Kandiland Day School - Westover

Requirements for Feeding Infants - Label Bottles/Cups

“During walk through two bottles were observed not labeled with child’s name. Noted: Director informed caregivers of the importance of labeling the bottles and ensured they were labeled. This was corrected at inspection.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 23, 2023.

Policies Comply with Rules

“During inspection, one caregiver did not have documentation showing the course they are taking during the timeframe of their variance. One caregiver did not have high school diploma/GED in file. Five children did not have emergency contact address on admission form. Two children did not have school information or emergency contact address on admission form. Noted: During inspection emergency contact address information and school information was added to admission form.”

Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 25, 2023. Correction verified: May 24, 2023.

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“During time of visit staff hired on 3/6/2023 without a high school diploma or equivalent was counted in ratio with another caregiver and children.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2023. Correction verified: May 2, 2023.

Reporting Suspected Abuse, Neglect, Exploitation-May not delegate responsibility to report

“Based on interviews conducted during investigation. Operation was aware of possible abuse and did not report incident to licensing.”

Rule 746.201(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2023. Correction verified: Jun 23, 2023.

Required Admission Information - Emergency Medical Authorization

“Two children were missing emergency medical information in their files.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 26, 2023. Correction verified: Jan 24, 2023.

Administering Medication - Original Container with Child’s Name, Date

“Medication was not kept or stored in the original container for a child in care.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 26, 2023. Correction verified: Jan 24, 2023.

Immunization Records, Exceptions, and Exemptions Current

“Two children were missing immunization information in their files.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 26, 2023. Correction verified: Jan 20, 2023.

Documented Annual Training - Remaining training hour topics

“Based on external documentation and follow up inspection, operation has not trained staff on how to handle children who bite while in their care.”

Rule 746.1309(f). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2023. Correction verified: Feb 3, 2023.

Responsibilities of Caregivers - Supervision of Children

“Caregivers were unaware a child left the classroom.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 19, 2023.

Required Equipment in Vehicles - Emergency Medical Information

“Emergency medical information was observed missing from the van’s binders of children who are transported.”

Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2023. Correction verified: Jan 19, 2023.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

“Alarm on one of the two vans observed did not go off.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 19, 2023.

Required Admission Information - Emergency Medical Authorization

“Two children were missing emergency medical information in their files.”

Rule 746.605(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 11, 2023. Correction verified: Jan 19, 2023.

Maintenance of Building, Grounds and Equipment

“Pest were observed in one of the six classrooms observed.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 19, 2023.

Diaper Changing Steps-Supplies Kept Out of Child’s Reach

“One out of six classrooms observed had diaper changing supplies in reach of children.”

Rule 746.3501(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 19, 2023.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“One out of the six classrooms observed did not have a changing pad or diaper changing station for diaper changing. Noted: Director corrected by providing a changing pad and area for diaper changing.”

Rule 746.3503(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 4, 2023.

Administering Medication - Original Container with Child’s Name, Date

“During inspection, one child did not have medication in original container. Date of when medication was brought in was not labeled.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 19, 2023.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A child with a known allergy did not have a food allergy plan on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 19, 2023.

Annual Fire Inspection - Conducted by Fire Marshal

“Operation had their last fire inspection conducted on 12/8/2021.”

Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 6, 2023. Correction verified: Jan 19, 2023.

Required Admission Information - Special Needs Statement

“During inspection, one child did not have food allergy listed on admission form.”

Rule 746.605(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 6, 2023. Correction verified: Jan 19, 2023.

Immunization Records, Exceptions, and Exemptions Current

“During the inspection, three children were missing current immunizations on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 19, 2023.

Required Records Maintained and Made Available - Personnel and Training Records

“During visit staff training and personnel files were not avaliable for review.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 19, 2023.

Documented Annual Training - Remaining training hour topics

“Based on external documentation, caregiver hired on 2/21/2022 did not receive training in biting to meet the needs of the classroom with biters.”

Rule 746.1309(f). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2023. Correction verified: Jan 19, 2023.

Determining Child/Caregiver Ratios - Caregiver Skills/Needs of Children

“Based on external documentation, additional caregivers were not provided to help assist caregiver to continuously meet the needs of the children in the classroom.”

Rule 746.1507(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2023. Correction verified: Jan 19, 2023.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“During investigation inspection, one out of the six rooms observed had disinfectant under an unlocked cabinet. Noted: Pictures were taken and director removed chemical from classroom.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 18, 2022.

Requirements for Feeding Infants-Hold through 6-months

“An infant in care was allowed to drink from a bottle while in a bouncer.”

Rule 746.2419(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 2, 2022. Correction verified: Dec 2, 2022.

Written Operational Policies - Unassigned Epinephrine Auto-Injectors

“Operation did not discuss the their procedure for unassigned epinephrine pen in operational policies also known as parent handbook.”

Rule 746.501(a)(29). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 31, 2022.

Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing

“Staff hired on 11/17/2019 had an invalid Pediatric CPR training card.”

Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2022. Correction verified: Jan 18, 2022.

Training Requirements for Employees and Caregivers - 24 Annual Training

“Staff hired on 11/17/2019 had 19 hours of annual training for the 2020-2021 training year.”

Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 31, 2022.

Immunization Records, Exceptions, and Exemptions Current

“A child in care was missing immunization record on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2022. Correction verified: Feb 7, 2022.

Written Operational Policies - Promotion of Physical Activity

“Operation did not discuss the promotion of physical activity in operational policies also known as parent handbook.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 31, 2022.

Required Personnel Records- signed dated statement that employee attended abuse/neglect training

“Staff hired on 12/20/2021, 11/8/2021, 1/10/2021 did not have documentation with staff signature stating abuse and neglect training was attended.”

Rule 746.901(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 31, 2022.

Required Personnel Records- Meets Requirements

“Staff hired on 12/20/2021, 1/10/2021, 10/19/2020 and 11/8/2021 did not have their high school diploma or proof of education on file.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 31, 2022.

Required Personnel Records-signed dated statement that employee received child care center’s operational policies

“Staff hired on 12/20/2021, 11/8/2021 and 1/10/2021 did not have documentation showing they received operations operational policies.”

Rule 746.901(6)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 31, 2022.

Required Personnel Records- Photo Identification

“Staff hired on 12/20/2021 and 11/8/2021 did not have a copy of identification or driver’s license on file.”

Rule 746.901(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 31, 2022.

Required Personnel Records - Required Affidavit

“Staff hired on 12/20/2021 and 1/10/2021 did not have a notarized affidavit on file.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 19, 2022.

Required Personnel Records-signed dated statement that employee received child care center’s personnel policies

“Staff hired on 12/20/2021, 11/8/2021 and 1/10/2021 did not have documentation showing they received operation’s personnel policies.”

Rule 746.901(6)(B). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2022. Correction verified: Jan 31, 2022.