Kids Place at Grace

746.613(b) - Immunization Records, Exceptions, and Exemptions Current

2 out of 10 child records were observed to be missing up to date immunization records. 2 additional records had immunization records that were not current.

746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

One infant was observed sleeping, laying in a crib that was not bare, a blanket was in the crib with the child in addition to a bib.

746.1309(a) - Documented Annual Training Area - 24 Hours Required

2 personnel records reviewed were lacking all required training hours, 1 missing 10 hours, the other missing 18.25.

746.901(5) - Required Personnel Records - Required Affidavit (Form 2912)

2 of the 10 personnel records reviewed were missing affidavits, form 2912. 1 record of the 10 had the affidavit; however, it was not notarized.

746.801(1) - Required Records Maintained and Made Available - Children's Records

3 out 10 childrens' records monitored were missing some of the following: health care statements, authorization for emergency medical attention, and emergency contact address and phone numbers.

746.1111 - Education Outside of U.S.

1 of the 10 personnel records reviewed had records that were not transcribed to English.

746.3701(1) - Safety - Electrical Outlets Covered

In the 4 to 5 year old classroom, 8 electrical outlets were observed to not have safety outlet plug covers. ***this was corrected at inspection

746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets

In the infant classroom, one infant was observed asleep in a crib with a loose fitted sheet.

746.2805(3) - Prohibited Punishments - Grabbing and Pulling

A caregiver used an inappropriate method of discipline when she grabbed a child by his forearm to redirect his behavior.

746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps

Seven children observed seated at the table with bucket type seats were observed to not be strapped properly in their seats.

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

The emergency preparedness plan submitted for compliance did not have an address listed of where children will be evacuated or how children will continue to care for children until parents arrive. This is a re-cite.

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

The emergency preparedness is not provided to parents in the operational policy. The emergency preparedness information that was on file did not have information on how children with limited mobility or who are under 24 months will be evacuated, how children will continue to be cared for until parents arrive, and an address as to where they will go if they need to evacuate.

746.1309(a) - Documented Annual Training Area - 24 Hours Required

The director was missing 17 out of thirty training hours. Some of the hours include but not limited to: Communicable diseases including immunizations, administering medication, building and premises safety, hazardous materials, and transportation training. One out of four staff was missing 24 hours of pre-service training. One out of four staff was missing 16 hours of annual training. The trainings include but are not limited to child maltreatment, sids, shaken baby, and early brain development, communicable diseases, and food allergies.

746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

Inspector observed one 9 month old infant asleep with a swaddle outfit on top of him being used as a blanket. Inspector asked that staff remove it from the crib and staff member put it in the corner of the crib.

746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File

Inspector observed a 2 month old infant swaddled while asleep in a crib. Inspector asked staff to take the swaddle off the child but the staff left the swaddle on and only took the child's arms out.

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

Inspector observed one staff in a classroom talking on a cell phone while children were napping. Inspector observed a second caregiver reading a book while caring for children who were napping and a third caregiver eating lunch while in a classroom with children who were napping. A fourth caregiver was observed coloring in a color book while supervising children who were napping.

746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual

Based on the information gathered by the DFPS investigation, a caregiver grabbed and threw a child on a table, causing bruising to the left and right arms, left shoulder and left lateral torso.

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

The standard was found deficient as part of a DFPS investigation.