The Childrens Courtyard

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

During an investigation it was determined that a caregiver left a child unsupervised on the playground.

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

A caregiver did not demonstrate good judgement when the caregiver called the child a name which was inappropriate and hurtful to the child's self-esteem. The child perceived the name to be hurtful and was offended.

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

A caregiver did not demonstrate good judgement when accidentally serving a child food the child is allergic to. The caregiver was aware of the child's known food allergy as the child's food allergies were listed on the child's enrollment application.

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

Based on information obtained during the investigation, it was determined that a caregiver did not demonstrate good judgment when grabbing a child by one arm and then abruptly placing the child down on the rug. The caregiver also did not demonstrate good judgment when grabbing another child by the wrist & escorting the child back in line.

746.605(12) - Required Admission Information - Emergency Medical Authorization

One child's record was updated to include authorization for emergency medical treatment. Two children's records are still missing authorization for emergency medical treatment.

746.201(1) - Policies Comply with Rules

The operational policies did not include all the required information. The operation will need to add the following policies: *Hearing & vision requirement *Information on vaccine preventable diseases for employees *Procedures for parents to review copy of the child care center's most recent Licensing inspection report and how parents may access the minimum standards online *Instructions on how parents may contact the local Licensing office, access the Texas abuse & neglect hotline, and, access HHSC website * Promotion of indoor and outdoor physical activity did not include all the required information

746.605(12) - Required Admission Information - Emergency Medical Authorization

Three children's records were missing authorization for emergency medical treatment.

746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual

This standard was evaluated as part of an investigation and was found to be in non-compliance. It was determined that a caregiver used inappropriate methods of discipline & guidance when observed grabbing a child by the arm, putting the child in a chair in a rough manner, and spanking the child. (Note: This was the caregivers own child.)

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

Based on a DFPS investigation, this standard was found to be in non-compliance. It was determined that the operation failed to notify Child Care Regulation of an incident that placed a child at risk.

746.2805(1) - Prohibited Punishments - Corporal Punishment

Based on the information obtained during the investigation, this standard was found to be in non-compliance. A caregiver made threats of corporal punishment to children in care.

746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit

The 3 vehicles used for transporting did not have complete first aid kits. The first aid kits were missing items to include: *cotton balls *thermometer *tweezers *gloves *antiseptic wipes or solution

746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit

The 3 vehicles used for transporting did not have complete first aid kits. The first aid kits were missing items to include: *cotton balls *thermometer *tweezers *gloves *antiseptic wipes or solution

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

The operation did not have a current fire inspection on file. The last inspection on file was from 7/2020.

746.501(a)(24) - Written Operational Policies - Emergency Preparedness Plans

The operation's emergency preparedness plan was not available for review at the time of inspection.

746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information

The transportation binder did not contain emergency medical transport and treatment authorization forms for children being transported.

746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher

The transportation binder did not contain the parent s names and telephone numbers and emergency telephone numbers for children being transported.

746.5617(a)(6) - Required Equipment in Vehicles - First-aid Kit

The 3 vehicles used for transporting did not have complete first aid kits. The first aid kits were missing items to include: *cotton balls *thermometer *tweezers *gloves *antiseptic wipes or solution

746.5319 - Smoke Detectors Testing

Smoke detectors were not tested in the month of June or July. This was corrected during the inspection when the testing was completed.

746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

1 staff only had 6 out of 24 trainings hours.

746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child

A child in care was served food on the food allergy action plan specific to the child.

746.605(16) - Required Admission Information-Completed Food Allergy Plan

Six children were noted as having food allergies without having a food allergy action plan on file from the doctor.

746.201(9) - Complying with Laws and Rules

The governing body has failed to complete work orders that have been submitted for the playground. The work order was first submitted in August 2022. Compliance date is in alignment with the compliance date to fix the playground. The governing body must follow all the standards at all times.

746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib

An infants mattress was observed being prop up with a wedge to elevate the child while sleeping.

746.3701 - Safety - Areas Free From Hazards

The operation has several broken peices of euipemnt on the playground. The Early preschool 2 room had part of the basebard that needs to be correct.

746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing

One caregiver did not have documentation of current first aid training.

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

A child with a diagnosed food allergy did not have a completed food allergy emergency plan on file.

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

One of the operation's drivers did not have current cpr/first aid training. The training was expired.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

Based on a DFPS investigation, this standard was found to be in non-compliance. It was determined that the class was out of ratio the day of the incident based on the transition sheet. There were 11 children present with one caregiver. The class was over ratio by 2 children.

746.3407 - Maintenance of Building, Grounds and Equipment

The building and grounds must be maintained to protect the health and safety of children. The following was observed: The walls in the school age classroom were visibily dirty. The walls were stained with food and dirt. There was surface damage observed on the cabinets in the 2 year old and school age classrooms. The wood on the cabinets were splinteriing and stained. There were a large chip observed in the cabinets. *There was a section of grass around the playground that has deep vehicle tire tracks causing mud and water pooling. *In the school age classroom, the countertop around the sink area is stained and adhesive is pulled away from countetop tiles exposing dirt and grime. There were sections around the sink where the caulking is peeling *There were sections in the back of the building that was visibly dirty with dirt, grime, and cop webs. The back of the building is in need of a pressure wash. The previous violations have not been corrected to include: There was grass and weeds growing through the loose fill surfacing on the preschool playground. One of the seats on Bus #2 had a huge tear in it. The foam padding and wooden board of the seat were exposed. The wooden train on the toddler playground is in need of repair. There were several areas on the train where the wood was damaged and showing signs of weathering. There was also a wooden bench area that was damaged and showing signs of weathering. There were also areas of chipping paint. There was an area on the carpet in the indoor playground that was tatered. There were also loosed carpet fibers that were frayed.

746.3407 - Maintenance of Building, Grounds and Equipment

There was grass and weeds growing through the loose fill surfacing on the preschool playground. One of the seats on Bus #2 had a huge tear in it. The foam padding and wooden board of the seat were exposed. The wooden train on the toddler playground is in need of repair. There were several areas on the train where the wood was damaged and showing signs of weathering. There was also a wooden bench area that was damaged and showing signs of weathering. There were also areas of chipping paint. There was an area on the carpet in the indoor playground that was tatered. There were also loosed carpet fibers that were frayed.

746.3701(1) - Safety - Electrical Outlets Covered

There were 7 outlets in the preschool classroom that did not have childproof covers. The outlets were covered during the inspection.

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

The director and 3 caregivers that transport children did not have current transportation safety training.

746.3701 - Safety - Areas Free From Hazards

The following hazards were observed at the operation: 1. There were 3 eletrical outlets in the pre-k classroom that did not have childproof covers. This was corrected during the inspection when the outlets were covered. 2. There was a planter table filled with standing water observed on the preschool playground accessible to children. This was corrected during the inspection when the container of water was dumped out. 3. One of the tables in the preschool classroom was observed to have uneven table legs. One of the table legs was being supported by a pencil box and a small piece of wood. This posed as a tipping hazard. The children were moved from the table & the table will not be used until repaired. A work order was submitted during the inspection.

746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes

The operation has not conducted a fire drill since May.

746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

The carbon monoxide detector has not been tested since May. This was corrected during the inspection. The carbon monoxide detector was tested during the inspection.

746.3701 - Safety - Areas Free From Hazards

One eletrical outlet in the toddler classroom did not have a child proof cover. This was corrected during the inspection when the outlet was covered.