A2Z Early Learning Center

1240-04-01-.12 Health and Safety

One medication is not in the original container and is not labeled with the child's name. The child care agency does not have the times and the instructions on the means and method of administration. Technical assistance was provided on 9/23/2025, 11/7/2025 and 12/22/2025. — Visit: QRIS Monitoring visit,Technical Assistance — Action taken: The agency corrected the violation with the following actions: The director contacted the parent to add the medication instructions to the paperwork. The director will create or find a checklist that they can use when receiving medication from families.

1240-04-01-.11 Supervision

The mealtime supervision plan is not posted in one of the classrooms. Technical assistance was provided on 12/01/2025. — Visit: QRIS Monitoring visit,Technical Assistance — Action taken: The agency corrected the violation with the following actions: The educator posted the mealtime supervision plan. The opening person will make sure all the required postings are posted during the morning walk-through.

1240-04-01-.12 Health and Safety

Liquid wite-out is on a table in one of the classrooms. The liquid wite-out is labeled "keep away from children." — Visit: QRIS Monitoring visit,Technical Assistance — Action taken: The agency corrected the violation with the following actions: The educator put the liquid wite-out in an area where children cannot access it. The child care agency will no longer keep liquid wite-out in the classroom.

1240-04-01-.22 Specific Requirements for Child Care Centers

LC observes eleven children ages eight months through two years old in a classroom, with two educators present. The maximum grouping for the 6 weeks- 30 month age grouping is ten children, with a required adult child ratio of 1:5. — Visit: Complaint Investigation,Safety Plan Monitoring,Technical Assistance — Action taken: The agency corrected the violation with the following action: The children were separated into two different classrooms after naptime.

1240-04-01-.09 Incident Reporting

The child care agency did not notify TDHS of an injury that required medical treatment beyond on-site first aid on the day that the injury occurred. — Visit: Complaint Investigation,Safety Plan Monitoring,Technical Assistance — Action taken: The agency corrected the violation with the following actions: The director told LC about the injury that occurred on 12/22/2025 during the visit on 12/30/2025. The director will post a list of what types of injuries and incidents need to be reported to TDHS on the day that they occur.

1240-04-01-.22 Specific Requirements for Child Care Centers

An educator left three children unsupervised in a classroom for approximately one minute. — Visit: Order of Civil Penalty Served,Technical Assistance — Action taken: The agency corrected the violation with the following actions: Management reviewed the supervision rules with the educator. Management talked with all staff about supervision requirements. The educator will complete a training on classroom supervision.

1240-04-01-.11 Supervision

An educator left three children unsupervised in a classroom for approximately one minute. — Visit: Order of Civil Penalty Served,Technical Assistance — Action taken: The agency corrected the violation with the following actions: Management reviewed the supervision rules with the educator. Management talked with all staff about supervision requirements. The educator will complete a training on classroom supervision.

1240-04-01-.09 Incident Reporting

An educator did not complete an incident report. Child care agency staff did not report suspected child abuse or neglect to DCS and DHS. — Visit: Complaint Investigation,Technical Assistance — Action taken: The agency corrected the violation with the following actions: Staff employed by the child care agency will review Licensure Rules for Child Care Agencies 1240-04-01-.09 Incident Reporting.

1240-04-01-.10 Duty to Report Child Abuse and Neglect

Child care agency staff did not report suspected child abuse or neglect to DCS and DHS. — Visit: Complaint Investigation,Technical Assistance — Action taken: The agency corrected the violation with the following action: The child care agency will have meetings and trainings to review child abuse. Staff will immediately report any suspected child abuse or neglect.

1240-04-01-.15 Program Language and Literacy Development

An educator used inappropriate discipline. — Visit: Complaint Investigation,Technical Assistance — Action taken: The agency corrected the violation with the following actions: Management will discuss appropriate behavior management with all staff and staff will complete a training through ProSolutions.

1240-04-01-.14 Equipment for Children

Electrical cords on the CD players are accessible in two of the classrooms. LC provided technical assistance on this on 9/6/2024 and 12/12/2024. — Visit: QRIS Monitoring visit,Technical Assistance — Action taken: The child care agency immediately removed the CD player from one of the classrooms. The child care agency will no longer use the CD player in one of the classrooms due to the location of the electrical outlet. The child care agency made the electrical cords inaccessible in one of the classrooms.