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TexasSan Antonio › Holy Trinity Presbyterian Day

Holy Trinity Presbyterian Day

Child care center · 16245 NACOGDOCHES RD, San Antonio, TX 78247-1004 · License 240705

0Compliance score
Poor

Capacity 80. InfantToddlerPre-KindergartenSchool

Violation history (176)

SeverityDateStandard / narrativeCorrected
4 746.5405 - Documentation of Gas Leak Inspection
the operation does not have the proper documentation of the gas inspection available for review during a CCR inspection.
4 746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
The operation has 3 playgrounds with mulch that is not adequate depth.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
A caregiver had documented inappropriate discipline measures as a child colored the floor. The caregiver made a report stating that the child will clean the floor first thing the next morning. It was documented that the child was put to clean floors at arrival time.
2 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
Two staff did not have an affidavit on file at time of review.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.
4 746.3701 - Safety - Areas Free From Hazards
A staff member's purse in the five-year-old classroom was sitting on the children's low open shelve accessible to the children in care. Note: This was corrected at the inspection.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.
3 746.901(2) - Required Personnel Records- Meets Requirements
One out 10 staff files was found missing education documentation.
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Operational policies were missing safe sleep for infants from birth through 12 months.
4 746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded
Two portable fans were stored on top of two shelves in the PreK classroom. Note: This was corrected at inspection when fans were removed from the shelves.
Yes
3 746.1309(e) - Documented Annual Training- Required Content
5 of the 10 files audtited are missing all of the required trainings for health and safety topics in section e of annual training hours for caregivers.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There were two infants that did not have updated feeding schedules at time of inspection.
5 746.2805(9) - Prohibited Punishments - Withholding Active Play
A caregiver was found prohibiting a child to play with toys or in centers due to the child's daily behavior.
3 746.603(a)(3) - Children's Records - Health Statement
Two out of ten children files were found missing a health-care statement.
2 746.901(4) - Required Personnel Records - Required Affidavit
One out of 10 staff files evaluated was found missing a notarized license affidavit.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Caregiver did not have a current first aid certification for review.
3 746.1309(e) - Documented Annual Training- Required Content
Five of eight staff files reviewed during inspection did not include the following annual trainings for the last full year of employment: Administering medication, handling and disposing of hazardous materials, preventing and responding to emergencies due to food or an allergic reaction.
5 746.3701(9) - Safety - Bodies of Water Inaccessible to Children
A mop bucket with water was accessible to children in an adjacent classroom through an opened door. Note: This was corrected at inspection when mop bucket was removed.
5 746.605(7) - Required Admission Information - Release Information
One out of ten children's records reviewed was found missing authorized persons for pick-up.
4 746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
There was observed to be less then 6 inches of loose-fill surfacing material located in the areas of the slide exits on the Toddler and Pre-K playgrounds.
4 746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Six out of ten staff files evaluated were missing CPR and First aid training. Note: Operation had a schedule training for all staff on the following day.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Caregiver was providing care to children in the infant classroom without another person supervising the caregiver. Note: This was corrected at inspection when another caregiver was placed in the classroom.
4 746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded
Two portable fans were stored on top of two shelves in the PreK classroom. Note: This was corrected at inspection when fans were removed from the shelves.
Yes
4 746.5405 - Documentation of Gas Leak Inspection
the operation does not have the proper documentation of the gas inspection available for review during a CCR inspection.
4 746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
The operation has 3 playgrounds with mulch that is not adequate depth.
3 746.1309(e) - Documented Annual Training- Required Content
5 of the 10 files audtited are missing all of the required trainings for health and safety topics in section e of annual training hours for caregivers.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There were two infants that did not have updated feeding schedules at time of inspection.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
A caregiver had documented inappropriate discipline measures as a child colored the floor. The caregiver made a report stating that the child will clean the floor first thing the next morning. It was documented that the child was put to clean floors at arrival time.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Caregiver was providing care to children in the infant classroom without another person supervising the caregiver. Note: This was corrected at inspection when another caregiver was placed in the classroom.
5 746.2805(9) - Prohibited Punishments - Withholding Active Play
A caregiver was found prohibiting a child to play with toys or in centers due to the child's daily behavior.
