Ivy Kids @ Birnham Woods

746.1205(a)(5) - Responsibilities of Caregivers - Intervene to ensure each child's safety

Based on the findings of a DFPS investigation, a caregiver did not intervene when necessary to ensure the safety of children in the classroom.

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

A child was left alone unsupervised in a classroom when the class transitioned from the classroom to the cafe for lunch. The child was alone for approximately seven minutes.

746.2805(7) - Prohibited Punishments - Using Harsh, Abusive or Profane Language

During an A/N investigation, it was determined that a caregiver became frustrated with an infant child and used profane language.

746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

During a recent A/N investigation, it was determined that a caregiver placed a bib over the face of a crying infant.

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

Interviews were conducted and procedures were evaluated. It was determined that the operation did not report to Child Care Regulation an incident involving a 4 yr. old running out of the classroom and the operation.

746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

When asked how many children were in the group, a caregiver for school-age children didn't know the correct number.

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

Interviews were conducted and operation procedures were evaluated. It was determined that a preschool child was left alone on the playground when the class transitioned back inside to the classroom.

746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

During the walk-through inspection, a caregiver stated that there were 40 children in the group, but when I counted, there were only 35.

746.2805(2) - Prohibited Punishments - Associated with Food, Naps, or Toilet Training

Interviews were conducted and surveillance tape was reviewed. It was determined that a caregiver placed two 3 yr. old children in the restroom during naptime as a disciplinary measure. NOTE: The caregiver was terminated.

746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

During an A/N investigation conducted by DFPS, it was determined that a 21 month old toddler left the playground through a gate that was not properly secured and was found in the parking lot of the operation. It was determined that the gate was not checked by the caregivers upon entering the playground with the group of children. It was also determined that the caregivers were sitting and could not see all areas of the playground. It was also determined that the caregivers did not account for the children in their group and were not aware that the child was no longer with the group.

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

Interviews were conducted and the operation's emergency procedures were evaluated. It was determined that a 6 month old infant was left in the classroom without adult supervision during a fire drill.

746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For

Caregivers were interviewed and procedures were evaluated. It was determined that an infant child was left in the building during a fire drill due to caregivers not verifying the children in the group before exiting the building. During the inspection today, I asked a caregiver how many children in her room and she said 15 children but there were 16 children in the group.

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

Interviews were conducted and procedures were evaluated. It was determined that a preschool-age child was left alone in a classroom when a caregiver did not follow the operation's procedure for transitioning children.

746.2401(3) - Basic Requirements for Infants - Holding and Comforting

During the investigation, video footage showed that a caregiver did not hold and comfort a crying infant.

746.613(b) - Immunization Records, Exceptions, and Exemptions Current

Two children's files did not have the updated immunization records.

746.3407 - Maintenance of Building, Grounds and Equipment

In the Bridge classroom there was a child size couch that was torn and as a result could not be properly sanitized. Also the peel material from the couch posed a hazard to the children. Note: The couch was removed during the inspection.

746.3415(4) - Employee Handwashing After Diapering a Child

Based on information received from DFPS a caregiver did not wash their hands after changing several diapers.

746.3417(3) - Children Handwashing After Toileting or Diapering

Based on information received from DFPS several children did not wash their hands after a caregiver changed their diapers.

746.3805(b)(3) - Administering Medication - Not After Expiration date

I observed a bottle of children's Benadryl that expired in October of 2022. NOTE: This was corrected during the inspection.

746.201(5) - Reporting Suspected Abuse, Neglect, Exploitation

The operation did not report the suspected abuse of a child to HHSC - Child Care Regulation. The operation was aware of the incident where a caregiver placed a bib over the face of the infant.

746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based

I did not observe documentation that the in-person portion for CPR was completed.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

I observed a caregiver supervising 16 three and four yr. old children. The median age of the group was 3 years and the required child/caregiver ratio for three year olds is 1 caregiver with 15 children. NOTE: This was corrected during the inspection.