Alamo Heights Presbyterian Church

746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded

Two fans in the Pre-K room were accessible to children. One was placed on the floor, and the other was placed on top of a shelf, not mounted. This was corrected when one fan was moved to a secure storage area and the other was stored up away from children's reach.

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

Three out of the ten children's files reviewed did not have current immunizations.

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 course of the investigation, it was determined that a caregiver left the children alone in the classroom by stepping into the hallway and closing the door, resulting in an injury to a child.

746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program

Four out of ten files reviewed did not have a health statement on file.

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

The infant room did not have feeding forms for seven out of the ten children to review in the last thirty days.

746.1601 - Child/ Caregiver Ratio - 13 or More Children

The infant room was found out of ratio. There was 1 staff member and five children in care.

746.4815(a)(1) - Use Zones - Licensed Before September 1, 2003 - Climbing Structures

A climbing structure on the playground did not have the required use zone.

745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

A staff member was caring for children, unsupervised during nap time with provisional conditions in place. Note: This was corrected at inspection when another caregiver arrived to the classroom to supervise.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation

A staff member who had direct access to children in care did not have a background check from the CBCU regarding the persons eligibility. Note: This was corrected at inspection when staff member was sent home during inspection.

746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions

The electronic child safety alarm was not functioning in one of the operation's vans used to transport children.

746.2405(2) - Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age

Cribs were not available inside one of two infant classrooms. Cribs were stored in the walkway outside of the infant classroom.

746.2403(5) - Infant Care Area - Space to Walk Between Cribs, Cots or Mats

Cribs were not spaced far enough apart to allow space for caregivers to walk and work between the cribs in two infant classrooms.

746.5209(c) - No Blocked or Locked Doors as Exits

Cribs stored in the walkway were blocking an exit door.

746.4217(1) - Caring for Children Above or Below Ground Level-Written Approval

The operation moved a two year old classroom to the second floor and was unable to provide written approval from the local fire authority approving care of the two year old children on the second floor.

746.301(2) - Notification of Change in Space

The operation did not notify Child Care Regulation when a two year old classroom was moved upstairs and two infant classrooms were moved from one building to another. Note: This was corrected at inspection when the director notified licensing representative of the change at monitoring inspection.