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Operational policies were missing safe sleep for infants from birth through 12 months.
2 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
Two staff did not have an affidavit on file at time of review.
4 746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
There was observed to be less then 6 inches of loose-fill surfacing material located in the areas of the slide exits on the Toddler and Pre-K playgrounds.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Caregiver did not have a current first aid certification for review.
3 746.603(a)(3) - Children's Records - Health Statement
Two out of ten children files were found missing a health-care statement.
4 746.3701 - Safety - Areas Free From Hazards
A staff member's purse in the five-year-old classroom was sitting on the children's low open shelve accessible to the children in care. Note: This was corrected at the inspection.
5 746.605(7) - Required Admission Information - Release Information
One out of ten children's records reviewed was found missing authorized persons for pick-up.
2 746.901(4) - Required Personnel Records - Required Affidavit
One out of 10 staff files evaluated was found missing a notarized license affidavit.
3 746.1309(e) - Documented Annual Training- Required Content
Five of eight staff files reviewed during inspection did not include the following annual trainings for the last full year of employment: Administering medication, handling and disposing of hazardous materials, preventing and responding to emergencies due to food or an allergic reaction.
4 746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Six out of ten staff files evaluated were missing CPR and First aid training. Note: Operation had a schedule training for all staff on the following day.
3 746.901(2) - Required Personnel Records- Meets Requirements
One out 10 staff files was found missing education documentation.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.
5 746.3701(9) - Safety - Bodies of Water Inaccessible to Children
A mop bucket with water was accessible to children in an adjacent classroom through an opened door. Note: This was corrected at inspection when mop bucket was removed.
4 746.3701 - Safety - Areas Free From Hazards
A staff member's purse in the five-year-old classroom was sitting on the children's low open shelve accessible to the children in care. Note: This was corrected at the inspection.
3 746.1309(e) - Documented Annual Training- Required Content
5 of the 10 files audtited are missing all of the required trainings for health and safety topics in section e of annual training hours for caregivers.
3 746.603(a)(3) - Children's Records - Health Statement
Two out of ten children files were found missing a health-care statement.
3 746.1309(e) - Documented Annual Training- Required Content
Five of eight staff files reviewed during inspection did not include the following annual trainings for the last full year of employment: Administering medication, handling and disposing of hazardous materials, preventing and responding to emergencies due to food or an allergic reaction.
5 746.3701(9) - Safety - Bodies of Water Inaccessible to Children
A mop bucket with water was accessible to children in an adjacent classroom through an opened door. Note: This was corrected at inspection when mop bucket was removed.
4 746.5405 - Documentation of Gas Leak Inspection
the operation does not have the proper documentation of the gas inspection available for review during a CCR inspection.
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Operational policies were missing safe sleep for infants from birth through 12 months.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There were two infants that did not have updated feeding schedules at time of inspection.
5 746.605(7) - Required Admission Information - Release Information
One out of ten children's records reviewed was found missing authorized persons for pick-up.
4 746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
There was observed to be less then 6 inches of loose-fill surfacing material located in the areas of the slide exits on the Toddler and Pre-K playgrounds.
3 746.901(2) - Required Personnel Records- Meets Requirements
One out 10 staff files was found missing education documentation.
4 746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded
Two portable fans were stored on top of two shelves in the PreK classroom. Note: This was corrected at inspection when fans were removed from the shelves.
Yes
5 746.2805(9) - Prohibited Punishments - Withholding Active Play
A caregiver was found prohibiting a child to play with toys or in centers due to the child's daily behavior.
2 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
Two staff did not have an affidavit on file at time of review.
2 746.901(4) - Required Personnel Records - Required Affidavit
One out of 10 staff files evaluated was found missing a notarized license affidavit.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
A caregiver had documented inappropriate discipline measures as a child colored the floor. The caregiver made a report stating that the child will clean the floor first thing the next morning. It was documented that the child was put to clean floors at arrival time.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Caregiver did not have a current first aid certification for review.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Caregiver was providing care to children in the infant classroom without another person supervising the caregiver. Note: This was corrected at inspection when another caregiver was placed in the classroom.
4 746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
The operation has 3 playgrounds with mulch that is not adequate depth.
