The Learning Experience

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions · High

This standard was found deficient as part of a DFPS investigation when caregiver was not following conditions of a background check.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

Information obtained throughout the investigation shows that a child was left unsupervised in the hallway while still signed in to care. The assigned caregiver left the area without verifying the child?s whereabouts, resulting in a lapse in supervision.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

Information obtained throughout the investigation shows the operation did notify parents, but not immediately as required by minimum standards.

746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk · Medium

Information obtained throughout the investigation shows the operation did not provide the parent with a copy of the incident report within the required time frame.

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days · Medium

8 out of 16 children's infant feeding sheets had not been updated within the last 30 days.

746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers · Medium High

Information obtained throughout the investigation shows that the caregiver did not share relevant information with the incoming caregiver, including parent instructions and details about the child. As a result, continuity of care was not maintained.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

Information obtained throughout the investigation shows that a caregiver left a child alone in a classroom. The assigned caregiver left the area without verifying the child?s whereabouts, resulting in a lapse in supervision.

746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for · High

Information obtained throughout the investigation shows that the caregiver did not ensure she knew which children she was responsible for. As a result, a child was left behind in the classroom.

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

A caregiver was out of ratio, when she was observed caring for 7 children instead of 5.

746.305(a)(6) - Report Situation Placing Children at Risk · High

Information obtained throughout the investigation shows the operation did not report an occurrence that placed a child at risk for injury or harm as required.

746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep · Medium

Information obtained throughout the investigation shows the caregivers reported they used physical force to make a child nap or rest during naptime.

746.1609 - Maximum Group Size 13 or More Children · Medium High

Upon arrival, observed two caregivers in one classroom with 16 children; SAG - 17 months. This was corrected when the second caregiver in one of the groups arrived to work.

746.2417(8) - Activities for Infants - Provide Large Muscle Development · Medium High

Observed the Sit-Up Support Ring being used by an 5 month old infant as a tummy time support pillow. This was corrected when the caregiver removed the Sit-Up support ring from the infant's chest.

746.3417(1) - Children Handwashing Before Eating · Medium High

The toddlers' hands were not washed before eating their breakfast/snack. Prior to mealtime, they were observed playing with toys in the classroom.

746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional · Medium

During the follow up inspection, it was found that the teachers were signing and dating the infant feeding instructions.

746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink · Medium High

In the toddler room, observed feeding bibs in the handwashing sink. This was correceted when the bibs were removed from the sink.

746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups · Medium

Observed three toddlers walking around the classroom with their training cups. This was corrected when the director sat each child down in a chair.

746.3407(6) - Empty Water Play Tables, Sanitize Water Play Toys, Wash Hands Before Using · Medium High

There was standing water and debirs inside of the sensory table located on the playground. This was corrected when the director dump the water out of the sensory table.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

An active background check was unavailable to review for one caregiver who was present and supervising children. This was corrected when the caregiver left the operation.

746.2205(a)(4) - Written Activity Plan - No Long Waiting Periods · Medium

Observed children in one classroom sitting at the table without an activity. This was corrected when the caregiver let the children play in centers.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

One caregiver did not know how many children she was supervising. This was corrected when the caregiver counted the children and corrected her initial answer.

746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs · Medium High

The operation failed to provide care consistent with the child?s needs when a child was served food that he was not supposed to consume on two separate dates while in care at the operation.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

One caregiver did not know how many children she was responsible for during inspection.

746.2207(c)(3) - Screen Time Activities - Not Exceed One Hour Daily · Medium

One child was found to be using a personal cellular phone and/or tablet throughout the day that exceeds one hour per day.

746.2207(c)(1) - Screen Time Activities - Related to Planned Activities · Medium

It was found during an investigation that children are using tablets which is not part of the activity plan.

746.305(a)(6) - Report Situation Placing Children at Risk · High

It was found during an investigation that there was one incident where a child was unsupervised at the operation that was not reported to CCR.

