Prosper Montessori Academy

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“Two children do not have food allergy plans signed by the parents or the health care professionals.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2023. Correction verified: Oct 16, 2023.

Prohibited Punishments - Grabbing and Pulling

“This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver was observed aggressively grabbing a child by both arms, picking the child up, and sitting the child forcefully down on the floor. The caregiver was observed to grab the child again to separate them from the group and then forcefully sit the child on the floor against a wall adjacent to the group.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2023. Correction verified: Nov 20, 2023.

Administrative and clerical duties that take caregiver’s attention away from children

“This standard was evaluated as part of an investigation. Based on information obtained from observations from video footage, a caregiver is observed entering information on an electronic tablet and was not properly supervising children.”

Rule 746.1203(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2023. Correction verified: Nov 20, 2023.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“Four infants do have feeding instructions signed and dated by the parent or health care professional.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2023. Correction verified: Sep 12, 2023.

Required Immunizations

“One child was admitted to care before meeting immunization requirements.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2023. Correction verified: Sep 12, 2023.

Immunization Exception or Exemption on File and Verified

“A child was admitted into before their immunization exception was filed and verified by the operation.”

Rule 746.613(c)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2023. Correction verified: Sep 12, 2023.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Children were observed in areas of the operation unattended.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“Two infants were observed sleeping in cribs that contained toys, blankets and pacificers that were attached to the children by a string or leash.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

Requirements for Feeding Infants - Never Prop Bottles

“Two infants under 5 months old were observed in restrictive devices with bottles propped up with blankets to feed them.”

Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

Infant May Not Sleep in a Restrictive Device

“A caregiver did not remove an infant sleeping in a restrictive device in Infant room I.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

“An infant was placed face down and swaddled in a crib.”

Rule 746.2427(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“A seven month old infant was observed swaddled face down in crib”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“A caregiver without Pediatriac First Aid was left unsupervised in the Infant I classroom.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 15, 2023.

Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

“A cargiver in Infant I was left unsupervised without CPR training.”

Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 15, 2023.

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was observed supervising 6 infants under the age of 11 months.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

Employee Handwashing After Assisting a Child with Toileting

“A caregiver did not wash their hands after assisting three toddlers with toileting.”

Rule 746.3415(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“Several children with known food allergies did not have a completed Food Allergy Emergency Plan in their file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2023. Correction verified: Aug 15, 2023.

Director Responsibilities - Employees Comply with Standards

“The operation has incurred several high weighted deficiencies that put children at risk. The infant and toddler caregivers are instructed by management not to take small children outside.”

Rule 746.1003(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2023. Correction verified: Aug 15, 2023.

Children’s Records Maintained

“Four children under the age of 13 were in care at the operation who were not enrolled.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2023. Correction verified: Aug 15, 2023.

Children’s Records Maintained

“Two children did not have immunization records in their file at the time of inspction. Two children in care did not have the required health statements signed by a physcian. One child did not have required information for a school aged child on their admission form.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2022. Correction verified: Oct 6, 2022.

Responsibilities of Caregivers - Supervision of Children

“A school age child in care was observed walking freely into the building alone, to get a wet paper towel. Inspector escorted the child to his teacher outside.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2022. Correction verified: Sep 30, 2022.

Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib

“A crib in the Infant 2 classroom was observed to have an additional supporting mattress.”

Rule 746.2409(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2022. Correction verified: Sep 30, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“A caregiver did not use good judgment when they gave one infant another infant’s formula.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2022. Correction verified: Oct 20, 2022.

Posting Requirements - Child’s Food Allergy Plans

“The operation did not maintain privacy for a child with documented food allergies. This deficiency was corrected at inspection when the Director removed the posted food allergy list and placed it in an area marked Food allergies where staff and parents can view it at any time.”

Rule 746.403(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 12, 2022.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“Three classrooms did not have trash can lids on garbage cans which contained food items.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Apr 12, 2022.

Measurement of Use Zone for Rotating and Rocking Equipment (Sitting)

“A rotating play structure on which a child sits does not have a use zone of a least six feet.”

Rule 746.4813(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2022. Correction verified: Apr 12, 2022.

Posting Requirements - Child’s Food Allergy Plans

“The operation did not have food allergy plans posted in all classrooms. The operation did not maintain privacy for children with documented food allergies.”

Rule 746.403(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 29, 2022. Correction verified: Apr 12, 2022.