Primrose School at Alamo Ranch

746.1329(d) - Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee

Two employees did not have completed and signed orientation statements. Note: This was CORRECTED AT INSPECTION when the director pulled the caregivers from their classrooms to give them orientation.

746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based

One caregiver had completed CPR training online.

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

During the walkthrough, two caregivers in two classrooms provided inaccurate head counts of the children in their care. Note: This was corrected when the caregivers recounted the children.

746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.

746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

One out of the ten children's records reviewed during inspection still does not have a health statement.

746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

Two out of the ten children's records reviewed during inspection did not have a health statement.