Childrens Lighthouse Round Rock

746.3805(b)(3) - Administering Medication - Not After Expiration date · Medium High

2 children's medications were expired at the time of the inspection.

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children · High

Bathrooms had cleaning supplies that were accesible to children. THis was corrected at inspection when the director went through each room and placed the swiffer in the locked classroom closets.

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days · Medium

5 Infants did not have up to date infant feeding sheets.

746.1309(d) - Documented Annual Training - Caregivers of Children Under 24 Months Required · Medium High

3 out of 10 employee trainings reviewed were missing SIDs and Shaken Baby Annual Trainings.

746.2805(1) - Prohibited Punishments - Corporal Punishment · High

During a DFPS investigation, it was discovered a caregiver was pinching children on the cheeks.

746.305(a)(6) - Report Situation Placing Children at Risk · High

Based on the evidence gathered during the investigation, a situation that placed a child at risk was not reported to CCR.

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium High

During the walk through , caregivers were observed not washing the hands of children after toileting. This was corrected at inspection when the caregiver washed the children's hands.

746.3417(1) - Children Handwashing Before Eating · Medium High

Observe a child being served breakfast without hands being washed first. This was corrected by the child hands being washed.

746.307(c) - Parental Notification of Less Serious Injuries · Medium

Based on the information gathered during the inspection it was determined that a caregiver did not inform parent was not notified during pickup of child falling and hitting lip on a table. This was corrected by administration notifying the parent via email and phone call.

746.605(12) - Required Admission Information - Emergency Medical Authorization · High

One out of twenty five records reviewed was missing emergency medical authorization information.

746.605(14) - Required Admission Information - School Information for School-age Child · Medium

Two out of twenty five records reviewed were missing school information.