Texas › Boerne › Nest Nature School

Nest Nature School

Child care center · 33 HERFF RD, Boerne, TX 78006-2743 · License 1725295

0Compliance score
Poor

Capacity 95. Pre-KindergartenSchool

Violation history (136)

Severity	Date	Standard / narrative	Corrected
4	—	746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription.	—
3	—	746.603(a)(4) - Children's Records - Immunizations One out of 10 child files evaluated did not have a copy of the child's immunization records on file.	—
2	—	746.605(3) - Required Admission Information - Date of Admission Four out of eight child files did not have the documented start date for attending the program NOTE: The dates were updated in the files during the inspection.	Yes
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver was in direct care of children without a submitted background check or eligibility letter on file.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current One out of eight child files evaluated was missing a varicella vaccination.	—
4	—	746.3401(a) - Annual Sanitation Inspection The operation's last Health inspection was conducted on 11/28/2024.	—
3	—	746.801(6) - Required Records Maintained and Made Available - Liability Insurance A current copy of the operation's liablity insurance was not available for inspection.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver without an eligibility letter on file was permitted to have direct access to children in care. NOTE: The caregiver was inactivated by the Centralized Background Check Unit.	—
3	—	746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed.	—
3	—	746.901(10) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training 4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file.	—
4	—	746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child's allergy plan on file was missing a parent signature.	—
1	—	746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training.	—
4	—	746.613(c)(1) - Immunization Exception or Exemption on File and Verified Two out of six child files evaluated did not have copies of current vaccinations.	—
3	—	746.615(a) - Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A food allergy plan on file was missing the parent and doctor signature.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Two school work study individuals were present and in direct care of the children without an eligibility letter on file. NOTE: The individuals were asked to leave the operation and management was asked to submit the background check requests through the operation's online portal during the inspection.	—
2	—	746.605(3) - Required Admission Information - Date of Admission Four out of eight child files did not have the documented start date for attending the program NOTE: The dates were updated in the files during the inspection.	Yes
3	—	746.901(10) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training 4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file.	—
1	—	746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A food allergy plan on file was missing the parent and doctor signature.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child's allergy plan on file was missing a parent signature.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current One out of eight child files evaluated was missing a varicella vaccination.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Two school work study individuals were present and in direct care of the children without an eligibility letter on file. NOTE: The individuals were asked to leave the operation and management was asked to submit the background check requests through the operation's online portal during the inspection.	—
3	—	746.603(a)(4) - Children's Records - Immunizations One out of 10 child files evaluated did not have a copy of the child's immunization records on file.	—
3	—	746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed.	—
3	—	746.801(6) - Required Records Maintained and Made Available - Liability Insurance A current copy of the operation's liablity insurance was not available for inspection.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver was in direct care of children without a submitted background check or eligibility letter on file.	—
4	—	746.613(c)(1) - Immunization Exception or Exemption on File and Verified Two out of six child files evaluated did not have copies of current vaccinations.	—
4	—	746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription.	—
4	—	746.3401(a) - Annual Sanitation Inspection The operation's last Health inspection was conducted on 11/28/2024.	—
4	—	746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date.	—
3	—	746.615(a) - Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver without an eligibility letter on file was permitted to have direct access to children in care. NOTE: The caregiver was inactivated by the Centralized Background Check Unit.	—
3	—	746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver without an eligibility letter on file was permitted to have direct access to children in care. NOTE: The caregiver was inactivated by the Centralized Background Check Unit.	—
1	—	746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training.	—
3	—	746.901(10) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training 4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current One out of eight child files evaluated was missing a varicella vaccination.	—
4	—	746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription.	—
3	—	746.603(a)(4) - Children's Records - Immunizations One out of 10 child files evaluated did not have a copy of the child's immunization records on file.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver was in direct care of children without a submitted background check or eligibility letter on file.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child's allergy plan on file was missing a parent signature.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Two school work study individuals were present and in direct care of the children without an eligibility letter on file. NOTE: The individuals were asked to leave the operation and management was asked to submit the background check requests through the operation's online portal during the inspection.	—
3	—	746.615(a) - Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.	—
2	—	746.605(3) - Required Admission Information - Date of Admission Four out of eight child files did not have the documented start date for attending the program NOTE: The dates were updated in the files during the inspection.	Yes
3	—	746.801(6) - Required Records Maintained and Made Available - Liability Insurance A current copy of the operation's liablity insurance was not available for inspection.	—
4	—	746.613(c)(1) - Immunization Exception or Exemption on File and Verified Two out of six child files evaluated did not have copies of current vaccinations.	—
4	—	746.3401(a) - Annual Sanitation Inspection The operation's last Health inspection was conducted on 11/28/2024.	—
4	—	746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A food allergy plan on file was missing the parent and doctor signature.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Two school work study individuals were present and in direct care of the children without an eligibility letter on file. NOTE: The individuals were asked to leave the operation and management was asked to submit the background check requests through the operation's online portal during the inspection.	—
