Children’s Lighthouse - Little Elm

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

“The operation allowed one caregiver to be present at the operation before receiving notice from the CBCU regarding her eligibility. The operation immediately removed the caregiver from the operation.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 18, 2023.

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

“Based on information obtained during an investigation, it was determined that a caregiver didn’t demonstrated good judgement when she permitted children to pick up food from the ground and consume it.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Nov 28, 2023.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on information obtained during an investigation, it was determined that a caregiver yelled at the children.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Nov 28, 2023.

Smoke Detectors Testing

“The operation did not conduct a smoke detector testing for the following months: February, March, April, May, June, and July.”

Rule 746.5319. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2023. Correction verified: Aug 24, 2023.

Inspect Fire Extinguishers Monthly

“The operation did not conduct a fire extinguisher inspection for the month of July/2023.”

Rule 746.5307(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2023. Correction verified: Aug 24, 2023.

Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“The operation did not conduct a CO detector test for the following months: May, June and July.”

Rule 746.5537(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2023. Correction verified: Aug 25, 2023.

Required Documentation for Unitary Surfacing Materials

“The documentation provided by the manufacturer, detailing the material’s impact rating as well as the requirements for installation and maintenance, was not accessible for assessment during the inspection.”

Rule 746.4913. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2023. Correction verified: Sep 21, 2023.

Responsibilities of Caregivers - Supervision of Children

“It was determined that a caregiver did not adequately supervise children while using the outside play structure. The caregiver did not redirect the children while using the play structure equipment inappropriately.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2022. Correction verified: Nov 30, 2022.

Required Personnel Records

“Ten staff files were observed and missing the following; Two staff files are missing how the staff qualify as a caregiver, One staff files are missing that the staff have signed off on receiving the personnel policies, and One staff file is missing orientation.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 25, 2022. Correction verified: Nov 17, 2022.

Children’s Records - Vision and Hearing Screening

“Two childrens files are missing hearing and vision.”

Rule 746.603(a)(6). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 25, 2022. Correction verified: Nov 17, 2022.

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

“The director did not use good judgment as medication was administered to a child twice despite the medication log being up to date, and the child making a comment that medication was being administered again.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2022. Correction verified: Sep 8, 2022.

Responsibilities of Caregivers - Share Information with Incoming Caregiver

“Management did not communicate with each other to let each other know a child had already received medication, resulting in a child receiving medication twice in a day.”

Rule 746.1203(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2022. Correction verified: Sep 8, 2022.

Documented Annual Training- Required Content

“During the investigation, it was determined that two staff did not have training certificates for administering medication.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 8, 2022.

Diaper Changing Steps- Prompt

“Documentation obtained from the operation, determined that diaper changes were not done for a child for approximately 5 hours. This resulted in a diaper rash.”

Rule 746.3501(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2022. Correction verified: Sep 8, 2022.

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

“Staff did not use good judgment when not following the sign in and out procedures for children in their care. Three classrooms were observed not following the procedures for transferring children in and out of the classroom.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2022. Correction verified: Jul 8, 2022.

Safety - Play Materials and Equipment Safe

“On the playground three toy riding cars were observed with broken wheels. This was corrected at inspection by having the toy cars be removed from the playground.”

Rule 746.3701(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 29, 2022.

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

“Staff did not use good judgment when not following the sign in and out procedures for children in their care. Children are not being transferred to the correct classrooms when they are not in their assigned room.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 22, 2022. Correction verified: Jun 29, 2022.

Children’s Records Maintained

“Ones child’s file was observed and is missing a health statement signed by the physician and immunization records.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: Jun 6, 2022.

Required Personnel Records

“One staff file was observed and is incomplete.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: Jun 1, 2022.

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

“Staff did not use good judgment when not following the sign in and out procedures for children in their care.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: Jun 17, 2022.

Responsibilities of Caregivers - Know Group Responsible For

“During transition from one classroom to another, one caregiver did not know which children they were responsible for.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: Jun 17, 2022.

Discipline - Positive Methods of Discipline and Guidance

“A caregiver used inappropriate discipline by grabbing a child’s arm after providing instructions to go to the carpet.”

Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: Jun 17, 2022.

Child/Caregiver Ratio - Opening/Closing

“During the investigation inspection, the opening classroom was observed with 1 caregiver and 19 children ranging from 18 months to 5 years old for more than 45 minutes.”

Rule 746.1615. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2022. Correction verified: Jun 17, 2022.

Cots, Beds, Mats Labeled With Child’s Name

“Staff are not following the nap charts that are created in the classrooms and nap charts have not been updated.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 13, 2022. Correction verified: Jun 1, 2022.

Cots, Beds, Mats Labeled With Child’s Name

“The operation has not followed through with the plan in place for the nap cots. During the inspection it was observed that nap charts are not being followed and staff were working on the nap charts at the time of the walkthough.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2022. Correction verified: May 11, 2022.

Safety - Areas Free From Hazards

“On the open field playground, there are two boxes in the ground without covers and have wires in the boxes.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2022. Correction verified: Apr 28, 2022.

Cots, Beds, Mats Labeled With Child’s Name

“The children’s nap cots in the classrooms were labeled with numbers, but the number charts assigned to the children are not being followed, the charts are not updated, and some classrooms do not have a number chart where the children are not receiving the same cots everyday.”

Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2022. Correction verified: Apr 28, 2022.