Kids R Kids #5

The Director did not have a time sheet available for review, and/or log that portrays the required number of hours worked per Director qualifications.

As of 8/13/25 corrections have not been received. This deficiency is being recited. Three staff have not completed pre-service training prior to being counted in the child/staff ratio.

A list of current employees is not posted.

A child was transported without a list on the van,

A child was transported without the required emergency medical information.

Of the 10 children's records evaluated, the following information was missing: 1. One lacked the address of the emergency contact 2. Two lacked the name, address and phone number of the child's doctor or health care facility. 3. Five lacked information regarding water activities 4. One lacked a shot record 5. Six children are behind on immunizations 6. One lacked the phone number of the school the child attends 7. One lacked the name and phone number of the school the child attends

A child was transported without the parent and emergency contact information on the bus.

Three staff have not completed pre-service training prior to being counted in the child/staff ratio.

The following information is missing from the operational policies: 1. Water activities 2. Field trips 3. Requirements for indoor and outdoor physical activity 4. Parents' Rights 5. Instructions on how parents may access Minimum Standards, Texas Abuse and Neglect Hotline and the HHSC website. 6. Inform parents of the requirement for staff to receive annual training hours in child abuse and neglect; increasing staff and parent awareness regarding abuse and neglect, increasing staff and parent awareness of prevention techniques, local community organizations that assist with abuse and neglect awareness and actions a parent of a child who is a victim of abuse should take to obtain assistance. 7. Staff vaccination policy

The director has not recieved 30 clcok hours of annual training for the July 2023-July 2024 training year. The director will need to recieve make-up training hours.

The director and one van driver have not completed a transportation safety training.

Seven staff did not completed 24 clock hours of annual training for their respective training year. The caregiver will need to complete make-up training hours.

Of the 10 personnel files evaluated lacked the following information: 1. Five lacked a pre-employment affidavit 2. Two lacked documentation of how the staff meets the education requirements 3. One lacked a notarized affidavit

Monthly playground checklist for the previous three months were not available for review.

Children did not wash their hands prior to eating breakfast.

This standard was evaluated in regard to a report recieved and compliance was not met. There were 18 children, ages 12 months to 4 years old, with one caregiver. The Specified Age Group was 2 years old which means one caregiver can only care for 11 children.

This standard was evaluated in regard to a report recieved and compliance was not met.Infants were combined with children that were more than 18 monhs older than the youngest child in the group. The youngest child was 12 months old and the oldest child was 4 years old. This was corrected at inspection.

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. There were 41 children, ages 5-13 years old, with two caregivers. The maximum group size can't exceed 35 children. This was corrected at inspection.

Children under the age of 2 years old were participaitng in a screen tiime activity. This was corrected at inspection.

The director did not receive training in the following topics for the July 2022-July 2023 training year: Abusive Head Trauma, Shaken Baby Syndrome and Understanding Early Childhood Brain Development.

The employee list is not current; it includes names of staff who are no longer employed at the center.

Bottles and cups did not include the initial of the child's last name. This was corrected at inspection.

Staff have not completed annual training hours in one or more of the following topics for their respective training year: SIDS, Shaken Baby Syndrome, Abusive Head Trauma and Early Brain Development.

The director and van drivers are not current with transportation safety training.

The director did not receive training in the following topics for the July 2022-July 2023 training year: administering medications, preventing and responding to food allergies and handling, storing and disposing of hazardous materials.

There were 43 children, ages 5-12 years old, with two caregivers. The maximum group size can't exceed 35 children. This was corrected at inspection.

Staff did not receive training in one or more of the following topics for their respective training year: adminstering medications, preventing and responding to food allergies and handling, storing and disposing of hazardous materials.

An infant was observed walking around while drinking their bottle. This was corrected at inspection.

This standard was evaluated in regard to a report received and compliance was not met. The written activity plan is not being followed.

The wrtten activity plans do not include dates and the age group..

Two and three year old children were served whole wieners. This is a choking gazard for chidlren under the age of 4.

A follow-up inspection was conducted and compliance was not met. This deficiency is being recited. A caregiver was changing a child's diaper in the bathroom with her back turned to the classroom. The caregiver was unable to see the children in the classroom.

Staff are not washing their after changing children's diapers.

Children's hands are not being washed after diaper changes.

