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TexasKerrville › Zion Lutheran Church Children's Center

Zion Lutheran Church Children's Center

Child care center · 600 BARNETT ST, Kerrville, TX 78028-4518 · License 65635

0Compliance score
Poor

Capacity 96. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (240)

SeverityDateStandard / narrativeCorrected
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Three out of ten child files evaluated did not have updated immunization records on file.
4 746.3317 - Food Service and Preparation Requirement - Safe and Sanitary
Children have been served burnt biscuits, uncooked oatmeal and bananas that contained growing mold on the stem. Milk is being stored in classroom mini refrigerators resulting in the milk freezing. Frozen fruit is not being fully thawed before serving to children.
4 746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
The operation did not report to licensing within 48 hours that a child who was in care obtained medical attention. An Administrative Penalty will be recommend as a result of this citation, per HRC 42.078.
4 746.3415(4) - Employee Handwashing After Diapering a Child
An infant caregiver was observed not changing gloves in between diaper changes and not washing their hands after diapering. The caregiver used hand sanitizer only.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
3 out of 10 staff files reviewed did not have a CPR certificate on file.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The last recorded fire drill was conducted on 7/21/22.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four infant feeding plans evaluated for children ages 5 mos, 5 mos, 10 mos, & 10 mos did not have a current plan on file.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The director was made aware by a parent that there was an allegation a child was potentially placed at risk and did not notify licensing of the concern.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
3 out of 10 staff did not have a First Aid certificate on file.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
5 children were observed sitting in bucket seats to eat breakfast in the infant room and the seat belts were not secured around the children. NOTE: This was corrected when the caregiver secured the children in each seat using the available safety straps.
Yes
4 746.3301(f)(2) - Nutrition and Food Service - Water served safe and sanitary
A caregiver and child had similar store-bought water bottles in the classroom. Due to the water bottles not being labeled properly, a caregiver's water was poured into a child's drink cup.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
1 infant bottle and two sippy cups were not labeled with the child's first name and last initial. NOTE: This is a re-cite.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A school-age child was observed in the staff lounge that is adjacent to the kitchen instead of a classroom. NOTE: The child was removed from the space and went home during the inspection.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom initially had 2 caregivers with children ranging in age 2-3yrs, but when the second caregiver left the room, the specified age group was 2 yrs leaving the room out of ratio.
3 746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
The operation completed an incident report 5 days after the incident occurred.
3 746.603(a)(4) - Children's Records - Immunizations
1 out of 10 child files evaluated was missing a current vaccination record. The child is 3 mons of age and is missing their DTaP, IPV and PCV vaccinations.
4 746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Five out of eleven staff files evaluated had not completed the required 24 annual training hours for their evaluated periods.
4 746.3415(4) - Employee Handwashing After Diapering a Child
An infant caregiver did not wash their hands after diapering a child.
4 746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
One classroom observed had the classroom toys kept on top of the cubbies, inaccessible to the children.
4 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
One out of ten staff files evaluated had completed 20 out of 24 annual hours.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
Once child with a food allergy plan on file did not have the original prescription box on file for their prescribed medication.
3 746.707 - Incident/Illness Report Form Shared with Parent
Parent signatures were not obtained for the incident reports completed.
5 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
A 15 month old child was left without supervision on the playground.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
Two infant children were observed not having their hands washed after being diapered.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
It was observed that a member of the management team physically pulled a child by the arm toward and inside the classroom while the child physically resisted.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Two out of four bottles observed on the counter were not labeled with the child's name for identification.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Two 3 year old children exited the playground and crossed 4 door thresholds resulting in exiting the front of the building into the parking lot without an adult.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One out of ten child files evaluated was missing updated vaccination records.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four infants, ages 2-9 mos of age did not have a current feeding instruction form on file.
4 746.3407(13) - Using, Storing and Disposing of Hazardous Materials
A box of baking soda was accessible to children in the bathroom.
3 746.603(a)(4) - Children's Records - Immunizations
1 out of 10 child files evaluated was missing a current vaccination record. The child is 3 mons of age and is missing their DTaP, IPV and PCV vaccinations.
4 746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Five out of eleven staff files evaluated had not completed the required 24 annual training hours for their evaluated periods.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A school-age child was observed in the staff lounge that is adjacent to the kitchen instead of a classroom. NOTE: The child was removed from the space and went home during the inspection.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
