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Little Hands Playschool

Child care center · 7030 RAY BON DR, San Antonio, TX 78218-3933 · License 1665942

0Compliance score
Poor

Capacity 112. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (392)

SeverityDateStandard / narrativeCorrected
5 746.3607(1) - Critical Injury - Contact EMS After Ensuring Supervision of Group
Operation failed to contract emergency services when four children came into contact with a chemical cleaner, which caused a severe reaction.
4 746.3701 - Safety - Areas Free From Hazards
The restrooms had toilet brushes and a plunger accessible to small children. This was corrected during inspection when the items were moved and made inaccessible to children.
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 was not current on CPR/First Aid.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During the course of the investigation it was proven two caregivers used bad judgment by having a verbal altercation with profanity in front of children.
4 746.3317 - Food Service and Preparation Requirement - Safe and Sanitary
Lunch had been prepared and left cooling on stove uncovered for over an hour; it was then served to children during lunchtime. An unopened gallon of milk was found in refrigerator with the expiration date of 11/29/23. This was corrected during inspection as the milk was thrown out.
Yes
4 746.3407 - Maintenance of Building, Grounds and Equipment
Rodent feces was found in multiple classrooms, including the school-age and two-year-old classrooms. Rodent feces were also found in the kitchen closet. The school-age restroom had not been adequately cleaned and had a strong order of urine.
4 746.3701 - Safety - Areas Free From Hazards
In the Two/Three year old Classroom a caregiver's purse was noted on top of a desk at reach of children. Note: Caregiver immediately locked her purse in a locked cabinet.
Yes
5 746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Neglect occurred when four toddlers were exposed to a chemical cleaner resulting in a severe reaction, and emergency services were not sought.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two caregivers did not have a their current First Aid/CPR on file.
4 746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
Based on interviews with staff and observation of the operation confirms rodent feces present in the classrooms. Rodent feces was seen in vicinity of furniture and children's toys.
4 746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
The toys and furniture in the infant and two-year-old classroom were soiled and had not been properly cleaned. A rug in the school-age classroom had been chewed up in multiple places by rodents. The outside infant toys were soiled with dirt, torn, and had standing water.
4 746.3429(b) - Pest Extermination in Areas Where Children Present Treated Only if Allowed on Label
The operation failed to follow the directions on the label for a chemical cleaner and did not wipe down the surface before children entered the room, resulting in four toddlers needing medical attention.
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The loose-fill on the playground did not meet the proper depth, and grass was seen growing over the loose-fill.
5 746.1003(1) - Director Responsibilities - Operate in Compliance
The director failed to ensure the staff were adequately trained in their daily duties and failed to respond appropriately to children becoming injured in care.
5 746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
During a DFPS investigation, it was determined that the operation was using a van to transport children in care that was not equipped with an electronic child safety alarm.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
During a DFPS investigation, it was determined that the operation failed to immediately notify the parent of a child that their child had been left unattended in the transportation vehicle for an undetermined amount of time.
4 746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The assistant director had completed the playground maintenance checklist for the day, and had left several hazards out accessible to children.
5 746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
Two out of three vehicle fire extinguishers were found not properly mounted.
Yes
5 746.5605(3) - Safety Precautions for Loading and Unloading Children - Account for All Children
During a DFPS investigation, it was determined that a caregiver did not conduct the required safety precautions to ensure no child remained on a transportation vehicle upon arrival at the child care facility.
5 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
At the time of inspection both caregivers in the prek room did not know how many children were in her care. She stated there were 13 children in her care when there were 12.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Several areas of the operation was observed to be dirty and unsanitary .
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Caregiver was observed with thirteen children care between the ages of twelve months and four years old with speiified age group of two years old.
4 746.3701 - Safety - Areas Free From Hazards
Mouse traps and an open trash bin were observed in the school-age classroom assessable to children.
4 746.1303(1) - Orientation-Minimum Standards
During an inspection November 19, 2021 it was proven two caregivers had not received their orientation training and been at the operation since September 7, 2021
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 failed to provide proper supervision to a group of children in her care during transportation from school to the child care facility resulting in a child being left behind in the transportation vehicle unattended for an undetermined amount of time when the other children ran ahead into the operation without waiting to be counted or for a name to face to be conducted.
4 746.5603(c) - Types of Vehicles Used to Transport Children - Be Maintained Safely
One transportation van was found with a deployed air bag.
Yes
4 746.307(d) - Parental Notification of Communicable Disease
Staff did not notfy parents in regards a communicable disease in the infant classroom.
3 746.603(a)(4) - Children's Records - Immunizations
One of ten children's files did not contain a current and up-to-date immunization record.
2 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
Three of ten staff files were missing the notarized employment affidavit. One of ten staff files was missing the pre-employment affidavit.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
Two out three infants were not securely strapped in the high chairs while they were eating.
5 746.305(a)(6) - Report Situation Placing Children at Risk
During a DFPS investigation, it was determined that the operation failed to report to Child Care Regulation an incident of a child left unsupervised on a transportation vehicle for an undetermined amount of time.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation does not have a current annual fire inspection.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
