St Andrews Presbyterian Childrens Place

Child/ Caregiver Ratio - 13 or More Children

“One caregiver was observed caring for ten children ages 18 months-22 months. The specified age group for the room is 18-23 which allows for a maximum of nine children. The caregiver was over ratio by one child.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 3, 2023. Correction verified: May 15, 2023.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“A four month old was observed seated in a bouncer. The safety straps were not fastened.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2023. Correction verified: May 3, 2023.

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

“Medication for three children enrolled was not stored in its original container.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 11, 2023. Correction verified: May 15, 2023.

Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“The Emergency Preparedness Plan did not include the following: -Procedures for evacuating or relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency. -The address of the alternate shelter away from the center that will be used as needed. -How staff will evacuate and relocate with the essential documentation including: Parent and emergency contact telephone numbers for each child in care and authorization for emergency care for each child in care”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2023. Correction verified: May 3, 2023.

Sheltering Drill For Severe Weather-Four times a calendar year

“The operations emergency practices were reviewed and showed the last documented severe weather drill occurred on 02/16/2022.”

Rule 746.5205(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: May 3, 2023.

Sheltering Drills for Lock-Down-4 times in a calendar year

“The operations emergency practices were reviewed and showed the last documented lock down drill occurred on 02/15/2022.”

Rule 746.5205(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: May 3, 2023.

Written Feeding Instructions - Review and Update Every 30 Days

“Updated feeding instructions are needed for three infants enrolled.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2023. Correction verified: May 4, 2023.

Medication No Longer Used

“During this inspection I observed expired medication stored for two children enrolled.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2023. Correction verified: May 3, 2023.

Children’s Products- Annual Certification

“Documentation of the annual certification was not available for review during this inspection.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 21, 2023. Correction verified: Apr 20, 2023.

Children’s Records Maintained

“Records were evaluated for ten children enrolled and the following was determined: Nine children needed an address for the emergency contact listed. One child needed an emergency contact other than the parent. Four children needed a food allergy emergency plan signed by parent and physician. Four children were in need of a special needs statement. One child needed a health statement. One child needed an updated immunization record.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 11, 2023. Correction verified: May 15, 2023.

Required Records Maintained and Made Available - Playground Maintenance Records

“Daily Building and Grounds Checklist were available for the weeks of March 27th and April 10th.”

Rule 746.801(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2023. Correction verified: May 3, 2023.

Required Personnel Records

“Inspector reviewed over personnel files during this visit. Documentation showing staff hire dates and trainings completed during the most recent complete training year was not available for review.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2023. Correction verified: May 3, 2023.