It was observed that a member of the management team physically pulled a child by the arm toward and inside the classroom while the child physically resisted.
4 746.3415(4) - Employee Handwashing After Diapering a Child
An infant caregiver did not wash their hands after diapering a child.
3 746.707 - Incident/Illness Report Form Shared with Parent
Parent signatures were not obtained for the incident reports completed.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Two 3 year old children exited the playground and crossed 4 door thresholds resulting in exiting the front of the building into the parking lot without an adult.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
5 children were observed sitting in bucket seats to eat breakfast in the infant room and the seat belts were not secured around the children. NOTE: This was corrected when the caregiver secured the children in each seat using the available safety straps.
Yes
4 746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
The operation did not report to licensing within 48 hours that a child who was in care obtained medical attention. An Administrative Penalty will be recommend as a result of this citation, per HRC 42.078.
4 746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
One classroom observed had the classroom toys kept on top of the cubbies, inaccessible to the children.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
1 infant bottle and two sippy cups were not labeled with the child's first name and last initial. NOTE: This is a re-cite.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Two out of four bottles observed on the counter were not labeled with the child's name for identification.
4 746.3317 - Food Service and Preparation Requirement - Safe and Sanitary
Children have been served burnt biscuits, uncooked oatmeal and bananas that contained growing mold on the stem. Milk is being stored in classroom mini refrigerators resulting in the milk freezing. Frozen fruit is not being fully thawed before serving to children.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The last recorded fire drill was conducted on 7/21/22.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Three out of ten child files evaluated did not have updated immunization records on file.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four infants, ages 2-9 mos of age did not have a current feeding instruction form on file.
4 746.3407(13) - Using, Storing and Disposing of Hazardous Materials
A box of baking soda was accessible to children in the bathroom.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
3 out of 10 staff files reviewed did not have a CPR certificate on file.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
3 out of 10 staff did not have a First Aid certificate on file.
5 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
A 15 month old child was left without supervision on the playground.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom initially had 2 caregivers with children ranging in age 2-3yrs, but when the second caregiver left the room, the specified age group was 2 yrs leaving the room out of ratio.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The director was made aware by a parent that there was an allegation a child was potentially placed at risk and did not notify licensing of the concern.
4 746.3415(4) - Employee Handwashing After Diapering a Child
An infant caregiver was observed not changing gloves in between diaper changes and not washing their hands after diapering. The caregiver used hand sanitizer only.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
Two infant children were observed not having their hands washed after being diapered.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
Once child with a food allergy plan on file did not have the original prescription box on file for their prescribed medication.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One out of ten child files evaluated was missing updated vaccination records.
3 746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
The operation completed an incident report 5 days after the incident occurred.
4 746.3301(f)(2) - Nutrition and Food Service - Water served safe and sanitary
A caregiver and child had similar store-bought water bottles in the classroom. Due to the water bottles not being labeled properly, a caregiver's water was poured into a child's drink cup.
4 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
One out of ten staff files evaluated had completed 20 out of 24 annual hours.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four infant feeding plans evaluated for children ages 5 mos, 5 mos, 10 mos, & 10 mos did not have a current plan on file.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
3 out of 10 staff did not have a First Aid certificate on file.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Two out of four bottles observed on the counter were not labeled with the child's name for identification.
4 746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Five out of eleven staff files evaluated had not completed the required 24 annual training hours for their evaluated periods.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
1 infant bottle and two sippy cups were not labeled with the child's first name and last initial. NOTE: This is a re-cite.
4 746.3415(4) - Employee Handwashing After Diapering a Child
An infant caregiver was observed not changing gloves in between diaper changes and not washing their hands after diapering. The caregiver used hand sanitizer only.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The director was made aware by a parent that there was an allegation a child was potentially placed at risk and did not notify licensing of the concern.
3 746.603(a)(4) - Children's Records - Immunizations
1 out of 10 child files evaluated was missing a current vaccination record. The child is 3 mons of age and is missing their DTaP, IPV and PCV vaccinations.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
