Children’s Lighthouse Mansfield

Report Situation Placing Children at Risk

“The operation failed to report to Child Care Regulation 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: Sep 20, 2023. Correction verified: Sep 20, 2023.

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

“This standard was evaluated as part of an investigation and found to be deficient when the caregiver picked up children by their arms and wrist to move from one place to another.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 24, 2023.

Director Responsibilities - Employees Comply with Standards

“This standard was evaluated as part of an investigation and found to be deficient when it was determined that the director did not ensure new hire staff were properly trained on the positive physical interactions between staff and children and did not ensure that new hire staff had a full understanding of minimum standard compliance and licensing laws.”

Rule 746.1003(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 24, 2023.

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

“Based on information obtained from the DFPS investigation, it was observed on video that a caregiver did not demonstrate good judgment and self-control in their interactions with a child. The caregiver appeared to be frustrated with the child’s behavior and handled the child in a rough manner multiple times. The caregiver is no longer employed at the operation.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Oct 4, 2023.

Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

“Based on information obtained from the DFPS investigation, a caregiver was observed on video forcing a child that was visibly upset to sit down between their legs to keep the child from moving. When the child would try to leave the caregiver, the caregiver would grab the child by the arm and/or collar of the shirt pulling the child back between their legs. The caregiver is no longer employed at the operation.”

Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Oct 4, 2023.

Prohibited Punishments - Grabbing and Pulling

“Based on information obtained from the DFPS investigation, a caregiver was observed on video using prohibited punishment when the caregiver grabbed a child by their arm and collar of the shirt. The caregiver is no longer employed at the operation.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2023. Correction verified: Oct 4, 2023.

Training Requirements for Employees, Caregivers, and Directors - Transportation training

“The two directors will need to complete transportation safety training.”

Rule 746.1301(a)(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 24, 2023. Correction verified: May 18, 2023.

Director Annual Training - Caring for children under 24 months

“The director will need to complete SIDS, shaken baby, and early brain development training.”

Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 24, 2023. Correction verified: May 18, 2023.

Documented Annual Training- Required Content

“The two directors and 3 caregivers will need to complete the following trainings: *Preventing and responding to emergencies due to food or an allergic reaction *Handling, storing, and disposing of hazardous materials”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 26, 2023. Correction verified: May 25, 2023.

Responsibilities of Caregivers - Interact positively with children

Rule 746.1203(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2023. Correction verified: May 17, 2023.

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

“It was determined that two caregivers left a child unsupervised on the playground for approximately 15 minutes when transitioning the class back inside. The operation became aware that a child was left outside when they were notified by the elementary school located next door.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2023. Correction verified: Apr 17, 2023.

Parental Communication - Situation that Placed a Child at Risk

“It was determined that the operation failed to notify the parent immediately of a situation that placed their child at risk. The parent was not notified that their child was left unsupervised on the playground until the parent picked their child up from care.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2023. Correction verified: Apr 17, 2023.

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

“A caregiver demonstrated a lack of self-control and good judgment when redirecting two children. The caregiver was observed on video forcibly grabbing and pulling children by their arm which resulted in one of the children sustaining a scratch on their arm. The same caregiver was also observed on video tapping a child on top of their head with a book.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2022. Correction verified: Oct 27, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“It was determined after reviewing video footage that a caregiver handled two children in an inappropriate manner. The caregiver was seen on video, harshly grabbing & pulling two children up by one arm to move them. The children’s feet were observed to briefly dangle in the air as they were being moved.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2022. Correction verified: Oct 27, 2022.

Report Situation Placing Children at Risk

“The operation did not report an incident which placed a child at risk within the required time frame.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2022. Correction verified: Oct 27, 2022.

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

“The operation allowed a staff person to be present and have access to children prior to having the eligibility determination letter. (Note: The caregiver will not return to the operation until their eligibility status is received.)”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 9, 2022.

Required Admission Information - Emergency Contact

“Three of the children’s records were missing the telephone number for the emergency contact person that was listed.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2022. Correction verified: Jun 16, 2022.

Documented Annual Training Area - 24 Hours Required

“One caregiver only completed 7 of the required 24 clock hours of training for the previous training year (2/2021 - 2/2022).”

Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 29, 2022.

Written Feeding Instructions - Review and Update Every 30 Days

“There were 8 infants in the Infant classroom I that did not have updated feeding instructions on file. There were 2 infants in the Infant 2 classroom that did not have updated feeding instructions on file.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 17, 2022. Correction verified: Jun 16, 2022.

Required Admission Information - Physician Information

“Five of the ten children’s records evaluated did not include complete physician information.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2022. Correction verified: Jun 16, 2022.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The operation did not have an annual fire inspection scheduled or on file.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 28, 2021. Correction verified: Dec 22, 2021.

Safety - Electrical Outlets Covered

“There was one electrical outlet in the infant room, in the toddlers classroom and one in another toddlers classroom. This was corrected at inspection.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 14, 2021.

Responsibilities of Caregivers- Supervision of Children

“Upon review of video footage and interviews, it was found that a caregiver, contracted by a substitute company, left children in a classroom unattended for over a minute. This was corrected at inspection, being that the operation discharged the employee in concern.”

Rule 746.1203(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 8, 2021.