Children’s Lighthouse - Grand Mission

Responsibilities of Caregivers - Know children’s names and ages

“The caregiver in the school age classroom could not identify how old the youngest child was. CCR Inspector specificlly asked for information with birthdate of the child, but the caregiver still could not provide that information.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2023. Correction verified: Nov 7, 2023.

Responsibilities of Employees and Caregivers -Relate to Children

“A caregiver did not relate to a child with respect and patience when she positioned herself directly in front of the child?s face and spoke to the child in an inappropriate tone.”

Rule 746.1201(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 20, 2023.

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

“Physical abuse occurred when a caregiver forcefully grabbed an 11-month-old child?s face and shoulder to redirect a child?s behavior. The caregiver sat the child in a chair with force, which resulted in the child falling backwards.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 20, 2023.

Prohibited Punishments - Grabbing and Pulling

“Inappropriate discipline occurred when a caregiver forcefully grabbed a child by the face, shirt, and shoulder.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 20, 2023.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“The child?s parent was not provided with an incident report concerning an incident that placed the child at risk of potential injury or harm.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 20, 2023.

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 a child fell from a highchair while in care.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2023. Correction verified: Jun 22, 2023.

Responsibilities of Caregivers - Know children responsible for

“A caregiver did not know what children she was responsible for when picking up a child from school that was not enrolled in the center.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2023. Correction verified: May 31, 2023.

Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

“The most recent fire inspection report was not available to review during the inspection.”

Rule 746.801(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2023. Correction verified: Feb 22, 2023.

Children’s Products- Annual Certification

“The children’s products certification was not available to review. Note: it was corrected at the inspection time.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 15, 2023.

Required Records Maintained and Made Available - Sanitation Inspection Report

“The most recent sanitation inspection was not available to review.”

Rule 746.801(12). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2023. Correction verified: Feb 22, 2023.

Responsibilities of Caregivers - Supervision of Children

“Based on the information gathered in the investigation this standard was found deficient.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 1, 2023. Correction verified: Feb 15, 2023.

One Seat Belt Per Person

“Based on the information obtained, the operation exceeded the capacity of the childcare center bus when transporting children in care.”

Rule 746.5613. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2022. Correction verified: Dec 7, 2022.

Care Requirements for School-age - Caregiver Aware of Arrival/Departure

“The driver was not aware of each child who ride the bus.”

Rule 746.2701(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 18, 2022.

Children’s Records - Immunizations

“A child’s immunization records was not available to review during the monitoring inspection.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 23, 2022. Correction verified: Aug 23, 2022.

CPR Training and Recertification Adhere to Guidelines-skill based

“It was confirmed that the staff is lacking of the hands-on practice part of the CPR training.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2022. Correction verified: Sep 27, 2022.

Child/ Caregiver Ratio - 13 or More Children

“Based on the information obtained, the operation was not found in compliance.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2022. Correction verified: Sep 27, 2022.

Care Requirements for Toddlers - Individual Attention

“Based on the information obtained during the investigation, the operation failed in providing individual attention to a toddler.”

Rule 746.2501(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2022. Correction verified: Aug 8, 2022.

Care Requirements for Toddlers - Holding and Comforting

“Based on the information obtained during the investigation, the operation failed to hold and comfort a toddler that was upset.”

Rule 746.2501(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2022. Correction verified: Aug 8, 2022.

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

“Based on the DFPS investigation findings, a child fell 42 inches to the ground from a high chair.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

Responsibilities of Caregivers- Supervision of Children

“Supervision was not maintained when a caregiver moved away from a child who was not probably fastened in a high chair.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“Safety straps were not used when a child was placed in a high chair for feeding time.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2022. Correction verified: May 4, 2022.