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TexasSan Antonio › La Mision Child Care and Kid Kamp

La Mision Child Care and Kid Kamp

Child care center · 2211 S HACKBERRY, San Antonio, TX 78210-4119 · License 1524251

0Compliance score
Poor

Capacity 90. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (200)

SeverityDateStandard / narrativeCorrected
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
There was only one caregiver observed to be caring for 16 children ranging from 3 months to 4 years old in the infant room.
5 746.3805(a)(1) - Administering Medication - According to Label Directions
Based on information gathered during the course of the investigation, caregiver did not give child his medication at 10:30 am as indicated on the medication log.
3 746.4135(b) - Children's Products- Annual Certification
The operation did not have the required Child Product Safety Commission Form. This was corrected at inspection when the director downloaded the form, signed it, and posted it.
Yes
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Children are receiving injuries (biting) due to improper supervision.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
During the investigation, it was found that two of the staff members did not have first aid certifications.
4 746.3701(1) - Safety - Electrical Outlets Covered
There was one outlet in the toddler room that was not covered or protected. This was corrected at inspection when an electrical outlet cover was provided.
Yes
5 746.1003(1) - Director Responsibilities - Operate in Compliance
During the investigation, it was determined that the first aid certificates sent to CCR were obtained without taking the first aid course.
3 746.307(c) - Parental Notification of Less Serious Injuries
The parent was not notified of the bite the child received while in care.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
It was determined through an investigation that proper supervision was not practiced when a child was able to exit the building without a caregiver present/being aware.
3 746.501(a)(14) - Written Operational Policies - Transportation
During an investigation, it was determined the operation's transportation policy did not include what steps the operation would take when a child is not present during afterschool pick up. The policy also did not include parent notification of transportation pick up.
3 746.1615 - Child/Caregiver Ratio - Opening/Closing
Four infants were being cared for with children over eighteen months old in the first 45 minutes of opening the operation.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
1 out of 10 child immunization records were not current at the time of inspection.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
There were six infants ages two months to thirteen months with one caregiver. The maximum amount of infants for this age group is four infants per one caregiver, therefore this group was not compliant for proper ratio. This was corrected at inspection when another caregiver arrived to bring the ratio into compliance.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Four out of five bottles in the infant room were not labeled by name as required. This was corrected at inspection when the names were added to the bottles.
Yes
5 746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
The electronic child safety alarm was observed not functioning in one of the operation's vans used to transport the children in care.
3 746.3309(c) - Parent Provided Meals/Snacks - Provide Safe Storage and Service
The operation failed to safely store the child's formula by misplacing it.
4 746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During naptime, it was observed that a four month old infant was combined in the same room with older children up to four years in age. Minimum standards state that children under eighteen months of age are only allowed to be combined with older children as long as the oldest child is less than eighteen months older than the youngest child, therefore the operation was not in compliance. This was corrected when another caregiver arrived, and the infants were separated from the older children.
3 746.603(a)(4) - Children's Records - Immunizations
I reviewed 10 records and 2 children did not have up to date immunizations at the time of inspection.
4 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
The AM and PM caregivers were not effectively communicating information which resulted in the child being sent home in LUVS diapers on multiple occasions.
2 746.303(b) - Report Number of Employees
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
3 746.1003(2) - Director Responsibilities - Employees Comply with Standards
After parent notified the director/owner of the child's needs, it was not ensured that the caregivers were following infant care instructions.
3 746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
The Director does not have proof of attendance records that documents time and hours present at the operation.
4 746.605(6) - Required Admission Information - Emergency Contact
Three out of eight children's records evaluated were missing the required emergency contact information.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A caregiver was obserrved to be sitting a doorway supervising two separate classrooms during naptime.
4 746.2417(2)(A) - Activities for Infants - Multiple Opportunities to Explore Outside Crib
Infants were restricted to their cribs due to being combined in the classroom with older children for longer than fifteen minutes.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
There were six infants ages two months to thirteen months with one caregiver. The maximum amount of infants for this age group is four infants per one caregiver, therefore this group was not compliant for proper ratio. This was corrected at inspection when another caregiver arrived to bring the ratio into compliance.
4 746.3701(1) - Safety - Electrical Outlets Covered
There was one outlet in the toddler room that was not covered or protected. This was corrected at inspection when an electrical outlet cover was provided.
Yes
3 746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
The Director does not have proof of attendance records that documents time and hours present at the operation.
3 746.3309(c) - Parent Provided Meals/Snacks - Provide Safe Storage and Service
The operation failed to safely store the child's formula by misplacing it.
5 746.3805(a)(1) - Administering Medication - According to Label Directions
Based on information gathered during the course of the investigation, caregiver did not give child his medication at 10:30 am as indicated on the medication log.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
It was determined through an investigation that proper supervision was not practiced when a child was able to exit the building without a caregiver present/being aware.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
There was only one caregiver observed to be caring for 16 children ranging from 3 months to 4 years old in the infant room.
