Kinderworld Academy

Child/Caregiver Ratio - 18 Months Difference in Age

“The operation had a 4 month old combined with children who were 4 years old during the inspection. Note: Discussed not combining this age group due to their difference ability.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2023. Correction verified: Mar 16, 2023.

Sign-in and Sign-out Tracking System

“The sign in and out log did not reflect all of the children that were in care during the inspection. Note: It was corrected during the inspection when the provider signed all of the children in.”

Rule 746.631(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 3, 2023.

Screen Time Activities - Not Used for Under Two

“During the inspection infants were observed watching television.”

Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 16, 2023.

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

“A caregiver was observed grabbing an infant up by the arm while she was holding another child in her other arm during the follow up inspection. Note: Discussed with the caregiver and the director the risk of picking infants up by the arm. Infants and toddlers should be picked up from underneath the arm as their muscles are very fragile.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2023. Correction verified: Mar 3, 2023.

Responsibilities of Caregivers - Supervision of Children

“During the follow up inspection 8 children were left unsupervised in the pre-kindergarten classroom while a caregiver left to take another child to the infant classroom.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2023. Correction verified: Mar 3, 2023.

Child/ Caregiver Ratio - 13 or More Children

“During the follow up inspection 6 children were left with 1 caregiver in the infant room. The specified age group was 0-11 months and the child to caregiver ratio should’ve been 4:1, the operation was over in ratio by 2 children. Note: The provider added a caregiver to the infant room during the inspection.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 22, 2023. Correction verified: Mar 3, 2023.

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

“A 3 month old was observed in a crib with a boppy pillow. A 7 month old was observed in a crib with a bottle. Note: The provider removed these items from the crib during the inspection.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2023. Correction verified: Feb 22, 2023.

Required Equipment in Vehicles - Emergency Medical Information

“Documentation of authorization for emergency medical treatment and emergency contact information was not available for all of the children being transported in both of the daycare vans. Note: This was corrected during the inpection.”

Rule 746.5617(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2023.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“1 out of 10 staff files evaluated was missing current CPR and First Aid training. The caregivers training expired in December 2022.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 10, 2023.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“Documentation of current training in transportation safety for 2 caregivers was not available for review during the inspection.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2023. Correction verified: Feb 10, 2023.

Child/ Caregiver Ratio - 13 or More Children

“5 children were left with 1 caregiver in the infant room during the inspection. The specified age group was 0-11 months and the child to caregiver ratio should’ve been 4:1. Note: The provided added a caregiver to the infant room during the inspection.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2023. Correction verified: Feb 22, 2023.

Child/Caregiver Ratio - 18 Months Difference in Age

“During the inspection a 15 month old infant was observed in the same classroom with 3 and 4 year olds. Note: It was discussed that infants cannot be combined with this age group and the provider moved the infants to the infant classroom.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 8, 2023. Correction verified: Feb 22, 2023.

Requirements for Feeding Infants - Label Bottles/Cups

“A grey bottle in the infant room was not labeled with the childs first name and last initial.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 22, 2023.

Maintenance of Building, Grounds and Equipment

“During the inspection, dead insects were observed in the cabinets of the boys restroom. Urine stains were observed at the bottom of the toilet in the toddler restroom.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 22, 2023.

Documented Annual Training- Required Content

“9 out of 10 staff files evaluated did not contain the following training topics: Understanding and Responding to Food Allergies Handling, Storing and Disposing of Hazardous Materials Understanding Building and Physical Premises Safety”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 13, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“The infant feeding instructions for one child in care had not been updated and signed since November 2022.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 10, 2023.

Written Operational Policies - Promotion of Physical Activity

“The following information was missing from the operational policies: (A) The benefits of physical activity and outdoor play (B) The duration of physical activity at your operation, both indoor and outdoor (C) The type of physical activity (structured and unstructured) that children may engage in at your operation (D) Each setting in which your physical activity program will take place (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.”

Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 15, 2023. Correction verified: Feb 22, 2023.

Immunization Records, Exceptions, and Exemptions Current

“Four out of ten children were missing current immunization records in their file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 21, 2022.

First Aid Kit - Incomplete Kit

“The first aid kit located in the operation was missing scissors. The first aid kit in the operation’s van was missing tape and scissors. Note: Corrected when the missing items were added to the first aid kits.”

Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 17, 2022.