Child care center ·
5630 W COMMERCE ST, San Antonio, TX 78237-1313 ·
License 849709
Capacity 100. InfantToddlerPre-Kindergarten
Accepts subsidy
| Severity | Date | Standard / narrative | Corrected |
|---|
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One of six children's files did not have an updated shot record in the file. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
There was no documentation of drills available for review. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
The documentation of active play equipment was not available for review. |
— |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Three out of the ten childrens records reviewed were missing health statements on the required admission forms. |
— |
| 4 | — |
746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room
The Toddler and Pre-k classrooms did not have their emergency evacuation and relocation diagram posted. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
A caregiver did not have current training in the following topics: (1) SIDS, Shaken Baby Syndrome, Early Brain Development (2) Child Maltreatment (3) Emergency Preparedness (4) Communicable Diseases (5) Allergic Reactions (6) Building and physical Premises Safety (7) Handling, Disposing Hazardous materials |
— |
| 4 | — |
746.1403(a)(2)(A) - Training requirements for substitutes, volunteers, and contractors-Pre-service training
A volunteer who has been counted in the child/caregiver ratio has not completed at least 8 hours of pre-service training. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on evidence gathered, on at least two occasions, an infant room was out of child/caregiver ratio. On 11/09/23, a caregiver was out of ratio by 3 infants. On 11/06/23, a caregiver was out of ratio by 2 infants. Based off the specified age group, the maximum number of children one caregiver may supervise is 4. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
Based on the evidence gathered, a caregiver did not use a positive method of discipline when the caregiver was observed tapping a toddler's bottom to redirect them off a table. |
— |
| 3 | — |
746.501(a)(6) - Written Operational Policies - Parental Notifications
The parent handbook did not contain procedure for parent notifications. The operational policies were also missing the promotion of indoor/outdoor physical activities, procedures for parental notifications, and procedures for parent participation in operation's activities. |
— |
| 4 | — |
746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink
The hand washing sink in the diaper-changing area in the infant room was being used to also wash plates, utensils, and bottles. This was corrected when one basin of the sink was designated hand washing only and the other basin was designated for dish washing only. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Five out of the ten children's records reviewed were missing current immunization records. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Room 45 was observed out of ratio by 2 children. The specified age group was 2 years old and there were 13 children with one caregiver. This was corrected at inspection when 2 children were moved to another group. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was observed asleep in a bouncer. This was corrected when the caregiver was asked by licensing to move the sleeping infant to a crib. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One of the ten childrens records reviewed was missing emergency authorization. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Caregiver lacked training in shaken baby syndrome, sudden infant death syndrome (SIDS) and understanding early childhood brain development. |
— |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Caregiver lacked one hour of training in prevention, recognition and reporting of child maltreatment. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was observed with 5 infants under 12 months in care. NOTEE: This was corrected during inspection when a caregiver became free to move into the infant classroom aa a second caregiver. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An employee who was present and in a classroom, was showing inactivated in the people's list. Note: This was corrected during inspection when the employee went home and was reminded to only return when she is cleared. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
Out of 5 staff records reviewed, 4 staff had completed online CPR training without the hands on practice to include use of a CPR manikin. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two of six files reviewed did not have current CPR cards. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The teacher in classroom #33 stated there were seven children in care after verifying there were six children. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two caregivers present did not have current certification in pediatric CPR and First Aid. |
— |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Young children were observed eating crackers off a bare table top. The snack was not served on proper plates or napkins. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
1. A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required. |
— |
| 3 | — |
746.801(8) - Required Records Maintained and Made Available - Playground Maintenance Records
The operation did not have the playground checklist up to date. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
In two preschool classrooms there were four electrical outlets without outlet covers accessible to children. NOTED: This was corrected at inspection. |
Yes |
| 3 | — |
746.5205(4) - Documentation of Drills
The documentation of fire drills and equipment checks was unavailable; it could not be located. This was corrected at inspection when a fire drill was conducted and equipment was checked. |
Yes |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
6 out of the 10 files reviewed were missing current annual training hours. |
— |
| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of thirteen employee files did not have a current First Aid certification in her file. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During the investigation, it was determined that positive methods are not used as required discipline measures. |
