Childrens Lighthouse of Panther Creek

§746.605(6)

Fire safety & emergency drills

Medium-high risk

Corrected

Required Admission Information - Emergency Contact: 2 children need addresses for listed emergency contact. 1 child needs emergency contact information for admission form.

§746.605(11)

Fire safety & emergency drills

High risk

Corrected

Required Admission Information - Emergency Medical Authorization: 1 child needs a parent signature for authoriztion for emergency medical treatment.

§746.2419(6)

Food & nutrition

Medium-high risk

Corrected

Requirements for Feeding Infants - Label Bottles/Cups: Bottles for two infants weren't labeled in an infant classroom. This was corrected at inspection.

§746.605(7)

Facilities & equipment

High risk

Corrected

Required Admission Information - Release Information: 1 child needs parents to release information to be provided for admission form.

§746.4901(a)

Safety hazards

Medium-high risk

Corrected

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing: The older play area doesn't have loose fill and poses a safety hazard.

§746.901

Staff qualifications & clearances

Medium risk

Corrected

Required Personnel Records: Staff members are missing required personnel information in their personnel files.

§746.501(a)(23)

Supervision & ratios

Medium risk

Corrected

Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website: Procedures on how parents can access the minimum standards, child care regulation and HHSC website need to be added to the parent handbook.

Oct 31, 2024

§746.603(a)(2)

Fire safety & emergency drills

Medium risk

Corrected

Children's Records - Admission Information: This standard was reviewed as part of an investigation and found deficient. A child's enrollment form did not contain emergency medical authorization and their date of admission.

§746.3701

Safety hazards

Medium-high risk

Corrected

Safety - Areas Free From Hazards: Trash was observed on the playground while children were outside playing. An electrical cord was observed accessible to children on the playground.

§746.1315(b)

Staff qualifications & clearances

Medium-high risk

Corrected

Each Caregiver and the Director Must Have Current Training in pediatric CPR: One caregiver's CPR training expired 10/28/2024.

§746.5307(b)

Fire safety & emergency drills

Medium-high risk

Corrected

Fire Extinguishers Serviced: A fire extinguisher on one of the vehicles needs to be served as the arrow indicates it need recharging.

§746.1301(a)(5)(A)

Staff qualifications & clearances

Medium-high risk

Corrected

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training: One caregiver lacked 20.25 hours training to complete last years annual training. One caregivers record lacked 21 hours training to complete last years annual training. One caregivers record lacked 24 hours training to complete last years annual training. One caregivers record lacked documentation of 10.75 hours training to complete last years annual training.

§746.603(a)(2)

Supervision & ratios

Medium risk

Corrected

Children's Records - Admission Information: A sampling of children records were evaluated. Two children's records lacked their date of admission. Two children record's lacked a designated contact. Three children's records designated lacked the address of the designated contact.Ten children's records lacked documentation for transportation permission. Four children records lacked doctor or emergency care facility information. One child's record lacked emergency care authorization. One child's record lacked documentation the parents received and reviewed a copy of the operational policies.Six children records lacked a health statement. One child's record lacked an immunization record. One child's immunization record was observed incomplete.

§746.1315(a)

Staff qualifications & clearances

Medium-high risk

Corrected

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.: Three caregivers lacked documentation of current first aid training.

§746.2421(b)

Food & nutrition

Medium risk

Corrected

Written Feeding Instructions - Review and Update Every 30 Days: Two infant's feeding instruction forms had not been updated by the parent of a health care professional in the past 30 days.

§746.901

Supervision & ratios

Medium risk

Corrected

Required Personnel Records: Seven employee's records lacked a Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (Form 2912). One employees record lacked documentation the received and reviewed a copy of the Operational policies. One employee's record lacked a statement signed and dated by the employee verifying the date the employee attended training during orientation that includes an overview of your policy on the prevention, recognition, and reporting of child maltreatment. One employees record lacked a notarized Affidavit for Applicants for Employment with a Licensed Operation or Registered Child-Care Home (Form 2985).

Sep 13, 2024

§745.641

Supervision & ratios

High risk

Corrected

AP Background check results - Must receive notification prior to allowing subject to be present at your operation: One caregiver was present at inspection without a background check. This was corrected at inspection as this individual was sent home.

Sep 11, 2024

§746.605(11)

Supervision & ratios

High risk

Corrected

Required Admission Information - Emergency Medical Authorization: This standard was reviewed as part of an investigation and found deficient. A child's enrollment form did not contain emergency medical authorization. This was corrected during the investigation as the operation shared this child's date of withdrawal.

Sep 11, 2024

§746.901(10)

Staff qualifications & clearances

Medium risk

Corrected

Required Personnel Records - Current Driver's License: This standard was reviewed as part of an investigation and found deficient. One caregivers record lacked a copy of their photo ID and a signed affidavit. This was corrected at inspection as observed this individuals last date of employment.

Aug 6, 2024

§746.2805(5)

Supervision & ratios

High risk

Corrected

Prohibited Punishments - Humiliating, Rejecting, Yelling: This standard was evaluated as part of a DFPS investigation and found to be deficient. It was determined a caregiver yelled at children as a method of discipline. This caregiver is no longer employed by the operation.

Jan 17, 2024

§746.303(b)

Supervision & ratios

Medium-low risk

Corrected

Report Number of Employees: This standard was reviewed and found deficient as the operation failed to report by January 15, 2024, the number of employees who ceased working for the operation in 2023.

Dec 5, 2023

§746.3417(3)

Sanitation & hygiene

Medium-high risk

Corrected

Children Handwashing After Toileting or Diapering: A caregiver was observed changing a child's diaper and not washing the child's hands after.

Nov 21, 2023

§746.5617(a)(5)

Supervision & ratios

High risk

Corrected

Required Equipment in Vehicles - Fire Extinguisher: One of the operation vans was observed to not have an up to date fire extinguisher with the arrow in the red.

Nov 21, 2023

§746.5617(a)(6)

Staff qualifications & clearances

High risk

Corrected

Required Equipment in Vehicles - First-aid Kit: An incomplete first aid kit was observed in one of the transportation vans.

Nov 21, 2023

§746.3417(3)

Sanitation & hygiene

Medium-high risk

Corrected

Children Handwashing After Toileting or Diapering: A diaper changing process was observed to not wash a child's hands after the process was completed.

§746.307(b)(1)

Health records & medication

Medium-high risk

Corrected

AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization: This standard was evaluated as part of an investigation and found to be deficient. A child received an injury that later required medical attention and the parent was not immediately notified.

§746.305(a)(2)

Health records & medication

Medium-high risk

Corrected

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization: This standard was evaluated as part of an investigation and found to be deficient. The management staff did not report an injury to a child that required medical treatment.

§746.1601

Supervision & ratios

Medium-high risk

Corrected

Child/ Caregiver Ratio - 13 or More Children: This standard was evaluated as part of an investigation and found to be deficient. One caregiver was supervising eight children, ages 12-18 months, at the time of the incident.

§746.1301(a)(4)(A)

Supervision & ratios

Medium-high risk

Corrected

Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR: This standard was evaluated as part of an investigation and found to be deficient. One caregiver that was counted in ratio at the operation did not have current CPR training on file.

§746.1205(a)(5)

Other

High risk

Corrected

Responsibilities of Caregivers - Intervene to ensure each child's safety: This standard was evaluated as part of an investigation and found to be deficient. A caregiver did not intervene when two children were fighting over a toy which led to several scratches on a child's face.