Alamo Heights United Methodist Weekday School

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

“One out of ten children's files reviewed did not have an up-to-date immunization record.”

The state verified the correction on Sep 17, 2026

746.501(a)(18)(G) - Written Operational Policies - Plan for extreme weather conditions

“When reviewing the operation policy, the section promoting indoor and outdoor play was not available for review.”

The state verified the correction on Aug 22, 2025

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

“Infant was observed swaddled in a sleep sack while being held by caregiver. The child has been using the sleep sack when sleeping in their crib without an Infant Sleep Exception/Health Care Professional Recommendation Form.”

The state verified the correction on Sep 19, 2024

746.1309(e) - Documented Annual Training- Required Content

“Six of ten staff records reviewed for annual training did not have training for: emergency preparedness, preventing and controlling the spread of communicable diseases, administering medication, preventing and responding to emergencies due to food or an allergic reaction, understanding building and physical premises safety, and handling, storing, and disposing of hazardous materials.”

The state verified the correction on Jan 17, 2024

746.3809 - Medication No Longer Used

“Two children with diagnosed allergies had epi pens that were expired and stored in the classroom.”

The state verified the correction on Jan 17, 2024

746.1309(c) - Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment

“Five of ten staff records reviewed for annual training did not have training for prevention, recognition, and reporting of child maltreatment.”

The state verified the correction on Jan 17, 2024

746.603(a)(4) - Children's Records - Immunizations

“Three of ten children's records reviewed did not have updated immunization records.”

The state verified the correction on Jan 17, 2024

746.603(a)(3) - Children's Records - Health Statement

“One of ten children's records reviewed did not have a statement of the child's health from a health-care professional.”

The state verified the correction on Jan 17, 2024

746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation

“Six of ten staff did not have required orientation training.”

The state verified the correction on Jan 17, 2024

746.901(6)(A) - Required Personnel Records-signed dated statement that employee received child care center's operational policies

“Five of ten staff records reviewed did not have documentation that they recieved a copy of the operational policies.”

The state verified the correction on Jan 17, 2024

746.5202(4) - Emergency Preparedness Plan-Continuity of Care Until Children Released

“The operation's emergency preparedness plan did not include how staff will continue to care for children until each child has been released.”

The state verified the correction on Jan 17, 2024

746.3417(3) - Children Handwashing After Toileting or Diapering

“Caregiver did not wash child's hands after changing diaper.”

The state verified the correction on Jan 17, 2024

746.2409(a)(10) - Safety Requirements for Cribs - Label for Each Infant

“Some of the infant cribs were not labeled either with first name & last initial or by utilitizing a number chart.”

The state verified the correction on Feb 15, 2023

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

“A child had medication on file that was not in it's original container labeled with the child s full name and the date brought to the operation.”

The state verified the correction on Feb 24, 2023

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“4 out of the 5 children enrolled with diagnosed food allergies did not have a food allergy plan on file. 1 out of the 5 children enrolled had a food allergy plan on file, but was not signed by by the child's parent(s).”

The state verified the correction on Feb 21, 2023

746.2415(a)(1) - Prohibited Equipment for Infants - Baby Walkers

“An fourteen month old infant was placed in a baby walker by caregiver. This was corrected at inspection caregiver removed the infant and director, removed the walker from the classroom.”

Corrected during the visit