— |
| 3 | — |
746.201(7) - Operation Open to Parents At All Times
Based on information gathered, parents have not been allowed to enter their child's classroom upon request. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Room 45 was observed out of ratio by 2 children. The specified age group was 2 years old and there were 13 children with one caregiver. This was corrected at inspection when 2 children were moved to another group. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
1. A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
In two preschool classrooms there were four electrical outlets without outlet covers accessible to children. NOTED: This was corrected at inspection. |
Yes |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
6 out of the 10 files reviewed were missing current annual training hours. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During the investigation, it was determined that positive methods are not used as required discipline measures. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One of the ten childrens records reviewed was missing emergency authorization. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
The documentation of active play equipment was not available for review. |
— |
| 3 | — |
746.501(a)(6) - Written Operational Policies - Parental Notifications
The parent handbook did not contain procedure for parent notifications. The operational policies were also missing the promotion of indoor/outdoor physical activities, procedures for parental notifications, and procedures for parent participation in operation's activities. |
— |
| 4 | — |
746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink
The hand washing sink in the diaper-changing area in the infant room was being used to also wash plates, utensils, and bottles. This was corrected when one basin of the sink was designated hand washing only and the other basin was designated for dish washing only. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on evidence gathered, on at least two occasions, an infant room was out of child/caregiver ratio. On 11/09/23, a caregiver was out of ratio by 3 infants. On 11/06/23, a caregiver was out of ratio by 2 infants. Based off the specified age group, the maximum number of children one caregiver may supervise is 4. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was observed with 5 infants under 12 months in care. NOTEE: This was corrected during inspection when a caregiver became free to move into the infant classroom aa a second caregiver. |
— |
| 4 | — |
746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room
The Toddler and Pre-k classrooms did not have their emergency evacuation and relocation diagram posted. |
— |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Caregiver lacked one hour of training in prevention, recognition and reporting of child maltreatment. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
Out of 5 staff records reviewed, 4 staff had completed online CPR training without the hands on practice to include use of a CPR manikin. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
Based on the evidence gathered, a caregiver did not use a positive method of discipline when the caregiver was observed tapping a toddler's bottom to redirect them off a table. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Caregiver lacked training in shaken baby syndrome, sudden infant death syndrome (SIDS) and understanding early childhood brain development. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
A caregiver did not have current training in the following topics: (1) SIDS, Shaken Baby Syndrome, Early Brain Development (2) Child Maltreatment (3) Emergency Preparedness (4) Communicable Diseases (5) Allergic Reactions (6) Building and physical Premises Safety (7) Handling, Disposing Hazardous materials |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An employee who was present and in a classroom, was showing inactivated in the people's list. Note: This was corrected during inspection when the employee went home and was reminded to only return when she is cleared. |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Five out of the ten children's records reviewed were missing current immunization records. |
— |
| 3 | — |
746.201(7) - Operation Open to Parents At All Times
Based on information gathered, parents have not been allowed to enter their child's classroom upon request. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two of six files reviewed did not have current CPR cards. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The documentation of fire drills and equipment checks was unavailable; it could not be located. This was corrected at inspection when a fire drill was conducted and equipment was checked. |
Yes |
| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of thirteen employee files did not have a current First Aid certification in her file. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was observed asleep in a bouncer. This was corrected when the caregiver was asked by licensing to move the sleeping infant to a crib. |
— |
| 3 | — |
746.801(8) - Required Records Maintained and Made Available - Playground Maintenance Records
The operation did not have the playground checklist up to date. |
— |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Three out of the ten childrens records reviewed were missing health statements on the required admission forms. |
— |
| 4 | — |
746.1403(a)(2)(A) - Training requirements for substitutes, volunteers, and contractors-Pre-service training
A volunteer who has been counted in the child/caregiver ratio has not completed at least 8 hours of pre-service training. |
— |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Young children were observed eating crackers off a bare table top. The snack was not served on proper plates or napkins. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The teacher in classroom #33 stated there were seven children in care after verifying there were six children. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One of six children's files did not have an updated shot record in the file. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
There was no documentation of drills 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.
