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TexasSan Antonio › Irma Diaz Ramos

Irma Diaz Ramos

Family child care home · 5003 TIMBER WIND, San Antonio, TX 78250-4480 · License 538098

0Compliance score
Poor

Capacity 12. InfantToddlerPre-KindergartenSchool

Violation history (96)

SeverityDateStandard / narrativeCorrected
4 747.3203 - Sanitation of Building, Grounds and Equipment
At time of inspection, an outdoor play house was observed to have a hole in its floor.
4 747.3203(13) - Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
4 747.501(6) - Written Operational Policies - Safe Sleep for Infants
During inspection parent handbook did not have safe sleep policies included.
1 747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
At time of inspection primary caregivers CPR/First Aid certification was not current.
4 747.3307(d) - Diapering Procedures- Sanitizing the Diapering Area
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
Yes
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
Registered home had eight children four years old and under at 9:00am. Primary caregiver had two children picked-up during the inspection which placed her back in compliance.
3 747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
A feeding schedule was not available for review for a child bottle feeding.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy did not have an emergency plan signed by parent and a health care professional.
4 747.605(16) - Required Admission Information-Completed Food Allergy Emergency Plan
A child file stated child had food allergy, no emergency plan was available during inspection.
3 747.501(8) - Written Operational Policies - Promotion of Physical Activity
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
3 747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
A feeding schedule was not available for review for a child bottle feeding.
4 747.3307(d) - Diapering Procedures- Sanitizing the Diapering Area
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
Yes
4 747.605(16) - Required Admission Information-Completed Food Allergy Emergency Plan
A child file stated child had food allergy, no emergency plan was available during inspection.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
At time of inspection primary caregivers CPR/First Aid certification was not current.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
1 747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
4 747.3203 - Sanitation of Building, Grounds and Equipment
At time of inspection, an outdoor play house was observed to have a hole in its floor.
4 747.501(6) - Written Operational Policies - Safe Sleep for Infants
During inspection parent handbook did not have safe sleep policies included.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy did not have an emergency plan signed by parent and a health care professional.
3 747.501(8) - Written Operational Policies - Promotion of Physical Activity
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
Registered home had eight children four years old and under at 9:00am. Primary caregiver had two children picked-up during the inspection which placed her back in compliance.
4 747.3203(13) - Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
4 747.501(6) - Written Operational Policies - Safe Sleep for Infants
During inspection parent handbook did not have safe sleep policies included.
1 747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
4 747.3203(13) - Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
4 747.3203 - Sanitation of Building, Grounds and Equipment
At time of inspection, an outdoor play house was observed to have a hole in its floor.
3 747.501(8) - Written Operational Policies - Promotion of Physical Activity
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
At time of inspection primary caregivers CPR/First Aid certification was not current.
4 747.605(16) - Required Admission Information-Completed Food Allergy Emergency Plan
A child file stated child had food allergy, no emergency plan was available during inspection.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
Registered home had eight children four years old and under at 9:00am. Primary caregiver had two children picked-up during the inspection which placed her back in compliance.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy did not have an emergency plan signed by parent and a health care professional.
3 747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
A feeding schedule was not available for review for a child bottle feeding.
4 747.3307(d) - Diapering Procedures- Sanitizing the Diapering Area
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
Yes
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy did not have an emergency plan signed by parent and a health care professional.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
Registered home had eight children four years old and under at 9:00am. Primary caregiver had two children picked-up during the inspection which placed her back in compliance.
1 747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
4 747.501(6) - Written Operational Policies - Safe Sleep for Infants
During inspection parent handbook did not have safe sleep policies included.
4 747.3203(13) - Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
4 747.3307(d) - Diapering Procedures- Sanitizing the Diapering Area
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
Yes
4 747.3203 - Sanitation of Building, Grounds and Equipment
At time of inspection, an outdoor play house was observed to have a hole in its floor.
4 747.605(16) - Required Admission Information-Completed Food Allergy Emergency Plan
A child file stated child had food allergy, no emergency plan was available during inspection.
3 747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
A feeding schedule was not available for review for a child bottle feeding.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
At time of inspection primary caregivers CPR/First Aid certification was not current.
3 747.501(8) - Written Operational Policies - Promotion of Physical Activity
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy did not have an emergency plan signed by parent and a health care professional.
