Child care center ·
3203 NACOGDOCHES RD STE 200, San Antonio, TX 78217-3312 ·
License 1679341
Capacity 24. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 2 | — |
746.303(b) - Report Number of Employees
The operation did not report the number of employees that left the operation by the required date of 1/15/24. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A five month old infant was observed sleeping in a crib with stuffed toy and wearing a bib and lanyard. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
2 out of the 8 children's records evaluated were missing immunizations records on file. 3 out of the 8 children's records evaluated needed current immunization records on file. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Two toddlers were observed alone in a classroom without appropriate supervision for less than 5 minutes. The door to the classroom was open. This was corrected when it was addressed with the caregiver and she took the children out of the room to join the rest of her class. |
— |
| 3 | — |
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times
A child was observed engaged in a screen time activity during nap time. Note: This was corrected at inspection when the device was removed from the child. |
Yes |
| 4 | — |
746.1301(6)(A) - Training Requirements for Directors 30- Annual Training
The director is lacking 8 hours of annual training for 2020-2021. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A 13 month old was combined with children 18 months and older during naptime. This was corrected when the caregiver moved with the infant into the infant room. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
Documentation of drills did not have the required time of the drills. |
— |
| 2 | — |
746.803(b) - Required Records Storage - Training Records
First aid, CPR, and preservice training records were not available for review during the inspection. |
— |
| 4 | — |
746.1203(3)(A) - Administrative and clerical duties that take caregiver's attention away from children
Caregivers were observed engaged in an in person training while supervising the children napping in their assigned classrooms. |
— |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
During inspection, cots were labeled with numbers however the assigment list indicating which child is assigned to each cot was not followed for one out of the two classrooms. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One child in care does not have immunization records on file. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
Pre service training was not available for review for two caregivers. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director did not use form 7259 to audit personnel files within 3 months of start of plan of action. A new caregiver did not complete Personnel Information form 2947 as required by plan of action. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Two children in the infant room were observed unattended during naptime. This was corrected when a teacher went into the clasroom after changing another child's diaper. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director has not been completing weekly classroom observations consistently as required under the operation's plan of action. Only three observations were available for review. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
A child was observed in a high chair without using the safety straps. This was corrected at inspection when the child was removed from the highchair. |
Yes |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
When asked for a child's name, the teacher mistaken the child for another child. When asked for the age of another child, the teacher stated they didn't know the child's age because they are new to care. |
— |
| 4 | — |
746.2905(2) - Children Not Required to Sleep - May Not Confine in a Restrictive Device
During the investigation it was verified that a child was being put in a highchair for nap so he would not disturb other children and potentially fall asleep. |
— |
| 3 | — |
746.3313(1) - Daily Menus - Record Comparable Substitutions
During the inspection substitutions were made for lunch which were documented on a white erase board however breakfast substitutions were not recorded. According to the menu, pancakes and waffles were to be served for breakfast, however some children were served cereal, milk, and fruit. |
— |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Cots were labeled with numbers but there was not an assignement list for who uses each cot. |
— |
| 4 | — |
746.3427 - Pest Extermination
Pest services are not being provided by a licensed pest service or a person who is certified as a noncommercial applicator by the Texas Department of Agriculture. |
— |
| 3 | — |
746.401(6) - Posting Requirements - Daily menu, including all snacks and meals served by the child care center
The menu was posted in the kitchen and not in a prominent place accessible to parents. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
An outlet in the toddler room did not have a cover and was accessible to children. This was corrected at inspection when an outlet cover was installed. |
Yes |
| 4 | — |
746.3419 - Handwashing Procedures
The children did not use soap and water to wash hands before eating their meals. They cleaned their hands with liquid sanitizer. |
— |
| 3 | — |
746.501(a)(3) - Written Operational Policies - Exclusion Criteria
Operational polices were not available for review. |
— |
| 5 | — |
746.2805(8) - Prohibited Punishments - Restrictive device for time out
A three-year-old child was placed in a highchair for hitting and biting their teacher. This was corrected when the child was removed from the highchair. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two children are missing a signed health statement from their doctor after being in care for at least 12 months. |
— |
| 4 | — |
746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Based on the information received 4 caregivers stated that they had not received CPR training. Furthermore, training records were not available to see if any additional caregivers had the required training. |
— |
| 5 | — |
745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
A person who received an ineligible letter due to not completing the background check process was present at the operation and in the presence of children. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An eight month old infant was observed sleeping in a restrictive device. This was corrected when the child was immediately removed from the restrictive device. |
— |
| 4 | — |
746.1013(c) - Director's Absence - Employees Know Who Is in Charge
During inspection, the caregivers present were unable to identify a person in charge physically present in director's absence. Note: This was corrected during inspection when director arrived. |
