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TexasSan Antonio › Rainbow Childrens Station Northwest

Rainbow Childrens Station Northwest

Child care center · 6864 INGRAM RD, San Antonio, TX 78238-4112 · License 1788595

0Compliance score
Poor

Capacity 22. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (230)

SeverityDateStandard / narrativeCorrected
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One out of the three staff records reviewed did not have current First Aid and CPR training.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The infant changing mat was observed to be torn. Note: This was CORRECTED AT INSPECTION when the old changing mat was removed.
Yes
3 746.501(a)(10) - Written Operational Policies - Meals
Meals were not included in the operational policies.
4 746.309(a)(1) - Parental Notification of Safe Sleeping Deficiency
Operation did not submit Safe Sleep Parent Notification on the due date 5.29.26.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
A nine month infant was observed sleeping in a restrictive device. Note: This was corrected at inspection when the infant woke up when being removed from the restrictive device.
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 5 year old and 9 month old were left unsupervised in a classroom while the director took the rest of the group to the restroom. This was partially corrected when the infant caregiver moved the 9 month old to the infant room but the 5 year old was remained unsupervised in the classroom. A 3 year old then left the restroom and entered the classroom unattended. The 3 year old and 5 year old were observed unsupervised in the classroom. This was corrected when the director and the rest of the group returned to the classroom where the 5 and 3 year old were.
4 746.3415(2) - Employee Handwashing Before Feeding a Child
Caregivers did not wash their hands before feeding children and after removing gloves.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
2 infant feeding schedules observed had not been signed by the parent.
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The infant safe sleep policy was not included in the operational policies.
4 746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
At time of inspection, an infant caregiver who was providing direct care of children did not have the required SIDS,Understanding early childhood brain development, and Recognizing and preventing shaken baby syndrome and abusive head trauma training.
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
The cleaning sprays located in the cabinet in the restroom used by children were accessible as the child proof lock was unlocked. Note: This was corrected at inspection as the cabinet was locked with the child proof lock.
3 746.603(a)(4) - Children's Records - Immunizations
Two out of four records reviewed did not have current immunizations on file at the time of review.
5 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
At time of inspection, an infant younger than 12 months was observed in a stationed bouncy chair inside the play yard.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Based on information gathered during the course of the investigation, a caregiver was on her phone while supervising the children in care.
2 746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
Operational policies did not include the open door policy.
3 746.2405(3) - Infant Care Area Furnishings and Equipment - Crib, Cot, or Bed for Each Walking Infant
An 11 month old non-walking infant was observed sleeping on a mat.
4 746.3407(13) - Using, Storing and Disposing of Hazardous Materials
A staff member used too much bleach when mopping the floor, causing a child's pants to get bleach stains when child crawled on the floor.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on the evidence gathered, a group of children with a specified age of 2 years old was out of ratio by one child for at least 10 minutes on 03/18/2025. One caregiver had 12 children in their group.
4 746.201(9) - Complying with Laws and Rules
At time of inspection, it was noted children attended operation for more that 15 days in one month.
3 746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The operation did not update their liability insurance information by the renewal date.
4 746.3701(10) - Safety - Televisions Anchored to Prevent Tip Over
A television was observed not mounted during inspection.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed present and caring for children without a background check.
3 746.1309(e) - Documented Annual Training- Required Content
Two out of four records reviewed did not have the required trainings at review.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two out the four files reviewed did not have current immunization records.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A child under the age of two years old was observed watching television. Note: This was corrected at inspection when the child was moved.
3 746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Based on the evidence gathered, one of the directors does not maintain attendance records or time sheets for themselves and could not provide this documentation upon request.
5 HRC42.054 - Required Fees
A background check fee has not been paid.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
3 infant bottles were not labeled.
4 746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
At time of inspection, an infant caregiver who was providing direct care of children did not have the required SIDS,Understanding early childhood brain development, and Recognizing and preventing shaken baby syndrome and abusive head trauma training.
4 746.3701(10) - Safety - Televisions Anchored to Prevent Tip Over
A television was observed not mounted during inspection.
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 5 year old and 9 month old were left unsupervised in a classroom while the director took the rest of the group to the restroom. This was partially corrected when the infant caregiver moved the 9 month old to the infant room but the 5 year old was remained unsupervised in the classroom. A 3 year old then left the restroom and entered the classroom unattended. The 3 year old and 5 year old were observed unsupervised in the classroom. This was corrected when the director and the rest of the group returned to the classroom where the 5 and 3 year old were.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two out the four files reviewed did not have current immunization records.
