Lake Highlands Presbyterian Cdc

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

“A caregiver failed to supervise children when they exited the classroom, leaving several children without an actively supervising caregiver for about two minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2026. Correction verified: Sep 16, 2026.

Responsibilities of Caregivers - Share Information with Incoming Caregivers

“A caregiver failed to share necessary information with an incoming caregiver by exiting the classroom without clearly communicating that they were leaving and without confirming that the incoming caregiver had assumed responsibility for the children.”

Rule 746.1203(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2026. Correction verified: Sep 16, 2026.

Prohibited Punishments - Grabbing and Pulling

“It was determined that a caregiver used prohibited physical punishment by grabbing and pulling a child by one arm.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 20, 2026. Correction verified: Aug 27, 2026.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“During an investigation, it was determined that a caregiver used inappropriate verbal discipline by yelling at children.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 20, 2026. Correction verified: Aug 27, 2026.

Report Situation Placing Children at Risk

“The operation failed to timely report allegations of possible mistreatment of children to Child Care Regulation after management became aware of the concerns.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 20, 2026. Correction verified: Aug 27, 2026.

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

“A caregiver in room 109 fell asleep while caring for children.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 26, 2026. Correction verified: Jun 8, 2026.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“I observed an infant sitting in a bouncer without being properly strapped in Infant A.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 26, 2026. Correction verified: Jun 8, 2026.

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

“This standard was tasked as part of an investigation and found to be deficient. A caregiver demonstrated poor judgement and competency after failing to follow allergy protocols and giving a child with diagnosed food allergen a food item without getting authorization from the child?s parent or reading the label to ensure it did not contain the child?s allergens.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2026. Correction verified: Jun 22, 2026.

Nutrition and Food Service - Must not serve identified foods to allergic child

“This standard was tasked as part of an investigation and found to be deficient. A child with a diagnosed food allergy was given a food item that contained three of the child?s identified allergens. Resulting in allergic reaction requiring medical treatment.”

Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2026. Correction verified: Jun 22, 2026.

Incident/Illness Report Form Shared with Parent

“This standard was tasked as part of an investigation and found to be deficient. The operation has not yet received parent signature on the incident report to indicate the report had been shared with the child’s parents.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: Jun 22, 2026.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“During an infant class observation, an infant was found not properly strapped into a child bouncer. This was corrected during the inspection after the caregiver strapped the child in.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 4, 2026. Correction verified: Feb 19, 2026.

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

“During a classroom transition, a child was left unattended.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 26, 2026. Correction verified: Feb 4, 2026.

Prohibited Punishments - No Harsh, Cruel or Unusual

“A caregiver inappropriately redirected a child during nap by hitting their leg.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2025. Correction verified: Dec 29, 2025.

Responsibilities of Caregivers - Know children responsible for

“This standard was tasked as part of an investigation and found deficient. Two caregivers transitioning a group of children outside did not ensure all children were accounted for before leaving the classroom. As a result, one child was left unattended in the classroom restroom.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2025. Correction verified: Oct 29, 2025.

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

“This standard was tasked as part of an investigation and found deficient. A caregiver fed the wrong bottle to an infant.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2025. Correction verified: Oct 29, 2025.

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

“This standard was tasked as part of an investigation and found deficient. A classroom was left unattended for at least five minutes due to a miscommunication between caregivers.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2025. Correction verified: Aug 25, 2025.

Responsibilities of Caregivers - Share Information with Incoming Caregivers

“This standard was tasked as part of an investigation and found deficient. A caregiver departing their classroom did not relay classroom information to the incoming caregiver, resulting in uncertainty about who was responsible for the group. This led to the classroom being left unattended for at least five minutes.”

Rule 746.1203(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2025. Correction verified: Aug 25, 2025.

Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“Loose fill under two playground structures does not meet a depth of at least six inches.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2025. Correction verified: Aug 25, 2025.

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

“This standard was tasked as part of an investigation and found deficient. A caregiver gave one child the wrong infant bottle.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 10, 2025. Correction verified: Jun 11, 2025.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“Five of the seven food allergy emergency plans do not have parent signatures.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2025. Correction verified: May 29, 2025.

Nutrition and Food Service - Must not serve identified foods to allergic child

“This standard was tasked as part of an investigation and found deficient. A child was served food identified on their food allergy emergency plan.”

Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2025. Correction verified: Jun 11, 2025.

Posting Requirements - Child’s Food Allergy Plans

“This standard was tasked as part of an investigation and found deficient. A child’s food allergy was not posted in their classroom by the child’s first day in care.”

Rule 746.403(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2025. Correction verified: Jun 11, 2025.

Cots, Beds, Mats Labeled With Child’s Name

“3 classrooms were checked, and found to have cots the did not have a child’s name on the cot or label with a number to match a child’s name assignment map available.”

Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 12, 2025.

Director Responsibilities - Operate in Compliance

“The operation did not have a procedure in place to account for the number of children that transitioned from one area of the operation to another.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 19, 2025. Correction verified: Feb 26, 2025.

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

“A caregiver left 2 children unsupervised in the bathroom. After a minute the caregiver looked in the bathroom to monitor the children,”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 19, 2025. Correction verified: Feb 26, 2025.

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

“Caregivers in the operation left a child unattended in the classroom. The administrative staff found the child in the classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 19, 2025. Correction verified: Feb 26, 2025.

Safety Requirements for Active Play Equipment - Arranged for Supervision

“This standard was tasked as part of an investigation and found deficient. Indoor furniture was arranged in a way that did not allow for caregivers to properly supervise.”

Rule 746.4601(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2024. Correction verified: Dec 18, 2024.

Children Handwashing After Toileting or Diapering

“One caregiver was observed not washing a child’s hands after diaper changing.”

Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2024. Correction verified: Sep 6, 2024.

Report Situation Placing Children at Risk

“A child with a food allergy indicated by the physician consumed food they were allergic to. This child experienced allergic reaction symptoms. This information was not reported to CCR.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 16, 2024.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“One caregiver that has worked at the operation for at least 90 days is not current in CPR training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2024. Correction verified: Apr 18, 2024.

Diapering Procedures - Caregiver’s Hands Washed

“In two classrooms, caregiver’s hands were not washed after diaper changing.”

Rule 746.3505(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 16, 2024.

Diapering Procedures - Wash Infant’s Hands

“In two classrooms, infant’s hands were not washed after diaper changing.”

Rule 746.3505(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 16, 2024.

Diapering Procedures - Sanitizing Diaper Changing Area

“Diaper changing tables are not sanitized according to the manufacturer instructions. The diaper changing surface is to be sprayed and set for one minute before wiping to be sanitized. Caregivers were not waiting the full minute to wipe down the table.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Apr 16, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child with diagnosed food allergy had an incomplete food allergy plan. The plan did not specify each food the child is allergic to, it did not list possible symptoms if the child is exposed to the food, steps to take if a child has an allergic reaction, and it was not signed by the parent.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 9, 2024. Correction verified: Apr 16, 2024.

Emergency Evacuation and Relocation Diagram - Designated Location

“The designated relocation site was not indicate on the emergency evacuation diagrams.”

Rule 746.5207(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 12, 2024. Correction verified: Apr 16, 2024.

Emergency Evacuation and Relocation Diagram - Designated Location Inside

“The emergency evacuation diagram does not indicate the location inside thte center where children and caregivers shelter in place.”

Rule 746.5207(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 12, 2024. Correction verified: Apr 16, 2024.

Prohibited Punishments - No Harsh, Cruel or Unusual

“This standard was tasked as part of an investigation and found deficient. Inappropriate guidance was used by a caregiver when redirecting a child’s behavior. The caregiver picked a child up by their legs and flipped them onto their stomach during naptime.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2024. Correction verified: May 3, 2024.

Responsibilities of Caregivers - Know children responsible for

“This standard was evaluated as part of an investigation and was in deficient. The caregivers did not know the group of children they were responsible for.”

Rule 746.1205(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2024. Correction verified: Mar 18, 2024.

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

“This standard was evaluated as part of an investigation and was in deficient. Bleach was inside a bubble bottle that was not labeled correctly.”

Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2024. Correction verified: Mar 18, 2024.

Using, Storing and Disposing of Hazardous Materials

“This standard was evaluated as part of an investigation and was in deficient. A child gained access to a hazardous material and spilled it on their clothes.”

Rule 746.3407(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2024. Correction verified: Mar 18, 2024.