Child care center ·
8600 WURZBACH RD STE 602, San Antonio, TX 78240-4332 ·
License 1719748
Capacity 45. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One of the six children's files did not include necessary information for the listed emergency contact, an address. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
During the investigation it was determined that a person was living at the operation. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There were several safety hazards observed, including the black plastic lining on the playground under the loose fill was exposed. This is a tripping hazard to children. Cleaning supplies, including Clorox wipes, sanitizing spray, and Febreze spray, were observed to be stored in an unlocked cabinet, thereby making these potentially hazardous materials accessible 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 six caregivers did not have pediatric first aid certification. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Four or the six files reviewed did not include updated immunization records. |
— |
| 4 | — |
746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
A caregiver was observed utilizing their cell phone for personal use, texting, while actively supervising group of 10 children during outdoor active play. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A recently hired employee was in operation caring for children while pending results from background check. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The emergency preparedness plan did not include information for how non-mobile children/children with disabilities would be evacuated in the event of an emergency, |
— |
| 2 | — |
746.901(1) - Required Personnel Records - Dates of Employment
Five of six staff files did not have a definite employment start date. |
— |
| 3 | — |
746.201(7) - Operation Open to Parents At All Times
Recite: During an inspection, an individual arrived to drop off and stated that the procedure to drop off and pick up was that upon arrival they were to wait in the lobby and staff would either take the child or bring the child to them. |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
The director's training did not have certificates in required topics, such as; Medication administration, preventing and responding to food allergies, understanding building and physical premises safety, and hazardous materials available for review. |
— |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
One of the six children's files reviewed did not include hearing and vision screening results. |
— |
| 4 | — |
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
There was no documentation for the testing of the carbon monoxide detectors for the month of July. Noted: This was corrected during inspection when the CO2 detectors were tested. |
Yes |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One of four children's files did not contain a signed healthcare statement. |
— |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
A list of the children with food allergies/food intolerances was not posted in the kitchen where the meals and snacks are prepared. Noted: This was corrected during the inspection when the list of children's allergies/intolerances was posted in the kitchen/food prep area. |
Yes |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
A crib was observed to have a mattress that was too small for the crib. There was an open space that may pose an entrapment risk. This was corrected at inspection as the director switched another mattress from a crib that was not in use at this time. |
Yes |
| 4 | — |
746.5307(a) - Inspect Fire Extinguishers Monthly
There was no documentation for a monthly inspections of the fire extinguishers. Noted: This was corrected during the inspecton when all the fire extinguishers were inspected to include the fire extinguisher in the transporation van. |
Yes |
| 5 | — |
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A caregiver left three children unattended to open the front door for the CCR inspector. |
— |
| 3 | — |
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity
There is no procedure regarding indoor/outdoor active physical activities. |
— |
| 5 | — |
746.5319 - Smoke Detectors Testing
For the month of July there was no documentation that the smoke detectors were tested. Noted: This was corrected during inspection when the smoke detectors were tested. |
Yes |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two of the six children's files reviewed did not include healthcare provider statements. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection, a caregiver was observed caring for 16 children with specified age of 3 years. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two of the three caregiver files reviewed lacked adequate documentation of training hours, indicating insufficient training hours available for review. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
A monthly inspection was not being completed. Noted: This was corrected during inspection when an inspection of the operation was conducted utilizing CCR provided general checklist. |
Yes |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
Two of six caregiver files did not have required annual training hours. CP had 22 hours verified completed. AP had no record of training hours. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Two staff files reviewed did not have training certifictaes for required topics (administering medication and hazardous material). |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined in an investigation that good judgment was not practiced when the operation staff delayed the release of children and created a dangerous environment for the children in care. |
— |
| 3 | — |
746.2206(1)(B) - Written Activity Plan - Outdoor Play - 13 Months to Toddler and Pre K
During inspection, the activity plan for PreK children was observed to have only one 30 minute opportunity for outside play time. The infant's activity plan did not have a play time slot, and director admitted that they are not taken outside at all. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One of the six children's files reviewed did not include an address for the emergency contact listed. |
— |
| 4 | — |
746.5202(5) - Emergency Preparedness Plan-Reunification Plan
The emergency preparedness plan did not include information on the procedure for reunification in the event of an emergency evacuation. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Five of the ten children's files reviewed did not have current immunization records. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
Recited: There were 16 children in care, but the attendance sheet only had 13 children signed in with their time of arrival. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation did not have documented drills for the months of July and August. Noted: This was corrected at inspection when a fire drill was conducted. |
Yes |
| 5 | — |
746.5317 - Installation of Smoke Detectors
