A+ Appletree Academy

746.1309(e) - Documented Annual Training- Required Content

Four out of six staff files reviewed are missing trainings on the following topics: -Hazardous Materials; -Administering Medications; -Emergency Preparedness; and -Building and Physical Premises Safety.

746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

Based on the information obtained during the DFPS investigation, it was determined that operation failed to timely report to CCR an incident that took place at operation which required a child to receive medical treatment.

746.2426(a)(2) - 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

Two infants in the infant room were observed asleep on swings for an undetermined amount of time.

746.801(3) - Required Records Maintained and Made Available - Personnel and Training Records

The personnel records for two caregivers were not available for review at the operation during the inspection.

746.1311(e) - Director Annual Training - Additional required topics

The director was missing annual training for training year 3/22/2023-3/21/2024 on the following topics: 1. 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 2.Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity

The operational policies reviewed were missing information on the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of the minimum standards (relating to Developmental Activities and Activity Plan); the policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at the operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at the operation; (D) Each setting in which the physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; (F) The criteria the operation will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; and (G) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.

746.2911 - Adequate Lighting During Naptime

The lighting in the infant room during naptime was not adequate and did not allow visual supervision of all children in the room.