Yes |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A trash can was observed without a lid making trash accessible to children. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom with 13 children was observed out of ratio during lunch time. This was corrected when another caregiver came into the room. |
— |
| 4 | — |
746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Based on the information obtained four caregivers stated that they had not received first aid training. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
Pre service training was not available for review for two caregivers. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The infant room changing table had a torn changing mat. |
— |
| 5 | — |
746.3701(8) - Safety - Bodies of Water Inaccessible to Children
A mop bucket filled with water was left unattended in the corner of a classroom and was accessible to children. This was corrected when it was addressed with the caregiver and the bucket was moved out of reach from children. |
— |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
A caregiver did not know the age of the youngest child in the group. This was corrected at inspection when the caregiver was given the information. |
Yes |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit
Two personnel files are missing notarized affidavits on file. |
— |
| 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
Video showed children left alone unsupervised in highchairs for fifteen minutes. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
Documentation of drills did not have the required time of the drills. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
The operation did not report the number of employees that left the operation by the required date of 1/15/24. |
— |
| 5 | — |
746.2805(8) - Prohibited Punishments - Restrictive device for time out
A three-year-old child was placed in a highchair for hitting and biting their teacher. This was corrected when the child was removed from the highchair. |
— |
| 3 | — |
746.3313(1) - Daily Menus - Record Comparable Substitutions
During the inspection substitutions were made for lunch which were documented on a white erase board however breakfast substitutions were not recorded. According to the menu, pancakes and waffles were to be served for breakfast, however some children were served cereal, milk, and fruit. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit
Two personnel files are missing notarized affidavits on file. |
— |
| 5 | — |
745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
A person who received an ineligible letter due to not completing the background check process was present at the operation and in the presence of children. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director has not been completing weekly classroom observations consistently as required under the operation's plan of action. Only three observations were available for review. |
— |
| 4 | — |
746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
When asked for a child's name, the teacher mistaken the child for another child. When asked for the age of another child, the teacher stated they didn't know the child's age because they are new to care. |
— |
| 4 | — |
746.1203(3)(A) - Administrative and clerical duties that take caregiver's attention away from children
Caregivers were observed engaged in an in person training while supervising the children napping in their assigned classrooms. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An eight month old infant was observed sleeping in a restrictive device. This was corrected when the child was immediately removed from the restrictive device. |
— |
| 4 | — |
746.3427 - Pest Extermination
Pest services are not being provided by a licensed pest service or a person who is certified as a noncommercial applicator by the Texas Department of Agriculture. |
— |
| 4 | — |
746.1013(c) - Director's Absence - Employees Know Who Is in Charge
During inspection, the caregivers present were unable to identify a person in charge physically present in director's absence. Note: This was corrected during inspection when director arrived. |
Yes |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Two toddlers were observed alone in a classroom without appropriate supervision for less than 5 minutes. The door to the classroom was open. This was corrected when it was addressed with the caregiver and she took the children out of the room to join the rest of her class. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director did not use form 7259 to audit personnel files within 3 months of start of plan of action. A new caregiver did not complete Personnel Information form 2947 as required by plan of action. |
— |
| 3 | — |
746.501(a)(3) - Written Operational Policies - Exclusion Criteria
Operational polices were not available for review. |
— |
| 4 | — |
746.1301(6)(A) - Training Requirements for Directors 30- Annual Training
The director is lacking 8 hours of annual training for 2020-2021. |
— |
| 4 | — |
746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Based on the information obtained four caregivers stated that they had not received first aid training. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
2 out of the 8 children's records evaluated were missing immunizations records on file. 3 out of the 8 children's records evaluated needed current immunization records on file. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
An outlet in the toddler room did not have a cover and was accessible to children. This was corrected at inspection when an outlet cover was installed. |
Yes |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Cots were labeled with numbers but there was not an assignement list for who uses each cot. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One child in care does not have immunization records on file. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Two children in the infant room were observed unattended during naptime. This was corrected when a teacher went into the clasroom after changing another child's diaper. |
— |
| 3 | — |
746.401(6) - Posting Requirements - Daily menu, including all snacks and meals served by the child care center
The menu was posted in the kitchen and not in a prominent place accessible to parents. |
— |
| 5 | — |
746.3701(8) - Safety - Bodies of Water Inaccessible to Children
A mop bucket filled with water was left unattended in the corner of a classroom and was accessible to children. This was corrected when it was addressed with the caregiver and the bucket was moved out of reach from children. |
— |
| 4 | — |
746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Based on the information received 4 caregivers stated that they had not received CPR training. Furthermore, training records were not available to see if any additional caregivers had the required training. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
