Childrens Lighthouse of McKinney

4 children admission information did not list the parents signature authorizing emergency medical treatment when children are in care.

The vehicle that is used to transport children did not have a serviced fire extinguisher.

Children that did not bring water bottles with them to the operation did not have always have access to drinking water during outdoor play.

Based on a review of information obtained during a DFPS investigation it was determined that a director did not supervise a caregiver that transports children to ensure transportation procedures/protocols were followed which resulted in a child left on a vehicle for 30 minutes.

Based on a review of information obtained during a DFPS investigation it was determined that a caregiver did not adequately supervise a child which resulted in a child left behind on a transporting vehicle which placed a child at risk of bodily harm or injury.

This standard was found deficient as part of a DFPS Investigation.

Based on a review of information obtained during a DFPS investigation it was determined that a child was left on a vehicle unattended for 30 minutes.

Based on interviews with the parent and staff, a metal fence that encloses a landscape drainage on the pre-k playground is a safety hazard. A young child was able to get their head entrapped between 2 parallel bars.

The area at the front of the operation where infant care seats are stored was not labeled with the child's name. The deficiency was corrected during the inspection when the director labeled the car seats/ storage area with the child's first and last name.

Based on an interview with staff, management did not report a situation that placed a child at risk.

Based on interviews with staff, a caregiver did not consider a child's cognitive development to adequately supervise a child. The caregiver was not in close proximity or visual aware of a child's on-going activity during outdoor play which resulted in the child's head entrapped between 2 parallel bars that encloses a drain on the pre-k playground.

A child with a diagnosis food allergy did not have a complete food allergy plan on file.

Based on the interview with the parent of a child and the staff, the operation was found not to be in compliance with the standard evaluated for a standard investigation. The parent was not notified of an injury that required medical treatment by a health care professional. Management notified a relative during pick-up instead.

The standard is evaluated for a standard investigation and was found not compliant. Based on interviews with staff and a parent, a caregiver placed a child in a bathroom with the door closed for displaying inappropriate behavior.

The standard was evaluated for a standard investigation and was found not compliant. Based on interviews with staff and a parent, it was determined that the caregiver did not demonstrate good judgment when a child was placed in the bathroom with the door closed as the caregiver stood in front of the bathroom door to speak to the child about their inappropriate behavior.

It was determined through an investigation that a child grabbed a child roughly during naptime after the child had gone to the wrong nap mat.

During this inspection, a caregiver allowed children between 18-24 months engaged in screen time. The deficiency was corrected during the inspection when the caregiver ended the screen time and removed the tablet and transition the children to another activity.

Two infants were observed asleep in restrictive devices; one was asleep in a high chair and another infant was asleep while placed in an infant seat. After it was brought to the caregivers attention that young infants that are non-mobile must nap in a crib, the caregivers removed the infants and placed each infant in a face up position in a crib.

The outdoor playgrounds have 4 holes that may cause a tripping hazard.

The standard was evaluated for a standard investigation and was found not to be in compliance. Based on interviews with parents, it has been determined that infant daily reports are not shared with parents.

Two infant bottles were labeled. Labeling the children's bottle with the child's first and last name will reduce the risk of infants' bottle feed the incorrect formula and causing an allergic reaction.

Three infants did not have current infant feeding instructions. The feeding instructions were last shared with the parents March 2024. Caregivers reviewing the feeding instructions at least once a month ensure the caregivers have the most recent feeding instruction instructions feed the infants the proper nutrients each day at the operation.

This standard was tasked over for this investigation and found to be deficient. It was determined during the investigation that the caregiver in charge of the child did not properly communicate with the incoming staff or parent about the whereabouts of the child's device when needed. This caused confusion overall.

At the time of inspection infants were observed not having their hands washed after diaper changes. The caregivers also did not wash their hands following the diapering procedures.

During the inspection time we observed three cribs without crib bedding present. The sheets had been washed and were placed back on the cribs during the inspection time.

This standard was tasked over for this investigation and found to be deficient during the physical inspection. A few of the infants in care were observed crying for a period of time, placed in a rocker for over 15 minutes, and observed crying and standing in their cribs.

This standard was evaluated as part of the investigation and was found to be deficient. A caregiver leaving for the day did not share information with an incoming caregiver concerning a child who had received a minor injury earlier in the day while the child was in care

The immunization exemption form had expired for one child.