Johnson's Daycare and Learning Center #4

The operational policies did not have information about annual training for employees for abuse and neglect, prevention techniques and warning signs for abuse and neglect, inclusive services for children with special care needs, and information on vaccine-preventable diseases for employees.

A caregiver was observed supervising 5 infants from 5 months to 19 months with a specified age group of 0 months to 11 months. She was out of ratio by 1 child. NOTE: Another caregiver stepped in and the classroom was within ratio.

Six children's files were reviewed. Two files were missing updated immunization records.

Six employee's records were reviewed. Orientation and pre-service training certificates for one employee, were not available for review.

Sanitation inspection was conducted on 12/13/2023.

Smoke alarm was last serviced on 12/12/2022.

Posted activity plans for infant and pre-k classrooms were for the previous week. Activity plans for previous weeks did not include the outdoor actvities.

There was a crawl and climb catepillar in the outside playground on concrete. It did not have the unitary surfacing required. Note: It was corrected during inspection. Crawl and climb catepillar was removed during inspection.

The operational policies are missing the following information: safe sleep policy for infants from birth through 12 months old; promotion of indoor and outdoor physical activity; instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website; Preventing and responding to abuse and neglect of children including actions that the parent of a child who is a victim of abuse or neglect should take to obtain assistance and intervention, including procedures for reporting child abuse or neglect and Required annual training for employees; information on vaccine-preventable diseases for employees; children immunizations; and If your operation maintains and administers unassigned epinephrine auto injectors to use when a child in care has an emergency anaphylaxis reaction, policies for maintenance, administration, and disposal of unassigned epinephrine auto-injectors.

Emergency evacuation and relocation diagram was missing the following: -Two exit paths from each room. -The designated location outside of the child-care center where all. caregivers and children meet to ensure everyone has exited the child - care center safely -The designated location inside the child-care center where all caregivers and children take shelter from threatening weather.