Children's Lighthouse - Little Elm

Based on information obtained during an investigation, it was determined that a caregiver didn't demonstrated good judgement when she permitted children to pick up food from the ground and consume it.

Based on information obtained during an investigation, it was determined that a caregiver yelled at the children.

The operation did not conduct a fire extinguisher inspection for the month of July/2023.

The operation did not conduct a smoke detector testing for the following months: February, March, April, May, June, and July.

The documentation provided by the manufacturer, detailing the material's impact rating as well as the requirements for installation and maintenance, was not accessible for assessment during the inspection.

The operation did not conduct a CO detector test for the following months: May, June and July.

Ten staff files were observed and missing the following; Two staff files are missing how the staff qualify as a caregiver, One staff files are missing that the staff have signed off on receiving the personnel policies, and One staff file is missing orientation.

Two childrens files are missing hearing and vision.

It was determined that a caregiver did not adequately supervise children while using the outside play structure. The caregiver did not redirect the children while using the play structure equipment inappropriately.

The director did not use good judgment as medication was administered to a child twice despite the medication log being up to date, and the child making a comment that medication was being administered again.

Management did not communicate with each other to let each other know a child had already received medication, resulting in a child receiving medication twice in a day.

During the investigation, it was determined that two staff did not have training certificates for administering medication.

Documentation obtained from the operation, determined that diaper changes were not done for a child for approximately 5 hours. This resulted in a diaper rash.

Staff did not use good judgment when not following the sign in and out procedures for children in their care. Three classrooms were observed not following the procedures for transferring children in and out of the classroom.

On the playground three toy riding cars were observed with broken wheels. This was corrected at inspection by having the toy cars be removed from the playground.

Staff did not use good judgment when not following the sign in and out procedures for children in their care. Children are not being transferred to the correct classrooms when they are not in their assigned room.

Ones child's file was observed and is missing a health statement signed by the physician and immunization records.

One staff file was observed and is incomplete.

Staff did not use good judgment when not following the sign in and out procedures for children in their care.

During the investigation inspection, the opening classroom was observed with 1 caregiver and 19 children ranging from 18 months to 5 years old for more than 45 minutes.

A caregiver used inappropriate discipline by grabbing a child's arm after providing instructions to go to the carpet.

During transition from one classroom to another, one caregiver did not know which children they were responsible for.

Staff are not following the nap charts that are created in the classrooms and nap charts have not been updated.

The operation has not followed through with the plan in place for the nap cots. During the inspection it was observed that nap charts are not being followed and staff were working on the nap charts at the time of the walkthough.

On the open field playground, there are two boxes in the ground without covers and have wires in the boxes.

The children's nap cots in the classrooms were labeled with numbers, but the number charts assigned to the children are not being followed, the charts are not updated, and some classrooms do not have a number chart where the children are not receiving the same cots everyday.

Cribs compliance certificates were not avilable for review.