Child care center ·
6865 BEECH TRAIL DR, San Antonio, TX 78244-1878 ·
License 234093- 684
Capacity 150. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.3809 - Medication No Longer Used
During an inspection 1 child's Epi Pen is found to be expired. |
— |
| 5 | — |
HRC42.04412(a) - Interference with an investigation
The operation is impeding an investigation by refusing to release video footage taken the day of an alleged incident that is related to an open investigation. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
2 garbage cans in the Early Preschool classroom bathrooms were seen uncovered with garbage accessible to children. Note: this was corrected when lids were placed on the cans |
Yes |
| 4 | — |
746.3505(b) - Diapering Procedures - Wash Infant's Hands
The teacher was observed changing several children's diapers without washing their hands. This was corrected when another teacher washed the hands of the children that had their diaper changed. |
Yes |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was last conducted on 3/17/2021. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom for two year old children was observed with 12 children with one caregiver. The SAG in the classroom was two years. Note: this was corrected at inspection when a three year old child was bumped up to a preschool classroom. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A child was observed picking up and eating a food item from the trash pile on floor that was left by a caregiver. A trash can in a toddler classroom was observed without a cover |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One of the children's file reviewed was not current for immunizations. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
During the investigation, it was determined that a caregiver mistreated a child by pinching the child while in naptime causing a lesion. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Interact positively with children
A caregiver was observed using aggressive tones with the children in her care. |
— |
| 4 | — |
746.3407(10) - Center Heated, Lighted and Ventilated Properly
Based on evidence collected during this investigation, it was determined that the operation failed to ensure that the infant classroom was warm enough for infants in care. The classroom was observed to be very cold, with temperatures measured as low as 64.6⁰ F. Other classrooms measured within a degree of two of this temperature, and one classroom that was not in use at the time measured at 56.5⁰ F. |
— |
| 4 | — |
746.5307(b) - Fire Extinguishers Serviced
Each fire extinguishers in each of the two transportation vehicles did not indicate a service date in the tag. |
— |
| 5 | — |
746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, Yelling
During investigation, it has been determined that yelling does occur at operation from caregivers towards children. |
— |
| 3 | — |
746.605(10) - Required Admission Information - Physician Information
One out of ten children's record did not have a physician's information on the enrollment form. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of ten caregivers did not have verification of up-to-date CPR/FA certification. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
While reviewing children's files, 2 of 6 records reviewed did not have immunization records or statement from parent saying they refuse to immunize in the child's record. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was overdue as of 4/27/23. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was present at operation without an active background check. NOTE: Caregiver was sent home and told must not return until results are returned. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
3 wasps nests were seen on the playground during an inspection. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child in the Pre K classroom did not wash their hands after having diaper changed. Note: this was corrected when caregiver was told to ensure child washed their hands. |
Yes |
| 4 | — |
746.3401(b) - Annual Sanitation Inspection - Conducted Local Sanitation Official
The last health inspection was conducted on 4/5/2021. |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
There was no incident report created within the adequate timeframe and the parent was not given a written notification on the details of the incident. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During investigation, an employee (YG) was observed working as caregiver while background check remains pending. Director stated she has been working since Wednesday, 5/25/22. Employee was told to go home and must not return until background results are returned. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Three caregivers were not current with their CPR/First aid certifications. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
During an investigation, it was determined that a caregiver was using harsh methods of waking children from nap by lifting the cots there were laying on with her foot. |
— |
| 4 | — |
746.3407(10) - Center Heated, Lighted and Ventilated Properly
The operation was 83 degrees at the time of the inspection due to AC malfunctioning since Tuesday 6/20. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One of ten children's files did not have a signed medical authorization. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on observation and interviews with staff the preschool and two year old classroom were out of ratio by one child. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
One out of eight infants were missing a monthly feeding schedule. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver in the school age classroom was observed redirecting a child in a loud voice. The child was visibly upset during the occurrence. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Three tenured employees of 19 employees total, did not have current CPR/First aid certifications. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Two of ten children's files did not have an immunization record in file. One of ten children's files did not have a signed health care statement from their physician. Two of ten children's files did not have the child's school information. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
During an investigation, it was determined that a caregiver placed a crying child roughly outside the classroom door and closed the door to the classroom leaving child alone in another classroom. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver in the toddler classroom gave the incorrect number of children in class during naptime. Caregiver pulled the roster on the tablet and compared with the written list and found the error. |
— |
| 4 | — |
746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
During investigation it was determined parents were not immediately notified of child's injury. Once an attempt was made to notify one parent, no additional attempts were made to contact second parent or anyone else when contact not achieved. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children in care have Epi Pens at the operation for food allergies, and no allergy emergency plans on file available for review during an inspection. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Two of ten children's files did not have an up-to-date immunization record. |
