Lake Highlands Presbyterian Cdc

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
  Inspector's note: A caregiver failed to supervise children when they exited the classroom, leaving several children without an actively supervising caregiver for about two minutes. Risk level: High. Corrected by 2026-09-11.
• Critical Responsibilities of Caregivers - Share Information with Incoming Caregivers
  Inspector's note: A caregiver failed to share necessary information with an incoming caregiver by exiting the classroom without clearly communicating that they were leaving and without confirming that the incoming caregiver had assumed responsibility for the children. Risk level: Medium High. Corrected by 2026-09-11.

• Critical Responsibilities of Caregivers - Share Information with Incoming Caregivers
  Inspector's note: A caregiver failed to share necessary information with an incoming caregiver by exiting the classroom without clearly communicating that they were leaving and without confirming that the incoming caregiver had assumed responsibility for the children. Risk level: Medium High. Corrected by 2026-09-11.
• Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
  Inspector's note: A caregiver failed to supervise children when they exited the classroom, leaving several children without an actively supervising caregiver for about two minutes. Risk level: High. Corrected by 2026-09-11.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Prohibited Punishments - Grabbing and Pulling
  Inspector's note: It was determined that a caregiver used prohibited physical punishment by grabbing and pulling a child by one arm. Risk level: High. Corrected by 2026-08-20.
• Critical Prohibited Punishments - Humiliating, Rejecting, Yelling
  Inspector's note: During an investigation, it was determined that a caregiver used inappropriate verbal discipline by yelling at children. Risk level: High. Corrected by 2026-08-20.
• Critical Report Situation Placing Children at Risk
  Inspector's note: The operation failed to timely report allegations of possible mistreatment of children to Child Care Regulation after management became aware of the concerns. Risk level: High. Corrected by 2026-08-20.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
  Inspector's note: A caregiver in room 109 fell asleep while caring for children. Risk level: High. Corrected by 2026-05-26.
• Critical Infant Care Area Furnishings and Equipment -Use of Safety Straps
  Inspector's note: I observed an infant sitting in a bouncer without being properly strapped in Infant A. Risk level: Medium High. Corrected by 2026-05-26.

• Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
  Inspector's note: 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. Risk level: High. Corrected by 2026-06-11.
• Non-critical Incident/Illness Report Form Shared with Parent
  Inspector's note: 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. Risk level: Medium. Corrected by 2026-06-12.
• Critical Nutrition and Food Service - Must not serve identified foods to allergic child
  Inspector's note: 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. Risk level: Medium High. Corrected by 2026-06-11.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Infant Care Area Furnishings and Equipment -Use of Safety Straps
  Inspector's note: 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. Risk level: Medium High. Corrected by 2026-02-04.

No infractions recorded at this inspection.

• Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
  Inspector's note: During a classroom transition, a child was left unattended. Risk level: High. Corrected by 2026-01-26.

No infractions recorded at this inspection.

• Critical Prohibited Punishments - No Harsh, Cruel or Unusual
  Inspector's note: A caregiver inappropriately redirected a child during nap by hitting their leg. Risk level: High. Corrected by 2025-12-15.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Responsibilities of Caregivers - Know children responsible for
  Inspector's note: 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. Risk level: High. Corrected by 2025-10-24.

No infractions recorded at this inspection.

• Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
  Inspector's note: This standard was tasked as part of an investigation and found deficient. A caregiver fed the wrong bottle to an infant. Risk level: High. Corrected by 2025-10-23.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Responsibilities of Caregivers - Share Information with Incoming Caregivers
  Inspector's note: 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. Risk level: Medium High. Corrected by 2025-08-11.
• Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
  Inspector's note: 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. Risk level: High. Corrected by 2025-08-11.

• Critical Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
  Inspector's note: Loose fill under two playground structures does not meet a depth of at least six inches. Risk level: Medium High. Corrected by 2025-08-18.

No infractions recorded at this inspection.

• Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
  Inspector's note: This standard was tasked as part of an investigation and found deficient. A caregiver gave one child the wrong infant bottle. Risk level: High. Corrected by 2025-06-10.

• Critical Food Allergy Emergency Plan Signed by Parents and Health Care Professional
  Inspector's note: Five of the seven food allergy emergency plans do not have parent signatures. Risk level: Medium High. Corrected by 2025-05-29.

No infractions recorded at this inspection.

• Critical Posting Requirements - Child's Food Allergy Plans
  Inspector's note: 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. Risk level: Medium High. Corrected by 2025-06-02.
• Critical Nutrition and Food Service - Must not serve identified foods to allergic child
  Inspector's note: This standard was tasked as part of an investigation and found deficient. A child was served food identified on their food allergy emergency plan. Risk level: Medium High. Corrected by 2025-06-02.

