Children's Lighthouse Cedar Park

746.1003(3) - Director Responsibilities - Employee Assignments · High

Information obtained during a DFPS investigation shows that the operation failed to assign a caregiver to an age group that matched their ability to safely and effectively meet the care of non-verbal children.

746.307(c) - Parental Notification of Less Serious Injuries · Medium

Information obtained during a DFPS investigation shows that the operation failed to notify parents of a less serious injury.

746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization · Medium High

Information obtained throughout the investigation shows that the operation failed to report the incident to Child Care Regulation within 48 hours. The operation reported the incident via email, but did report by either speaking with someone or reporting on the abuse and neglect website within 48 hours.

746.613(a) - Required Immunizations · High

14 out of 17 children immunizations were not up to date.

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

Two caregivers did not know how many children they were responsible for.

746.3301(b) - Nutrition and Food Service - Follow Meal Patterns · Medium High

During snack time children were only served food from one food group which did not meet the USDA nutritional guidelines.

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children · High

Two classrooms had cleaning supplies that were accessible to children. This was corrected when the caregivers moved the cleaning supplies out of reach of children.

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium High

A caregiver failed to wash an infant's hands after changing their diaper. This was corrected when the caregiver washed the infant's hands.

746.605(6) - Required Admission Information - Emergency Contact · Medium High

Four out of ten children files were missing the address for the emergency contact.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

A caregiver without a background check eligibility letter had direct access to children in care. This was corrected when the caregiver did not return to the operation from their lunch break.

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

Information obtained throughout the investigation shows that the operation failed to demonstrate good judgement by continuously allowing children to enter a hallway closet that self locks and having to get a key to unlock the closet and let the children out.

746.2207(a) - Screen Time Activities - Not Used for Under Two · Medium

Information obtained throughout the investigation shows that caregivers allowed children under the age of 2 years to participate in screen time activities.

746.3401(a) - Annual Sanitation Inspection · Medium High

Operation did not have a current sanitation report. This was corrected during my inspection when I received receipt of payment for the inspection to be completed.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

Operation did not have a current fire inspection.

746.2427(a) - AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant · High

A caregiver was observed placing a child in the crib on their stomach to nap. Caregiver was instructed to place the child in the crib on their back for nap.

746.3803(b) - Medication Authorization Expires on First Anniversary · Medium High

The medication authorization for a child requiring medication administration expired in April of 2024.

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

Out of ten classrooms observed, three caregivers did not know the number children they were supervising.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

Two employees were present, going in the classroom hallway, and classrooms without completed background checks. One had an inactive status on their background check. One had a pending background check. This was corrected when both employees left .

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

Children from one class were observed running between rooms, standing on a table, and pulling each other by coats and blankets during inspection.

746.2207(a) - Screen Time Activities - Not Used for Under Two · Medium

One classroom was using screen time with a child under the age of 2 years old. This was corrected at inspection when the tablet was turned off.

746.2805(1) - Prohibited Punishments - Corporal Punishment · High

During an investigation it was found that a caregiver was leading a child to another table by pushing their head along the way, pushing children?s heads to a facedown position at tables, pushing a rolling bookshelf towards a child twice, and banging a tablet on a table by children. There is evidence to suggest the caregiver restrains children by holding them tightly.

746.2805(3) - Prohibited Punishments - Grabbing and Pulling · High

During an investigation a caregiver was observed moving two children by one of their arms, lifting them up off the floor to a new spot.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling · High

During an investigation there is enough evidence to determine a caregiver was yelling at the children in care.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

During an investigation it was found that the operation waited multiple days to notify parents of children when they were made aware that a caregiver used prohibited punishment on their children while in care placing them at risk.

746.707 - Incident/Illness Report Form Shared with Parent · Medium

During an investigation it was found that the operation did not provide an incident report to the parent within the required 48 hours.

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

Three chidren were lacking the required immunizations.

746.901(5) - Required Personnel Records- Training Hours · Medium

Six staff were lacking food allergy and hazardous material training.

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

A caregiver did not know how many children were in their care.

746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages · Medium High

Two caregivers were not aware of the children's ages in their care or where to obtain the information.

746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times · Medium

Children were observed eating lunch and watching a movie. Caregiver was informed why the television could not be on and the television was powered off.

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

The caregiver did not show good judgment when she decided to carry a child in a football hold that led the child to sustaining a head injury.

746.1309(e) - Documented Annual Training- Required Content · Medium

One caregiver did not have training in the following areas: (1)Emergency preparedness ; (2)Preventing and controlling the spread of communicable diseases, including immunizations ; (3)Administering medication, if applicable, including compliance with ?746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?) ; (4)Preventing and responding to emergencies due to food or an allergic reaction ; (5)Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic ; and (6)Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually · Medium High

Four staff members who transport children are missing their transportation training certificate.

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

Children were observed sleeping with their blankets over their heads in three separate classrooms.

746.605(12) - Required Admission Information - Emergency Medical Authorization · High

One child did not have an emergency authorization on file.

746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. · Medium High

One caregiver's records out of ten reviewed did not have up to date CPR & first aid certification.

746.4135(b) - Children's Products- Annual Certification · Medium

The operation did not have a CPSC form. This was corrected at inspection when the director was provided a form and it was signed.

746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle · High

The operation's vehicle safety alarms within their 4 vehicles used did not operate properly.