Instituto Bilingue Montessori San Jose

Two caregivers were providing care for 22 children ages 15mo to 2yo. Youngest child is 15mo and oldest child 34mo. Note: During inspection children were separated into two different classrooms.

Transportation binders taken during routes are missing parent s names / telephone numbers, emergency telephone numbers, emergency medical transport and treatment authorization forms for each child being transported. Note: This was corrected at inspection when provider made copies of the admission form to be added to the transportation binders.

An AC unit is within playground and accessible to children, one of the mulch barriers is broken, two active play structures are 1'6" within each other and there is a play structure with slide underneath regular flooring (not surfacing).

Operation provided transportation service prior to CCR approval. Note: This was corrected at inspection when service was reviewed and approved during inspection.

Operation has two areas with active play equipment, the equipment is surrounded by 1-4 inch of pea gravel.

Play structure has broken components including broken metal and plastic parts, rotten wood, exposed screws and lifted lining.

Operation has two active play structures 3ft away from each other.

One out of ten staff files reviewed has a invalid high school diploma.

Play structure in the playground has oxidized material underneath the structure.

Two out of ten children's records reviewed are missing hearing / vision screening.

A caregiver was present at operation and providing care for children without an active/current background check. Note: This was corrected at inspection when provider submitted a background check request and sent the employee home pending background check eligibility notice.

Two caregivers with education received outside of the United States did not have the documents translated into English.

A caregiver was not able to provide an original certificate or letter documenting the completion of pediatric first aid and pediatric CPR upon CCR's request.

1 of 10 personnel records reviewed was missing the documentation showing how the employee meets the minimum age and education qualifications.

Three bottles of hand sanitizers were observed on top of a shelf within children's reach in two classrooms. Note: This was CORRECTED during the inspection as the bottles of hand sanitizers were stored in an area out of children's reach.

Based on the information obtained during DFPS investigation it was determined a caregiver used inappropriate forms of discipline towards a child in care including grabbing, pulling, and dragging.

Based on the information obtained during DFPS investigation it was determined a child was involved in an incident that raised to the level of abuse under the care of the operation.

The operation did not exercise good judgement by not confirming with each other if an incident had been notified to child's parents.

There were no records available for review for 4 children in care.

The operational policies reviewed were missing information on the 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 benefits of physical activity and outdoor play; (B) The duration of physical activity at your operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at your operation; (D) Each setting in which your physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

2 of 6 children's records were missing the statement of the child s health from a health-care professional. 2 of 6 children's records reviewed were missing the immunization information. 2 of 6 children's records reviewed were missing the parent's authorization to obtain emergency medical care and to transport the child for emergency medical treatment. 1 of 6 children's records reviewed was missing the name, address, and telephone number of the child s physician or an emergency-care facility.

There was more than an 18 month difference when the toddlers and an infant were combined. The oldest child was 36 months old and the youngest child was 16 months old. Note: The infant was moved to the infant room during the inspection.

Ratios were not met in one of the pre-k rooms as a caregiver was caring for a total of 19 children. According to the child/caregiver ratio chart the specified age of the children in the group was 4 years of age. The maximum number of children one caregiver may supervise is 18. The room was out of ratio by one child.

Two employees were allowed to be present at the operation and have direct access to children prior to receiving the employee's eligibility status from the Centralized Background Check Unit.

The diaper changing mat was not observed to have been sanitized between diaper changes in a toddler room.

A caregiver was observed changing a child's diaper in the classroom floor instead of the restroom.

The education documentation showing how two caregivers meet qualifications was not available for review.

There was no background check available for three employees present at the operation. One employee was observed in the kitchen preparing food, and the other two employees were observed caring for a group of children counted in child/caregiver ratio.

The afternoon snack was served on a napkin on the floor for two groups of children in pre-k classrooms.

The loose-fill material was not maintained at the proper depth of 6 inches for a active play equipment. The black mesh installed under the loose-fill material was visible in both slide exits.

The director was missing annual training on the following topics: 1. Understanding early childhood brain development 2.)Emergency preparedness 3.Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

A caregiver was missing annual training in the following topics: 1. Emergency preparedness 2. Administering medication 3.Preventing and responding to emergencies due to food or an allergic reaction. 4. Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).