3 out of 10 staff files reviewed did not have a CPR certificate on file.
3 746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
The operation completed an incident report 5 days after the incident occurred.
3 746.707 - Incident/Illness Report Form Shared with Parent
Parent signatures were not obtained for the incident reports completed.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
It was observed that a member of the management team physically pulled a child by the arm toward and inside the classroom while the child physically resisted.
4 746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
One classroom observed had the classroom toys kept on top of the cubbies, inaccessible to the children.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A school-age child was observed in the staff lounge that is adjacent to the kitchen instead of a classroom. NOTE: The child was removed from the space and went home during the inspection.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four infants, ages 2-9 mos of age did not have a current feeding instruction form on file.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four infant feeding plans evaluated for children ages 5 mos, 5 mos, 10 mos, & 10 mos did not have a current plan on file.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom initially had 2 caregivers with children ranging in age 2-3yrs, but when the second caregiver left the room, the specified age group was 2 yrs leaving the room out of ratio.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Two 3 year old children exited the playground and crossed 4 door thresholds resulting in exiting the front of the building into the parking lot without an adult.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
One out of ten child files evaluated was missing updated vaccination records.
4 746.3317 - Food Service and Preparation Requirement - Safe and Sanitary
Children have been served burnt biscuits, uncooked oatmeal and bananas that contained growing mold on the stem. Milk is being stored in classroom mini refrigerators resulting in the milk freezing. Frozen fruit is not being fully thawed before serving to children.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The last recorded fire drill was conducted on 7/21/22.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
Two infant children were observed not having their hands washed after being diapered.
4 746.3407(13) - Using, Storing and Disposing of Hazardous Materials
A box of baking soda was accessible to children in the bathroom.
4 746.3301(f)(2) - Nutrition and Food Service - Water served safe and sanitary
A caregiver and child had similar store-bought water bottles in the classroom. Due to the water bottles not being labeled properly, a caregiver's water was poured into a child's drink cup.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Three out of ten child files evaluated did not have updated immunization records on file.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
Once child with a food allergy plan on file did not have the original prescription box on file for their prescribed medication.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
5 children were observed sitting in bucket seats to eat breakfast in the infant room and the seat belts were not secured around the children. NOTE: This was corrected when the caregiver secured the children in each seat using the available safety straps.
Yes
4 746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
The operation did not report to licensing within 48 hours that a child who was in care obtained medical attention. An Administrative Penalty will be recommend as a result of this citation, per HRC 42.078.
4 746.3415(4) - Employee Handwashing After Diapering a Child
An infant caregiver did not wash their hands after diapering a child.
4 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
One out of ten staff files evaluated had completed 20 out of 24 annual hours.
5 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
A 15 month old child was left without supervision on the playground.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The last recorded fire drill was conducted on 7/21/22.
4 746.3415(4) - Employee Handwashing After Diapering a Child
An infant caregiver was observed not changing gloves in between diaper changes and not washing their hands after diapering. The caregiver used hand sanitizer only.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Two 3 year old children exited the playground and crossed 4 door thresholds resulting in exiting the front of the building into the parking lot without an adult.
4 746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
The operation did not report to licensing within 48 hours that a child who was in care obtained medical attention. An Administrative Penalty will be recommend as a result of this citation, per HRC 42.078.
4 746.1301(a)(6)(A) - Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
Five out of eleven staff files evaluated had not completed the required 24 annual training hours for their evaluated periods.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A school-age child was observed in the staff lounge that is adjacent to the kitchen instead of a classroom. NOTE: The child was removed from the space and went home during the inspection.
4 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
3 out of 10 staff files reviewed did not have a CPR certificate on file.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
A classroom initially had 2 caregivers with children ranging in age 2-3yrs, but when the second caregiver left the room, the specified age group was 2 yrs leaving the room out of ratio.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
Once child with a food allergy plan on file did not have the original prescription box on file for their prescribed medication.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Three out of ten child files evaluated did not have updated immunization records on file.

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

Inspections (128)

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

Nearby alternatives

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