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TexasSan Antonio › Nanie Care - Sheba R. Fuller

Nanie Care - Sheba R. Fuller

Family child care home · 6719 WALNUT LAKE DR, San Antonio, TX 78244-1652 · License 1670111

0Compliance score
Poor

Capacity 12. InfantToddlerPre-KindergartenSchool

Violation history (144)

SeverityDateStandard / narrativeCorrected
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 11 children at time of inspection. One child, her god son was visiting. Note: This was corrected when permit holder's Godson was picked up. Permit holder had another 4 toddlers picked up by parents as well.
3 747.603(a)(4) - Children's Records - Immunizations
Three of nine files did not have current immunization records. Four of nine files did not have a healthcare statement signed by physician.
3 747.801(7) - Records Maintained and Made Available - Safety Drills Documentation
During the inspection documentation of fire drills was not completed.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 7 children at time of inspection when licensed for 6 children.
5 747.501(12) - Written Operational Policies - Emergency Preparedness Plan
Other than the procedure for handling medical emergencies located in the operational policies, there is no written emergency preparedness plan,
4 747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
There was no verification that a fire drill was conducted during the months of January through June of this year. Note this was corrected during inspection, when a fire drill was conducted and documented as completed.
Yes
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
The primary caregiver's CPR/FA certification expired in Mar/2024 and has not been renewed.
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio by one based on ages of children.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Permit holder has a 21 year old god daughter and a 16 year old god son staying with her at this time. Note: This was corrected during inspection when the left the operation and made arrangements to stay elsewhere.
5 747.4403(3) - Prohibited Equipment - Trampolines
Trampolines pose a safety risk to children when over 4 feet in diameter are not permitted.
4 747.605(6) - Required Admission Information - Emergency Contact
Six of nine children's files did not have addresses listed for their emergency contacts.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Sixteen year old godson was present in the home without a cleared background check. NOTE: This was corrected when he was picked up and will remain out of the home while children are in care.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
While reviewing children's files, two of eight files did not have an address for the emergency contact.
5 747.207(10) - AP Never exceed capacity of the home
The permit holder had 8 children in care, when her permit allows only 6 children. Note: This was corrected when two children were picked up early by their parent.
3 747.603(a)(2) - Children's Records - Admission Information
While reviewing children's files: Four of eight files did not include a signed physician's statement for the child. One of eight files did not have a current immunization record. Two school aged children did not have the required school name/phone # listed nor any information for permission to ride bus/walk/get ride from school. Seven of eight files did not have information of any special care needs.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
One of nine files reviewed does not have an emergency medical authorization in file.
4 747.4407(b) - Maintenance Procedures for Active Play Space - Hazards Removed or Repaired
The bottom of the fence line had broken causing an opening between two fence panels
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio based on ages of children.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Permit holder has a 21 year old god daughter and a 16 year old god son staying with her at this time. Note: This was corrected during inspection when the left the operation and made arrangements to stay elsewhere.
5 747.501(12) - Written Operational Policies - Emergency Preparedness Plan
Other than the procedure for handling medical emergencies located in the operational policies, there is no written emergency preparedness plan,
3 747.801(7) - Records Maintained and Made Available - Safety Drills Documentation
During the inspection documentation of fire drills was not completed.
5 747.207(10) - AP Never exceed capacity of the home
The permit holder had 8 children in care, when her permit allows only 6 children. Note: This was corrected when two children were picked up early by their parent.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
While reviewing children's files, two of eight files did not have an address for the emergency contact.
4 747.605(6) - Required Admission Information - Emergency Contact
Six of nine children's files did not have addresses listed for their emergency contacts.
4 747.4407(b) - Maintenance Procedures for Active Play Space - Hazards Removed or Repaired
The bottom of the fence line had broken causing an opening between two fence panels
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
One of nine files reviewed does not have an emergency medical authorization in file.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Sixteen year old godson was present in the home without a cleared background check. NOTE: This was corrected when he was picked up and will remain out of the home while children are in care.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
The primary caregiver's CPR/FA certification expired in Mar/2024 and has not been renewed.
5 747.4403(3) - Prohibited Equipment - Trampolines
Trampolines pose a safety risk to children when over 4 feet in diameter are not permitted.
4 747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
There was no verification that a fire drill was conducted during the months of January through June of this year. Note this was corrected during inspection, when a fire drill was conducted and documented as completed.
Yes
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio by one based on ages of children.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 11 children at time of inspection. One child, her god son was visiting. Note: This was corrected when permit holder's Godson was picked up. Permit holder had another 4 toddlers picked up by parents as well.
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio based on ages of children.