There was no fire inspection available for review. The director was not able to provide verification that it was completed.
4 746.3701 - Safety - Areas Free From Hazards
Staff failed to remove the chemical cleaner left on surfaces within the operation resulting in four children becoming exposed to the cleaner and needing medical attention.
4 746.605(6) - Required Admission Information - Emergency Contact
One of four children's files did not have an address listed for their emergency contact. One of four children's files did not have an admission date for child.
4 746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
During the course of the investigation it was proven the operation has infestation of Rats. Rat Exerment was seen in classrooms staff confirmed seeing rats during operating hours.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An employee present during the inspection was put inactive background check status in 11/2021. Individual did not have an eligibility status and was present in the operation.
4 746.1301(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
During an inspection on November 19, 2021 it was proven two caregivers who hired in the September 2021 did not receive their orientation training.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Minimal rodent feces was found in three classrooms.
4 746.3407 - Maintenance of Building, Grounds and Equipment
A dead rodent was found on the infant playground
5 746.4601(7) - Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
The inside of the slide had was broken and had hole covered by tape.
3 746.603(a)(4) - Children's Records - Immunizations
Three of four children'a files did not include an up-to-date immunization record.
5 746.2401(6) - Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Two infants were obsereved lanyard on attached to them as they slept. This corrected at inspection when caregiver removed the lanyards attached to the sleeping infants.
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 fourteen employees did not have current certification for CPR/First Aid.
5 746.3607(3) - Critical Injury - Contact Parent
The operation failed to notify the parents of children who required medical attention. The incident occurred at 9:00 am, and the parents found out about the incident when they picked up their children.
4 746.5307(b) - Fire Extinguishers Serviced
Three of the four fire extinguishers in the operation had not been serviced in over one year. Two had last service date of May/2022 and the third has been serviced in November/2022.
5 746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
This standard was found deficient as part of a DFPS Investigation.
4 746.305(a)(4) - Report Outbreak of Communicable Illness
It was determined that the operation did not report a Covid Case to licensing in the appropriate timeframe.
4 746.1301(a)(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation training
The director did not have verification of current transportation training on file. One of fourteen employees had verification of only 10 of the required 24 hours of annual training.
4 746.1303(1) - Orientation-Minimum Standards
During an inspection November 19, 2021 it was proven two caregivers had not received their orientation training and been at the operation since September 7, 2021
5 746.3607(1) - Critical Injury - Contact EMS After Ensuring Supervision of Group
Operation failed to contract emergency services when four children came into contact with a chemical cleaner, which caused a severe reaction.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
Two out three infants were not securely strapped in the high chairs while they were eating.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Several areas of the operation was observed to be dirty and unsanitary .
5 746.305(a)(6) - Report Situation Placing Children at Risk
During a DFPS investigation, it was determined that the operation failed to report to Child Care Regulation an incident of a child left unsupervised on a transportation vehicle for an undetermined amount of time.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
There was no fire inspection available for review. The director was not able to provide verification that it was completed.
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 failed to provide proper supervision to a group of children in her care during transportation from school to the child care facility resulting in a child being left behind in the transportation vehicle unattended for an undetermined amount of time when the other children ran ahead into the operation without waiting to be counted or for a name to face to be conducted.
4 746.4751(a) - Maintenance Procedures for Active Play - Inspect Daily
The assistant director had completed the playground maintenance checklist for the day, and had left several hazards out accessible to children.
5 746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Neglect occurred when four toddlers were exposed to a chemical cleaner resulting in a severe reaction, and emergency services were not sought.
5 746.4601(7) - Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
The inside of the slide had was broken and had hole covered by tape.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During the course of the investigation it was proven two caregivers used bad judgment by having a verbal altercation with profanity in front of children.
4 746.5603(c) - Types of Vehicles Used to Transport Children - Be Maintained Safely
One transportation van was found with a deployed air bag.
Yes
5 746.1003(1) - Director Responsibilities - Operate in Compliance
The director failed to ensure the staff were adequately trained in their daily duties and failed to respond appropriately to children becoming injured in care.
5 746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
This standard was found deficient as part of a DFPS Investigation.
4 746.5307(b) - Fire Extinguishers Serviced
Three of the four fire extinguishers in the operation had not been serviced in over one year. Two had last service date of May/2022 and the third has been serviced in November/2022.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Minimal rodent feces was found in three classrooms.
5 746.2401(6) - Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Two infants were obsereved lanyard on attached to them as they slept. This corrected at inspection when caregiver removed the lanyards attached to the sleeping infants.
Yes
4 746.3701 - Safety - Areas Free From Hazards
In the Two/Three year old Classroom a caregiver's purse was noted on top of a desk at reach of children. Note: Caregiver immediately locked her purse in a locked cabinet.
Yes
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Caregiver was observed with thirteen children care between the ages of twelve months and four years old with speiified age group of two years old.