Pre service training was not available for review for two caregivers. |
— |
| 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
Video showed children left alone unsupervised in highchairs for fifteen minutes. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two children are missing a signed health statement from their doctor after being in care for at least 12 months. |
— |
| 4 | — |
746.3419 - Handwashing Procedures
The children did not use soap and water to wash hands before eating their meals. They cleaned their hands with liquid sanitizer. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
Pre service training was not available for review for two caregivers. |
— |
| 3 | — |
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times
A child was observed engaged in a screen time activity during nap time. Note: This was corrected at inspection when the device was removed from the child. |
Yes |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
A caregiver did not know the age of the youngest child in the group. This was corrected at inspection when the caregiver was given the information. |
Yes |
| 2 | — |
746.803(b) - Required Records Storage - Training Records
First aid, CPR, and preservice training records were not available for review during the inspection. |
— |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
During inspection, cots were labeled with numbers however the assigment list indicating which child is assigned to each cot was not followed for one out of the two classrooms. |
— |
| 4 | — |
746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The infant room changing table had a torn changing mat. |
— |
| 4 | — |
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
A 13 month old was combined with children 18 months and older during naptime. This was corrected when the caregiver moved with the infant into the infant room. |
— |
| 3 | — |
746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer
A child was observed in a high chair without using the safety straps. This was corrected at inspection when the child was removed from the highchair. |
Yes |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A trash can was observed without a lid making trash accessible to children. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom with 13 children was observed out of ratio during lunch time. This was corrected when another caregiver came into the room. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A five month old infant was observed sleeping in a crib with stuffed toy and wearing a bib and lanyard. |
— |
| 4 | — |
746.2905(2) - Children Not Required to Sleep - May Not Confine in a Restrictive Device
During the investigation it was verified that a child was being put in a highchair for nap so he would not disturb other children and potentially fall asleep. |
— |
| 4 | — |
746.3427 - Pest Extermination
Pest services are not being provided by a licensed pest service or a person who is certified as a noncommercial applicator by the Texas Department of Agriculture. |
— |
| 5 | — |
746.1003(1) - Director Responsibilities - Operate in Compliance
The director did not use form 7259 to audit personnel files within 3 months of start of plan of action. A new caregiver did not complete Personnel Information form 2947 as required by plan of action. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
Pre service training was not available for review for two caregivers. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One child in care does not have immunization records on file. |
— |
| 4 | — |
746.2905(2) - Children Not Required to Sleep - May Not Confine in a Restrictive Device
During the investigation it was verified that a child was being put in a highchair for nap so he would not disturb other children and potentially fall asleep. |
— |
| 2 | — |
746.803(b) - Required Records Storage - Training Records
First aid, CPR, and preservice training records were not available for review during the inspection. |
— |
| 5 | — |
746.1203(4) - Responsibilities of Caregivers- Supervision of Children
Two toddlers were observed alone in a classroom without appropriate supervision for less than 5 minutes. The door to the classroom was open. This was corrected when it was addressed with the caregiver and she took the children out of the room to join the rest of her class. |
— |
| 4 | — |
746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Based on the information obtained four caregivers stated that they had not received first aid training. |
— |
| 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
Video showed children left alone unsupervised in highchairs for fifteen minutes. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two children are missing a signed health statement from their doctor after being in care for at least 12 months. |
— |
| 3 | — |
746.3313(1) - Daily Menus - Record Comparable Substitutions
During the inspection substitutions were made for lunch which were documented on a white erase board however breakfast substitutions were not recorded. According to the menu, pancakes and waffles were to be served for breakfast, however some children were served cereal, milk, and fruit. |
— |
| 3 | — |
746.501(a)(3) - Written Operational Policies - Exclusion Criteria
Operational polices were not available for review. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An eight month old infant was observed sleeping in a restrictive device. This was corrected when the child was immediately removed from the restrictive device. |
— |
| 4 | — |
746.1301(6)(A) - Training Requirements for Directors 30- Annual Training
The director is lacking 8 hours of annual training for 2020-2021. |
— |
| 3 | — |
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
During inspection, cots were labeled with numbers however the assigment list indicating which child is assigned to each cot was not followed for one out of the two classrooms. |
— |
| 4 | — |
746.1301(2)(A) - Training Requirements for Employees and Caregivers - Pre-service Training
Pre service training was not available for review for two caregivers. |
— |
| 4 | — |
746.1013(c) - Director's Absence - Employees Know Who Is in Charge
During inspection, the caregivers present were unable to identify a person in charge physically present in director's absence. Note: This was corrected during inspection when director arrived. |
Yes |
| 4 | — |
746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Based on the information received 4 caregivers stated that they had not received CPR training. Furthermore, training records were not available to see if any additional caregivers had the required training. |
— |
160 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.