Child care center ·
508 CUPPLES RD # 5, San Antonio, TX 78237-3925 ·
License 533650
Capacity 57. InfantToddlerPre-KindergartenSchool
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of the six children records didn't have updated immunization record on file. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
No feeding schedule for the one infant was unavailable at inspection. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have a plan set up. Operation is currently in process of gathering all required information. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was observed out of ratio with eight children (4months-13 months) to one caregiver at the time of the walkthrough. This resulted in the caregiver being out of ratio by four children. NOTE: This was corrected at inspection when the caregiver returned back into the classroom. |
— |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
The caregiver in the toddler classroom stated the children in the classroom were 2-3 years old when verifying the children were 18-24 months. |
— |
| 3 | — |
746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection. |
Yes |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
Monthly fire drills are not being conducted and documented as required. Carbon monoxide/smoke detectors and fire extinguishers are not checked monthly and documented as required. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection. |
Yes |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two of four children's files did not have a healthcare statement included in their file. |
— |
| 4 | — |
746.5619 - Plan to Handle Transportation Emergencies
A written plan to handle transportation emergencies was not available at the time. |
— |
| 5 | — |
746.613(a) - Required Immunizations
One of the six children files was missing immunization records. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A trashcan in the toddler classroom was observed without a lid that contained dirty diapers that was accessible to children. NOTE: This was corrected at inspection when the trashcan was replaced. |
Yes |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care. |
— |
| 4 | — |
746.5401 - Requirement of Gas Leak Inspection
Gas inspection is overdue as of 7/1/22. |
— |
| 4 | — |
746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys. |
Yes |
| 4 | — |
746.3505(c) - Diapering Procedures - Use Disposable Gloves
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
In the toddler classroom the children were observed not washing hands after a diaper change. In the infant classroom a teacher was observed placing a child in the highchair for a cookie without washing the child's hands. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four of the infants did not have updated infant feeding instructions available for review. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held. |
— |
| 5 | — |
746.5617(a)(1) - Required Equipment in Vehicles - List of Children
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection. |
Yes |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have a plan set up. Operation is currently in process of gathering all required information. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was observed out of ratio with eight children (4months-13 months) to one caregiver at the time of the walkthrough. This resulted in the caregiver being out of ratio by four children. NOTE: This was corrected at inspection when the caregiver returned back into the classroom. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of the six children records didn't have updated immunization record on file. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
Monthly fire drills are not being conducted and documented as required. Carbon monoxide/smoke detectors and fire extinguishers are not checked monthly and documented as required. |
— |
| 4 | — |
746.5619 - Plan to Handle Transportation Emergencies
A written plan to handle transportation emergencies was not available at the time. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four of the infants did not have updated infant feeding instructions available for review. |
— |
| 3 | — |
746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection. |
Yes |
| 4 | — |
746.5401 - Requirement of Gas Leak Inspection
Gas inspection is overdue as of 7/1/22. |
— |
| 5 | — |
746.5617(a)(1) - Required Equipment in Vehicles - List of Children
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection. |
Yes |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two of four children's files did not have a healthcare statement included in their file. |
— |
| 4 | — |
746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys. |
Yes |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
The caregiver in the toddler classroom stated the children in the classroom were 2-3 years old when verifying the children were 18-24 months. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care. |
— |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A trashcan in the toddler classroom was observed without a lid that contained dirty diapers that was accessible to children. NOTE: This was corrected at inspection when the trashcan was replaced. |
Yes |
| 4 | — |
746.3505(c) - Diapering Procedures - Use Disposable Gloves
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change. |
— |
| 5 | — |
746.613(a) - Required Immunizations
One of the six children files was missing immunization records. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
In the toddler classroom the children were observed not washing hands after a diaper change. In the infant classroom a teacher was observed placing a child in the highchair for a cookie without washing the child's hands. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
No feeding schedule for the one infant was unavailable at inspection. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four of the infants did not have updated infant feeding instructions available for review. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
No feeding schedule for the one infant was unavailable at inspection. |
— |
| 4 | — |
746.5401 - Requirement of Gas Leak Inspection
Gas inspection is overdue as of 7/1/22. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have a plan set up. Operation is currently in process of gathering all required information. |
— |
| 4 | — |
746.5619 - Plan to Handle Transportation Emergencies
A written plan to handle transportation emergencies was not available at the time. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two of four children's files did not have a healthcare statement included in their file. |