4 746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Six out of ten staff files evaluated were missing CPR and First aid training. Note: Operation had a schedule training for all staff on the following day.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There were two infants that did not have updated feeding schedules at time of inspection.
5 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Caregiver was providing care to children in the infant classroom without another person supervising the caregiver. Note: This was corrected at inspection when another caregiver was placed in the classroom.
4 746.5405 - Documentation of Gas Leak Inspection
the operation does not have the proper documentation of the gas inspection available for review during a CCR inspection.
2 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
Two staff did not have an affidavit on file at time of review.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.
3 746.901(2) - Required Personnel Records- Meets Requirements
One out 10 staff files was found missing education documentation.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Caregiver did not have a current first aid certification for review.
5 746.605(7) - Required Admission Information - Release Information
One out of ten children's records reviewed was found missing authorized persons for pick-up.
3 746.603(a)(3) - Children's Records - Health Statement
Two out of ten children files were found missing a health-care statement.
4 746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
There was observed to be less then 6 inches of loose-fill surfacing material located in the areas of the slide exits on the Toddler and Pre-K playgrounds.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
A caregiver had documented inappropriate discipline measures as a child colored the floor. The caregiver made a report stating that the child will clean the floor first thing the next morning. It was documented that the child was put to clean floors at arrival time.
2 746.901(4) - Required Personnel Records - Required Affidavit
One out of 10 staff files evaluated was found missing a notarized license affidavit.
3 746.1309(e) - Documented Annual Training- Required Content
5 of the 10 files audtited are missing all of the required trainings for health and safety topics in section e of annual training hours for caregivers.
5 746.3701(9) - Safety - Bodies of Water Inaccessible to Children
A mop bucket with water was accessible to children in an adjacent classroom through an opened door. Note: This was corrected at inspection when mop bucket was removed.
3 746.1309(e) - Documented Annual Training- Required Content
Five of eight staff files reviewed during inspection did not include the following annual trainings for the last full year of employment: Administering medication, handling and disposing of hazardous materials, preventing and responding to emergencies due to food or an allergic reaction.
4 746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded
Two portable fans were stored on top of two shelves in the PreK classroom. Note: This was corrected at inspection when fans were removed from the shelves.
Yes
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Operational policies were missing safe sleep for infants from birth through 12 months.
4 746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Six out of ten staff files evaluated were missing CPR and First aid training. Note: Operation had a schedule training for all staff on the following day.
4 746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
The operation has 3 playgrounds with mulch that is not adequate depth.
4 746.3701 - Safety - Areas Free From Hazards
A staff member's purse in the five-year-old classroom was sitting on the children's low open shelve accessible to the children in care. Note: This was corrected at the inspection.
5 746.2805(9) - Prohibited Punishments - Withholding Active Play
A caregiver was found prohibiting a child to play with toys or in centers due to the child's daily behavior.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
A caregiver had documented inappropriate discipline measures as a child colored the floor. The caregiver made a report stating that the child will clean the floor first thing the next morning. It was documented that the child was put to clean floors at arrival time.
2 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
Two staff did not have an affidavit on file at time of review.
4 746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
The operation has 3 playgrounds with mulch that is not adequate depth.
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Operational policies were missing safe sleep for infants from birth through 12 months.
5 746.3701(9) - Safety - Bodies of Water Inaccessible to Children
A mop bucket with water was accessible to children in an adjacent classroom through an opened door. Note: This was corrected at inspection when mop bucket was removed.
5 746.605(7) - Required Admission Information - Release Information
One out of ten children's records reviewed was found missing authorized persons for pick-up.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Caregiver did not have a current first aid certification for review.
4 746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
There was observed to be less then 6 inches of loose-fill surfacing material located in the areas of the slide exits on the Toddler and Pre-K playgrounds.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
There were two infants that did not have updated feeding schedules at time of inspection.
4 746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded
Two portable fans were stored on top of two shelves in the PreK classroom. Note: This was corrected at inspection when fans were removed from the shelves.
Yes

Severity 5 = most serious. Source: official state record.

Inspections (56)

56 inspection record(s) on file from TX-HHSC.

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