First Pampa Child Development Center

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

A caregiver was unaware which children she was responsible for at school pick up. There were 9 children, four children got on the van, and five got on the other van; however, the caregiver did not know which of the children got on her van. This resulted in one child being left on the van once they returned to the daycare.

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 in care was left on a daycare van after school pick-up. The caregiver parked the van in the garage, not realizing there was a child asleep. The caregiver did not have auditory or visual awareness and was unable to ensure the child's safety and well-being, the caregiver did not realize the child was missing from the group.

746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

An infant less than 12 months of age was observed at inspection asleep in their crib with a blanket. It was correceted at inspection with the blanket being removed out of the crib.

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 the evidence obtained during the investigation, caregiver transitioned their class into the building from the playground and left a child unsupervised outside for 20 minutes.

746.1201(2) - Responsibilities of Employees and Caregivers -Relate to Children

A caregiver was observed at inspection using an abrastive tone with the children when entering from the playground and lacked patience and respect in her communication with her group of children.

746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

An infant, less than 12 months of age, had a small lovie blanket in the crib while asleep and it was covering the infant's face. It was removed from the crib at inspection.

746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes

Older infants were observed secured in the multi occupancy tables for over 30 minutes prior to meal time and stayed in the seats an additional 30 minutes after meal time.

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

A caregiver of the operation does not have an eligible notification for one employee that was re-hired on 8/4/22.

746.2426 - Infant May Not Sleep in a Restrictive Device

A one month old infant was asleep on a boppy pillow on the floor for over an hour and was not moved to their crib by either of the two caregivers available in the classroom.

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

A caregiver sent a child outside of the classroom to a neighboring classroom to complete job tasks, such as turning on the classroom light and sound machine, one two separate occasions. While the child was in the neighboring classroom the caregiver did not have visual or auditory awareness, was not aware of the on going activities and was not within physical proximity. The caregiver was unable to adequately supervise all of the children she was responsible for.

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

The operation re-hired two previously employed caregivers at the operation and did not re-submit their background check prior to having the caregiver supervising children in care. Background checks were re-submitted at inspection and staff left the operation.

746.2805(10) - Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

Based on the evidence obtained during the investigation, a child in care was being discipline with being in time out for longer than ten minutes for a pre-k age child.

746.1301(a)(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation training

A caregiver that provided transportation for school pick-up had expired transportation safety training. The training expired on 4/15/2026, and a child was left on a van 5/1/2026.

746.2501(4) - Care Requirements for Toddlers - Holding and Comforting

A child in care was noticeably upset after morning drop off and the caregiver did not attempt to verbally comfort the child or physically hold the child to comfort the child.

746.3701 - Safety - Areas Free From Hazards

The younger toddler playground had a couple rocks that are the size of a large marble that two different children found one and placed it inside their mouth. Additionally, the playground has bird feathers throughout the play space that need to be removed. The caregiver removed the rocks from the children's mouth and disposed of them.

746.3401(a) - Annual Sanitation Inspection

The most recent health inspection was conducted over 12 months ago and was due by 05/11/2024.

746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages

Staff did not have a list with the children's names and ages and were not knowledgeable about the ages of each of the children they were accountable for.

746.3417(1) - Children Handwashing Before Eating

Children did not wash their hands in preparation for morning snack.

746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition

Toddlers are not provided enough variety of activities, including low shelving for easily accessing the selection of toys during the morning drop off time. Additionally, Pre-K age children lack available interest centers.

746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age

Infants and older children were combined with a total of 18 children with a 30 month age gap between the youngest infant and the oldest child.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional

A food allergy plan for a child in care with a diagnosed food allergy lacks the physician signature.

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

The added infant classroom only has one hand washing sink available and it is also used for bottle preparation.

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

An infant in care was eating in a high chair and the buckle was not fastened after placing the child in the high chair.

746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation

Two caregiver records was lacking documentation of pre-service and orientation training. Additionally, orientation was not completely conducted within 7 days of the employment date. One staff member is lacking orientation and a notarized affidavit of employment.

746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders

Infants were observed at inspection having pretzels served on the bare table without a napkin or plate.

746.3401(a) - Annual Sanitation Inspection

The most current annual health inspection at inspection was conducted on 1/26/2021 and was due by 1/26/2022.

746.1301(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation

Ten personnel records did not have documented orientation. One record was lacking a photo identification. One record was lacking a notarized affidavit of employment.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

During naptime, one classroom had one caregiver with 13 children, ranging in age of 17 months to 2 years of age. With the classroom having one caregiver within the group, the classroom is unable to reduce to naptime ratios and were over ratio with a specified age group of two year olds.

746.3417(3) - Children Handwashing After Toileting or Diapering

Diaper changing was observed with the infants classroom and multiple diaper changing was observed and none of the infants had their hands washed after diapering.