746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk · Medium

There was no incident report written for an incident where a child was unsupervised at the operation or for behavioral issues with a child that occurred at the operation.

746.2901 - Supervised Naptime Daily · Medium High

A child was not provided nap or rest time even though the child was in care more than 5 hours.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

Good judgement-When a child was exhibiting behavior issues in the class, administration did not provide the caregivers additional resources or support to help the child and protect the safety of the other children in the classroom.

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

The operation was found during an investigation to be out of ratio in one classroom when they had one caregiver with 18-20 children in a classroom that is only supposed to have 15 children with one caregiver.

746.501(a)(8) - Written Operational Policies - Suspension and Expulsion · Medium High

The operation does not have a written operational policy that addresses suspension and expulsion.

746.3301(b) - Nutrition and Food Service - Follow Meal Patterns · Medium High

The operation was found during an investigation to be serving candy, soda, and cupcakes to a child in care regularly which does meet the meals and snacks must follow the meal patterns established by the U.S. Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) that is administered by the Texas Department of Agriculture.

746.2205(a)(4) - Written Activity Plan - No Long Waiting Periods · Medium

Multiple children were found during the investigation to have long waiting periods between activities and/or prolonged periods during which children stand or sit specifically at the front desk and/or in the director?s office.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling · High

One staff raised their voice while disciplining the child humiliating the child in the classroom in front of the other children and staff, blaming the child for being hit by another child while present at the operation. Specifically, using a harsh tone while telling the child it was their fault they were hit for following the other child.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

One child was unsupervised while present at the operation when the child was able to leave their classroom without the assigned caregiver being aware of their whereabouts in the operation.

746.707 - Incident/Illness Report Form Shared with Parent · Medium

The operation did not share a copy of an incident report with a parent or obtain a parent's signature on it within 48 hours of when the incident occurred.

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions · High

During an investigation it was discovered the operation was not following the conditions placed on a background check.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

During an investigation it was found that children are not being properly supervised when using the Make-Believe Room.

746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization · Medium High

The operation failed to properly notify CCR of an injury to a child that required medical treatment.

746.201(9) - Complying with Laws and Rules · Medium High

The operation provided CCR with a falsified training certificate from Shade Tree Learning.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The operation did not have a fire inspection completed within the last 12 months.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

Two caregivers in two classrooms did not know how many children they were responsible for. This was corrected at inspection when the caregivers were made aware of the correct number of children present in each classroom.

746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets · Medium High

Two infant cribs did not have snug fitting sheets on the mattress. This was corrected at inspection when the caregivers changed the sheets.

746.5307(a) - Inspect Fire Extinguishers Monthly · Medium High

The operation was not conducting monthly fire extinguisher inspections. This was corrected at inspection when the director conducted the monthly check of the fire extinguishers.

746.3401(a) - Annual Sanitation Inspection · Medium High

The operation did not have a sanitation inspection completed in the last 12 months.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

A child was left on the playground for an unknown amount of time.

746.2424 - Infants sleep in Designated Crib, Cot, Bed, or Mat · High

Based on the information obtained, it was determined that an infant was observed sleeping on the floor on top of a boppy pillow.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity · High

A child was left on the playground for approx. ten minutes.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

Caregiver with a pending background check was observed supervising children in care. The caregiver was asked to leave the operation during the inspection.

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days · Medium

Current infant feeding instructions were not available for review for ten of the 18 infant records reviewed

746.603(a)(6) - Children's Records - Vision and Hearing Screening · Low

Hearing and vision screening was not available for review for three of the students records reviewed.

746.1613(a) - Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met · Medium

Observed one caregiver supervising 10 children, ages 13 to 18 mos, during naptime. This was corrected when the second caregiver entered the classroom shortly after CCR.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

A caregiver supervising children in care did not have a complete background check on file. This was corrected when the caregiver left the operation.

746.1203(4) - Responsibilities of Caregivers - Supervision of Children · High

Per the investigation, it was deteremined that a child was left unattended while in care.