Child care center ·
1810 THORAIN BLVD, San Antonio, TX 78201-2934 ·
License 1685161
Capacity 68. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
4 sleeping mats were observed to be torn in multiple toddler rooms. |
— |
| 5 | — |
746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
Vehicle used to transport children did not have fire extinguisher at time of inspection. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Infant class was observed to have 5 children to 1 caregiver. This was corrected during inspection. |
— |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Six of the six children's files did not have a physician signed health statement. All six children have been enrolled at the operation for more than 12 months. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
During a DFPS investigation inspection, a caregiver was observed and heard yelling at children in care. |
— |
| 4 | — |
746.2411(2)(B) - Safety Requirements for Play Yards - Snug Fitting Sheets
Three play yards with infants sleeping inside had loose sheets not securely snug to mattress. This was corrected when it was addressed with caregivers and they tighten the sheets. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
At time of inspection, the last fire drills documented were in May and February 2024. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Recite: Emergency medical transport and treatment authorization forms were not available to the driver when transporting children. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One of the six children's files reviewed did not include necessary information for their emergency contact, an address. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One of the six children's files reviewed did not have all necessary information for the listed emergency contact. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of the six children's files reviewed did not have up-dated immunization records available. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
At time of inspection, two caregivers that work with children under twenty-four months did not have: (1) Recognizing and preventing shaken baby syndrome; (2) Preventing sudden infant death syndrome; and (3) Understanding early childhood brain development. |
— |
| 4 | — |
746.1311(d) - Director Annual Training - Caring for children under 24 months
The director did not have training required for caring for children 24 months and younger available for review. |
— |
| 3 | — |
746.1311(b) - Director Annual Training - Required 6 hours
The director did not have the required amount of training hours in listed topics available for review. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation does not have documentation on file of the emergency drills they have conducted. The operation has not conducted fire drills since January 2022. |
— |
| 5 | — |
746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
Recite: The fire extinguisher in the van utilized to transport children was observed not to be secured. |
— |
| 2 | — |
746.901(1) - Required Personnel Records - Dates of Employment
At time of inspection three out of the six staff files evaluated did not have employment start date. |
— |
| 5 | — |
746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes
During the course of a DFPS investigation, caregivers admitted to placing a child in a restrictive device to limit the child's movement for over 20 minutes until the child fell asleep in the device and was moved approximately five minutes later. |
— |
| 3 | — |
746.901 - Required Personnel Records
Pre-service training and annual training hours in health and safety topics were not available for review for 5 employees. Caregivers observed caring for infants did not have infant safe sleep training on file for review. |
— |
| 4 | — |
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
The safety strap on one of the high chairs in the infant room was missing the center fastener not allowing the straps to securely fasten. |
— |
| 5 | — |
746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
The fire extinguisher in the van utilized to transport children was observed to not be secured. |
— |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Three caregivers did not have training certificates available for review in required topic, Child Maltreatment. |
— |
| 4 | — |
746.2803(4)(C) - Positive Methods of Discipline and Guidance - Redirecting Behavior
At time of inspection a toddler caregiver did not redirect a child with positive statements when child was not following instructions. |
— |
| 5 | — |
746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
The vehicle used to transport children, that was purchased after 12/31/2013 did not have a child safety alarm installed, |
— |
| 2 | — |
746.901(1) - Required Personnel Records - Dates of Employment
4 out of the 5 staff files reviewed at inspection did not have begin day of employment. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom with the specified age group of 17 months was out of ratio. There were 7 children with 1 caregiver. |
— |
| 5 | — |
746.501(a)(24) - Written Operational Policies - Emergency Preparedness Plans
The emergency preparedness plan was reviewed and found to be missing the following information; How children will be evacuated or relocated to the designated safe area or alternate Shelter, How your staff will evacuate and relocate with the essential documentation including:(A)Parent and emergency contact telephone numbers for each child in care , (B)Authorization for emergency care for each child in care and (C)The child tracking system information for children in care, How your staff will continue to care for the children until each child has been released, and How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted. |
— |
| 5 | — |
746.605(11) - Required Admission Information - Emergency Medical Authorization
Two of the six children's files reviewed did not have signed authorization for emergency medical care. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Three caregivers did not have certificates available for review in required topics listed in this standard. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
At time of inspection, director did not have a current transportation training, last reviewed was in 09/2022. |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The middle toilet in the children's restroom is leaking from the bottom of the toilet when flushed, two intake vents in the infant classroom had peeling paint with rust, and the coating of a cabinet sink in the infant classroom was peeling. |
— |
| 4 | — |
746.2803(4)(C) - Positive Methods of Discipline and Guidance - Redirecting Behavior
A caregiver did not redirect a child with positive statements when they threatened to put the child in a high chair if they didn't behave. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
Fire drills only had date and time conducted documented, no initials of staff nor length of evacuation. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