No infractions recorded at this inspection.

• Non-critical Cots, Beds, Mats Labeled With Child's Name
  Inspector's note: 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. Risk level: Medium. Corrected during the inspection.

No infractions recorded at this inspection.

• Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
  Inspector's note: A caregiver left 2 children unsupervised in the bathroom. After a minute the caregiver looked in the bathroom to monitor the children, Risk level: High. Corrected by 2025-02-19.

• Critical Director Responsibilities - Operate in Compliance
  Inspector's note: 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. Risk level: High. Corrected by 2025-02-19.
• Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
  Inspector's note: Caregivers in the operation left a child unattended in the classroom. The administrative staff found the child in the classroom. Risk level: High. Corrected by 2025-02-19.

No infractions recorded at this inspection.

• Critical Safety Requirements for Active Play Equipment - Arranged for Supervision
  Inspector's note: 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. Risk level: High. Corrected by 2024-12-05.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Children Handwashing After Toileting or Diapering
  Inspector's note: One caregiver was observed not washing a child's hands after diaper changing. Risk level: Medium High. Corrected by 2024-08-29.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Food Allergy Emergency Plan Signed by Parents and Health Care Professional
  Inspector's note: 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. Risk level: Medium High. Corrected by 2024-04-09.
• Critical Emergency Evacuation and Relocation Diagram - Designated Location
  Inspector's note: The designated relocation site was not indicate on the emergency evacuation diagrams. Risk level: Medium High. Corrected by 2024-04-12.
• Critical Emergency Evacuation and Relocation Diagram - Designated Location Inside
  Inspector's note: The emergency evacuation diagram does not indicate the location inside thte center where children and caregivers shelter in place. Risk level: Medium High. Corrected by 2024-04-12.
• Critical Diapering Procedures - Caregiver's Hands Washed
  Inspector's note: In two classrooms, caregiver's hands were not washed after diaper changing. Risk level: Medium High. Corrected by 2024-04-05.
• Critical Report Situation Placing Children at Risk
  Inspector's note: 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. Risk level: High. Corrected by 2024-04-05.
• Critical Diapering Procedures - Wash Infant's Hands
  Inspector's note: In two classrooms, infant's hands were not washed after diaper changing. Risk level: Medium High. Corrected by 2024-04-05.
• Critical Each Caregiver and the Director Must Have Current Training in pediatric CPR
  Inspector's note: One caregiver that has worked at the operation for at least 90 days is not current in CPR training. Risk level: Medium High. Corrected by 2024-04-24.
• Critical Diapering Procedures - Sanitizing Diaper Changing Area
  Inspector's note: 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. Risk level: Medium High. Corrected by 2024-04-05.

• Critical Prohibited Punishments - No Harsh, Cruel or Unusual
  Inspector's note: 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. Risk level: High. Corrected by 2024-04-30.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
  Inspector's note: This standard was evaluated as part of an investigation and was in deficient. Bleach was inside a bubble bottle that was not labeled correctly. Risk level: High. Corrected by 2024-03-13.
• Critical Responsibilities of Caregivers - Know children responsible for
  Inspector's note: 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. Risk level: High. Corrected by 2024-03-13.
• Critical Using, Storing and Disposing of Hazardous Materials
  Inspector's note: 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. Risk level: Medium High. Corrected by 2024-03-13.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Non-critical Children's Products-Posting of CPSC website
  Inspector's note: The operation did not have updated documentation for CPSC recall items. This was corrected during inspection. Risk level: Medium. Corrected during the inspection.
• Critical Infant Care Area Furnishings and Equipment -Use of Safety Straps
  Inspector's note: 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. Risk level: Medium High. Corrected by 2023-06-22.
• Non-critical Written Feeding Instructions - Review and Update Every 30 Days
  Inspector's note: An infant feeding instruction reviewed had not been updated within the required timeframe. Risk level: Medium. Corrected by 2023-06-26.

• Critical Prohibited Punishments - Humiliating, Rejecting, Yelling
  Inspector's note: This standard was evaluated as part of an investigation and was deficient. Children were being yelled at and humiliated. Risk level: High. Corrected by 2023-07-19.
• Critical Report Situation Placing Children at Risk
  Inspector's note: The operation failed to notify childcare regulation within the required timeframe when they were made aware of a situation that placed children at risk. Risk level: High. Corrected by 2023-07-19.
• Critical Responsibilities of Caregivers - Interact positively with children
  Inspector's note: 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. Risk level: Medium High. Corrected by 2023-07-19.