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TexasAlton › Lil Farmer's Child Development Center

Lil Farmer's Child Development Center

Child care center · 115 N ALVARADO ST, Alton, TX 78573-0539 · License 926106

0Compliance score
Poor

Capacity 82. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (88)

SeverityDateStandard / narrativeCorrected
3 746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.
3 746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.
3 746.603(a) - Children's Records Maintained
Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.
3 746.501(a)(30) - Written Operational Policies - Support inclusive services
The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.
3 746.801(12) - Required Records Maintained and Made Available - Sanitation Inspection Report
Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.
3 746.901(2) - Required Personnel Records- Meets Requirements
Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.
4 746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.
3 746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.
Yes
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
3 746.603(a) - Children's Records Maintained
2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.
3 746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.
3 746.603(a) - Children's Records Maintained
2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
3 746.801(12) - Required Records Maintained and Made Available - Sanitation Inspection Report
Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.
3 746.501(a)(30) - Written Operational Policies - Support inclusive services
The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.
3 746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.
Yes
3 746.901(2) - Required Personnel Records- Meets Requirements
Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.
3 746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.
4 746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.
3 746.603(a) - Children's Records Maintained
Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.
3 746.501(a)(30) - Written Operational Policies - Support inclusive services
The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
3 746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.
Yes
3 746.603(a) - Children's Records Maintained
Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.
3 746.901(2) - Required Personnel Records- Meets Requirements
Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.
3 746.801(12) - Required Records Maintained and Made Available - Sanitation Inspection Report
Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.
3 746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.
3 746.603(a) - Children's Records Maintained
2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.
3 746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.
4 746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.
3 746.901(2) - Required Personnel Records- Meets Requirements
Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.
3 746.603(a) - Children's Records Maintained
Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.
4 746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.
3 746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.
3 746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.
Yes
3 746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.
3 746.501(a)(30) - Written Operational Policies - Support inclusive services
The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
3 746.603(a) - Children's Records Maintained
2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.
3 746.801(12) - Required Records Maintained and Made Available - Sanitation Inspection Report
Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.
3 746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.
3 746.603(a) - Children's Records Maintained
2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.
3 746.501(a)(30) - Written Operational Policies - Support inclusive services
The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.
3 746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.
Yes
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.
3 746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.
3 746.901(2) - Required Personnel Records- Meets Requirements
Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.
3 746.603(a) - Children's Records Maintained
Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.
4 746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.
3 746.801(12) - Required Records Maintained and Made Available - Sanitation Inspection Report
Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
4 746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
3 746.603(a) - Children's Records Maintained
2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.
3 746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.
3 746.801(12) - Required Records Maintained and Made Available - Sanitation Inspection Report
Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.
3 746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.
3 746.901(2) - Required Personnel Records- Meets Requirements
Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.
3 746.501(a)(30) - Written Operational Policies - Support inclusive services
The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.
3 746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.
Yes
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.
3 746.603(a) - Children's Records Maintained
Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.
3 746.603(a) - Children's Records Maintained
2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.
3 746.501(a)(30) - Written Operational Policies - Support inclusive services
The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
4 746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.
3 746.603(a) - Children's Records Maintained
Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.
3 746.901(2) - Required Personnel Records- Meets Requirements
Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.
3 746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.
Yes
3 746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.
3 746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.
3 746.801(12) - Required Records Maintained and Made Available - Sanitation Inspection Report
Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.
3 746.603(a) - Children's Records Maintained
Ten children's files reviewed were reviewed. Three are missing immunization record and one is missing a health statement.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
13 children were observed napping in the Pre-K room. The youngest child was 11 months and the oldest child was 4 years old. Note: This was corrected at inspection when infant-age children were transfered to the infant room.
3 746.901(2) - Required Personnel Records- Meets Requirements
Seven staff files were reviewed. A caregivers file has an invalid high school diploma or equivalent. A second file is missing copy of foreign high school diploma or equivalent and complete information of translation / equivalency evaluation.
3 746.801(12) - Required Records Maintained and Made Available - Sanitation Inspection Report
Health Inspection Report available for review at the time inspection was conducted on 1/13/2021. Per provider an inspection was conducted at the beginning of 2022 but report could not be located.
4 746.5207(a)(2) - Emergency Evacuation and Relocation Diagram - Two Exits from Each Room
Emergency Evacuation Diagrams posted in the rooms were not observed with 2 exit routes.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two caregivers did not have complete annual training. A caregiver was missing annual training for training year 1/18/2024-1/17/2025 on the following topics: Prevention, recognition, and reporting of child maltreatment; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?). A second caregiver was missing annual training for training year 9/04/2023 - 9/03/2024 on the following topics: Emergency preparedness; Preventing and controlling the spread of communicable diseases, including immunizations; Administering medication; Preventing and responding to emergencies due to food or an allergic reaction; Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
3 746.501(a)(30) - Written Operational Policies - Support inclusive services
The operational policies reviewed were missing information on supporting inclusive services to children with special care needs.
3 746.1701 - Child/Caregiver Ratio - 12 or Fewer Children
12 children were napping in the entrance/pre-k room with one caregiver. 2 of the 12 children were 0-17 months. 10 of the 12 children were 18 months to 4 years old. This was corrected at inspection when a caregiver came back from lunch.
3 746.603(a) - Children's Records Maintained
2 of 8 childrens records reviewed were missing the child's immunization records. 1 of 8 children records reviewed was missing the child's health statement from a health-care professiona.
3 746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
No carbon monoxide detector / fire extinguisher checks have been documented for 2024. Per provider, checks have been conducted monthly but were not documented. Note: This was corrected at inspection when provider checked the fire extinguisher and CO detectors and documented the check under the Emergency Practices Form.
Yes
3 746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records
One out of six staff training records reviewed is missing training certificates for Health and Safety related topics.

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

Inspections (40)

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

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