La Petite Toepperwein

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for

A caregiver did not know the number of children in their care after combining classes for nap time.

746.307(a) - Parental Communication - Notify Immediately about Allegation of Abuse, Neglect or Exploitation

The operation did not notify the parents immediately about their child being left on the playground. The parent was notified several hours after the incident occurred.

746.201(1) - Policies Comply with Rules

During the investigation process, a caregiver did not follow the operational procedures for doing hourly name to face checks, did not have the name to face checks verified by another staff member, and did not follow the protocols set in place when the operation is short staffed.

746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

This standard was found deficient as part of a DFPS Investigation.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Caregivers did not use good judgment when they did not contact EMS after finding a 3 year old child on the playground with no jacket. The child had been on unattended on the playground for over 2 hours. Temperatures that day ranged from 23 degrees to 34 degrees Fahrenheit

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for

During the investigation process, a caregiver did not know the number of children that were in their care at drop off time.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

During the investigation process, it was determined that the infant classroom was out of ratio when a caregiver left the room leaving one caregiver with five infants under twelve months old.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

During the investigation process, a caregiver did not maintain supervision of a child. The child was able to leave the classroom, go through another classroom, open the door to the playground and enter the playground unattended.

746.1309(e) - Documented Annual Training- Required Content

Two caregivers did not have administering medication training at the time of review.

746.3417(3) - Children Handwashing After Toileting or Diapering

An infants hands were not washed after their diaper was changed.

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

At time of inspection, the school aged class was observed to have cleaning solutions at childrens reach. THis was corrected at inspection.

746.1003(3) - Director Responsibilities - Employee Assignments

It is found though investigation evidence a staff was assigned a classroom when they did not have the skills to safely supervise the entire group in care.

746.4503(b) - Cots, Beds, Mats Labeled With Child's Name

Nap cots in the PreK room do not have labels on the cots reflecting the current children using the cots during the inspection.

746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

The loose fill under 2 slides is not 6 inches deep during the inspection. note: This was corrected during the inspection when the loose fill was redistributed under the slides.

746.3605(a)(1) - Child Becomes Ill in Care - Contact Parent

Based on evidence collected during this investigation, it was determined that the operation failed to ensure that a parent was contacted after discovering a child was displaying multiple symptoms of illness preventing the child from participating comfortably in activates.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Based on evidence collected during this investigation, it was determined that the operation staff failed to respond appropriately to a child's symptoms of illness. The child was seen in the classroom laying on the floor coughing, and observed to be what was described as burning, yet no temperature was taken or first aid given by staff.

746.2803(4)(D) - Positive Methods of Discipline and Guidance - Brief Supervised Separation

During investigation, it was determined based on the video footage a child was separated from the group for more than 2 minutes, approximately 3 minutes, exceeding the one minute per year of the child?s age.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

It is found a child was left unsupervised for 7 minutes in a classroom.

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days

While reviewing the monthly infant feeding schedules, six of eight schedules were not updated within the last thirty days.

746.623(1)(A) - Immunizations-Immunization record must include the child's name and birth date

Two of ten children's files did not include a current immunization record.

746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

While reviewing traning records. Two of sixteen employee files did not include verification of Pre Service Training as required.