N & C Academy LLC

1 out of 5 files reviewed were missing a health care professional signed statement.

A chair is used by children to climb and drink water from drinking fountain. CORRECTED at inspection when an age approprtiate step stool was placed for children to use.

One classroom observed to not have a caregiver in room to supervise 22 children.

Observed two caregivers present in the operation during nap time for 38children, one class with 19 children and another class with no caregiver present with 21 children. Classrooms were not in a centralized area and no additional staff was present in the operation to assists when needed.

Feeding instruction was not avialble for review.

Daily report did not have a section to describe child's mood.

Nap time lighting was not adequate when entering the 2 rooms for nap time.

One caregiver was providing care for 14 children ages 18mo-9yo, SAG 2yo. Classroom was over ratio by 3 children.

Last Fire Inspection was conducted on 08/29/2023.

Both transportation vehicle's are missing a fire extinguisher and transportation first aid kits are missing a thermometer.

Five staff files were reviewed. One file is missing annual training certificates and notarized affidavit. A second file is missing translation of foreign diploma.

Infant group: one caregiver was providing care for 6 children ages 9-14mo, SAG 0-11mo. Room was over ratio by two children. Toddler-Prek group: two caregivers were providing care for 17 children ages 17mo-4yo. Age difference between youngest and oldest child exceeded 18 months.

Operational Policies were reviewed and the following information is missing: (a)(21) Procedures for parents to participate in the child-care center's operation and activities; (a)(22) Procedures for parents to review a copy of the child-care center's most recent Licensing inspection report and how the parent may access the minimum standards online; (a)(23) Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website; and (b)(1) You must inform parents that they may visit the child-care center at any time during your hours of operation to observe their child, the program activities, the building, the premises, and the equipment without having to secure prior approval.

Most recent health inspection was not available for review at the time of inspection. Inspection report provided by completed on 5/22/2023. Note: A copy of the most recent health inspection report (11/8/2023) was provider by operation via text message after the conclusion of the inspection.

Six children's records were reviewed, One file is missing up to date immunization records. Six files are missing parent's rights statement. Three files are missing updated special care and water activities statements. Feeding instructions for five children not yet eating table food were not available for review at the time of inspection. 13 out of the 41 children present were not signed in.

There was insufficient light in the toddler room during naptime. Note: This was corrected at inspection when provider turned on the light to the adjacent room allowing additional light to enter the room.

Last fire inspection was conducted on 01/21/2022. Note: Provider contacted the City of McAllen and requested an inspection.

There is mopping bucket containing water in the prek age room and accessible to children. Note: This was corrected at inspection when provider removed bucket.

One out of five staff trainings records reviewed was not available for review at the time of inspection.

Two children in the toddler room were observied in high chairs while the rest of the group participated in a craft. One child in the prek room was observed a high chair while rest of the group participated in a craft.

One out of five staff records reviewed has an expired first aid/cpr training.

A child was placed to nap on a play-yard. The play-yard had an additional mat and foam layer which was added on top of the original play-yard mat and covered with a sheet. Note: This was corrected at inspection when provider removed additional mat and foam layer and placed a clean sheet on the original play-yard mat.

Two caregivers were providing care for a total of 5 children ages 2mo, 3mo, 8mo, 9mo and 13mo. One of the caregivers stepped out of the room and remained in the kitchen during lunch preparation leaving one caregiver in charge of the 5 children.

One staff file is missing copy high school diploma or equivalent.

Two children's files are missing immunization records and three are missing health statements.

One staff member is missing training on Safe Sleep/Shaken Baby/Early Brain Development.

Folder taken during transportation routes is missing the following: -List of Children Being Transported -Emergency medical transport and treatment authorization forms -Written Transportation Emergency Plan

United States Consumer Product Safety recall list was last certified on 06/19/2020.

Four staff files were reviewed. A file is missing high school diploma. A second files requires a high school diploma be translated into English. Three files are missing copy of ID/DL. One file is missing hired date, affidavit and statements regarding personnel/center policies and orientation.

Four staff training records were reviewed. One file is missing 12 clock hours of training including trainings in the following topics: -Abuse/Neglect -Hazardous Materials -Food Allergies -Administering Medications -Emergency Preparedness -Building and Physical Premises Safety -Communicable Diseases Two files are missing training on -Safe Sleep/Shaken Baby/Early Brain Development.

Six children's files were reviewed. One file was not available for review at the time of inspection. Two files are missing immunization records. Three files are missing health statements.

During nap; a child's mat was placed on the hall leading to the playground blocking the emergency exit. Note: This was corrected at inspection when mat was relocated.

Per provider a fire inspection was recently conducted, however, inspection report available for review was conducted on 11/6/2020.

Operation policies were reviewed and following items are missing: -Safe Sleep Policy -Physical and Outdoor Activities Policy -Abuse/Neglect Policy -Employee's Vaccinations Policy