YMCA Lake Country Elementary

Complying with Laws and Rules

“The governing body is not ensuring compliance with the minimum standards regarding food allergies. Multiple children with food allergies do not have a food allergy plan on file, there is no current posting of food allergies, and caregivers on site are not aware of the children who have food allergies.”

Rule 744.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 9, 2023. Correction verified: Nov 27, 2023.

Food Allergy Plan-Emergency plan for diagnosed child, signed by health care professional and parent

“Three children with diagnosed food allergies did not have a food allergy emergency plan to review.”

Rule 744.2669. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2023. Correction verified: Nov 17, 2023.

Maintenance Procedures for Active Play - Monthly Maintenance Checklist

“Maintenance checklist or safety checklist has not been conducted since September.”

Rule 744.3113(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2023. Correction verified: Nov 9, 2023.

Documentation of Drills

“Documented emergency drill were not available for review.”

Rule 744.3559(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2023. Correction verified: Nov 17, 2023.

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

“Several children were observed coming and going from different rooms without the caregivers being aware that the children were leaving and entering the rooms.”

Rule 744.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: Apr 26, 2023.

Training Requirements for Employees - Pediatric First Aid

“Two caregivers without current first aid available for review were observed supervising children alone.”

Rule 744.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: Apr 26, 2023.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“During an DFPS investigation it was determined that the operation violated two conditions of a caregiver’s background check by allowing the caregiver to be in charge of the operation and allowing the caregiver to be alone with children.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2023. Correction verified: Jun 15, 2023.

Training Requirements for Employees - Pediatric CPR

“During a DFPS investigation it was determined that all caregivers present did not have valid CPR training.”

Rule 744.1301(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2023. Correction verified: Jun 21, 2023.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“The operation did not report an injury that required medical attention timely. The injury resulted in a DFPS investigation.”

Rule 744.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2023. Correction verified: Jun 26, 2023.

Required Admission Information-Food Allergy Emergency Plan

“One child with a diagnosed food allergy does not have a food allergy plan. This is the second citation regarding this deficiency.”

Rule 744.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2023. Correction verified: Feb 10, 2023.

Required Personnel Records - Required Affidavit

“Two caregivers did not have affidavits on file.”

Rule 744.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2023. Correction verified: Jan 12, 2023.

Posting Requirements-List of Child’s Food Allergies

“The allergy list was not posted in a prominant location.”

Rule 744.403(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 5, 2023.

Required Admission Information-Food Allergy Emergency Plan

“Two children with food allergies did not have a food allergy emergency plan on file.”

Rule 744.605(16). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2023. Correction verified: Jan 30, 2023.

Child/ Caregiver Ratio

“The operation had one caregiver and 36 children in care.”

Rule 744.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 9, 2021. Correction verified: Nov 15, 2021.