Smoke detectors were not being maintained as they were heard chirping, indicating that new batteries needed to be installed. |
— |
| 4 | — |
746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets
Crib sheets were observed to be either too tight or too loose. The cribs with sheets that fit too tightly were causing the crib mattress to curl upward. The ill-fitting crib sheets is a risk of entanglement because they can easily be removed while the infant is in the crib. |
— |
| 3 | — |
746.4003(a) - First Aid Kit - Incomplete Kit
The first aid kit that it kept in the transportation vehicle did not include all necessary items; Guide, tweezers, and thermometer. |
— |
| 4 | — |
746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
A Little Tikes play structure did not have loose-fill leading up to a slide. |
— |
| 4 | — |
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
There was no documented inspection of battery operated carbon monoxide detectors. Noted: this was corrected during inspection when all Carbon Monoxide detectors were inspected. |
Yes |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Five of the ten children's files reviewed did not have current immunization records. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
During inspection, a caregiver was observed caring for 16 children with specified age of 3 years. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two of the six children's files reviewed did not include healthcare provider statements. |
— |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
Two of six caregiver files did not have required annual training hours. CP had 22 hours verified completed. AP had no record of training hours. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined in an investigation that good judgment was not practiced when the operation staff delayed the release of children and created a dangerous environment for the children in care. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
There were several safety hazards observed, including the black plastic lining on the playground under the loose fill was exposed. This is a tripping hazard to children. Cleaning supplies, including Clorox wipes, sanitizing spray, and Febreze spray, were observed to be stored in an unlocked cabinet, thereby making these potentially hazardous materials accessible to children. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Two staff files reviewed did not have training certifictaes for required topics (administering medication and hazardous material). |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
During the investigation it was determined that a person was living at the operation. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two of the three caregiver files reviewed lacked adequate documentation of training hours, indicating insufficient training hours available for review. |
— |
| 4 | — |
746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
A caregiver was observed utilizing their cell phone for personal use, texting, while actively supervising group of 10 children during outdoor active play. |
— |
| 4 | — |
746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets
Crib sheets were observed to be either too tight or too loose. The cribs with sheets that fit too tightly were causing the crib mattress to curl upward. The ill-fitting crib sheets is a risk of entanglement because they can easily be removed while the infant is in the crib. |
— |
| 4 | — |
746.5307(a) - Inspect Fire Extinguishers Monthly
There was no documentation for a monthly inspections of the fire extinguishers. Noted: This was corrected during the inspecton when all the fire extinguishers were inspected to include the fire extinguisher in the transporation van. |
Yes |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
One of the six children's files reviewed did not include hearing and vision screening results. |
— |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
A crib was observed to have a mattress that was too small for the crib. There was an open space that may pose an entrapment risk. This was corrected at inspection as the director switched another mattress from a crib that was not in use at this time. |
Yes |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
A monthly inspection was not being completed. Noted: This was corrected during inspection when an inspection of the operation was conducted utilizing CCR provided general checklist. |
Yes |
| 4 | — |
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
There was no documented inspection of battery operated carbon monoxide detectors. Noted: this was corrected during inspection when all Carbon Monoxide detectors were inspected. |
Yes |
| 2 | — |
746.901(1) - Required Personnel Records - Dates of Employment
Five of six staff files did not have a definite employment start date. |
— |
| 3 | — |
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity
There is no procedure regarding indoor/outdoor active physical activities. |
— |
| 4 | — |
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
There was no documentation for the testing of the carbon monoxide detectors for the month of July. Noted: This was corrected during inspection when the CO2 detectors were tested. |
Yes |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A recently hired employee was in operation caring for children while pending results from background check. |
— |
| 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 left three children unattended to open the front door for the CCR inspector. |
— |
| 3 | — |
746.4003(a) - First Aid Kit - Incomplete Kit
The first aid kit that it kept in the transportation vehicle did not include all necessary items; Guide, tweezers, and thermometer. |
— |
| 4 | — |
746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
A Little Tikes play structure did not have loose-fill leading up to a slide. |
— |
| 4 | — |
746.631(a) - Sign-in and Sign-out Tracking System
Recited: There were 16 children in care, but the attendance sheet only had 13 children signed in with their time of arrival. |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
The director's training did not have certificates in required topics, such as; Medication administration, preventing and responding to food allergies, understanding building and physical premises safety, and hazardous materials available for review. |
— |
| 3 | — |
746.201(7) - Operation Open to Parents At All Times
Recite: During an inspection, an individual arrived to drop off and stated that the procedure to drop off and pick up was that upon arrival they were to wait in the lobby and staff would either take the child or bring the child to them. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The emergency preparedness plan did not include information for how non-mobile children/children with disabilities would be evacuated in the event of an emergency, |
— |
| 5 | — |
746.5317 - Installation of Smoke Detectors
Smoke detectors were not being maintained as they were heard chirping, indicating that new batteries needed to be installed. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