Two caregivers present did not have current certification in pediatric CPR and First Aid. |
— |
| 4 | — |
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two caregivers present did not have current certification in pediatric CPR and First Aid. |
— |
| 3 | — |
746.801(8) - Required Records Maintained and Made Available - Playground Maintenance Records
The operation did not have the playground checklist up to date. |
— |
| 3 | — |
746.603(a)(4) - Children's Records - Immunizations
One of six children's files did not have an updated shot record in the file. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During the investigation, it was determined that positive methods are not used as required discipline measures. |
— |
| 3 | — |
746.501(a)(6) - Written Operational Policies - Parental Notifications
The parent handbook did not contain procedure for parent notifications. The operational policies were also missing the promotion of indoor/outdoor physical activities, procedures for parental notifications, and procedures for parent participation in operation's activities. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An employee who was present and in a classroom, was showing inactivated in the people's list. Note: This was corrected during inspection when the employee went home and was reminded to only return when she is cleared. |
— |
| 4 | — |
746.3701(1) - Safety - Electrical Outlets Covered
In two preschool classrooms there were four electrical outlets without outlet covers accessible to children. NOTED: This was corrected at inspection. |
Yes |
| 4 | — |
746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
6 out of the 10 files reviewed were missing current annual training hours. |
— |
| 4 | — |
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
Based on the evidence gathered, a caregiver did not use a positive method of discipline when the caregiver was observed tapping a toddler's bottom to redirect them off a table. |
— |
| 4 | — |
746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room
The Toddler and Pre-k classrooms did not have their emergency evacuation and relocation diagram posted. |
— |
| 4 | — |
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of thirteen employee files did not have a current First Aid certification in her file. |
— |
| 4 | — |
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Two of six files reviewed did not have current CPR cards. |
— |
| 5 | — |
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
An infant was observed asleep in a bouncer. This was corrected when the caregiver was asked by licensing to move the sleeping infant to a crib. |
— |
| 4 | — |
746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based
Out of 5 staff records reviewed, 4 staff had completed online CPR training without the hands on practice to include use of a CPR manikin. |
— |
| 4 | — |
746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink
The hand washing sink in the diaper-changing area in the infant room was being used to also wash plates, utensils, and bottles. This was corrected when one basin of the sink was designated hand washing only and the other basin was designated for dish washing only. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
1. A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
There was no documentation of drills available for review. |
— |
| 3 | — |
746.1309(a) - Documented Annual Training Area - 24 Hours Required
A caregiver did not have current training in the following topics: (1) SIDS, Shaken Baby Syndrome, Early Brain Development (2) Child Maltreatment (3) Emergency Preparedness (4) Communicable Diseases (5) Allergic Reactions (6) Building and physical Premises Safety (7) Handling, Disposing Hazardous materials |
— |
| 4 | — |
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Five out of the ten children's records reviewed were missing current immunization records. |
— |
| 3 | — |
746.201(7) - Operation Open to Parents At All Times
Based on information gathered, parents have not been allowed to enter their child's classroom upon request. |
— |
| 4 | — |
746.1403(a)(2)(A) - Training requirements for substitutes, volunteers, and contractors-Pre-service training
A volunteer who has been counted in the child/caregiver ratio has not completed at least 8 hours of pre-service training. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The teacher in classroom #33 stated there were seven children in care after verifying there were six children. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
The infant classroom was observed with 5 infants under 12 months in care. NOTEE: This was corrected during inspection when a caregiver became free to move into the infant classroom aa a second caregiver. |
— |
| 4 | — |
746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required
Caregiver lacked training in shaken baby syndrome, sudden infant death syndrome (SIDS) and understanding early childhood brain development. |
— |
| 4 | — |
746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Young children were observed eating crackers off a bare table top. The snack was not served on proper plates or napkins. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Room 45 was observed out of ratio by 2 children. The specified age group was 2 years old and there were 13 children with one caregiver. This was corrected at inspection when 2 children were moved to another group. |
— |
| 3 | — |
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
The documentation of active play equipment was not available for review. |
— |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Three out of the ten childrens records reviewed were missing health statements on the required admission forms. |
— |
| 3 | — |
746.5205(4) - Documentation of Drills
The documentation of fire drills and equipment checks was unavailable; it could not be located. This was corrected at inspection when a fire drill was conducted and equipment was checked. |
Yes |
| 3 | — |
746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment
Caregiver lacked one hour of training in prevention, recognition and reporting of child maltreatment. |
— |
| 4 | — |
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on evidence gathered, on at least two occasions, an infant room was out of child/caregiver ratio. On 11/09/23, a caregiver was out of ratio by 3 infants. On 11/06/23, a caregiver was out of ratio by 2 infants. Based off the specified age group, the maximum number of children one caregiver may supervise is 4. |
— |
| 5 | — |
746.605(12) - Required Admission Information - Emergency Medical Authorization
One of the ten childrens records reviewed was missing emergency authorization. |
— |
| 2 | — |
746.303(b) - Report Number of Employees
1. A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required. |
— |
| 3 | — |
746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Three out of the ten childrens records reviewed were missing health statements on the required admission forms. |
— |
| 5 | — |
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
An employee who was present and in a classroom, was showing inactivated in the people's list. Note: This was corrected during inspection when the employee went home and was reminded to only return when she is cleared. |
— |
| 5 | — |
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The teacher in classroom #33 stated there were seven children in care after verifying there were six children. |
— |
104 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.