Two infants did not have their hands washed after getting their diapers changed. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Five employees do not have current training hours in the following topics: -Handling, storing, and disposing of hazardous materials -preventing and responding to emergencies due to food or an allergic reaction |
— |
| 4 | — |
746.5307(a) - Inspect Fire Extinguishers Monthly
There was no documentation indicating that the fire extinguishers were being insepected monthly. |
Yes |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children
The infant classroom was 1 infant over their maximum group size. The class had 11 infants between ages 0-10 months with 2 caregivers. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Recite: Two caregivers did not have certificates available for review in the required topics listed in this standard: communicable diseases, administering medication, preventing/responding to emergencies due to fool allergies, understanding building and physical premises. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An individual with a pending background check was observed alone supervising children. |
— |
| 3 | — |
746.605(8) - Required Admission Information - Transportation Permission
At time of inspection, three out of the six children files evaluated were not answered in the following sections: transportation, field trips and water activities. |
— |
| 3 | — |
746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
A record of hours and days present at the operation was not available for the director. |
Yes |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
The director did not have training in required topics available for review. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Two caregivers are still lacking current SIDS, Shaken Baby Syndrome, and Early childhood brain development training. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
At time of inspection three out of the six children files did not have complete emergency contact information. |
— |
| 5 | — |
746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
Recite: The vehicle used to transport children, which was purchased after 12/31/2013, did not have a child safety alarm installed. |
— |
| 5 | — |
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection fire inspection was last conducted September 2023. |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
Recite: the director did not have certificates available for review in the required topics listed in this standard: communicable diseases, administering medication, preventing/responding to emergencies due to food allergies, and understanding building and physical premises. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Two caregivers provided an inaccurate count of the children in their care. An infant caregiver advised she had four children, but there were five in her care. A toddler twos caregiver advised she had eight children, but there were seven children in her care. |
— |
| 4 | — |
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Monthly testing of the Carbon Monoxide detectors was not being conducted. |
Yes |
| 3 | — |
746.1311(c) - Director Annual Training -Required 1 hour in prevention, recognition and reporting of child maltreatment
The director did not have training in child maltreatment available for review. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
At time of inspection, two out of the six children files did not have the complete information for the emergency contact. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Emergency medical transport and treatment authorization forms were not available to the driver when transporting children. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Three caregivers who care for infants do not have current training hours in the following topics: SIDS, Shaken Baby Syndrome, and Early childhood brain development. |
— |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Recite: three of the six children's files did not have a physician signed health statement. All three children have been enrolled at the operation for more than 12 months. |
— |
| 5 | — |
746.501(a)(24) - Written Operational Policies - Emergency Preparedness Plans
Recite: The emergency preparedness plan was reviewed and found to be missing the following information; How children will be evacuated or relocated to the designated safe area or alternate Shelter, How your staff will evacuate and relocate with the essential documentation including:(A)Parent and emergency contact telephone numbers for each child in care , (B)Authorization for emergency care for each child in care and (C)The child tracking system information for children in care, How your staff will continue to care for the children until each child has been released, and How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted. |
— |
| 5 | — |
746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
Recite: The vehicle used to transport children, which was purchased after 12/31/2013, did not have a child safety alarm installed. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Two individuals with pending background checks were observed in the classroom with children. Addressed with director who stated they will not return until they receive an eligible status. |
— |
| 3 | — |
746.611(b) - Health Statement on File within 1 Week of Admission
Two o the six children's files reviewed did not have a signed health statement. Noted: These children have been enrolled over a year and need a physician signed health statement. |
— |
| 3 | — |
746.605(10) - Required Admission Information - Physician Information
One of the six children's files reviewed did not have the address for the child's physician. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
In a room with a group of children with a specified age of 0-11 months, the group was oiut of ratio iwth five infants to one caregiver. Noted: to come into compliance, chilren were moved around. |
— |
| 3 | — |
746.901(2) - Required Personnel Records- Meets Requirements
At time of inspection five out of the six staff files did not have education qualifications for review. |
— |
| 5 | — |
746.605(11) - Required Admission Information - Emergency Medical Authorization
One of the six children's files reviewed did not have authorization for emergency medical care. |
— |
| 3 | — |
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
There were no written infant feeding instructions for the infants being cared for in the infant room. |
— |
| 2 | — |
746.605(3) - Required Admission Information - Date of Admission
3 out of 4 children files were missing date of admission. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
At time of inspection there was a caregiver with no active background check in a toddler class. This was corrected at inspection, caregiver left operation. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation did not have documentation on file of the emergency drills they have conducted. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection infant room had 5 children to one caregiver. |
— |
| 3 | — |
746.901 - Required Personnel Records
