Lake Highlands Presbyterian CDC

A caregiver in room 109 fell asleep while caring for children.

I observed an infant sitting in a bouncer without being properly strapped in Infant A.

This standard was tasked as part of an investigation and found to be deficient. A child with a diagnosed food allergy was given a food item that contained three of the child?s identified allergens. Resulting in allergic reaction requiring medical treatment.

This standard was tasked as part of an investigation and found to be deficient. A caregiver demonstrated poor judgement and competency after failing to follow allergy protocols and giving a child with diagnosed food allergen a food item without getting authorization from the child?s parent or reading the label to ensure it did not contain the child?s allergens.

This standard was tasked as part of an investigation and found to be deficient. The operation has not yet received parent signature on the incident report to indicate the report had been shared with the child's parents.

During an infant class observation, an infant was found not properly strapped into a child bouncer. This was corrected during the inspection after the caregiver strapped the child in.

During a classroom transition, a child was left unattended.

A caregiver inappropriately redirected a child during nap by hitting their leg.

This standard was tasked as part of an investigation and found deficient. Two caregivers transitioning a group of children outside did not ensure all children were accounted for before leaving the classroom. As a result, one child was left unattended in the classroom restroom.

This standard was tasked as part of an investigation and found deficient. A caregiver fed the wrong bottle to an infant.

This standard was tasked as part of an investigation and found deficient. A classroom was left unattended for at least five minutes due to a miscommunication between caregivers.

This standard was tasked as part of an investigation and found deficient. A caregiver departing their classroom did not relay classroom information to the incoming caregiver, resulting in uncertainty about who was responsible for the group. This led to the classroom being left unattended for at least five minutes.

Loose fill under two playground structures does not meet a depth of at least six inches.

This standard was tasked as part of an investigation and found deficient. A caregiver gave one child the wrong infant bottle.

Five of the seven food allergy emergency plans do not have parent signatures.

This standard was tasked as part of an investigation and found deficient. A child was served food identified on their food allergy emergency plan.

This standard was tasked as part of an investigation and found deficient. A child's food allergy was not posted in their classroom by the child's first day in care.

3 classrooms were checked, and found to have cots the did not have a child's name on the cot or label with a number to match a child's name assignment map available.

A caregiver left 2 children unsupervised in the bathroom. After a minute the caregiver looked in the bathroom to monitor the children,

The operation did not have a procedure in place to account for the number of children that transitioned from one area of the operation to another.

Caregivers in the operation left a child unattended in the classroom. The administrative staff found the child in the classroom.

This standard was tasked as part of an investigation and found deficient. Indoor furniture was arranged in a way that did not allow for caregivers to properly supervise.

One caregiver was observed not washing a child's hands after diaper changing.

In two classrooms, infant's hands were not washed after diaper changing.

A child with a food allergy indicated by the physician consumed food they were allergic to. This child experienced allergic reaction symptoms. This information was not reported to CCR.

The emergency evacuation diagram does not indicate the location inside thte center where children and caregivers shelter in place.

One child with diagnosed food allergy had an incomplete food allergy plan. The plan did not specify each food the child is allergic to, it did not list possible symptoms if the child is exposed to the food, steps to take if a child has an allergic reaction, and it was not signed by the parent.

The designated relocation site was not indicate on the emergency evacuation diagrams.

Diaper changing tables are not sanitized according to the manufacturer instructions. The diaper changing surface is to be sprayed and set for one minute before wiping to be sanitized. Caregivers were not waiting the full minute to wipe down the table.

One caregiver that has worked at the operation for at least 90 days is not current in CPR training.

In two classrooms, caregiver's hands were not washed after diaper changing.

This standard was tasked as part of an investigation and found deficient. Inappropriate guidance was used by a caregiver when redirecting a child's behavior. The caregiver picked a child up by their legs and flipped them onto their stomach during naptime.

This standard was evaluated as part of an investigation and was in deficient. Bleach was inside a bubble bottle that was not labeled correctly.

This standard was evaluated as part of an investigation and was in deficient. The caregivers did not know the group of children they were responsible for.

This standard was evaluated as part of an investigation and was in deficient. A child gained access to a hazardous material and spilled it on their clothes.

An infant was observed not being strapped in while sitting at a kidney feeding table. This was corrected during the inspection the infant was removed from table.

An infant feeding instruction reviewed had not been updated within the required timeframe.

The operation did not have updated documentation for CPSC recall items. This was corrected during inspection.

The operation failed to notify childcare regulation within the required timeframe when they were made aware of a situation that placed children at risk.

This standard was evaluated as part of an investigation and was deficient. A caregiver aggressively placed a child on their nap mat. It was also determined that a caregiver applied pressure with her arm on a child chest during diaper changing.

This standard was evaluated as part of an investigation and was deficient. Children were being yelled at and humiliated.

Ten infant schedules were reviewed and did not have the required signature. Three of ten infant schedules reviewed did not have the required date.

One child was blocking the classrooms entrance during naptime. The child was moved to another part of the classroom.