1 747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
4 747.3203(13) - Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
4 747.605(16) - Required Admission Information-Completed Food Allergy Emergency Plan
A child file stated child had food allergy, no emergency plan was available during inspection.
3 747.501(8) - Written Operational Policies - Promotion of Physical Activity
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
Registered home had eight children four years old and under at 9:00am. Primary caregiver had two children picked-up during the inspection which placed her back in compliance.
4 747.3203 - Sanitation of Building, Grounds and Equipment
At time of inspection, an outdoor play house was observed to have a hole in its floor.
3 747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
A feeding schedule was not available for review for a child bottle feeding.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
At time of inspection primary caregivers CPR/First Aid certification was not current.
4 747.501(6) - Written Operational Policies - Safe Sleep for Infants
During inspection parent handbook did not have safe sleep policies included.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
4 747.3307(d) - Diapering Procedures- Sanitizing the Diapering Area
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
Yes
1 747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy did not have an emergency plan signed by parent and a health care professional.
3 747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
A feeding schedule was not available for review for a child bottle feeding.
4 747.3203 - Sanitation of Building, Grounds and Equipment
At time of inspection, an outdoor play house was observed to have a hole in its floor.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
Registered home had eight children four years old and under at 9:00am. Primary caregiver had two children picked-up during the inspection which placed her back in compliance.
4 747.605(16) - Required Admission Information-Completed Food Allergy Emergency Plan
A child file stated child had food allergy, no emergency plan was available during inspection.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
At time of inspection primary caregivers CPR/First Aid certification was not current.
4 747.501(6) - Written Operational Policies - Safe Sleep for Infants
During inspection parent handbook did not have safe sleep policies included.
4 747.3203(13) - Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
3 747.501(8) - Written Operational Policies - Promotion of Physical Activity
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
4 747.3307(d) - Diapering Procedures- Sanitizing the Diapering Area
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
Yes
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy did not have an emergency plan signed by parent and a health care professional.
4 747.3203(13) - Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
4 747.501(6) - Written Operational Policies - Safe Sleep for Infants
During inspection parent handbook did not have safe sleep policies included.
3 747.501(8) - Written Operational Policies - Promotion of Physical Activity
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
4 747.3307(d) - Diapering Procedures- Sanitizing the Diapering Area
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
Yes
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
Registered home had eight children four years old and under at 9:00am. Primary caregiver had two children picked-up during the inspection which placed her back in compliance.
4 747.3203 - Sanitation of Building, Grounds and Equipment
At time of inspection, an outdoor play house was observed to have a hole in its floor.
3 747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
A feeding schedule was not available for review for a child bottle feeding.
4 747.605(16) - Required Admission Information-Completed Food Allergy Emergency Plan
A child file stated child had food allergy, no emergency plan was available during inspection.
1 747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
At time of inspection primary caregivers CPR/First Aid certification was not current.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
4 747.1313(a) - Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
At time of inspection primary caregivers CPR/First Aid certification was not current.
1 747.1309(e)(2) - Primary Caregiver Annual Training - More Than 5 Years Experience
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
4 747.3307(d) - Diapering Procedures- Sanitizing the Diapering Area
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
Yes
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
4 747.501(6) - Written Operational Policies - Safe Sleep for Infants
During inspection parent handbook did not have safe sleep policies included.
4 747.3203(13) - Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
3 747.501(8) - Written Operational Policies - Promotion of Physical Activity
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
4 747.1701 - Child/ Caregiver Ratio - Registered Child Care Home
Registered home had eight children four years old and under at 9:00am. Primary caregiver had two children picked-up during the inspection which placed her back in compliance.
3 747.2321(b) - Written Feeding Instructions - Review and Update Every 30 Days
A feeding schedule was not available for review for a child bottle feeding.
4 747.3619 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A child with a food allergy did not have an emergency plan signed by parent and a health care professional.
4 747.605(16) - Required Admission Information-Completed Food Allergy Emergency Plan
A child file stated child had food allergy, no emergency plan was available during inspection.
4 747.3203 - Sanitation of Building, Grounds and Equipment
At time of inspection, an outdoor play house was observed to have a hole in its floor.

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

Inspections (32)

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

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