Childrens Lighthouse of Imperial

Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

“Caregiver did not wear gloves when handling a child’s cut that was bleeding.”

Rule 746.3425(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2026. Correction verified: Oct 22, 2026.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

“Van U40 721 did not have a working child safety alarm.”

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2026. Correction verified: Jun 22, 2026.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“The director and three drivers did not have two hours of transportation training it was only an hour.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 22, 2026. Correction verified: May 20, 2026.

Annual Sanitation Inspection

“The operation did not have a current health inspection, the last one conducted was 3-17-2025 or the operation did not have a letter stating they did not need an health inspection.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2026. Correction verified: May 28, 2026.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“Four child that had a listed food allergy did ot have a allergy planned signed by a heath care professional .”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 25, 2026. Correction verified: May 21, 2026.

Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

“Based on the information provided throughout the investigation they will be cited for being out of ratio on February 2nd and 9th one caregiver had seven children specify age group 12-17 months old the caregiver was over by two children. On April 27 a caregiver had 12 children specify age group 12-17 months old, one caregiver should have had five children, they were over ratio seven children. Raito cannot be reduced for infants during naptime.”

Rule 746.1613(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 15, 2026. Correction verified: May 19, 2026.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“A contract worker was observed supervising a group of children in the infant classroom ages 2 to 5 years old, even though the background check had conditions prohibit for them to not supervise children alone. Corrected: When the contract worker left for the day.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 24, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“Caregiver stated they had 15 children when CCR inspector counted it was 16 children in the classroom.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 24, 2026.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“A infant in a crib was swaddled while sleeping.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 24, 2026.

Substitutes, volunteers, and contractors counted in ratio

“A contract worked that was counted into ratio did not have the required documentation as a employee/caregiver.”

Rule 746.1401(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 19, 2026. Correction verified: Feb 24, 2026.

Required Personnel Records- Meets Requirements

“Two employees did not have proof of education on file.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2025. Correction verified: Jun 26, 2025.

Required Personnel Records - Required Affidavit (Form 2912)

“Four employees did not have pre-employment affidavit form 2912.”

Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2025. Correction verified: Jun 26, 2025.

Report Number of Employees

“A review of the Employees Who Left Employment in 2024, revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2025. Correction verified: Jan 21, 2025.

Required Admission Information - Limitations or Restrictions

“Based on the information obtained the operation did not have special care needs statement on the children’s file.”

Rule 746.605(12)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2025. Correction verified: Feb 7, 2025.

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

“Based on the information obtained, it was determined that good judgment was not used when a caregiver left a pair of adult scissors to the reach of the children.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2024. Correction verified: Sep 12, 2024.

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 the information gathered during the investigation, proper supervision was not maintained, and as a result, a child was injured.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 19, 2024. Correction verified: Sep 25, 2024.

Incident/Illness Report Form Shared with Parent

“The child?s parent was not provided with an incident report within 48 hours of when the incident occurred.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 19, 2024. Correction verified: Sep 19, 2024.

Incident/Illness Report Form Shared with Parent

“Based on the information obtained during the investigation, the operation did not provide an incident report to the parent within 48 hours after the incident occurred.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 30, 2024. Correction verified: Aug 30, 2024.

Written Operational Policies - Unassigned Epinephrine Auto-Injectors

“There was no policy for the operation to maintains and administers unassigned epinephrine auto- injectors.”

Rule 746.501(a)(29). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2024. Correction verified: Aug 13, 2024.

Written Operational Policies - Benefits

“The promotion of the indoor and outdoor policies was not available to review.”

Rule 746.501(a)(18)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2024. Correction verified: Aug 13, 2024.

Written Operational Policies - Support inclusive services

“The operational policies does not have procedures for supporting inclusive services to children with special care needs”

Rule 746.501(a)(30). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2024. Correction verified: Aug 13, 2024.

Required Records Maintained and Made Available - Personnel and Training Records

“Six training records were not available to review during the inspection.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 13, 2024. Correction verified: Aug 13, 2024.

Corrections Made to Fire Inspection

“The operation has not made corrections on some items reviewed in the last fire marshal report from 8/31/23.”

Rule 746.5105. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2024. Correction verified: Feb 16, 2024.