files reviewed did not include a health statement.

1 out of 10 student files reviewed did not include current immunication records.

Operational policies did not include policies on the following: 1. Infant safe-sleep 2. Hearing and vision requirements 3. Water play 4. Indoor and outdoor activity physical activity promotion 5. Sunscreen/insect repellent 6. Procedures for parents to view the most recent Licensing inspection report and how the parent may access the minimum standards online 7. Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website 8. Information on vaccine-preventable diseases for employees 9. Procedures for supporting inclusive services to children with special care needs. 10. Any area within 1,000 feet of a child -care center is a gang-free zone

There were no individual storage spaces designated for toddler and pre-k aged children.

2 out of 10 student files reviewed did not include all required information for emergency contcat persons.

Staff did not have emergency medical transport and treatment authorization forms for each child being transported.

1 out of 10 student files reviewed did not include a signature to confirm that staff mayy provide any necessary emergency medical attention required for the child.

Vehicles used to transport children in care did not have fire extinguishers available when transporting children in care.