Child care center ·
16550 HUEBNER RD, San Antonio, TX 78248-1695 ·
License 548359
Capacity 93. InfantToddlerPre-KindergartenSchool
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
746.5202(4) - Emergency Preparedness Plan-Continuity of Care Until Children Released
The emergency preparedness plan did not include information regarding continuity of care. |
— |
| 3 | — |
746.301(2) - Notification of Change in Space
The operation did not notify CCR before moving the infant rooms. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have an emergency preparedness plan completed or available for review. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director did had 19 of the required 30 hours of annual training. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Emergency Preparedness did not include required information, how children, infants/immobile children, will be evaucated. |
— |
| 3 | — |
746.1309(b) - Documented Annual Training - 6 Hours of annual training required
Five of the nine caregiver files reviewed did not have required hours of training in listed topics. |
— |
| 4 | — |
746.5202(5) - Emergency Preparedness Plan-Reunification Plan
The emergency preparedness plan did not include information regarding how children will be reunified with authorized individuals in the event of an evacuation. |
— |
| 4 | — |
746.305(a)(2) - Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
The operation did not report a child injury that required medical treatment within the two day timeframe. |
— |
| 1 | — |
746.705 - Incident/Illness Report Form Signed
The operation director or person in charge on the day of the incident did not sign the reportable incident/Illness report. |
— |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
3 of 10 caregivers' records reviewed did not have the required training hours for the last full year of employment. |
— |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
Four of the children's files did not include necessary vision and hearing screening results. |
— |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Caregivers failed to inform a parent that their child fell, which resulted in a contusion behind the child's left ear. |
— |
| 4 | — |
746.2911 - Adequate Lighting During Naptime
Two classrooms, with napping children, did not have adequate lighting in the room. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Two of the nine caregiver files reviewed, who work with chidlren younger than 24 months, did not have training in required topics. |
— |
| 3 | — |
746.1311(f)(1) - Director Annual Training - Less than 5 years experience
The director, who has been in the position less that five years, only had three hours of management training. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In a toddler classroom, there were lysol wipes and spray that was in an unlocked cabinet, making the cleaning supplies easily accessible to children. |
Yes |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One out of 10 children's files reviewed did not have a current immunization record for review. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Recite: Three of the ten children's files reviewed did not have current immunization records. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit
1 out of 10 caregivers' records reviewed did not have an employment affidavit. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
The operation did not share the reportable incident/Illness report with the parent within 48 hours of the incident. |
— |
| 3 | — |
746.501(a)(19) - Written Operational Policies - Providing & Applying Insect Repellant and Sunscreen
The operational polcies did not include procedures for providing and applying items such as bug spray, sunscreen, etc. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Two staff member with access to children was present at the operation without background check status of Eligible, Eligible with Conditions, or Provisionally Eligible with Conditions. Note: Both individuals left the operation until cleared. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Cleaning solutions and other chemicals were found in an unlocked floor level cabinet in a classroom that was accessible to children. This was corrected at inspection when the caregiver removed the chemicals from the cabinet. |
Yes |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants do not have updated feeding instructions on file. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Nine of the caregiver files reviewed did not have training in required topics. |
— |
| 5 | — |
746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The operational polices did not include information on safe sleep for children 0-12 months. |
— |
| 1 | — |
746.501(a)(25) - Written Operational Policies - Breastfeeding Provisions
The operational policies did not include information for provisions for breast feeding mothers. |
— |
| 2 | — |
746.303(a)(1) - Report Change in Designee
The operation did not report the resignation of their listed designee. |
— |
| 3 | — |
746.501(a)(12) - Written Operational Policies - Vision and Hearing Screening
The operational policies did not incude information for hearing and vision screening requirements, |
— |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Two caregivers did not have training in required topics. |
— |
| 4 | — |
746.3419 - Handwashing Procedures
It was observed that caregivers are not washing children's hands after diapering. A wet wipe was used to clean a child's hand. This was corrected at inspection when the caregiver agreed to wash the child's hands. |
Yes |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Three of the ten children's files reviewed did not have current immunization records. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation has not conducted a fire drill since August and does not have documentation of emergency drills and/or checks of emergency equipment. |
— |
| 2 | — |
746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
