America's Choice Children's Center

The director's attendance records were not available during the inspection.

The operation successfully repaired the playground gate; however, the old replaced gate was left leaning against the fence in the play area. CCR also observed broken concrete, a rug that had bunched up, and a broken scooter in the play area, all of which were accessible to the children.

The playground back gate's T-hinge is broken, preventing the gate from closing. This issue allows animals or individuals to enter the property and a child to leave the premises.

The playground back gate's T-hinge is broken, preventing the gate from closing. This issue allows animals or individuals to enter the property and a child to leave the premises.

A group of children specified age group 12-17 months old the caregiver allowed children to watch a video on a tablet that was hanging on the wall while children waited for lunch. Corrected: When the caregiver turned it off and read a book to the children.

The operation playground does not have the required six inch of surfacing around the play structure.

The documented annual training hours/certificates provided for review did not include training on the following required topics in Health and Safety for a caregiver. 1. emergency preparedness 2. communicable diseases to include immunizations 3. administering medication 4. preventing and responding to emergencies due to food or an allergic reaction 5. building and physical premises safety and 6. handling, storing, and disposing of hazardous materials.

The operation had not submitted the total number of employees who ceased working at the operation the previous calendar year by January 15, 2024.

Some of admission forms used were outdated. The admission forms do not capture the required minimum standards changes of March 2023.

Four caregivers lacked the educational requirements on file.

One personnel file lacked the required notarized affidavit on file.

The documented annual training hours/certificates provided for review did not include training on the following required topics in Health and Safety for the director. 1. emergency preparedness 2. communicable diseases to include immunizations 3. administering medication 4. preventing and responding to emergencies due to food or an allergic reaction 5. building and physical premises safety and 6. handling, storing, and disposing of hazardous materials.

The transportation training for the 2nd director was last completed on 03/07/21.

Based on the preponderance of the evidence obtained during the investigation conducted by DFPS, it was found that there was sufficient evidence that the caregiver, who parked the vehicle, did not have a list of the children when this incident occurred.

Based on the preponderance of the evidence obtained during the investigation conducted by DFPS, it was found that there was sufficient evidence to show that a caregiver neglectfully supervised a child.

Based on the preponderance of the evidence obtained during the investigation conducted by DFPS, it was found that there was sufficient evidence to show that all the children were not accounted for when they exited the van into the operation.

There were 15 children napping, ages 15 months to 2 years old with one caregiver. The specified age group was 2 years old. With this specified age group one caregiver can supervise 11 children. This was corrected at inspection when the youngest child was moved to the infant classroom.

A total of five infant feeding instructions were observed that were not updated. Infant feeding instructions observed were dated: -09/01/2022 -09/06/2022 -08/31/2022 -09/27/2022 -09/19/2022

One child's file observed did not include a health statement. The child's enrollment date is documented as 05/31/2022.

The outdoor area observed did not have adequate amount of mulch near the grounded area of the slide. The mulch observed was displaced, and/or removed due to rain or lack of maintenance on three separates areas of the playground. The mulch observed was less than 9 inches.

One child's file observed did not include the child's physician information for contact in case of an emergency. The child's file did not contain the physician's name, address, and/or telephone number. The child's file did not contain the emergency care facility either.

There are nails observed protruding from a wooded gate that posed as a hazard to children in care. There was a broken board observed hanging from the wooded gate. A water hose was observed unraveled which poses as a tripping hazard.

One food allergy plan observed did not include the parent signature.

Five staff files observed contained training from an online source.