A+ Kidz Care Learning Center 3, LLC

During the course of an investigation, it was determined that a caregiver would hit a child on the foot for discipline.

One out of ten personnel files evaluated lacked documentation of current SIDS/Shaken Baby training.

Two children who were forty-six months old were combined with a thirteen month old. There is more than an eighteen months difference between the youngest and the oldest child. Note: This was corrected when the children were moved to another classroom.

One infant feeding instructions had not been updated since May 2024.

Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility.

A caregiver was observed telling two children not to go into the staff lounge because there are monsters in there.

Three out of ten children's files evaluated lacked a current shot record on file.

Four items were missing from two first aid kits on the buses used to transport children. Note: This was corrected when the director obtained the items for the kit.

Three out of ten personnel files evaluated lacked acknowledgment of receiving orientation to the operation.

Two out of ten personnel records evaluated lacked current first aid training.

One out of ten personnel records evaluated lacked documentation of having a high school diploma, GED, or equivalent.

Three out of ten personnel records evaluated lacked an employee affidavit.

One out of ten personnel records evaluated lacked current CPR training.

A child was observed coming out of the restroom unsupervised.

Three infant feeding instructions have not been updated within the past thirty days.

Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility.

Based on information gathered during the investigation, a caregiver threatened to "pop" another employee's child, at that employee's request when they were misbehaving while in care. The operation reported that they have addressed this issue with the caregivers to prevent further incidents.

Based on information gathered during the investigation, caregivers have reportedly been observed yelling at children. The operation reported that they have addressed this issue with the caregivers to prevent further incidents.

One out of ten children's files evaluated lacked parent acknowledgment of receiving the operational policies.

One out of ten children's files evaluated lacked an address for the emergency contact.

Operation allowed a person to be present at the operation before receiving notice from the CBCU regarding the person's eligibility. The person's background check is listed as inactive.

A caregiver failed to wash children's hands after changing their diapers.

A caregiver failed to wash her hands after changing a child's diaper.

Soiled diapers were stored in tied bag and placed on a counter where food is served in the classroom.

A caregiver failed to sanitized the diaper changing table after changing children's diapers.

Based on information gathered through a DFPS investigation, cots were observed to be touching one another, leaving no walkway or way for children to exit the room without stepping over cots.

Operation allowed a person to be present at the operation with an inactive background check.

Children in the two year old room were observed to be out of control. Note: This was corrected when the director stepped in to get the room back in control.

Based on information gathered, the operation allowed a person to be present at the operation after the CBCU has notified the operation that the person is ineligible to be present.

Based on information gathered during the investigation, infants are seated in car seats for more than fifteen minutes at a time.

A caregiver in the infant room was observed turning her back to a child who was on the changing table.

In the toddler classroom, a bottle of Clorox bleach and a bottle of "Scrubbing Bubbles" (bathroom cleaner) was stored in the children's bathroom, in an unsecured cabinet under the sink making it accessible to children. NOTE: CORRECTED AT TIME OF INSPECTION

Through information received with this investigation;the documentation provided by the operation does not have the parent's signature acknowledging they received a copy of the incident report.

Child was observed laying on his mat which was blocking an emergency exit doorway posing a hazard. NOTE: This was corrected at inspection with the child's mat being moved out of the doorway.