The operational polices did not include information for parents being able to visit the child care operation during all hours of operation without prior consent. |
— |
| 1 | — |
746.705 - Incident/Illness Report Form Signed
The operation director or person in charge on the day of the incident did not sign the reportable incident/Illness report. |
— |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
Four of the children's files did not include necessary vision and hearing screening results. |
— |
| 4 | — |
746.2911 - Adequate Lighting During Naptime
Two classrooms, with napping children, did not have adequate lighting in the room. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director did had 19 of the required 30 hours of annual training. |
— |
| 4 | — |
746.5202(4) - Emergency Preparedness Plan-Continuity of Care Until Children Released
The emergency preparedness plan did not include information regarding continuity of care. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In a toddler classroom, there were lysol wipes and spray that was in an unlocked cabinet, making the cleaning supplies easily accessible to children. |
Yes |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Recite: Three of the ten children's files reviewed did not have current immunization records. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One out of 10 children's files reviewed did not have a current immunization record for review. |
— |
| 3 | — |
746.301(2) - Notification of Change in Space
The operation did not notify CCR before moving the infant rooms. |
— |
| 1 | — |
746.501(a)(25) - Written Operational Policies - Breastfeeding Provisions
The operational policies did not include information for provisions for breast feeding mothers. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Two of the nine caregiver files reviewed, who work with chidlren younger than 24 months, did not have training in required topics. |
— |
| 3 | — |
746.501(a)(19) - Written Operational Policies - Providing & Applying Insect Repellant and Sunscreen
The operational polcies did not include procedures for providing and applying items such as bug spray, sunscreen, etc. |
— |
| 4 | — |
746.305(a)(2) - Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
The operation did not report a child injury that required medical treatment within the two day timeframe. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Nine of the caregiver files reviewed did not have training in required topics. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have an emergency preparedness plan completed or available for review. |
— |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Two caregivers did not have training in required topics. |
— |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Caregivers failed to inform a parent that their child fell, which resulted in a contusion behind the child's left ear. |
— |
| 5 | — |
746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The operational polices did not include information on safe sleep for children 0-12 months. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation has not conducted a fire drill since August and does not have documentation of emergency drills and/or checks of emergency equipment. |
— |
| 2 | — |
746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
The operational polices did not include information for parents being able to visit the child care operation during all hours of operation without prior consent. |
— |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
3 of 10 caregivers' records reviewed did not have the required training hours for the last full year of employment. |
— |
| 3 | — |
746.1309(b) - Documented Annual Training - 6 Hours of annual training required
Five of the nine caregiver files reviewed did not have required hours of training in listed topics. |
— |
| 4 | — |
746.3419 - Handwashing Procedures
It was observed that caregivers are not washing children's hands after diapering. A wet wipe was used to clean a child's hand. This was corrected at inspection when the caregiver agreed to wash the child's hands. |
Yes |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Cleaning solutions and other chemicals were found in an unlocked floor level cabinet in a classroom that was accessible to children. This was corrected at inspection when the caregiver removed the chemicals from the cabinet. |
Yes |
| 3 | — |
746.501(a)(12) - Written Operational Policies - Vision and Hearing Screening
The operational policies did not incude information for hearing and vision screening requirements, |
— |
| 3 | — |
746.1311(f)(1) - Director Annual Training - Less than 5 years experience
The director, who has been in the position less that five years, only had three hours of management training. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Three of the ten children's files reviewed did not have current immunization records. |
— |
| 4 | — |
746.5202(5) - Emergency Preparedness Plan-Reunification Plan
The emergency preparedness plan did not include information regarding how children will be reunified with authorized individuals in the event of an evacuation. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit
1 out of 10 caregivers' records reviewed did not have an employment affidavit. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants do not have updated feeding instructions on file. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Two staff member with access to children was present at the operation without background check status of Eligible, Eligible with Conditions, or Provisionally Eligible with Conditions. Note: Both individuals left the operation until cleared. |
— |
| 2 | — |
746.303(a)(1) - Report Change in Designee
The operation did not report the resignation of their listed designee. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
The operation did not share the reportable incident/Illness report with the parent within 48 hours of the incident. |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Emergency Preparedness did not include required information, how children, infants/immobile children, will be evaucated. |
