Brushy Creek Learning Center DBA Children's Lighthouse

746.305(a)(3) - AP Report a Child In Care Showing Signs and Symptoms of Illness Requiring Hospitalization · Medium High

Information obtained throughout the investigation shows that the operation failed to notify Child Care Regulation within two days of a child requiring medical treatment.

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 · High

A caregiver left children unsupervised to seek help after a child in the classroom was injured.

745.621(a)(2) - AP Initial background checks submitted - At the time you hire someone · High

A caregiver, with direct access to children, was present without a background check eligibility. The caregiver was sent home during the inspection. The background was processed during the inspection.

746.3417(4) - Children Handwashing After Outdoor Activities · Medium High

Children were observed transitioning into their classroom and not washing hands prior to touching toys.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

Two caregivers did not know the number of children they were responsible for.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

Information obtained during an investigation shows that the operation failed to demonstrate good judgement when they allowed caregivers to work with children while the caregivers were sick.

746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device · High

An infant was observed sleeping in a bouncer. The caregiver was instructed to place the child in a crib for nap.

746.801(10) - Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors · Medium

There was no documentation of completing emergency drills.

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

Infant feeding instructions were not being updated per standards.

746.4911(a) - Installation of Unitary Surfacing Materials - to Manufacturer's Specifications · Medium High

The unitary surfacing that covers the splash pad contains holes.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

Both caregivers were unaware of the number of children in their care.

746.2403(1) - Infant Care Area - Able to See, Hear and Intervene · High

During an investigation, it was determined an infant was not being interacted with during lunch and was able to fall out of their highchair despite being buckled in. Caregivers were unable to intervene to prevent the fall.

746.2905(1) - Children Not Required to Sleep - May Not Force Child to Sleep · Medium

It was determined a caregiver was forcing a child to nap by covering the child's head and patting the child harshly. The caregiver is no longer employed by the operation.