3 747.603(a)(2) - Children's Records - Admission Information
While reviewing children's files: Four of eight files did not include a signed physician's statement for the child. One of eight files did not have a current immunization record. Two school aged children did not have the required school name/phone # listed nor any information for permission to ride bus/walk/get ride from school. Seven of eight files did not have information of any special care needs.
3 747.603(a)(4) - Children's Records - Immunizations
Three of nine files did not have current immunization records. Four of nine files did not have a healthcare statement signed by physician.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 7 children at time of inspection when licensed for 6 children.
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio based on ages of children.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
While reviewing children's files, two of eight files did not have an address for the emergency contact.
3 747.603(a)(2) - Children's Records - Admission Information
While reviewing children's files: Four of eight files did not include a signed physician's statement for the child. One of eight files did not have a current immunization record. Two school aged children did not have the required school name/phone # listed nor any information for permission to ride bus/walk/get ride from school. Seven of eight files did not have information of any special care needs.
4 747.4407(b) - Maintenance Procedures for Active Play Space - Hazards Removed or Repaired
The bottom of the fence line had broken causing an opening between two fence panels
4 747.605(6) - Required Admission Information - Emergency Contact
Six of nine children's files did not have addresses listed for their emergency contacts.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 11 children at time of inspection. One child, her god son was visiting. Note: This was corrected when permit holder's Godson was picked up. Permit holder had another 4 toddlers picked up by parents as well.
4 747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
There was no verification that a fire drill was conducted during the months of January through June of this year. Note this was corrected during inspection, when a fire drill was conducted and documented as completed.
Yes
3 747.603(a)(4) - Children's Records - Immunizations
Three of nine files did not have current immunization records. Four of nine files did not have a healthcare statement signed by physician.
5 747.207(10) - AP Never exceed capacity of the home
The permit holder had 8 children in care, when her permit allows only 6 children. Note: This was corrected when two children were picked up early by their parent.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Sixteen year old godson was present in the home without a cleared background check. NOTE: This was corrected when he was picked up and will remain out of the home while children are in care.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
One of nine files reviewed does not have an emergency medical authorization in file.
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio by one based on ages of children.
3 747.801(7) - Records Maintained and Made Available - Safety Drills Documentation
During the inspection documentation of fire drills was not completed.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 7 children at time of inspection when licensed for 6 children.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Permit holder has a 21 year old god daughter and a 16 year old god son staying with her at this time. Note: This was corrected during inspection when the left the operation and made arrangements to stay elsewhere.
5 747.4403(3) - Prohibited Equipment - Trampolines
Trampolines pose a safety risk to children when over 4 feet in diameter are not permitted.
5 747.501(12) - Written Operational Policies - Emergency Preparedness Plan
Other than the procedure for handling medical emergencies located in the operational policies, there is no written emergency preparedness plan,
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
The primary caregiver's CPR/FA certification expired in Mar/2024 and has not been renewed.
5 747.501(12) - Written Operational Policies - Emergency Preparedness Plan
Other than the procedure for handling medical emergencies located in the operational policies, there is no written emergency preparedness plan,
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio based on ages of children.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
The primary caregiver's CPR/FA certification expired in Mar/2024 and has not been renewed.
3 747.603(a)(2) - Children's Records - Admission Information
While reviewing children's files: Four of eight files did not include a signed physician's statement for the child. One of eight files did not have a current immunization record. Two school aged children did not have the required school name/phone # listed nor any information for permission to ride bus/walk/get ride from school. Seven of eight files did not have information of any special care needs.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 11 children at time of inspection. One child, her god son was visiting. Note: This was corrected when permit holder's Godson was picked up. Permit holder had another 4 toddlers picked up by parents as well.
4 747.605(6) - Required Admission Information - Emergency Contact
Six of nine children's files did not have addresses listed for their emergency contacts.
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio by one based on ages of children.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Sixteen year old godson was present in the home without a cleared background check. NOTE: This was corrected when he was picked up and will remain out of the home while children are in care.
4 747.4407(b) - Maintenance Procedures for Active Play Space - Hazards Removed or Repaired
The bottom of the fence line had broken causing an opening between two fence panels
5 747.4403(3) - Prohibited Equipment - Trampolines
Trampolines pose a safety risk to children when over 4 feet in diameter are not permitted.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Permit holder has a 21 year old god daughter and a 16 year old god son staying with her at this time. Note: This was corrected during inspection when the left the operation and made arrangements to stay elsewhere.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