3 746.307(c) - Parental Notification of Less Serious Injuries
The parent was not notified of the bite the child received while in care.
3 746.4135(b) - Children's Products- Annual Certification
The operation did not have the required Child Product Safety Commission Form. This was corrected at inspection when the director downloaded the form, signed it, and posted it.
Yes
5 746.1003(1) - Director Responsibilities - Operate in Compliance
During the investigation, it was determined that the first aid certificates sent to CCR were obtained without taking the first aid course.
3 746.501(a)(14) - Written Operational Policies - Transportation
During an investigation, it was determined the operation's transportation policy did not include what steps the operation would take when a child is not present during afterschool pick up. The policy also did not include parent notification of transportation pick up.
4 746.605(6) - Required Admission Information - Emergency Contact
Three out of eight children's records evaluated were missing the required emergency contact information.
4 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
The AM and PM caregivers were not effectively communicating information which resulted in the child being sent home in LUVS diapers on multiple occasions.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Children are receiving injuries (biting) due to improper supervision.
4 746.2417(2)(A) - Activities for Infants - Multiple Opportunities to Explore Outside Crib
Infants were restricted to their cribs due to being combined in the classroom with older children for longer than fifteen minutes.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Four out of five bottles in the infant room were not labeled by name as required. This was corrected at inspection when the names were added to the bottles.
Yes
3 746.603(a)(4) - Children's Records - Immunizations
I reviewed 10 records and 2 children did not have up to date immunizations at the time of inspection.
3 746.1615 - Child/Caregiver Ratio - Opening/Closing
Four infants were being cared for with children over eighteen months old in the first 45 minutes of opening the operation.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A caregiver was obserrved to be sitting a doorway supervising two separate classrooms during naptime.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
During the investigation, it was found that two of the staff members did not have first aid certifications.
5 746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
The electronic child safety alarm was observed not functioning in one of the operation's vans used to transport the children in care.
4 746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During naptime, it was observed that a four month old infant was combined in the same room with older children up to four years in age. Minimum standards state that children under eighteen months of age are only allowed to be combined with older children as long as the oldest child is less than eighteen months older than the youngest child, therefore the operation was not in compliance. This was corrected when another caregiver arrived, and the infants were separated from the older children.
2 746.303(b) - Report Number of Employees
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
1 out of 10 child immunization records were not current at the time of inspection.
3 746.1003(2) - Director Responsibilities - Employees Comply with Standards
After parent notified the director/owner of the child's needs, it was not ensured that the caregivers were following infant care instructions.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Children are receiving injuries (biting) due to improper supervision.
3 746.4135(b) - Children's Products- Annual Certification
The operation did not have the required Child Product Safety Commission Form. This was corrected at inspection when the director downloaded the form, signed it, and posted it.
Yes
3 746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
The Director does not have proof of attendance records that documents time and hours present at the operation.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
It was determined through an investigation that proper supervision was not practiced when a child was able to exit the building without a caregiver present/being aware.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Four out of five bottles in the infant room were not labeled by name as required. This was corrected at inspection when the names were added to the bottles.
Yes
5 746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
The electronic child safety alarm was observed not functioning in one of the operation's vans used to transport the children in care.
4 746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During naptime, it was observed that a four month old infant was combined in the same room with older children up to four years in age. Minimum standards state that children under eighteen months of age are only allowed to be combined with older children as long as the oldest child is less than eighteen months older than the youngest child, therefore the operation was not in compliance. This was corrected when another caregiver arrived, and the infants were separated from the older children.
3 746.1003(2) - Director Responsibilities - Employees Comply with Standards
After parent notified the director/owner of the child's needs, it was not ensured that the caregivers were following infant care instructions.
4 746.605(6) - Required Admission Information - Emergency Contact
Three out of eight children's records evaluated were missing the required emergency contact information.
4 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
The AM and PM caregivers were not effectively communicating information which resulted in the child being sent home in LUVS diapers on multiple occasions.
3 746.603(a)(4) - Children's Records - Immunizations
I reviewed 10 records and 2 children did not have up to date immunizations at the time of inspection.
3 746.501(a)(14) - Written Operational Policies - Transportation
During an investigation, it was determined the operation's transportation policy did not include what steps the operation would take when a child is not present during afterschool pick up. The policy also did not include parent notification of transportation pick up.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
There were six infants ages two months to thirteen months with one caregiver. The maximum amount of infants for this age group is four infants per one caregiver, therefore this group was not compliant for proper ratio. This was corrected at inspection when another caregiver arrived to bring the ratio into compliance.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
1 out of 10 child immunization records were not current at the time of inspection.
4 746.2417(2)(A) - Activities for Infants - Multiple Opportunities to Explore Outside Crib
Infants were restricted to their cribs due to being combined in the classroom with older children for longer than fifteen minutes.
