The Nest School San Antonio

746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.

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

At time of inspection a PreK caregiver stated they had 13 children when the class had 10.

746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date

At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.

746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes

During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.

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

It was determined during the course of the investigation that the director demonstrated poor judgement when she documented that she had conducted fire drills that were never conducted, thereby falsifying documentation at the operation.

746.3701 - Safety - Areas Free From Hazards

At time of inspection childrens restroom was observed to be used as storage.

746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

At time of inspection, emergency preparedness plan did not include how they would evacuate children with limited mobility. At time of inspection, emergency preparedness plan did not state alternative relocation. This was corrected at inspection.

746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date

At time of inspection, a childs medication was observed to not be in original container.

746.3701(1) - Safety - Electrical Outlets Covered

At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.