The Children's Academy- Country Club Montessori

746.201(1) - Policies Comply with Rules

The operational policies did not include all the required policies. The operation will need to add the following policies: *Parent rights *Information on vaccine-preventable diseases for employees *Your provisions to provide a comfortable place with an adult sized seat in your center or within a classroom that enables a mother to breastfeed her child. *Instructions on how a parent may access the (A) Minimum standards online; (C) HHSC website. The following policies were included but did not address all the requirements per the minimum standards: *Promotion of indoor and outdoor physical activity *Preventing and responding to abuse and neglect of children

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

This deficiency was recited. Two staff persons had direct access to children in care prior to the operation receiving a background check result of eligible, eligible with conditions, or provisionally eligible.

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

Two staff persons had direct access to children in care prior to the operation receiving a background check result of eligible, eligible with conditions, or provisionally eligible.

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

This violation was re-cited as the operation is not following conditions placed on a person's presence at the operation. The caregiver was working in a classroom having direct access to children without another qualified caregiver present in the classroom.

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

Four newly hired staff persons had direct access to children in care prior to the operation receiving a background check result of eligible, eligible with conditions, or provisionally eligible.

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

This violation was re-cited. The operation failed to adhere to conditions the CBCU placed on a person's presence at the operation. The person was allowed to be alone and in charge of a group of children and the conditions state that the person can never be alone with a child or group of children in care at the operation. (Note: The person was moved to another class with a second caregiver during the inspection).

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

The operation failed to adhere to conditions the CBCU placed on a person's presence at the operation. The person was allowed to be alone and in charge of a group of children and the conditions state that the person can never be alone with a child or group of children in care at the operation. (Note: Another staff person was placed in the room during the inspection).

746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device

There were 2 infants (7 months and 11 months) sleeping in a swing while covered with a blanket. (Note: The caregiver removed the infants from the swing during the inspection).

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

Based on information obtained during a DFPS Investigation, a caregiver was found Reason to Believe for Neglectful Supervision as a child was able to wander off daycare premises.

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

Based on information obtained during a DFPS investigation, it was determined that a child got out of the playground and wandered off of the operation's property. The child was found by a passerby after wandering away from the operation.

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

Two caregivers in charge of toddlers in the classroom labeled Pre Mont 2 were not aware that a child was missing.

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

In the 2 year old class labeled Pre-Mont I observed two children in the bathroom without a caregiver touching the surface of the toilet. Two children were climbing on tables. Four children had a lot of mucus dripping from their noses. One child with a severely running nose was walking around with a Compact Disk in its mouth. Two children were picking up toys off of the floor and placing those toys in their mouths. Two children were wiping the tables off with baby wipes then placing the wipes in their mouths.

746.3701 - Safety - Areas Free From Hazards

This standard was evaluated and found to be deficient after the wooden fence on the large playground was observed with several broken planks.

746.201(9) - Complying with Laws and Rules

The owner failed to designate a new governing body for the operation.

746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

Infants were observed in high chairs without the use of safety straps.

746.1011(a) - Director present-Minimum 75%

The director has not been present at the operation 75% of the operation's operating hours to ensure overall compliance.

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

Thiis deficiency was re-cited during a follow-up inspection. The director still has not completed CPR/First Aid training.

746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

This deficiency was re-cited during a follow-up inspection. The director still has not made-up the 30 clock hours of annual training.

746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

This deficiency was re-cited during a follow-up inspection. The director still has not made-up the 30 clock hours of annual training.

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

Thiis deficiency was re-cited during a follow-up inspection. The director still has not completed CPR/First Aid training.

746.1011(a) - Director present-Minimum 75%

The director has not been present at the operation 75% of the operation's operating hours to ensure overall compliance.

746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

The director still needs to complete 30 clock hours of training to satisfy the previous year's training requirement. (Note: The director will need to make up the 30 clock hours of training for the previous training year. The training does not count towards the current training year).

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

Current CPR/first aid training still has not been provided for the director.

746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

The director did not complete 30 clock hours of training for the previous training year. (Note: The director will need to make up the 30 clock hours of training).

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

The director did not have current CPR/First Aid training.

746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training

The director did not complete 30 clock hours of traiining for the previous training year. (Note: The director will need to make up the 30 clock hours of training).

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

The director did not have current CPR/First Aid training.

746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

Three newly hired staff persons did not have documentation of completed pre-service training.

746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required

The infant caregiver did not have SIDS, shaken baby, early brain development.

746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

One caregiver was no longer employed. One caregiver had supervised access to children in care and did not have first aid training. (Note: Staff have been scheduled for CPR/First Aid Training).

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

One of the two caregivers is no longer employed. The other staff person is scheduled for CPR training.

746.201(9) - Complying with Laws and Rules

The permit holder has not ensured the operation is operating in compliance with minimum standards. This is demonstrated by a repetition in violations related to background checks. The permit holder continues to allow staff to have access to children in care prior to receiving notification of the person's eligibility status.

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

Two caregivers completed CPR training solely on-line which did not allow them to practice their skills on a manikin.

746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

Two caregivers having unsupervised access to children in care did not have first aid training.

746.201(9) - Complying with Laws and Rules

The permit holder has not ensured the operation is operating in compliance with the minimum standards. This is demonstrated by a repetition of deficiencies regarding background checks.

746.201(9) - Complying with Laws and Rules

The permit holder has not ensured the operation is operating in compliance with the minimum standards. This is demonstrated by a repetition of deficiencies regarding background checks.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

At the time of inspection there were 3 classrooms out of compliance with ratios. Infant classroom was out of ratio as they had 6 infants (ages 11 months - 15 months) with only one qualified caregiver. The other caregiver was not qualified due to not having a cleared background. Pre-Mont classroom was out of ratio as they had 10 children (ages 12 months - 23 months) and one caregiver was not qualified due to not having a cleared background check. Montessori Select classroom was out of ratio as they had 13 children (ages 3 - 6 years) and the caregiver was not qualified due to not having a cleared background check. (Note: The operation came into compliance with ratios during the inspection).

746.1601 - Child/ Caregiver Ratio - 13 or More Children

The Pre-Mont 2 class was observed to be over ratio as there were 14 children ages 2 - 3 years with one caregiver. The specified age of the group was 2 years. The group was over ratio by 3 children. (Note: An additional caregiver was moved to the class).

746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired

Based on information obtained during a DFPS investigation, it was determined that a section of the operation's fence had been in disrepair (gap) for almost a month and measures were not taken to promptly repair the fence. As a result of the damaged fence, a child was able to escape from the supervised play area.

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

There is sufficient evidence to determine that Licensing was not notified about the alleged victim's injury that occurred at the operation that required medical attention.

746.605(6) - Required Admission Information - Emergency Contact

One child's file lacked the address for the emergency contact persons listed.

746.1311(d) - Director Annual Training - Caring for children under 24 months

The director did not have SIDS and early brain development training.

746.2505(1) - Furnishings and Equipment for Toddlers - Age-appropriate

The room Labeled Pre-Mont had 11 chairs and three tables for use by 21 toddlers. The deficiencies were brought into compliance when caregivers added 11 more chairs and two more tables into the classroom. Two children were standing while eating lunch and 9 children were sitting on the floor watching friends eat lunch.

746.3701(1) - Safety - Electrical Outlets Covered

In the room labeled Pre Mont 2 there was a broken electrical outlet. The deficiency was corrected when a new outlet cover was place over the outlet.