4	—	746.3401(a) - Annual Sanitation Inspection The operation's last Health inspection was conducted on 11/28/2024.	—
3	—	746.901(10) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training 4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file.	—
2	—	746.605(3) - Required Admission Information - Date of Admission Four out of eight child files did not have the documented start date for attending the program NOTE: The dates were updated in the files during the inspection.	Yes
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver was in direct care of children without a submitted background check or eligibility letter on file.	—
3	—	746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child's allergy plan on file was missing a parent signature.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver without an eligibility letter on file was permitted to have direct access to children in care. NOTE: The caregiver was inactivated by the Centralized Background Check Unit.	—
3	—	746.615(a) - Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.	—
4	—	746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current One out of eight child files evaluated was missing a varicella vaccination.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A food allergy plan on file was missing the parent and doctor signature.	—
1	—	746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training.	—
3	—	746.801(6) - Required Records Maintained and Made Available - Liability Insurance A current copy of the operation's liablity insurance was not available for inspection.	—
4	—	746.613(c)(1) - Immunization Exception or Exemption on File and Verified Two out of six child files evaluated did not have copies of current vaccinations.	—
4	—	746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription.	—
3	—	746.603(a)(4) - Children's Records - Immunizations One out of 10 child files evaluated did not have a copy of the child's immunization records on file.	—
4	—	746.3401(a) - Annual Sanitation Inspection The operation's last Health inspection was conducted on 11/28/2024.	—
3	—	746.801(6) - Required Records Maintained and Made Available - Liability Insurance A current copy of the operation's liablity insurance was not available for inspection.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current One out of eight child files evaluated was missing a varicella vaccination.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver without an eligibility letter on file was permitted to have direct access to children in care. NOTE: The caregiver was inactivated by the Centralized Background Check Unit.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver was in direct care of children without a submitted background check or eligibility letter on file.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation Two school work study individuals were present and in direct care of the children without an eligibility letter on file. NOTE: The individuals were asked to leave the operation and management was asked to submit the background check requests through the operation's online portal during the inspection.	—
3	—	746.901(10) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training 4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file.	—
4	—	746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription.	—
1	—	746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training.	—
3	—	746.615(a) - Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child's allergy plan on file was missing a parent signature.	—
3	—	746.603(a)(4) - Children's Records - Immunizations One out of 10 child files evaluated did not have a copy of the child's immunization records on file.	—
3	—	746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A food allergy plan on file was missing the parent and doctor signature.	—
2	—	746.605(3) - Required Admission Information - Date of Admission Four out of eight child files did not have the documented start date for attending the program NOTE: The dates were updated in the files during the inspection.	Yes
4	—	746.613(c)(1) - Immunization Exception or Exemption on File and Verified Two out of six child files evaluated did not have copies of current vaccinations.	—
4	—	746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current One out of eight child files evaluated was missing a varicella vaccination.	—
2	—	746.605(3) - Required Admission Information - Date of Admission Four out of eight child files did not have the documented start date for attending the program NOTE: The dates were updated in the files during the inspection.	Yes
4	—	746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date A child with a diagnosed food allergy had medication, along with an inhaler, on site without the original prescription.	—
3	—	746.603(a)(4) - Children's Records - Immunizations One out of 10 child files evaluated did not have a copy of the child's immunization records on file.	—
3	—	746.615(a) - Exemptions for Immunization Requirements Must Meet Criteria Specified by DSHS A child's vacination exemption was created by their doctor and not on the exemption affidavit form from DSHS.	—
1	—	746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee Two out of 10 employee files evaluated did not have signed orientations indicating the caregiver had received the training.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child's allergy plan on file was missing a parent signature.	—
4	—	746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation One out of eight staff files evaluated did not have a documented orientation completed within seven days of their hire date.	—
3	—	746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment Two out of eight caregiver files did not have an abuse/neglect training completed during the evaluation periods reviewed.	—
4	—	746.3401(a) - Annual Sanitation Inspection The operation's last Health inspection was conducted on 11/28/2024.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver was in direct care of children without a submitted background check or eligibility letter on file.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A food allergy plan on file was missing the parent and doctor signature.	—
5	—	745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation A caregiver without an eligibility letter on file was permitted to have direct access to children in care. NOTE: The caregiver was inactivated by the Centralized Background Check Unit.	—
4	—	746.613(c)(1) - Immunization Exception or Exemption on File and Verified Two out of six child files evaluated did not have copies of current vaccinations.	—
3	—	746.901(10) - Required Personnel Records- signed dated statement that employee attended abuse/neglect training 4 out of 10 staff files evaluated did not have a signed and dated orientation statement on file.	—

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

Inspections (48)

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

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