Reneatris Washington

One child did not have the parents signature for medical emergency authorization.

Resolution: Corrected: 2025-08-08

Gate lock on fence gate in outdoor area is not functional, gate cannot stay closed.

Resolution: Corrected: 2025-08-14

Director was missing annual training in the following areas: Handling, storing, and disposing of hazardous materials Understanding building and physical premises safety, including identification and protectionfrom hazards that can cause bodily injury such as electrical hazards, bodies of water, andvehicular traffic Preventing and responding to emergencies due to food or an allergic reaction Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) Administering medication, if applicable, including compliance

Resolution: Corrected: 2025-08-08

Four childrens records were missing the health statement from a medical provider.

Resolution: Corrected: 2025-08-08

One child was missing Immunization records.

Resolution: Corrected: 2025-08-08

One child was missing Immunization records.

Resolution: Corrected: 2025-08-08

Four childrens records were missing the health statement from a medical provider.

Resolution: Corrected: 2025-08-08

Gate lock on fence gate in outdoor area is not functional, gate cannot stay closed.

Resolution: Corrected: 2025-08-14

One child did not have the parents signature for medical emergency authorization.

Resolution: Corrected: 2025-08-08

Director was missing annual training in the following areas: Handling, storing, and disposing of hazardous materials Understanding building and physical premises safety, including identification and protectionfrom hazards that can cause bodily injury such as electrical hazards, bodies of water, andvehicular traffic Preventing and responding to emergencies due to food or an allergic reaction Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) Administering medication, if applicable, including compliance

Resolution: Corrected: 2025-08-08

Four childrens records were missing the health statement from a medical provider.

Resolution: Corrected: 2025-08-08

Gate lock on fence gate in outdoor area is not functional, gate cannot stay closed.

Resolution: Corrected: 2025-08-14

One child did not have the parents signature for medical emergency authorization.

Resolution: Corrected: 2025-08-08

Director was missing annual training in the following areas: Handling, storing, and disposing of hazardous materials Understanding building and physical premises safety, including identification and protectionfrom hazards that can cause bodily injury such as electrical hazards, bodies of water, andvehicular traffic Preventing and responding to emergencies due to food or an allergic reaction Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS) Administering medication, if applicable, including compliance

Resolution: Corrected: 2025-08-08

One child was missing Immunization records.

Resolution: Corrected: 2025-08-08

2 out of 4 children's files evaluated was missing a completed health statement.

Resolution: Corrected: 2024-08-09

1 out of 4 children's files evaluated was missing required special care needs information

Resolution: Corrected: 2024-08-09

1 out of 4 children's files evaluated was missing required special care needs information

Resolution: Corrected: 2024-08-09

1 out of 4 children's files evaluated was missing required special care needs information

Resolution: Corrected: 2024-08-09

2 out of 4 children's files evaluated was missing a completed health statement.

Resolution: Corrected: 2024-08-09

2 out of 4 children's files evaluated was missing a completed health statement.

Resolution: Corrected: 2024-08-09

Written documentation showing parent notification that the operation does not have liability insurance was not available for review during the inspection. Note: A notice of the lack of liability insurance was posted on the front doorl of the entrance at the operation during the inspection.

Resolution: Corrected at inspection

Documentation showing the following training topics have been completed was not available for review during inspection: - Handling, Storing and Disposing of Hazardous Materials - Understanding and Responding to Food Allergies - Understanding and Preventing the Spread of Communicable Diseases

Resolution: Corrected: 2023-08-15

Documentation showing the following training topics have been completed was not available for review during inspection: - Handling, Storing and Disposing of Hazardous Materials - Understanding and Responding to Food Allergies - Understanding and Preventing the Spread of Communicable Diseases

Resolution: Corrected: 2023-08-15

Written documentation showing parent notification that the operation does not have liability insurance was not available for review during the inspection. Note: A notice of the lack of liability insurance was posted on the front doorl of the entrance at the operation during the inspection.

Resolution: Corrected at inspection

Documentation showing the following training topics have been completed was not available for review during inspection: - Handling, Storing and Disposing of Hazardous Materials - Understanding and Responding to Food Allergies - Understanding and Preventing the Spread of Communicable Diseases

Resolution: Corrected: 2023-08-15

Written documentation showing parent notification that the operation does not have liability insurance was not available for review during the inspection. Note: A notice of the lack of liability insurance was posted on the front doorl of the entrance at the operation during the inspection.

Resolution: Corrected at inspection

The primary caregiver background check was observed as inactive during the inspection. The caregiver was observed resubmitting the background check during the inspection.

Resolution: Corrected: 2022-08-18

The primary caregiver background check was observed as inactive during the inspection. The caregiver was observed resubmitting the background check during the inspection.