School-age children were wathcing a PG-rated movie.

The school-age children were having screen time during rest time.

This standard was evaluated and compliance was not met. A caregiver was observed on video pulling a child's nap mat closer to her while the child was kneeling on the mat. This could have resulted in the child being injured.

This standard was evaluated in regard to a report received and compliance was not met. A caregiver was changing a child's diaper in the bathroom with her back turned to the classroom. The caregiver was unable to see the children in the classroom.

The director did not complete a training covering Understanfding Early Childhood Brain Development for the July 2021-July 2022 training year.

Of the 10 personnel records evaluated, 7 did not receive the required number of training hours for their training year and training was not received in all of the required topics. The caregivers will need to receive make-up training hours that will not count towards the current training number.

The operational policies was lacking the following information: 1. Safe sleep policy 2. Description of water activities 3. Requirements for outdoor play and physical activity 4. Instructions for a parent to review a copy of the Minimum Standards and the most recent Licensing inspection report. 5. Information on how parents may contact the local Licensing office, the Texas Abuse Hotline and HHSC website. 6. Information for a space for mothers to breastfeed and procedures to provide breast milk. 7. Staff training requirements for reporting child abuse and neglect, increasing staff and parent awareness, etc. 8. Information on the center being in a gang free zone. 9. Staff vaccination requirements. 10. Emergency Preparedness Plan

The director received 26 of the required 30 clock hours of annual training for July 2021-July 2022 training year. The director needs 4 clock hours of make-up training. The make-up hours will not count towards the current year.

Of the 10 children's records evaluated; the following information was missing: 1. One lacked the date of admission. 2. Two lacked the address/phone number for the emergency contact. 3. One lacked the address and phone number of the child's doctor. 4. One lacked the name, address and phone number of the child's doctor. 5. One lacked authorization for emergency medical care. 6. Two lacked the name and phone number of the school the school age children attend. 7. One lacked the results of a heating and vision screening. 8. One child's allergy form was not signed by the parent

Of the 10 children's records evaluated, one was behind with immunizations.

Of the 10 children's records evaluated, four lacked an immunization record.

One caregiver ignored a parent concern related to children standing on tables in the classroom, which could be considered a hazard. A child was observed standing on the table in Suite 350 on more than one occasion, in which operation staff did not intervene. Although the children were being supervised, the caregiver lacked competency and good judgement by failing to remove the child from the table, and/or acknowledging the parent concerns.

Based on the video footage observed, one caregiver did not portray good judgment by picking up a 3-year-old child by one arm, and by not tending to the child's needs. The child was picked up by one arm, which resulted in nurse maid's elbow. The child was observed crying, and the caregivers present within the classroom continued to walk by the child.

Two children were observed opening the main door, and the outside door area. One child who is 2 years of age was observed opening the main door to the outside area. Another child who is 3 years of age was observed opening the main door to the hallway.

The caregiver in Suite 250 was not aware of the youngest or oldest child in care.

One child in Suite 500 was observed climbing on the door. The child was observed running around the classroom while other children were observed sitting at the table top. The child was not listening to the caregiver in charge.

The operation did not have a current employee list posted within the facility. The office manager provided Licensing a copy of the employee list when requested. The list contained 3 names crossed out due to staff no longer being employed.

The caregiver in Suite 250 was not aware of the youngest child in care. The Director had informed that the caregiver had just returned to employment 3 days prior.

During the walkthrough, the carbon monoxide detector was not in working condition. The carbon monoxide detector portrayed a red blinking light.

The school age classroom was observed watching a movie in the gym area during the timeframe that table top activities and breakfast was scheduled. The activity schedule for the gym class documents from 6AM-8AM, staff provide table top activities, breakfast, and clean-up.

The operation did not implement a notification to parents informing of the time frame of the field trip. The operation did not document, and/or inform parents of an expected return time.

There was a toddler classroom with a specified age group of two years of age that had 12 children with one caregiver which put the classroom over ratio by one child.

The hand washing sink near the diaper changing area of the infant classroom was being used to wash toys. Note- This was corrected during the inspection when the toys were removed from the hand washing sink and placed in the dish washing sink.

Based on the information obtained, there is sufficient evidence to suggest that diaper changes are not being consistently logged in the infant daily reports.