Children’s Lighthouse of Spring

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

“Based on interviews and information obtained during the investigation, it was determined that the director used poor judgement by having a child lay on a changing table and be held down in order to administer medication to them.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 23, 2026.

Administering Medication - According to Label Directions

“Based on the information gathered during the investigation, medication was not administered as stated on the label directions. The child was under two years of age and there was no physician authorized dosage documented and signed in the child’s file for the medication prior to administration.”

Rule 746.3805(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 23, 2026.

Report Change in Director

“Based on the information gathered the operation, had a change of director and did not notify Licensing of the change as required.”

Rule 746.303(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 23, 2026.

Storage of Medication - Inaccessible to Children

“The child’s medication was not stored in compliance with minimum standards.”

Rule 746.3807(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2025. Correction verified: Aug 22, 2025.

Education Outside of U.S.

“While reviewing records it was found that two staff members did not have their education qualifications translated to english.”

Rule 746.1045. Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 2, 2024. Correction verified: Jul 26, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“During the walk through caregiver did not know how many children caregiver was responsible for. Caregiver stated that 15 but there were only 14 children in the classroom. Note: Caregiver had to look at roster to correct herself.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 26, 2024. Correction verified: Apr 29, 2024.

Responsibilities of Caregivers - Know children responsible for

“During the walk through one caregiver did not know how many children the caregiver was responsible for. The caregiver counted and stated 14 children when there was only 13 children in care.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2024. Correction verified: Mar 18, 2024.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“In Classroom #8, the inspector noticed a bottle of sanitizer wipes next to the children s drinking cups on the counter, accessible to the children. Note: The director removed wipes from the counter, placing them in the upper cabinet, inaccessible to the children.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 2, 2024.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“The diaper changing mat had a tear exposing the foam, the diaper changing mat looked as if it had been sanitized. Note: Picture was taken.”

Rule 746.3503(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2024. Correction verified: Jan 10, 2024.

Employee Handwashing After Using Cleaners or Toxic Chemicals

“A caregiver was seen utilizing cleaning supplies in classroom #7, however she neglected to wash her hands afterward. Note- When pointed out caregiver washed hands.”

Rule 746.3415(12). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 29, 2023.

Responsibilities of Caregivers - Know number of children responsible for

“During the walk-through in Classroom # 3 and #6 the caregivers did not know the number of children caring for. Note- Caregivers corrected themselves counting the correct number of children in each classroom.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2023. Correction verified: Dec 29, 2023.

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

“During the walk-through, it was observed that some of the classrooms were not adequately supervising the children and not maintaining classroom structure.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2023. Correction verified: Dec 29, 2023.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“During the walk-through, a bottle of sunscreen was found under an unlocked cabinet accessible to children in Classroom 6. Note: Corrected at inspection. The director removed sunscreen from Classroom 6.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 30, 2023.