Children's Lighthouse Cedar Park

The medication authorization for a child requiring medication administration expired in April of 2024.

A caregiver was observed placing a child in the crib on their stomach to nap. Caregiver was instructed to place the child in the crib on their back for nap.

Out of ten classrooms observed, three caregivers did not know the number children they were supervising.

Two employees were present, going in the classroom hallway, and classrooms without completed background checks. One had an inactive status on their background check. One had a pending background check. This was corrected when both employees left .

Children from one class were observed running between rooms, standing on a table, and pulling each other by coats and blankets during inspection.

One classroom was using screen time with a child under the age of 2 years old. This was corrected at inspection when the tablet was turned off.

During an investigation there is enough evidence to determine a caregiver was yelling at the children in care.

During an investigation a caregiver was observed moving two children by one of their arms, lifting them up off the floor to a new spot.

During an investigation it was found that a caregiver was leading a child to another table by pushing their head along the way, pushing children?s heads to a facedown position at tables, pushing a rolling bookshelf towards a child twice, and banging a tablet on a table by children. There is evidence to suggest the caregiver restrains children by holding them tightly.

During an investigation it was found that the operation did not provide an incident report to the parent within the required 48 hours.

During an investigation it was found that the operation waited multiple days to notify parents of children when they were made aware that a caregiver used prohibited punishment on their children while in care placing them at risk.

Three chidren were lacking the required immunizations.

Six staff were lacking food allergy and hazardous material training.

Children were observed eating lunch and watching a movie. Caregiver was informed why the television could not be on and the television was powered off.

Two caregivers were not aware of the children's ages in their care or where to obtain the information.

A caregiver did not know how many children were in their care.

The caregiver did not show good judgment when she decided to carry a child in a football hold that led the child to sustaining a head injury.

Children were observed sleeping with their blankets over their heads in three separate classrooms.

One caregiver did not have training in the following areas: (1)Emergency preparedness ; (2)Preventing and controlling the spread of communicable diseases, including immunizations ; (3)Administering medication, if applicable, including compliance with ?746.3803 of this chapter (relating to What authorization must I obtain before administering a medication to a child in my care?) ; (4)Preventing and responding to emergencies due to food or an allergic reaction ; (5)Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic ; and (6)Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).

Four staff members who transport children are missing their transportation training certificate.

One child did not have an emergency authorization on file.

The operation's vehicle safety alarms within their 4 vehicles used did not operate properly.

The operation did not have a CPSC form. This was corrected at inspection when the director was provided a form and it was signed.

One caregiver's records out of ten reviewed did not have up to date CPR & first aid certification.