— |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of the six children records didn't have updated immunization record on file. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was observed out of ratio with eight children (4months-13 months) to one caregiver at the time of the walkthrough. This resulted in the caregiver being out of ratio by four children. NOTE: This was corrected at inspection when the caregiver returned back into the classroom. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection. |
Yes |
| 4 | — |
746.3505(c) - Diapering Procedures - Use Disposable Gloves
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change. |
— |
| 4 | — |
746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys. |
Yes |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
The caregiver in the toddler classroom stated the children in the classroom were 2-3 years old when verifying the children were 18-24 months. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
In the toddler classroom the children were observed not washing hands after a diaper change. In the infant classroom a teacher was observed placing a child in the highchair for a cookie without washing the child's hands. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
Monthly fire drills are not being conducted and documented as required. Carbon monoxide/smoke detectors and fire extinguishers are not checked monthly and documented as required. |
— |
| 5 | — |
746.613(a) - Required Immunizations
One of the six children files was missing immunization records. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care. |
— |
| 5 | — |
746.5617(a)(1) - Required Equipment in Vehicles - List of Children
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection. |
Yes |
| 3 | — |
746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection. |
Yes |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A trashcan in the toddler classroom was observed without a lid that contained dirty diapers that was accessible to children. NOTE: This was corrected at inspection when the trashcan was replaced. |
Yes |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
Monthly fire drills are not being conducted and documented as required. Carbon monoxide/smoke detectors and fire extinguishers are not checked monthly and documented as required. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
No feeding schedule for the one infant was unavailable at inspection. |
— |
| 5 | — |
746.613(a) - Required Immunizations
One of the six children files was missing immunization records. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection. |
Yes |
| 4 | — |
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
The caregiver in the toddler classroom stated the children in the classroom were 2-3 years old when verifying the children were 18-24 months. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was observed out of ratio with eight children (4months-13 months) to one caregiver at the time of the walkthrough. This resulted in the caregiver being out of ratio by four children. NOTE: This was corrected at inspection when the caregiver returned back into the classroom. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two of four children's files did not have a healthcare statement included in their file. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have a plan set up. Operation is currently in process of gathering all required information. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care. |
— |
| 4 | — |
746.5401 - Requirement of Gas Leak Inspection
Gas inspection is overdue as of 7/1/22. |
— |
| 4 | — |
746.5619 - Plan to Handle Transportation Emergencies
A written plan to handle transportation emergencies was not available at the time. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection. |
— |
| 4 | — |
746.3505(c) - Diapering Procedures - Use Disposable Gloves
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change. |
— |
| 5 | — |
746.5617(a)(1) - Required Equipment in Vehicles - List of Children
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection. |
Yes |
| 4 | — |
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A trashcan in the toddler classroom was observed without a lid that contained dirty diapers that was accessible to children. NOTE: This was corrected at inspection when the trashcan was replaced. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four of the infants did not have updated infant feeding instructions available for review. |
— |
| 4 | — |
746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys. |
Yes |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of the six children records didn't have updated immunization record on file. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
In the toddler classroom the children were observed not washing hands after a diaper change. In the infant classroom a teacher was observed placing a child in the highchair for a cookie without washing the child's hands. |
— |
| 3 | — |
746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
No feeding schedule for the one infant was unavailable at inspection. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of the six children records didn't have updated immunization record on file. |
— |
| 4 | — |
746.3505(c) - Diapering Procedures - Use Disposable Gloves
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change. |
— |
| 3 | — |
746.603(a)(3) - Children's Records - Health Statement
Two of four children's files did not have a healthcare statement included in their file. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have a plan set up. Operation is currently in process of gathering all required information. |
— |
| 4 | — |
746.3417(3) - Children Handwashing After Toileting or Diapering
In the toddler classroom the children were observed not washing hands after a diaper change. In the infant classroom a teacher was observed placing a child in the highchair for a cookie without washing the child's hands. |
— |
| 4 | — |
746.5619 - Plan to Handle Transportation Emergencies
A written plan to handle transportation emergencies was not available at the time. |
— |
| 4 | — |
746.5401 - Requirement of Gas Leak Inspection
Gas inspection is overdue as of 7/1/22. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
Monthly fire drills are not being conducted and documented as required. Carbon monoxide/smoke detectors and fire extinguishers are not checked monthly and documented as required. |
— |
| 4 | — |
746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four of the infants did not have updated infant feeding instructions available for review. |
— |
| 4 | — |
746.3701 - Safety - Areas Free From Hazards
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection. |
Yes |
| 5 | — |
746.5617(a)(1) - Required Equipment in Vehicles - List of Children
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection. |
Yes |
| 5 | — |
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection. |
— |
| 5 | — |
746.613(a) - Required Immunizations
One of the six children files was missing immunization records. |
— |
48 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.