Resolution: Corrected: 2022-08-18

The primary caregiver background check was observed as inactive during the inspection. The caregiver was observed resubmitting the background check during the inspection.

Resolution: Corrected: 2022-08-18

I observed a five month old sleeping in a crib covered with a blanket..

Resolution: Corrected: 2021-07-23

I observed a five month old sleeping in a crib covered with a blanket..

Resolution: Corrected: 2021-07-23

I observed a five month old sleeping in a crib covered with a blanket..

Resolution: Corrected: 2021-07-23

Ten children's records were reviewed and the following was determined: Two needed health statements One needed updated immunization records

Resolution: Corrected: 2021-07-23

Seven children were present at the operation during the inspection. The ages were as follows: 7m, 12m, 13m, 14m, 4y, 4y, and 5y. The maximum number of children the caregiver is allowed to supervise is six. The caregiver is over ratio by one child.

Resolution: Corrected: 2021-07-14

Ten children's records were reviewed and the following was determined: Two needed health statements One needed updated immunization records

Resolution: Corrected: 2021-07-23

Seven children were present at the operation during the inspection. The ages were as follows: 7m, 12m, 13m, 14m, 4y, 4y, and 5y. The maximum number of children the caregiver is allowed to supervise is six. The caregiver is over ratio by one child.

Resolution: Corrected: 2021-07-14

Ten children's records were reviewed and the following was determined: Two needed health statements One needed updated immunization records

Resolution: Corrected: 2021-07-23

Seven children were present at the operation during the inspection. The ages were as follows: 7m, 12m, 13m, 14m, 4y, 4y, and 5y. The maximum number of children the caregiver is allowed to supervise is six. The caregiver is over ratio by one child.

Resolution: Corrected: 2021-07-14

The posting of the Emergency Telephone Numbers was not available for review during this inspection.

Resolution: Corrected: 2021-07-05

Ten children's records were reviewed and the following was determined: Nine needed health statements Seven needed updated immunization records Two needed emergency contact info One needed school info

Resolution: Corrected: 2021-07-09

The operational policies were missing the following: -Procedures for handling medical emergencies -Infant safe sleep -Duration of indoor and outdoor physical activities -Procedures for parents to review a copy of the child-care home's most recent Licensing inspection report and how the parent may access the minimum standards online -Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website -Emergency preparedness plan

Resolution: Corrected: 2021-07-05

Ten children were present at the operation during the inspection. One infant age 7 months, six children ages 18 months-3 years, and three ages 5 and older.

Resolution: Corrected: 2021-06-28

I observed unlabeled nap equipment during this inspection.

Resolution: Corrected: 2021-07-05

The fire extinguisher was not mounted.

Resolution: Corrected: 2021-07-05

Ten children's records were reviewed and the following was determined: Nine needed health statements Seven needed updated immunization records Two needed emergency contact info One needed school info

Resolution: Corrected: 2021-07-09

The posting of the Emergency Telephone Numbers was not available for review during this inspection.

Resolution: Corrected: 2021-07-05

Ten children were present at the operation during the inspection. One infant age 7 months, six children ages 18 months-3 years, and three ages 5 and older.

Resolution: Corrected: 2021-06-28

The fire extinguisher was not mounted.

Resolution: Corrected: 2021-07-05

I observed unlabeled nap equipment during this inspection.

Resolution: Corrected: 2021-07-05

The operational policies were missing the following: -Procedures for handling medical emergencies -Infant safe sleep -Duration of indoor and outdoor physical activities -Procedures for parents to review a copy of the child-care home's most recent Licensing inspection report and how the parent may access the minimum standards online -Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website -Emergency preparedness plan

Resolution: Corrected: 2021-07-05

Ten children's records were reviewed and the following was determined: Nine needed health statements Seven needed updated immunization records Two needed emergency contact info One needed school info

Resolution: Corrected: 2021-07-09

The posting of the Emergency Telephone Numbers was not available for review during this inspection.

Resolution: Corrected: 2021-07-05

Ten children were present at the operation during the inspection. One infant age 7 months, six children ages 18 months-3 years, and three ages 5 and older.

Resolution: Corrected: 2021-06-28

The fire extinguisher was not mounted.

Resolution: Corrected: 2021-07-05

I observed unlabeled nap equipment during this inspection.

Resolution: Corrected: 2021-07-05

The operational policies were missing the following: -Procedures for handling medical emergencies -Infant safe sleep -Duration of indoor and outdoor physical activities -Procedures for parents to review a copy of the child-care home's most recent Licensing inspection report and how the parent may access the minimum standards online -Instructions on how a parent may contact the local Licensing office, access the Texas Abuse and Neglect Hotline, and access the HHSC website -Emergency preparedness plan

Resolution: Corrected: 2021-07-05