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
The cleaning sprays located in the cabinet in the restroom used by children were accessible as the child proof lock was unlocked. Note: This was corrected at inspection as the cabinet was locked with the child proof lock.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A child under the age of two years old was observed watching television. Note: This was corrected at inspection when the child was moved.
3 746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Based on the evidence gathered, one of the directors does not maintain attendance records or time sheets for themselves and could not provide this documentation upon request.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on the evidence gathered, a group of children with a specified age of 2 years old was out of ratio by one child for at least 10 minutes on 03/18/2025. One caregiver had 12 children in their group.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Based on information gathered during the course of the investigation, a caregiver was on her phone while supervising the children in care.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
A nine month infant was observed sleeping in a restrictive device. Note: This was corrected at inspection when the infant woke up when being removed from the restrictive device.
3 746.501(a)(10) - Written Operational Policies - Meals
Meals were not included in the operational policies.
5 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
At time of inspection, an infant younger than 12 months was observed in a stationed bouncy chair inside the play yard.
3 746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The operation did not update their liability insurance information by the renewal date.
4 746.3415(2) - Employee Handwashing Before Feeding a Child
Caregivers did not wash their hands before feeding children and after removing gloves.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed present and caring for children without a background check.
3 746.1309(e) - Documented Annual Training- Required Content
Two out of four records reviewed did not have the required trainings at review.
3 746.603(a)(4) - Children's Records - Immunizations
Two out of four records reviewed did not have current immunizations on file at the time of review.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
3 infant bottles were not labeled.
3 746.2405(3) - Infant Care Area Furnishings and Equipment - Crib, Cot, or Bed for Each Walking Infant
An 11 month old non-walking infant was observed sleeping on a mat.
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The infant safe sleep policy was not included in the operational policies.
4 746.201(9) - Complying with Laws and Rules
At time of inspection, it was noted children attended operation for more that 15 days in one month.
5 HRC42.054 - Required Fees
A background check fee has not been paid.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One out of the three staff records reviewed did not have current First Aid and CPR training.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
2 infant feeding schedules observed had not been signed by the parent.
2 746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
Operational policies did not include the open door policy.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The infant changing mat was observed to be torn. Note: This was CORRECTED AT INSPECTION when the old changing mat was removed.
Yes
4 746.3407(13) - Using, Storing and Disposing of Hazardous Materials
A staff member used too much bleach when mopping the floor, causing a child's pants to get bleach stains when child crawled on the floor.
4 746.309(a)(1) - Parental Notification of Safe Sleeping Deficiency
Operation did not submit Safe Sleep Parent Notification on the due date 5.29.26.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
2 infant feeding schedules observed had not been signed by the parent.
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
The cleaning sprays located in the cabinet in the restroom used by children were accessible as the child proof lock was unlocked. Note: This was corrected at inspection as the cabinet was locked with the child proof lock.
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The infant safe sleep policy was not included in the operational policies.
4 746.3701(10) - Safety - Televisions Anchored to Prevent Tip Over
A television was observed not mounted during inspection.
5 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
At time of inspection, an infant younger than 12 months was observed in a stationed bouncy chair inside the play yard.
3 746.501(a)(10) - Written Operational Policies - Meals
Meals were not included in the operational policies.
3 746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The operation did not update their liability insurance information by the renewal date.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A child under the age of two years old was observed watching television. Note: This was corrected at inspection when the child was moved.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One out of the three staff records reviewed did not have current First Aid and CPR training.
4 746.3407(13) - Using, Storing and Disposing of Hazardous Materials
A staff member used too much bleach when mopping the floor, causing a child's pants to get bleach stains when child crawled on the floor.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The infant changing mat was observed to be torn. Note: This was CORRECTED AT INSPECTION when the old changing mat was removed.
Yes
2 746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
Operational policies did not include the open door policy.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
3 infant bottles were not labeled.
