Spellwell Montessori School

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

“One infant, 7 months of age was observed with a blanket in the crib during naptime.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2023. Correction verified: Oct 19, 2023.

Annual Sanitation Inspection

“The annual sanitation inspection report was dated 07/14/2022.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2023. Correction verified: Oct 5, 2023.

Director Annual Training 30 Hours Required

“A total of 10 out of the required 30 hours were observed for the Designated Director. Topics that were not available for review during the monitor inspection: 1. SIDS/Shaken baby syndrome 2. Brain development 3. Food allergies 4. Administering medication 5. Building and physical premises”

Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2023. Correction verified: Oct 19, 2023.

Parental Notification - Abuse, Neglect and Exploitation Deficiency Use Form 7266

“As of 10/04/2023, the childcare facility did not notify parents of children enrolled of the abuse/neglect deficiency. The childcare facility was notified of the deficiency on 09/28/2023.”

Rule 746.311(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2023. Correction verified: Oct 19, 2023.

Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests

“Two staff observed in the classroom in the role as a caregiver did not have a CPR/First-Aid certification available for review on file. One staff in the infant classroom and one staff observed in the Discover’s classroom did not have any form of certification available for Licensing to review.”

Rule 746.1329(c)(2). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2023. Correction verified: Oct 19, 2023.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“Based upon the information gathered during the DFPS investigation, sufficient evidence was available to support a child was popped on their back aggressively during naptime, which resulted in a bruise on the child’s back.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 28, 2023. Correction verified: Oct 4, 2023.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“Based on the information obtained during the DFPS investigation an incident/illness report was not documented related to an incident that resulted in a child receiving injury. An incident report was not documented, and/or shared with the parent/guardian of the child once the operation was made aware of the incident.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 28, 2023. Correction verified: Oct 4, 2023.

Required Records Maintained and Made Available - Personnel and Training Records

“Based on the information obtained during the DFPS investigation, one staff file was not available for review upon request. There were no training documents available for a staff employed with children under 24 months of age.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2023. Correction verified: Oct 4, 2023.

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

“One child, two years of age exited the side door in the classroom to the outside area unsupervised. The incident resulted in the child being hurt. The caregivers were not in physical proximity and lacked visual awareness of the child during the time of the incident.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2023. Correction verified: Sep 8, 2023.

Safety Requirements for Wading Pools - Stored So Do Not Hold Water

“A pool observed had a standing body of water that was accessible to children. The pool was not gated, and the remainder of the pool water was accessible to children while they were outside. The pool water was removed.”

Rule 746.5013(a)(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2023. Correction verified: Jun 8, 2023.

Safety Requirements for Sprinkler Play - Equipment and Water Hoses Kept Out of Child’s Reach

“During the walkthrough a water hose, a swimming pool, and sprinkler equipment was observed near the outdoor play area, which was accessible to children.”

Rule 746.5015(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2023. Correction verified: Jun 8, 2023.

Report Situation Placing Children at Risk

“On 06/05/2023, a child, 2 years of age opened and exited the side door in the Discover’s classroom without adult supervision, which led to a gated outside area. As of 06/08/2023, the Director did not report the incident to childcare regulation.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2023. Correction verified: Jun 21, 2023.

Report Number of Employees

“The employee list was not validated by January 15th as stated in minimum standards.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2023. Correction verified: Feb 7, 2023.

Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee’s personnel record

“Four staff records contained incomplete training certificates. The training certificates observed did not include the individual’s name. The Director stated that the training certificates has not been completed. The Director printed out certificates while Licensing was present in order to document Health and safety audit certificates.”

Rule 746.1329(b)(1). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 17, 2022.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“Eleven out of eleven staff files did not include documentation of orientation. The Director informed that files were not available for review at the center while Licensing was present.”

Rule 746.1301(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2022. Correction verified: Nov 1, 2022.

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

“Eleven out of eleven staff files did not have a CPR/First-aid certification available for review. It was reported that four staff are new and has not obtained the required training. Training files were not available for review.”

Rule 746.1301(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2022. Correction verified: Oct 21, 2022.

Documented Annual Training - Remaining training hour topics

“Two caregivers observed within the Toddler classroom did not include training related to children with special needs. One child, 3 years of age with down syndrome was observed within the classroom setting.”

Rule 746.1309(f). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2022. Correction verified: Nov 17, 2022.

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

“Three infant classrooms observed did not include infant feeding instructions for infants enrolled. Each caregiver per classroom acknowledged that they have not obtained infant feeding instructions for infants in care.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2022. Correction verified: Nov 1, 2022.

Required Records Maintained and Made Available - Personnel and Training Records

“Training records were not observed during the annual inspection. Staff training records were not available upon request. Training topics related to a Health and Safety Audit were not observed. Training topics not observed include: emergency preparedness, food allergies, abuse and neglect, administering medication, and communicable diseases.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 21, 2022. Correction verified: Nov 17, 2022.

Documentation of Training Requirements - Original Training Certification Card or Letter in each Employee’s personnel record

“Seven out of eleven staff files did not contain certificates. The training certificates observed did not include the individual’s name. The Director stated that the training certificates has not been completed.”

Rule 746.1329(b)(1). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2022. Correction verified: Nov 17, 2022.

Responsibilities of Caregivers - Supervision of Children

“During the walkthrough, one child was observed walking out of room 104 without adult supervision. Two children were observed walking out of the main room while the caregiver was tending to other children. Four infants were observed strapped in the high chair unattended while the caregiver stepped out the classroom. The Director was informed of the safety concerns observed, and compliance was met immediately.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 19, 2022.

Report Outbreak of Communicable Illness

“A total of two COVID cases were not reported to CCR. Documentation was received to portray a positive COVID case on 06/01/2022, and another reported on 06/30/2022. Licensing was not notified of positive cases of communicable diseases within the Childcare facility.”

Rule 746.305(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 23, 2022. Correction verified: Aug 24, 2022.