— |
| 5 | — |
746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The operational polices did not include information on safe sleep for children 0-12 months. |
— |
| 1 | — |
746.603(a)(6) - Children's Records - Vision and Hearing Screening
Four of the children's files did not include necessary vision and hearing screening results. |
— |
| 3 | — |
746.707 - Incident/Illness Report Form Shared with Parent
The operation did not share the reportable incident/Illness report with the parent within 48 hours of the incident. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One out of 10 children's files reviewed did not have a current immunization record for review. |
— |
| 4 | — |
746.5202(5) - Emergency Preparedness Plan-Reunification Plan
The emergency preparedness plan did not include information regarding how children will be reunified with authorized individuals in the event of an evacuation. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Recite: Three of the ten children's files reviewed did not have current immunization records. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Two of the nine caregiver files reviewed, who work with chidlren younger than 24 months, did not have training in required topics. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Cleaning solutions and other chemicals were found in an unlocked floor level cabinet in a classroom that was accessible to children. This was corrected at inspection when the caregiver removed the chemicals from the cabinet. |
Yes |
| 3 | — |
746.1311(f)(1) - Director Annual Training - Less than 5 years experience
The director, who has been in the position less that five years, only had three hours of management training. |
— |
| 3 | — |
746.501(a)(19) - Written Operational Policies - Providing & Applying Insect Repellant and Sunscreen
The operational polcies did not include procedures for providing and applying items such as bug spray, sunscreen, etc. |
— |
| 4 | — |
746.305(a)(2) - Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
The operation did not report a child injury that required medical treatment within the two day timeframe. |
— |
| 3 | — |
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Two infants do not have updated feeding instructions on file. |
— |
| 3 | — |
746.501(a)(12) - Written Operational Policies - Vision and Hearing Screening
The operational policies did not incude information for hearing and vision screening requirements, |
— |
| 4 | — |
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have an emergency preparedness plan completed or available for review. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Two staff member with access to children was present at the operation without background check status of Eligible, Eligible with Conditions, or Provisionally Eligible with Conditions. Note: Both individuals left the operation until cleared. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Three of the ten children's files reviewed did not have current immunization records. |
— |
| 3 | — |
746.1309(e) - Documented Annual Training- Required Content
Nine of the caregiver files reviewed did not have training in required topics. |
— |
| 4 | — |
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation has not conducted a fire drill since August and does not have documentation of emergency drills and/or checks of emergency equipment. |
— |
| 5 | — |
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
In a toddler classroom, there were lysol wipes and spray that was in an unlocked cabinet, making the cleaning supplies easily accessible to children. |
Yes |
| 3 | — |
746.901(5) - Required Personnel Records- Training Hours
3 of 10 caregivers' records reviewed did not have the required training hours for the last full year of employment. |
— |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Two caregivers did not have training in required topics. |
— |
| 1 | — |
746.705 - Incident/Illness Report Form Signed
The operation director or person in charge on the day of the incident did not sign the reportable incident/Illness report. |
— |
| 3 | — |
746.301(2) - Notification of Change in Space
The operation did not notify CCR before moving the infant rooms. |
— |
| 4 | — |
746.2911 - Adequate Lighting During Naptime
Two classrooms, with napping children, did not have adequate lighting in the room. |
— |
| 4 | — |
746.5202(4) - Emergency Preparedness Plan-Continuity of Care Until Children Released
The emergency preparedness plan did not include information regarding continuity of care. |
— |
| 4 | — |
746.307(b)(1) - Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Caregivers failed to inform a parent that their child fell, which resulted in a contusion behind the child's left ear. |
— |
| 3 | — |
746.1311(a) - Director Annual Training 30 Hours Required
The director did had 19 of the required 30 hours of annual training. |
— |
| 4 | — |
746.3419 - Handwashing Procedures
It was observed that caregivers are not washing children's hands after diapering. A wet wipe was used to clean a child's hand. This was corrected at inspection when the caregiver agreed to wash the child's hands. |
Yes |
| 2 | — |
746.303(a)(1) - Report Change in Designee
The operation did not report the resignation of their listed designee. |
— |
| 2 | — |
746.901(4) - Required Personnel Records - Required Affidavit
1 out of 10 caregivers' records reviewed did not have an employment affidavit. |
— |
| 2 | — |
746.501(b)(1) - Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours
The operational polices did not include information for parents being able to visit the child care operation during all hours of operation without prior consent. |
— |
| 3 | — |
746.1309(b) - Documented Annual Training - 6 Hours of annual training required
Five of the nine caregiver files reviewed did not have required hours of training in listed topics. |
— |
80 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.