Little Nest CDC LLC

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

An infant was observed at inspection asleep in a restrictive device.

746.613(a) - Required Immunizations

One children's records when reviewed did not have current immunizations in the file.

746.1201(5) - Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

Evidence obtained during the investigation confirms staff at the operation had suspicions of children in care being Abused and Neglected outside the daycare and did not make a report to the Texas Department of Family and Protective Services.

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

Based on the evidence obtained during the investigation, the operation failed to report a situation that placed a child at risk within the required of 48 hours of the incident occurred. A child was left unsupervised in the playground area without any staff supervision and main caregiver was not aware of the child's ongoing activities.

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

Based on the evidence obtained during the investigation, a child was left unsupervised outside on the playground area. The caregiver responsible for the child was not aware that the child was left in the playground area until after arriving to the classroom and therefore, did not have physical proximity. The caregiver was not aware of the child's ongoing activities and did not have auditory or visual awareness of the child, and there was no staff present on the playground responsible for the child.

746.3415(4) - Employee Handwashing After Diapering a Child

Based on the evidence obtained during the investigation, a caregiver did not wash hands after wiping a child's nose.

746.3301(f)(1) - Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

Children were observed having meal and snack without water being available during these times by staff.

746.3415(4) - Employee Handwashing After Diapering a Child

One staff member was observed at inspection conducting diaper changes but did not wash her hands after changing a diaper. Additionally, the young infant did not have their hands cleaned with an individual wipe after their diaper change.

746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

The younger children playground requires additional loose fill in the use zone of the kids trax slide. The amount of loose fill in the use zone various from 0-3 inches but does not have the required 6 inches of loose fill in the use zone. The spring based teeter totter also requires 6 inches of loose fill and various from 0-4 inches of loose fill. The swing set additionally requires 6 inches of loose fill and varies from 0-4 inches of loose fill in the use zone.

746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area

Multiple diaper changes were observed and the diaper changing surface was not sanitized in between diaper changes sessions or at the end of the diaper changes.

746.3701 - Safety - Areas Free From Hazards

Multiple classrooms have outlets that require outlet covers. Some outlets have automatic internal locks but these outlets did not have those and did not have outlet covers. Additionally, the barrier to the swing set on the playground has posts that have risen up and have created trip hazards. Three classrooms have cords extending down from a shelf that has the potential to pull items down if a child was to tug on the extended cord. The outlet covers were replaced at inspection and the hanging cords were removed.

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

Multiple caregivers did not have information to show each child's age in the classrooms they using during morning arrival at the start of the day. One caregiver did not know the names of each of the children she was responsible for. Another caregiver has an incomplete list and did not have all of the children she was responsible for listed and did not know the age of the youngest in her group.

746.3417(3) - Children Handwashing After Toileting or Diapering

Multiple children were observed having their diaper changed but did not have their hands washed after. In another classroom, a caregiver was observed wiping the noses of multiple children and did not wash her hands at all.

746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

Based on the evidence obtained during the investigation, the operation notified a parent of a child injury that required medical treatment by a health care professional about five hours after the incident occurred.

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

A classroom was observed with all the children having their snack directly on the table and there was no sanitary holder between the snack and the table - such as a napkin or plate.