Childrens Lighthouse of Mckinney

Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“During the inspection, an infant under 12 months was observed napping in a crib with a bib still tied around their neck.”

Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2026. Correction verified: Oct 8, 2026.

Required Admission Information - Emergency Medical Authorization

“4 children admission information did not list the parents signature authorizing emergency medical treatment when children are in care.”

Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2026. Correction verified: Jul 28, 2026.

Fire Extinguishers Serviced

“The vehicle that is used to transport children did not have a serviced fire extinguisher.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 24, 2026. Correction verified: Jul 28, 2026.

Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

“Children that did not bring water bottles with them to the operation did not have always have access to drinking water during outdoor play.”

Rule 746.3301(f)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2026. Correction verified: Aug 11, 2026.

Director Responsibilities - Employees Supervised

“Based on a review of information obtained during a DFPS investigation it was determined that a director did not supervise a caregiver that transports children to ensure transportation procedures/protocols were followed which resulted in a child left on a vehicle for 30 minutes.”

Rule 746.1003(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2025. Correction verified: Nov 25, 2025.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“This standard was found deficient as part of a DFPS Investigation.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2025. Correction verified: Nov 25, 2025.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on a review of information obtained during a DFPS investigation it was determined that a caregiver did not adequately supervise a child which resulted in a child left behind on a transporting vehicle which placed a child at risk of bodily harm or injury.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2025. Correction verified: Nov 25, 2025.

AP Safety Precautions for Loading and Unloading Children - No Child Unattended

“Based on a review of information obtained during a DFPS investigation it was determined that a child was left on a vehicle unattended for 30 minutes.”

Rule 746.5605(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2025. Correction verified: Nov 25, 2025.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on interviews with staff, a caregiver did not consider a child’s cognitive development to adequately supervise a child. The caregiver was not in close proximity or visual aware of a child’s on-going activity during outdoor play which resulted in the child’s head entrapped between 2 parallel bars that encloses a drain on the pre-k playground.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2025. Correction verified: Jul 7, 2025.

Report Situation Placing Children at Risk

“Based on an interview with staff, management did not report a situation that placed a child at risk.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2025. Correction verified: Jul 1, 2025.

Safety - Areas Free From Hazards

“Based on interviews with the parent and staff, a metal fence that encloses a landscape drainage on the pre-k playground is a safety hazard. A young child was able to get their head entrapped between 2 parallel bars.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2025. Correction verified: Jul 7, 2025.

Storage for Individual Belongings

“The area at the front of the operation where infant care seats are stored was not labeled with the child’s name. The deficiency was corrected during the inspection when the director labeled the car seats/ storage area with the child’s first and last name.”

Rule 746.4505. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 6, 2025.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“A child with a diagnosis food allergy did not have a complete food allergy plan on file.”

Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2025. Correction verified: Jun 3, 2025.

Parental Notification of Less Serious Injuries

“Based on the interview with the parent of a child and the staff, the operation was found not to be in compliance with the standard evaluated for a standard investigation. The parent was not notified of an injury that required medical treatment by a health care professional. Management notified a relative during pick-up instead.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2025. Correction verified: May 1, 2025.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“The standard was evaluated for a standard investigation and was found not compliant. Based on interviews with staff and a parent, it was determined that the caregiver did not demonstrate good judgment when a child was placed in the bathroom with the door closed as the caregiver stood in front of the bathroom door to speak to the child about their inappropriate behavior.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2025. Correction verified: Feb 7, 2025.

Prohibited Punishments - Placing Child in Locked or Dark Room

“The standard is evaluated for a standard investigation and was found not compliant. Based on interviews with staff and a parent, a caregiver placed a child in a bathroom with the door closed for displaying inappropriate behavior.”

Rule 746.2805(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 3, 2025. Correction verified: Feb 7, 2025.

Prohibited Punishments - Grabbing and Pulling

“It was determined through an investigation that a child grabbed a child roughly during naptime after the child had gone to the wrong nap mat.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 16, 2024. Correction verified: Jul 26, 2024.

Screen Time Activities - Not Used for Under Two

“During this inspection, a caregiver allowed children between 18-24 months engaged in screen time. The deficiency was corrected during the inspection when the caregiver ended the screen time and removed the tablet and transition the children to another activity.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 6, 2024.

Infant May Not Sleep in a Restrictive Device

“Two infants were observed asleep in restrictive devices; one was asleep in a high chair and another infant was asleep while placed in an infant seat. After it was brought to the caregivers attention that young infants that are non-mobile must nap in a crib, the caregivers removed the infants and placed each infant in a face up position in a crib.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2024. Correction verified: Jun 6, 2024.

Safety - Areas Free From Hazards

“The outdoor playgrounds have 4 holes that may cause a tripping hazard.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2024. Correction verified: May 2, 2024.

Requirements for Feeding Infants - Label Bottles/Cups

“Two infant bottles were labeled. Labeling the children’s bottle with the child’s first and last name will reduce the risk of infants’ bottle feed the incorrect formula and causing an allergic reaction.”

Rule 746.2419(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2024. Correction verified: May 2, 2024.

Infant Daily Report - Share with Parent

“The standard was evaluated for a standard investigation and was found not to be in compliance. Based on interviews with parents, it has been determined that infant daily reports are not shared with parents.”

Rule 746.2431. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2024. Correction verified: May 29, 2024.

Written Feeding Instructions - Review and Update Every 30 Days

“Three infants did not have current infant feeding instructions. The feeding instructions were last shared with the parents March 2024. Caregivers reviewing the feeding instructions at least once a month ensure the caregivers have the most recent feeding instruction instructions feed the infants the proper nutrients each day at the operation.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 19, 2024. Correction verified: May 2, 2024.