Small Steps Nurturing Center-Gulfton

Based on the information obtained, it was determined supervision was not maintained when a two-year-old child left the classroom.

Emergency medical treatment information is needed for five children who are transported.

While evaluating eight personnel files, I observed several files missing signed and dated statement from the employee/trainer.

The operation does not have documentation showing the carbon monoxide detection system was tested.

The last gas leak inspection was conducted on 2/7/2023.

The annual certification was last completed 01/22/2024 Note: This was corrected during inspection.

Records were evaluated for eight children enrolled and the following was determined: Three children needed a statement of special needs. Two children needed an address for the emergency contact. One child needed emergency care information such as name, address, and phone number of the child's physician or emergency care facility. One child needed authorization for emergency medical treatment.

A parent signature is needed on one child's food allergy emergency plan.

During today's inspection I observed a bottle of medication stored on a counter that was accessible to children. Note: This was corrected during inspection.

Observed a caregiver in the Three's classroom who had direct access to children in care. The caregivers background check is pending and the operation has not received an eligiblity notification from CBCU stating the caregiver can be present.

Authorization for emergency medical treatment for children was not observed in the vehicle used to transport children.

Multiple caregivers did not know the number of children they were responsible for during the inspection.

The operation did not have a thermometer in the first aid kit in van used to transport children. Note: The provider obtained an extra thermometer and placed it in the first aid kit in the van during the inspection.

Nap mats were missing labels during the inspection.

Training certificates in the following topics were not available for review for 2 staff: Handling, Storing and Disposing of Hazardous Materials Emergency Preparedness

Documentation stating a sanitation inspection is not required was not available for review during the inspection.

Documentation showing the smoke detector and carbonoxide detectors have been tested within the last month was not available for review.

The food allergy emergency plan forms for 2 children with documented food allergies was not signed by the parent.

There were 2 classrooms on the playground that did not have access to the tracking system for children in their care. Note: The Interim Director brought the sign in/out logs to the caregivers druing the inspection.