3 746.603(a)(4) - Children's Records - Immunizations
One of ten children's files did not contain a current and up-to-date immunization record.
4 746.1301(a)(7)(A) - Training Requirements for Employees, Caregivers, and Directors - Transportation training
The director did not have verification of current transportation training on file. One of fourteen employees had verification of only 10 of the required 24 hours of annual training.
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
The loose-fill on the playground did not meet the proper depth, and grass was seen growing over the loose-fill.
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 was not current on CPR/First Aid.
5 746.3607(3) - Critical Injury - Contact Parent
The operation failed to notify the parents of children who required medical attention. The incident occurred at 9:00 am, and the parents found out about the incident when they picked up their children.
4 746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
The toys and furniture in the infant and two-year-old classroom were soiled and had not been properly cleaned. A rug in the school-age classroom had been chewed up in multiple places by rodents. The outside infant toys were soiled with dirt, torn, and had standing water.
4 746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
During the course of the investigation it was proven the operation has infestation of Rats. Rat Exerment was seen in classrooms staff confirmed seeing rats during operating hours.
4 746.3407(11) - Sanitize Tables Tops, Furniture and Similar Equipment
Based on interviews with staff and observation of the operation confirms rodent feces present in the classrooms. Rodent feces was seen in vicinity of furniture and children's toys.
4 746.3701 - Safety - Areas Free From Hazards
Mouse traps and an open trash bin were observed in the school-age classroom assessable to children.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
During a DFPS investigation, it was determined that the operation failed to immediately notify the parent of a child that their child had been left unattended in the transportation vehicle for an undetermined amount of time.
5 746.5605(3) - Safety Precautions for Loading and Unloading Children - Account for All Children
During a DFPS investigation, it was determined that a caregiver did not conduct the required safety precautions to ensure no child remained on a transportation vehicle upon arrival at the child care facility.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two caregivers did not have a their current First Aid/CPR on file.
4 746.3429(b) - Pest Extermination in Areas Where Children Present Treated Only if Allowed on Label
The operation failed to follow the directions on the label for a chemical cleaner and did not wipe down the surface before children entered the room, resulting in four toddlers needing medical attention.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An employee present during the inspection was put inactive background check status in 11/2021. Individual did not have an eligibility status and was present in the operation.
4 746.305(a)(4) - Report Outbreak of Communicable Illness
It was determined that the operation did not report a Covid Case to licensing in the appropriate timeframe.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation does not have a current annual fire inspection.
4 746.3701 - Safety - Areas Free From Hazards
Staff failed to remove the chemical cleaner left on surfaces within the operation resulting in four children becoming exposed to the cleaner and needing medical attention.
4 746.3701 - Safety - Areas Free From Hazards
The restrooms had toilet brushes and a plunger accessible to small children. This was corrected during inspection when the items were moved and made inaccessible to children.
4 746.3317 - Food Service and Preparation Requirement - Safe and Sanitary
Lunch had been prepared and left cooling on stove uncovered for over an hour; it was then served to children during lunchtime. An unopened gallon of milk was found in refrigerator with the expiration date of 11/29/23. This was corrected during inspection as the milk was thrown out.
Yes
4 746.3407 - Maintenance of Building, Grounds and Equipment
A dead rodent was found on the infant playground
4 746.307(d) - Parental Notification of Communicable Disease
Staff did not notfy parents in regards a communicable disease in the infant classroom.
3 746.603(a)(4) - Children's Records - Immunizations
Three of four children'a files did not include an up-to-date immunization record.
5 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
At the time of inspection both caregivers in the prek room did not know how many children were in her care. She stated there were 13 children in her care when there were 12.
4 746.1301(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation
During an inspection on November 19, 2021 it was proven two caregivers who hired in the September 2021 did not receive their orientation training.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Rodent feces was found in multiple classrooms, including the school-age and two-year-old classrooms. Rodent feces were also found in the kitchen closet. The school-age restroom had not been adequately cleaned and had a strong order of urine.
5 746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
Two out of three vehicle fire extinguishers were found not properly mounted.
Yes
2 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
Three of ten staff files were missing the notarized employment affidavit. One of ten staff files was missing the pre-employment affidavit.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of fourteen employees did not have current certification for CPR/First Aid.
4 746.605(6) - Required Admission Information - Emergency Contact
One of four children's files did not have an address listed for their emergency contact. One of four children's files did not have an admission date for child.
5 746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
During a DFPS investigation, it was determined that the operation was using a van to transport children in care that was not equipped with an electronic child safety alarm.
4 746.3429(b) - Pest Extermination in Areas Where Children Present Treated Only if Allowed on Label
The operation failed to follow the directions on the label for a chemical cleaner and did not wipe down the surface before children entered the room, resulting in four toddlers needing medical attention.
5 746.3607(1) - Critical Injury - Contact EMS After Ensuring Supervision of Group
Operation failed to contract emergency services when four children came into contact with a chemical cleaner, which caused a severe reaction.

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

Inspections (152)

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

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