3 746.1309(e) - Documented Annual Training- Required Content
Two out of four records reviewed did not have the required trainings at review.
3 746.2405(3) - Infant Care Area Furnishings and Equipment - Crib, Cot, or Bed for Each Walking Infant
An 11 month old non-walking infant was observed sleeping on a mat.
3 746.603(a)(4) - Children's Records - Immunizations
Two out of four records reviewed did not have current immunizations on file at the time of review.
4 746.201(9) - Complying with Laws and Rules
At time of inspection, it was noted children attended operation for more that 15 days in one month.
4 746.3415(2) - Employee Handwashing Before Feeding a Child
Caregivers did not wash their hands before feeding children and after removing gloves.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed present and caring for children without a background check.
4 746.309(a)(1) - Parental Notification of Safe Sleeping Deficiency
Operation did not submit Safe Sleep Parent Notification on the due date 5.29.26.
5 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
A nine month infant was observed sleeping in a restrictive device. Note: This was corrected at inspection when the infant woke up when being removed from the restrictive device.
3 746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Based on the evidence gathered, one of the directors does not maintain attendance records or time sheets for themselves and could not provide this documentation upon request.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Based on information gathered during the course of the investigation, a caregiver was on her phone while supervising the children in care.
4 746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
At time of inspection, an infant caregiver who was providing direct care of children did not have the required SIDS,Understanding early childhood brain development, and Recognizing and preventing shaken baby syndrome and abusive head trauma training.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two out the four files reviewed did not have current immunization records.
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 5 year old and 9 month old were left unsupervised in a classroom while the director took the rest of the group to the restroom. This was partially corrected when the infant caregiver moved the 9 month old to the infant room but the 5 year old was remained unsupervised in the classroom. A 3 year old then left the restroom and entered the classroom unattended. The 3 year old and 5 year old were observed unsupervised in the classroom. This was corrected when the director and the rest of the group returned to the classroom where the 5 and 3 year old were.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on the evidence gathered, a group of children with a specified age of 2 years old was out of ratio by one child for at least 10 minutes on 03/18/2025. One caregiver had 12 children in their group.
5 HRC42.054 - Required Fees
A background check fee has not been paid.
4 746.201(9) - Complying with Laws and Rules
At time of inspection, it was noted children attended operation for more that 15 days in one month.
4 746.3701(10) - Safety - Televisions Anchored to Prevent Tip Over
A television was observed not mounted during inspection.
2 746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
Operational policies did not include the open door policy.
5 HRC42.054 - Required Fees
A background check fee has not been paid.
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 5 year old and 9 month old were left unsupervised in a classroom while the director took the rest of the group to the restroom. This was partially corrected when the infant caregiver moved the 9 month old to the infant room but the 5 year old was remained unsupervised in the classroom. A 3 year old then left the restroom and entered the classroom unattended. The 3 year old and 5 year old were observed unsupervised in the classroom. This was corrected when the director and the rest of the group returned to the classroom where the 5 and 3 year old were.
5 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
At time of inspection, an infant younger than 12 months was observed in a stationed bouncy chair inside the play yard.
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
The cleaning sprays located in the cabinet in the restroom used by children were accessible as the child proof lock was unlocked. Note: This was corrected at inspection as the cabinet was locked with the child proof lock.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One out of the three staff records reviewed did not have current First Aid and CPR training.
3 746.801(5) - Required Records Maintained and Made Available - Employees' Attendance
Based on the evidence gathered, one of the directors does not maintain attendance records or time sheets for themselves and could not provide this documentation upon request.
3 746.203(2) - Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
The operation did not update their liability insurance information by the renewal date.
3 746.603(a)(4) - Children's Records - Immunizations
Two out of four records reviewed did not have current immunizations on file at the time of review.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
The infant changing mat was observed to be torn. Note: This was CORRECTED AT INSPECTION when the old changing mat was removed.
Yes
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on the evidence gathered, a group of children with a specified age of 2 years old was out of ratio by one child for at least 10 minutes on 03/18/2025. One caregiver had 12 children in their group.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
3 infant bottles were not labeled.
5 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The infant safe sleep policy was not included in the operational policies.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed present and caring for children without a background check.

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

Inspections (110)

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

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