One of four children's files did not contain a signed healthcare statement. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One of the six children's files did not include necessary information for the listed emergency contact, an address. |
— |
| 3 | — |
746.2206(1)(B) - Written Activity Plan - Outdoor Play - 13 Months to Toddler and Pre K
During inspection, the activity plan for PreK children was observed to have only one 30 minute opportunity for outside play time. The infant's activity plan did not have a play time slot, and director admitted that they are not taken outside at all. |
— |
| 4 | — |
746.5202(5) - Emergency Preparedness Plan-Reunification Plan
The emergency preparedness plan did not include information on the procedure for reunification in the event of an emergency evacuation. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Four or the six files reviewed did not include updated immunization records. |
— |
| 4 | — |
746.605(6) - Required Admission Information - Emergency Contact
One of the six children's files reviewed did not include an address for the emergency contact listed. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation did not have documented drills for the months of July and August. Noted: This was corrected at inspection when a fire drill was conducted. |
Yes |
| 5 | — |
746.5319 - Smoke Detectors Testing
For the month of July there was no documentation that the smoke detectors were tested. Noted: This was corrected during inspection when the smoke detectors were tested. |
Yes |
| 4 | — |
746.403(b) - Posting Requirements - Child's Food Allergy Plans
A list of the children with food allergies/food intolerances was not posted in the kitchen where the meals and snacks are prepared. Noted: This was corrected during the inspection when the list of children's allergies/intolerances was posted in the kitchen/food prep area. |
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 six caregivers did not have pediatric first aid certification. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
During the investigation it was determined that a person was living at the operation. |
— |
| 2 | — |
746.901(1) - Required Personnel Records - Dates of Employment
Five of six staff files did not have a definite employment start date. |
— |
| 4 | — |
746.201(9) - Complying with Laws and Rules
During the investigation it was determined that a person was living at the operation. |
— |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
Two of six caregiver files did not have required annual training hours. CP had 22 hours verified completed. AP had no record of training hours. |
— |
| 4 | — |
746.5202(5) - Emergency Preparedness Plan-Reunification Plan
The emergency preparedness plan did not include information on the procedure for reunification in the event of an emergency evacuation. |
— |
| 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 left three children unattended to open the front door for the CCR inspector. |
— |
| 3 | — |
746.201(7) - Operation Open to Parents At All Times
Recite: During an inspection, an individual arrived to drop off and stated that the procedure to drop off and pick up was that upon arrival they were to wait in the lobby and staff would either take the child or bring the child to them. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Five of the ten children's files reviewed did not have current immunization records. |
— |
| 4 | — |
746.5307(a) - Inspect Fire Extinguishers Monthly
There was no documentation for a monthly inspections of the fire extinguishers. Noted: This was corrected during the inspecton when all the fire extinguishers were inspected to include the fire extinguisher in the transporation van. |
Yes |
| 4 | — |
746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets
Crib sheets were observed to be either too tight or too loose. The cribs with sheets that fit too tightly were causing the crib mattress to curl upward. The ill-fitting crib sheets is a risk of entanglement because they can easily be removed while the infant is in the crib. |
— |
| 5 | — |
746.5319 - Smoke Detectors Testing
For the month of July there was no documentation that the smoke detectors were tested. Noted: This was corrected during inspection when the smoke detectors were tested. |
Yes |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
A monthly inspection was not being completed. Noted: This was corrected during inspection when an inspection of the operation was conducted utilizing CCR provided general checklist. |
Yes |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation did not have documented drills for the months of July and August. Noted: This was corrected at inspection when a fire drill was conducted. |
Yes |
| 5 | — |
746.5317 - Installation of Smoke Detectors
Smoke detectors were not being maintained as they were heard chirping, indicating that new batteries needed to be installed. |
— |
| 3 | — |
746.1311(e) - Director Annual Training - Additional required topics
The director's training did not have certificates in required topics, such as; Medication administration, preventing and responding to food allergies, understanding building and physical premises safety, and hazardous materials available for review. |
— |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
One of the six children's files reviewed did not include hearing and vision screening results. |
— |
| 4 | — |
746.2409(a)(1) - Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
A crib was observed to have a mattress that was too small for the crib. There was an open space that may pose an entrapment risk. This was corrected at inspection as the director switched another mattress from a crib that was not in use at this time. |
Yes |
| 4 | — |
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
There was no documentation for the testing of the carbon monoxide detectors for the month of July. Noted: This was corrected during inspection when the CO2 detectors were tested. |
Yes |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two of the three caregiver files reviewed lacked adequate documentation of training hours, indicating insufficient training hours available for review. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
Four or the six files reviewed did not include updated immunization records. |
— |
| 4 | — |
746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
A Little Tikes play structure did not have loose-fill leading up to a slide. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two of the six children's files reviewed did not include healthcare provider statements. |
— |
| 5 | — |
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined in an investigation that good judgment was not practiced when the operation staff delayed the release of children and created a dangerous environment for the children in care. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The emergency preparedness plan did not include information for how non-mobile children/children with disabilities would be evacuated in the event of an emergency, |
— |
96 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.