Water Oak Preschool

One chlild's food allergy plan lacked the name of the food the child is allergic to, the symptoms the child may exhibit if exposed to the food or if consumes the food, and the parents signature.

One child's Epi pen had expired.

One child's Epi Pen was not in its original container.

A sampling of children records were evaluated. One child's record lacked a health statement.

The loose fill on the playground is not being maintained at the proper depth.

The top portion of the Dutch door on the front of the large playhouse has broken. There is a small wasp nest inside the playhouse.

The operational policies were evaluated and lacked the following written policies/procedures: 1) Information on vaccine-preventable diseases for employees; 2) peocedures for supporting inclusive services to children with special care needs. The policy must address the requirements outlined in 746.2202.

A sampling of children records were evaluated. One child's record lacked the address of their designated contact. Two children's record lacked documentation that the parents received a copy of the Parent's Rights form. One child's record lacked a health statement. One child's Affidavit for Exemption from Immunizations for Reasons of Conscience expired 3/2024. One child's record lacked documentation of a vision and hearing screening.

A sampling of children records were evaluated. One child's immunization record was observed incomplete. One child's notarized Exemption from Immunizations for Reasons of Conscience form has expired. Each individual vaccine exemption affidavit is good for two years from the date notarized.

One caregiver's record lacked a notarized affidavit.

The operational policies were evaluated and lacked the following written procedures: Promotion of indoor and outdoor physical activity that is consistent with Subchapter F of this chapter (relating to Developmental Activities and Activity Plan); your policies must include: (A) The benefits of physical activity and outdoor play; (B) The type of physical activity (structured and unstructured) that children may engage in at your operation; (C) Each setting in which your physical activity program will take place; (D) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; and (E) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play; information regarding whether or not you require employees to obtain vaccines for preventable disease; and the HHSC website (www.hhs.texas.gov).

The last documented review of the CPSC website to review the recall list to ensure no recalled items are in the center was observed 1/2021. You must certify annually in writing using a form provided by DFPS that you have reviewed each of the recall notices issued by the CPSC and that there are no unsafe products in the center.

The Emergency Preparedness Plan was evaluated and lacked the following written procedures: 1) The emergency telephone number that is on file with Child Care Regulation; and 2) How you will communicate with local authorities, parents, and Child Care Regulation.

The operation failed to report a communicable disease within the required 2 days notification.