LSP Lakeway, Inc.

746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets · Medium High

Three children under 12 months were observed to have a loose fitting sheet in their cribs while asleep. The caregivers removed the sheet after the inspector addressed this hazard.

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

All feeding instructions in the younger infant class were observed to be past due.

746.3401(a) - Annual Sanitation Inspection · Medium High

The operation was unable to provide a recent custodial inspection report from A.P. Health.

746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean · Medium High

There were two walls with peeling paint observed in a classroom.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

Three caregivers did not know how many children they were responsible for supervising.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

A caregiver was present without a cleared background check.

746.303(a)(4) - Report Change in Director · Medium High

Child care Regulations was not notified of a change in director. Director qualifications were not submitted for a new person.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional · Medium High

Allergy action plan s did not have both a parent and medical professional signature.

746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional · Medium

Feeding schedules for the infant room aged six weeks to six months, the infant feeding schedules had not been reviewed and updated by parents. Feeding schedules were dated three months prior.

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

Diaper changing procedures were observed in two different classrooms. In both classrooms, the caregivers did not have the child wash their hands after having their diaper changed.

746.3415(4) - Employee Handwashing After Diapering a Child · Medium High

Diaper changing procedures were observed in two different classrooms. In both classrooms, the caregivers did not wash their hands after each diaper change.

746.4501(b) - Chairs - Safety Straps Used if Required by Manufacturer · Medium

Two infants were observed during snack time in a high chair. Neither child was buckled and secured with the safety straps.

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

During the investigation, parents confirmed that they are not receiving notification of less serious injuries resulting marks and/or bruises to children.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

A caregiver did not demonstrate self-control when handling a child roughly, causing bruises to the arm of a child.

746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited · High

Based on the evidence gathered during the DFPS investigation, it was determined that physical abuse was found reason to believe.

746.2409(a)(2) - Safety Requirements for Cribs - Snug Fitting Sheets · Medium High

The infant cribs did not have fitted sheets.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

During the inspection a caregiver was present without an eligible background. This was corrected when the director had the caregiver leave the operation.

746.1203(6) - Responsibilities of Caregivers - Free of other activities · Medium High

During a DFPS investigation, there was sufficient evidence to support that a caregiver was on her phone while supervising children in the classroom.

746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR · Medium High

During an investigation, there was sufficient evidence to support that one caregiver responsible for supervising a group of children did not have required first aid/CPR training.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children · High

During an investigation there was sufficient evidence to support that a child was left unsupervised for approximately 1 minute.

746.3401(a) - Annual Sanitation Inspection · Medium High

The opeartion does not have a current sanitation inspection.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The operation does not have a current fire inspection.