— |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The mulch was low at exits of slides and high activity areas. The director did not know when it was last spread/raked. |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was observed grabbing a child's forearm to stop them from grabbing plastic gloves used for serving snack and yanking them from their hand roughly. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
The permit holder has failed to adequately respond to work order requests submitted by the operation regarding the HVAC system not working properly. This failure to ensure that all classrooms in the building are kept at a consistent temperature has resulted in some classrooms being too cold in the winter and/or too hot in the summer for children in care. |
— |
| 4 | — |
746.3407(10) - Center Heated, Lighted and Ventilated Properly
Recited: Temperature measurements taken in three classrooms during the follow up inspection were lower than the city mandated lowest temperature allowed for child care facilities. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
Based on interviews with staff, children and documentation proves a caregivers used inappropriate discipline by grabbing a three year old by the arm and force them to sit down. |
— |
| 4 | — |
746.3505(b) - Diapering Procedures - Wash Infant's Hands
A caregiver changed an infant's diaper and released them without washing their hands when done. A caregiver did not ensure a toddler's hands were washed after changing their diaper. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Adult scissors were found in the 18?24-year-old room in a drawer that was not child proof. All fire extinguishers located in the classrooms were observed to have an accumulation of dust. This was corrected at inspection once the scissors were removed and all fire extinguishers were cleaned. |
Yes |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
Eight of the 10 files reviewed do not have health statements or their equivalents available for review during an inspection. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
While reviewing annual training records: 4 of 19 employees did not have training records available for review. Four caregivers had not completed their required 24 hours for the 12 month period. The director had only 18 of 30 hours completed for her annual training. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A wasp's nest with a wasp in it was seen on the playground under the roof of a playhouse. A nail was protruding out of a playhouse accessible to children located on the infant playground. A broken toy with sharp edges was accessible to children. NOTE: These 3 hazards were corrected at inspection when the assistant director called Pest control and scheduled for them to come out on today. The assistant director was able to screw the nail in from protruding out of the playhouse roof area. The assistant director removed the broken toy from the playground. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
Seven of the 8 files reviewed during a follow up do not have health statements or their equivalents available for review during an inspection. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of 10 files reviewed do not have up to date immunization information available for review during an inspection. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children in care have Epi Pens at the operation for food allergies, and no allergy emergency plans on file available for review during an inspection. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
Seven of the 8 files reviewed during a follow up do not have health statements or their equivalents available for review during an inspection. |
— |
| 4 | — |
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The mulch was low at exits of slides and high activity areas. The director did not know when it was last spread/raked. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver in the school age classroom was observed redirecting a child in a loud voice. The child was visibly upset during the occurrence. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
Adult scissors were found in the 18?24-year-old room in a drawer that was not child proof. All fire extinguishers located in the classrooms were observed to have an accumulation of dust. This was corrected at inspection once the scissors were removed and all fire extinguishers were cleaned. |
Yes |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of ten caregivers did not have verification of up-to-date CPR/FA certification. |
— |
| 4 | — |
746.3407(10) - Center Heated, Lighted and Ventilated Properly
Recited: Temperature measurements taken in three classrooms during the follow up inspection were lower than the city mandated lowest temperature allowed for child care facilities. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
During an investigation, it was determined that a caregiver placed a crying child roughly outside the classroom door and closed the door to the classroom leaving child alone in another classroom. |
— |
| 5 | — |
HRC42.04412(a) - Interference with an investigation
The operation is impeding an investigation by refusing to release video footage taken the day of an alleged incident that is related to an open investigation. |
— |
| 4 | — |
746.5307(b) - Fire Extinguishers Serviced
Each fire extinguishers in each of the two transportation vehicles did not indicate a service date in the tag. |
— |
| 3 | — |
746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
There was no incident report created within the adequate timeframe and the parent was not given a written notification on the details of the incident. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During investigation, an employee (YG) was observed working as caregiver while background check remains pending. Director stated she has been working since Wednesday, 5/25/22. Employee was told to go home and must not return until background results are returned. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom for two year old children was observed with 12 children with one caregiver. The SAG in the classroom was two years. Note: this was corrected at inspection when a three year old child was bumped up to a preschool classroom. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver in the toddler classroom gave the incorrect number of children in class during naptime. Caregiver pulled the roster on the tablet and compared with the written list and found the error. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A wasp's nest with a wasp in it was seen on the playground under the roof of a playhouse. A nail was protruding out of a playhouse accessible to children located on the infant playground. A broken toy with sharp edges was accessible to children. NOTE: These 3 hazards were corrected at inspection when the assistant director called Pest control and scheduled for them to come out on today. The assistant director was able to screw the nail in from protruding out of the playhouse roof area. The assistant director removed the broken toy from the playground. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was last conducted on 3/17/2021. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One of the children's file reviewed was not current for immunizations. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