4 746.3701(1) - Safety - Electrical Outlets Covered
There was one outlet in the toddler room that was not covered or protected. This was corrected at inspection when an electrical outlet cover was provided.
Yes
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
There was only one caregiver observed to be caring for 16 children ranging from 3 months to 4 years old in the infant room.
5 746.3805(a)(1) - Administering Medication - According to Label Directions
Based on information gathered during the course of the investigation, caregiver did not give child his medication at 10:30 am as indicated on the medication log.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
During the investigation, it was found that two of the staff members did not have first aid certifications.
3 746.307(c) - Parental Notification of Less Serious Injuries
The parent was not notified of the bite the child received while in care.
2 746.303(b) - Report Number of Employees
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
3 746.1615 - Child/Caregiver Ratio - Opening/Closing
Four infants were being cared for with children over eighteen months old in the first 45 minutes of opening the operation.
5 746.1003(1) - Director Responsibilities - Operate in Compliance
During the investigation, it was determined that the first aid certificates sent to CCR were obtained without taking the first aid course.
3 746.3309(c) - Parent Provided Meals/Snacks - Provide Safe Storage and Service
The operation failed to safely store the child's formula by misplacing it.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A caregiver was obserrved to be sitting a doorway supervising two separate classrooms during naptime.
5 746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
The electronic child safety alarm was observed not functioning in one of the operation's vans used to transport the children in care.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
1 out of 10 child immunization records were not current at the time of inspection.
5 746.1003(1) - Director Responsibilities - Operate in Compliance
During the investigation, it was determined that the first aid certificates sent to CCR were obtained without taking the first aid course.
3 746.603(a)(4) - Children's Records - Immunizations
I reviewed 10 records and 2 children did not have up to date immunizations at the time of inspection.
5 746.3805(a)(1) - Administering Medication - According to Label Directions
Based on information gathered during the course of the investigation, caregiver did not give child his medication at 10:30 am as indicated on the medication log.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
There were six infants ages two months to thirteen months with one caregiver. The maximum amount of infants for this age group is four infants per one caregiver, therefore this group was not compliant for proper ratio. This was corrected at inspection when another caregiver arrived to bring the ratio into compliance.
3 746.4135(b) - Children's Products- Annual Certification
The operation did not have the required Child Product Safety Commission Form. This was corrected at inspection when the director downloaded the form, signed it, and posted it.
Yes
4 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
The AM and PM caregivers were not effectively communicating information which resulted in the child being sent home in LUVS diapers on multiple occasions.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Children are receiving injuries (biting) due to improper supervision.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A caregiver was obserrved to be sitting a doorway supervising two separate classrooms during naptime.
3 746.1615 - Child/Caregiver Ratio - Opening/Closing
Four infants were being cared for with children over eighteen months old in the first 45 minutes of opening the operation.
3 746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
The Director does not have proof of attendance records that documents time and hours present at the operation.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
There was only one caregiver observed to be caring for 16 children ranging from 3 months to 4 years old in the infant room.
2 746.303(b) - Report Number of Employees
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
It was determined through an investigation that proper supervision was not practiced when a child was able to exit the building without a caregiver present/being aware.
4 746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
During naptime, it was observed that a four month old infant was combined in the same room with older children up to four years in age. Minimum standards state that children under eighteen months of age are only allowed to be combined with older children as long as the oldest child is less than eighteen months older than the youngest child, therefore the operation was not in compliance. This was corrected when another caregiver arrived, and the infants were separated from the older children.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Four out of five bottles in the infant room were not labeled by name as required. This was corrected at inspection when the names were added to the bottles.
Yes
3 746.501(a)(14) - Written Operational Policies - Transportation
During an investigation, it was determined the operation's transportation policy did not include what steps the operation would take when a child is not present during afterschool pick up. The policy also did not include parent notification of transportation pick up.
3 746.3309(c) - Parent Provided Meals/Snacks - Provide Safe Storage and Service
The operation failed to safely store the child's formula by misplacing it.
3 746.1003(2) - Director Responsibilities - Employees Comply with Standards
After parent notified the director/owner of the child's needs, it was not ensured that the caregivers were following infant care instructions.
3 746.307(c) - Parental Notification of Less Serious Injuries
The parent was not notified of the bite the child received while in care.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
During the investigation, it was found that two of the staff members did not have first aid certifications.
4 746.605(6) - Required Admission Information - Emergency Contact
Three out of eight children's records evaluated were missing the required emergency contact information.
4 746.2417(2)(A) - Activities for Infants - Multiple Opportunities to Explore Outside Crib
Infants were restricted to their cribs due to being combined in the classroom with older children for longer than fifteen minutes.
4 746.3701(1) - Safety - Electrical Outlets Covered
There was one outlet in the toddler room that was not covered or protected. This was corrected at inspection when an electrical outlet cover was provided.
Yes

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

Inspections (120)

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

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