The director's file was not available for review. |
— |
| 4 | — |
746.3415(4) - Employee Handwashing After Diapering a Child
A caregiver did not wash their hands after changing an infants diaper and before changing the next infant's diaper. This was corrected when the caregiver washed her hands after it was addressed. |
Yes |
| 4 | — |
746.2411(2)(B) - Safety Requirements for Play Yards - Snug Fitting Sheets
9 play yards in the infant room did not have snug fitted sheets on matress. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
At time of inspection, two out of the six children files did not have updated immunizations. |
— |
| 5 | — |
745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
At time of inspection a fifteen year old was observed in a toddler class without a cleared background check. This was corrected at inspection. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Five caregivers and the director did not have HASA required training certificates in Preventing and responding to emergencies due to food or an allergic reaction and Handling, storing, and disposing of hazardous materials. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Recite: Emergency medical transport and treatment authorization forms were not available to the driver when transporting children. Noted: this was corrected during the inspection when the required information from the admission records were copied and placed in the transportation binder. |
Yes |
| 2 | — |
746.605(3) - Required Admission Information - Date of Admission
At time of inspection, three out of the six children files did not have date of admission. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection infant room had 7 children to one caregiver. |
— |
| 3 | — |
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
4 sleeping mats were observed to be torn in multiple toddler rooms. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
Fire drills only had date and time conducted documented, no initials of staff nor length of evacuation. |
— |
| 4 | — |
746.2411(2)(B) - Safety Requirements for Play Yards - Snug Fitting Sheets
Three play yards with infants sleeping inside had loose sheets not securely snug to mattress. This was corrected when it was addressed with caregivers and they tighten the sheets. |
— |
| 5 | — |
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Recite: Emergency medical transport and treatment authorization forms were not available to the driver when transporting children. |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
Recite: the director did not have certificates available for review in the required topics listed in this standard: communicable diseases, administering medication, preventing/responding to emergencies due to food allergies, and understanding building and physical premises. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The operation did not have documentation on file of the emergency drills they have conducted. |
— |
| 5 | — |
746.501(a)(24) - Written Operational Policies - Emergency Preparedness Plans
The emergency preparedness plan was reviewed and found to be missing the following information; How children will be evacuated or relocated to the designated safe area or alternate Shelter, How your staff will evacuate and relocate with the essential documentation including:(A)Parent and emergency contact telephone numbers for each child in care , (B)Authorization for emergency care for each child in care and (C)The child tracking system information for children in care, How your staff will continue to care for the children until each child has been released, and How you will reunify the children with their parents as the evacuation, relocation, or sheltering/lock-down is lifted. |
— |
| 5 | — |
746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
The fire extinguisher in the van utilized to transport children was observed to not be secured. |
— |
| 4 | — |
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
At time of inspection, director did not have a current transportation training, last reviewed was in 09/2022. |
— |
| 5 | — |
746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
During a DFPS investigation inspection, a caregiver was observed and heard yelling at children in care. |
— |
| 4 | — |
746.1609 - Maximum Group Size 13 or More Children
The infant classroom was 1 infant over their maximum group size. The class had 11 infants between ages 0-10 months with 2 caregivers. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Five employees do not have current training hours in the following topics: -Handling, storing, and disposing of hazardous materials -preventing and responding to emergencies due to food or an allergic reaction |
— |
| 4 | — |
746.3407 - Maintenance of Building, Grounds and Equipment
The middle toilet in the children's restroom is leaking from the bottom of the toilet when flushed, two intake vents in the infant classroom had peeling paint with rust, and the coating of a cabinet sink in the infant classroom was peeling. |
— |
| 5 | — |
746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
Recite: The vehicle used to transport children, which was purchased after 12/31/2013, did not have a child safety alarm installed. |
— |
| 3 | — |
746.605(10) - Required Admission Information - Physician Information
One of the six children's files reviewed did not have the address for the child's physician. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection infant room had 7 children to one caregiver. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One of the six children's files reviewed did not have all necessary information for the listed emergency contact. |
— |
| 3 | — |
746.1311(c) - Director Annual Training -Required 1 hour in prevention, recognition and reporting of child maltreatment
The director did not have training in child maltreatment available for review. |
— |
| 3 | — |
746.901(2) - Required Personnel Records- Meets Requirements
At time of inspection five out of the six staff files did not have education qualifications for review. |
— |
| 2 | — |
746.605(3) - Required Admission Information - Date of Admission
3 out of 4 children files were missing date of admission. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
At time of inspection, two caregivers that work with children under twenty-four months did not have: (1) Recognizing and preventing shaken baby syndrome; (2) Preventing sudden infant death syndrome; and (3) Understanding early childhood brain development. |
— |
| 5 | — |
746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
Recite: The fire extinguisher in the van utilized to transport children was observed not to be secured. |
— |
| 2 | — |
746.605(3) - Required Admission Information - Date of Admission
At time of inspection, three out of the six children files did not have date of admission. |
— |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Six of the six children's files did not have a physician signed health statement. All six children have been enrolled at the operation for more than 12 months. |
— |
152 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.