While reviewing children's files, two of eight files did not have an address for the emergency contact.
4 747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
There was no verification that a fire drill was conducted during the months of January through June of this year. Note this was corrected during inspection, when a fire drill was conducted and documented as completed.
Yes
3 747.603(a)(4) - Children's Records - Immunizations
Three of nine files did not have current immunization records. Four of nine files did not have a healthcare statement signed by physician.
3 747.801(7) - Records Maintained and Made Available - Safety Drills Documentation
During the inspection documentation of fire drills was not completed.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
One of nine files reviewed does not have an emergency medical authorization in file.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 7 children at time of inspection when licensed for 6 children.
5 747.207(10) - AP Never exceed capacity of the home
The permit holder had 8 children in care, when her permit allows only 6 children. Note: This was corrected when two children were picked up early by their parent.
4 747.4407(b) - Maintenance Procedures for Active Play Space - Hazards Removed or Repaired
The bottom of the fence line had broken causing an opening between two fence panels
4 747.605(6) - Required Admission Information - Emergency Contact
Six of nine children's files did not have addresses listed for their emergency contacts.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 7 children at time of inspection when licensed for 6 children.
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio by one based on ages of children.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Sixteen year old godson was present in the home without a cleared background check. NOTE: This was corrected when he was picked up and will remain out of the home while children are in care.
4 747.5005(1) - Fire Drill Monthly - Exit in 3 Minutes
There was no verification that a fire drill was conducted during the months of January through June of this year. Note this was corrected during inspection, when a fire drill was conducted and documented as completed.
Yes
3 747.603(a)(2) - Children's Records - Admission Information
While reviewing children's files: Four of eight files did not include a signed physician's statement for the child. One of eight files did not have a current immunization record. Two school aged children did not have the required school name/phone # listed nor any information for permission to ride bus/walk/get ride from school. Seven of eight files did not have information of any special care needs.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
While reviewing children's files, two of eight files did not have an address for the emergency contact.
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio based on ages of children.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
One of nine files reviewed does not have an emergency medical authorization in file.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 11 children at time of inspection. One child, her god son was visiting. Note: This was corrected when permit holder's Godson was picked up. Permit holder had another 4 toddlers picked up by parents as well.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Permit holder has a 21 year old god daughter and a 16 year old god son staying with her at this time. Note: This was corrected during inspection when the left the operation and made arrangements to stay elsewhere.
5 747.4403(3) - Prohibited Equipment - Trampolines
Trampolines pose a safety risk to children when over 4 feet in diameter are not permitted.
3 747.801(7) - Records Maintained and Made Available - Safety Drills Documentation
During the inspection documentation of fire drills was not completed.
5 747.207(10) - AP Never exceed capacity of the home
The permit holder had 8 children in care, when her permit allows only 6 children. Note: This was corrected when two children were picked up early by their parent.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
The primary caregiver's CPR/FA certification expired in Mar/2024 and has not been renewed.
3 747.603(a)(4) - Children's Records - Immunizations
Three of nine files did not have current immunization records. Four of nine files did not have a healthcare statement signed by physician.
5 747.501(12) - Written Operational Policies - Emergency Preparedness Plan
Other than the procedure for handling medical emergencies located in the operational policies, there is no written emergency preparedness plan,
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio by one based on ages of children.
5 747.207(10) - AP Never exceed capacity of the home
The permit holder had 8 children in care, when her permit allows only 6 children. Note: This was corrected when two children were picked up early by their parent.
4 747.605(6) - Required Admission Information - Emergency Contact
Six of nine children's files did not have addresses listed for their emergency contacts.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
While reviewing children's files, two of eight files did not have an address for the emergency contact.
5 747.207(10) - AP Never exceed capacity of the home
Permit holder was caring for 7 children at time of inspection when licensed for 6 children.
4 747.4407(b) - Maintenance Procedures for Active Play Space - Hazards Removed or Repaired
The bottom of the fence line had broken causing an opening between two fence panels
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
The primary caregiver's CPR/FA certification expired in Mar/2024 and has not been renewed.
5 747.605(12) - Required Admission Information - Emergency Medical Authorization
One of nine files reviewed does not have an emergency medical authorization in file.
4 747.1801 - Child/Caregiver Ratio - Licensed Child Care Home
Permit holder was over ratio based on ages of children.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Sixteen year old godson was present in the home without a cleared background check. NOTE: This was corrected when he was picked up and will remain out of the home while children are in care.

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

Inspections (56)

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

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