Nacogdoches County

A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.

Based on information obtained I observed a caregiver pulling a child to the ground and holding in a restraint hold.

Based on the DFPS investigation, a child was disciplined by pinching their ear, which resulted in bruising.

The operations classrooms are out of ratio at times.

A child was left unsupervised.

Two caregivers were observed administering prohibited punishment. One caregiver was observed pulling a child by the arm from underneath a table and another caregiver was observed grabbing a child by the arm and holding onto the child to keep the child from moving out of a chair. The same caregiver was observed grabbing on a child and pulling on the child's arms.

The operation knowingly allowed persons to be present at the operation before receiving notification from the CBCU that the persons eligibility determination is Eligible, Provisional or Eligible with Conditions.

Based on the information gathered during the investigation, it has been determined that a child was left unattended, the caregiver was not at a physical proximity that allowed visual and/or auditory awareness of the child in care.