The permit holder has failed to adequately respond to work order requests submitted by the operation regarding the HVAC system not working properly. This failure to ensure that all classrooms in the building are kept at a consistent temperature has resulted in some classrooms being too cold in the winter and/or too hot in the summer for children in care. |
— |
| 4 | — |
746.3407(10) - Center Heated, Lighted and Ventilated Properly
The operation was 83 degrees at the time of the inspection due to AC malfunctioning since Tuesday 6/20. |
— |
| 4 | — |
746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
During investigation it was determined parents were not immediately notified of child's injury. Once an attempt was made to notify one parent, no additional attempts were made to contact second parent or anyone else when contact not achieved. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was present at operation without an active background check. NOTE: Caregiver was sent home and told must not return until results are returned. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
During the investigation, it was determined that a caregiver mistreated a child by pinching the child while in naptime causing a lesion. |
— |
| 5 | — |
746.2805(6) - Prohibited Punishments - Humiliating, Rejecting, Yelling
During investigation, it has been determined that yelling does occur at operation from caregivers towards children. |
— |
| 4 | — |
746.3505(b) - Diapering Procedures - Wash Infant's Hands
A caregiver changed an infant's diaper and released them without washing their hands when done. A caregiver did not ensure a toddler's hands were washed after changing their diaper. |
— |
| 4 | — |
746.1203(5) - Responsibilities of Caregivers - Interact positively with children
A caregiver was observed using aggressive tones with the children in her care. |
— |
| 4 | — |
746.3407(10) - Center Heated, Lighted and Ventilated Properly
Based on evidence collected during this investigation, it was determined that the operation failed to ensure that the infant classroom was warm enough for infants in care. The classroom was observed to be very cold, with temperatures measured as low as 64.6⁰ F. Other classrooms measured within a degree of two of this temperature, and one classroom that was not in use at the time measured at 56.5⁰ F. |
— |
| 3 | — |
746.3809 - Medication No Longer Used
During an inspection 1 child's Epi Pen is found to be expired. |
— |
| 5 | — |
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
During an investigation, it was determined that a caregiver was using harsh methods of waking children from nap by lifting the cots there were laying on with her foot. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A child was observed picking up and eating a food item from the trash pile on floor that was left by a caregiver. A trash can in a toddler classroom was observed without a cover |
— |
| 5 | — |
746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver was observed grabbing a child's forearm to stop them from grabbing plastic gloves used for serving snack and yanking them from their hand roughly. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One of ten children's files did not have a signed medical authorization. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of 10 files reviewed do not have up to date immunization information available for review during an inspection. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
While reviewing children's files, 2 of 6 records reviewed did not have immunization records or statement from parent saying they refuse to immunize in the child's record. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was overdue as of 4/27/23. |
— |
| 4 | — |
746.3505(b) - Diapering Procedures - Wash Infant's Hands
The teacher was observed changing several children's diapers without washing their hands. This was corrected when another teacher washed the hands of the children that had their diaper changed. |
Yes |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
2 garbage cans in the Early Preschool classroom bathrooms were seen uncovered with garbage accessible to children. Note: this was corrected when lids were placed on the cans |
Yes |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
Eight of the 10 files reviewed do not have health statements or their equivalents available for review during an inspection. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children in care have Epi Pens at the operation for food allergies, and no allergy emergency plans on file available for review during an inspection. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
Based on interviews with staff, children and documentation proves a caregivers used inappropriate discipline by grabbing a three year old by the arm and force them to sit down. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Three tenured employees of 19 employees total, did not have current CPR/First aid certifications. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on observation and interviews with staff the preschool and two year old classroom were out of ratio by one child. |
— |
| 4 | — |
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Two children in care have Epi Pens at the operation for food allergies, and no allergy emergency plans on file available for review during an inspection. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
One out of eight infants were missing a monthly feeding schedule. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Two of ten children's files did not have an up-to-date immunization record. |
— |
| 4 | — |
746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
While reviewing annual training records: 4 of 19 employees did not have training records available for review. Four caregivers had not completed their required 24 hours for the 12 month period. The director had only 18 of 30 hours completed for her annual training. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Three caregivers were not current with their CPR/First aid certifications. |
— |
| 3 | — |
746.605(10) - Required Admission Information - Physician Information
One out of ten children's record did not have a physician's information on the enrollment form. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
A child in the Pre K classroom did not wash their hands after having diaper changed. Note: this was corrected when caregiver was told to ensure child washed their hands. |
Yes |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Two of ten children's files did not have an immunization record in file. One of ten children's files did not have a signed health care statement from their physician. Two of ten children's files did not have the child's school information. |
— |
| 4 | — |
746.3401(b) - Annual Sanitation Inspection - Conducted Local Sanitation Official
The last health inspection was conducted on 4/5/2021. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
3 wasps nests were seen on the playground during an inspection. |
— |
216 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.