El Cenizo Head Start Center

The written feeding instructions for an infant in care were not current. The written feeding instructions available for review had a date of 7/29/2024.

The annual fire inspection was not current.

1 of 5 children's immunization records reviewed were not current.

Operation staff did not contact emergency medical services immediately after a child was injured and required medical attention. Staff only contacted the child's parent to notify them of the incident.

Based on the information gathered during the investigation, it was determined the director is in charge of a group of children in a classroom on a daily basis. Being in a classroom at all times prevents the director from conducting their responsibilities which includes supervising staff.

Based on the information gathered during the investigation, it was determined caregivers are not promptly changing children's diaper when soiled or wet.

Based on the information gathered during the investigation, it was determined the director is in charge of a group of children in a classroom on a daily basis. Being in a classroom at all times prevents the director from conducting their responsibilities which includes supervising staff.

Two caregivers were missing the following annual trainings: Caregiver #1 12/1/2019-11/30/2020 -Communicable Diseases including Immunizations -Administering Medication -Food allergies -Understanding Building and Physical premises safety -Handling, storing Hazardous Materials -Abuse and Neglect Caregiver #2 7/28/2020-7/27/2021 -Food allergies

Fire drill documentation for the months of August and September was not available for review during inspection. NOTE: This was corrected during inspection by Director completing documentation after consulting on dates and times of fire drill completion.