Kaleidoscope Ll Early Childhood Learning K.c.

Required Personnel Records - Required Affidavit

“A notarized Affidavit was not available for review for one of the caregivers of the operation.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2023. Correction verified: Sep 8, 2023.

Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible

“An infant was observed sleeping in a bouncer placed inside a play yard. The infant was not removed from the restrictive device as soon as possible by caregiver. NOTE: This was corrected during the inspection. Caregiver removed child from device after being informed by Inspector.”

Rule 746.2426(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2023. Correction verified: Apr 27, 2023.

Activities for Toddlers - Outdoor Play

“As per staff, the toddlers, and infant children have not been provided with outdoor play opportunities in the past week.”

Rule 746.2507(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 18, 2023. Correction verified: Apr 27, 2023.

Immunization Records, Exceptions, and Exemptions Current

“6 child records were reviewed during the inspection. 1 out of these records were missing immunization records. 1 out of these records was missing an updated immunization record. NOTE: This was corrected during the inspection. Immunization records were obtained.”

Rule 746.613(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 17, 2023.

Child/Caregiver Ratio - 12 or Fewer Children

“There were 6 infants under the care of 1 caregiver. The specified age of the group was 12-17 months old. NOTE: A second caregiver entered the classroom and child-caregiver ratio was met.”

Rule 746.1701. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2022. Correction verified: Dec 15, 2022.

Screen Time Activities - Related to Planned Activities

“5 children were observed engaged in screen-time activities not related to planned activities. One child was watching television, and four children were watching a video on a tablet. NOTE: Electronics were turned off and caregivers transitioned to planned activities.”

Rule 746.2207(c)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 9, 2022. Correction verified: Dec 15, 2022.

Requirements for Feeding Infants-Hold through 6-months

“A 2 month old infant was being fed by caregiver while child was laying on a bouncer seat. NOTE: This was corrected after caregiver was informed. Caregiver held child to be fed.”

Rule 746.2419(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2022. Correction verified: Aug 30, 2022.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“A caregiver is missing 1 hours of training and the following topics for training year 3/2021-3/2022: - Preventing and controlling the spread of communicable diseases, including immunizations; -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”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2022. Correction verified: Aug 22, 2022.

Children Handwashing After Toileting or Diapering

“Hand washing was not completed after a child’s diaper was changed as observed during inspection. NOTE: Caregiver washed child’s hands after Inspector informed them.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2022. Correction verified: Aug 22, 2022.

Licensing must be allowed to inspect and investigate operation

“Operation did not allow inspector to enter operation until after 20 minutes of knocking and ringing doorbell. Caregivers confirmed they were aware someone was at the door.”

Rule 745.8413. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Aug 2, 2022.

Documented Annual Training - Caregivers of Children Under 24 Months Required

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 2, 2022.

Children Handwashing After Toileting or Diapering

“Hand washing was not completed after a child’s diaper was changed.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Aug 2, 2022.

Sign-in and Sign-out Tracking System

“Sign-in and Sign-out tracking system did not accurately reflected the number of children present during inspection. 11 children were signed in and 12 children were present. 2 of the signed in children had not been at the daycare today. Time of arrival was not documented. NOTE: This was corrected by Director during inspection. Director modified the log to reflect the accurate names and number of children present.”

Rule 746.631(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Aug 2, 2022.

Cots, Beds, Mats Labeled With Child’s Name

“Three children were napping in mats labeled with other children’s names.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 25, 2022. Correction verified: Aug 2, 2022.

Children’s Records - Immunizations

“Immunization records for 2 out of 6 records reviewed were not available for review. Immunization records for 2 out of the 6 records were not up to date. NOTE: Immunization records of 1 child were brought in by parent during inspection.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 2, 2022.

Children’s Records Maintained

“Record of 1 child present during inspection was not available for review.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2022. Correction verified: Feb 24, 2022.

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

“4 bottles of cleaning/disinfecting liquid were observed within children’s reach in the pre-k restroom. NOTE: Items were removed from the diaper changing station and put inside a closet out of reach from children.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2022. Correction verified: Feb 23, 2022.

Required Equipment in Vehicles - Emergency Medical Information

“Emergency medical transport and treatment authorization forms for three children transported during inspection were not available for review in the transportation vehicle. NOTE: This was corrected during inspection. Transportation binder was updated with children’s information.”

Rule 746.5617(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 9, 2022.