Maple Tree Kids Daycare LLC

1 child did not have complete immunization records on file at the operation.

One caregiver did not have proof of first aid/cpr in their file.

2 caregivers were missing out of their personnel file: a copies of their ID and proof of their education. Additionally one was missing proof of orientation and did not have a complete pre-employment affidavit. 1 caregiver file was not available for review during the inspection.

One caregiver did not know children's ages or have access to the information showing their ages.

The operation was unable to provide proof of liability insurance.

One caregiver had left the infant space and was responsible for supervising 2 groups of children in two different spaces.

A caregiver was again observed changing diapers and did not wash their hands or the children hands after completion. The portable sink in the room has a broken hose and is unable to be used to wash hands.

A caregiver repeatedly left the room, leaving the caregiver responsible for infants to supervise 2 spaces at one time.

Background check conditions were not being followed.

During naptime, ratio was reduced but there was not one other employee/caregiver in the building that wasn't counted in ratio.

Two classrooms were out of ratio, with one caregiver supervising 6 infants when they were only allowed to supervise 5 and the other caregiver only being permitted to supervise 11 and there were 13 in the room.

A caregiver was again observed changing diapers on multiple children and did not wash their hands or the children hands after completion.

Multiple outlets within reach of children were still loose, exposing wires and putting children at risk.

A caregiver did not sanitize the diaper changing surface in between diaper changes.

Background check conditions were not being followed.

Multiple outlets within reach of children were loose, exposing wires and putting children at risk.

A caregiver was observed changing diapers on multiple children and did not wash their hands or the children hands after completion.

With more than 13 children in the building, one group of children exceeded the 18 month age gap by having a child under 18 months with children more than 18 months older.

One child with a food allergy written by the parent did not have a food allergy emergency plan on file.

A caregiver left the room to answer the door, leaving 4 infants unattended in their space and her unable to intervene. A caregiver allowed children to enter and separate from the outside group when coming inside. They then had to gather outside children to bring them inside, leaving the group inside without supervision.

The operation was unable to provide timesheets showing the director is present at least 75% of the operating hours.

There was one caregiver that did not have an employee file available for review.

A caregiver left the room to cook, leaving one caregiver in charge of 4 infants and 6 other children in two spaces.

The operation was unable to provide monthly feeding schedules for the infants enrolled and present at the operation.

One child with a food allergy written by the parent did not have a food allergy emergency plan on file.

One child whose parent is not participating in immunizations did not have the health department waiver on file at the operation.

The most recent fire inspection was conducted more than 12 months ago on 8/6/24.

3 children did not have parent signatures giving the operation authorization to obtain emergency medical care on file. 1 was corrected at inspection.

One child did not have an address or phone number listed for their physician. No hospital was named.

There were no employee time sheets available for review.

The operation does not have a qualified director in place at the operation.

The handwashing sink and diaper changing area were not set up in such a way that caregivers can see and hear infants at all times.

There was no handwashing sink or diaper changing area in an area that will be used by children in diapers.

The written activity plans were not specific enough for each age of children they plan to serve.

The operational policies did not include a completed emergency preparedness plan, hours of operation, an abuse/neglect policy, medication policy, safe sleep, hearing and vision, enrollment procedures, promotion of indoor and outdoor activities including benefits, length of time and types, insect/sunscreen procedures, procedures for parents to review policies/have questions, how to review 2936, how to contact HHSC, breastfeeding policy and how to support inclusive services (although ADA is mentioned).

There was no barrier between the infant space and older children's space that would prevent infants from leaving their space and older children from entering.