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State records list 40 cited deficiencies dated February 13, 2024 to August 26, 2026 (20 High, 18 Medium High, 2 Medium risk). Correction status: 1 corrected at inspection, 39 with a correction date recorded, 0 with no correction date recorded.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 40 cited deficiencies for Lake Highlands Presbyterian CDC in the 3 years before October 10, 2026 (20 High, 18 Medium High, 2 Medium).
Records list 41 inspections in this window. Most recent inspection: 2026-09-25.
| Risk weight | Citations |
|---|---|
| High | 20 |
| Medium High | 18 |
| Medium | 2 |
| Medium Low | 0 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
2026-08-26 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
A caregiver failed to supervise children when they exited the classroom, leaving several children without an actively supervising caregiver for about two minutes.
Correction date recorded: 2026-09-11
2026-08-26 · 746.1203(10) · Medium High
Responsibilities of Caregivers - Share Information with Incoming Caregivers
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.
Correction date recorded: 2026-09-11
2026-07-28 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
The operation failed to timely report allegations of possible mistreatment of children to Child Care Regulation after management became aware of the concerns.
Correction date recorded: 2026-08-20
2026-08-26 · 746.1203(10) · Medium High
Responsibilities of Caregivers - Share Information with Incoming Caregivers
Corrected at inspection: No. Correction date: 2026-09-11. Correction verified: 2026-09-16.
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.
2026-08-26 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-09-11. Correction verified: 2026-09-16.
A caregiver failed to supervise children when they exited the classroom, leaving several children without an actively supervising caregiver for about two minutes.
2026-07-28 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2026-08-20. Correction verified: 2026-08-27.
During an investigation, it was determined that a caregiver used inappropriate verbal discipline by yelling at children.
2026-07-28 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2026-08-20. Correction verified: 2026-08-27.
It was determined that a caregiver used prohibited physical punishment by grabbing and pulling a child by one arm.
2026-07-28 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2026-08-20. Correction verified: 2026-08-27.
The operation failed to timely report allegations of possible mistreatment of children to Child Care Regulation after management became aware of the concerns.
2026-05-26 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2026-05-26. Correction verified: 2026-06-08.
I observed an infant sitting in a bouncer without being properly strapped in Infant A.
2026-05-26 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-05-26. Correction verified: 2026-06-08.
A caregiver in room 109 fell asleep while caring for children.
2026-05-22 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-06-11. Correction verified: 2026-06-22.
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.
2026-05-22 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2026-06-11. Correction verified: 2026-06-22.
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.
2026-05-22 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2026-06-12. Correction verified: 2026-06-22.
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.
2026-02-04 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2026-02-04. Correction verified: 2026-02-19.
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.
2026-01-07 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-01-26. Correction verified: 2026-02-04.
During a classroom transition, a child was left unattended.
2025-11-19 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2025-12-15. Correction verified: 2025-12-29.
A caregiver inappropriately redirected a child during nap by hitting their leg.
2025-10-03 · 746.1205(a)(1) · High
Responsibilities of Caregivers - Know children responsible for
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-10-29.
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.
2025-09-09 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-10-23. Correction verified: 2025-10-29.
This standard was tasked as part of an investigation and found deficient. A caregiver fed the wrong bottle to an infant.
2025-07-25 · 746.1203(10) · Medium High
Responsibilities of Caregivers - Share Information with Incoming Caregivers
Corrected at inspection: No. Correction date: 2025-08-11. Correction verified: 2025-08-25.
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.
2025-07-25 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2025-08-11. Correction verified: 2025-08-25.
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.
2025-07-15 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2025-08-18. Correction verified: 2025-08-25.
Loose fill under two playground structures does not meet a depth of at least six inches.
2025-05-22 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-05-29. Correction verified: 2025-05-29.
Five of the seven food allergy emergency plans do not have parent signatures.
2025-05-22 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-06-10. Correction verified: 2025-06-11.
This standard was tasked as part of an investigation and found deficient. A caregiver gave one child the wrong infant bottle.
2025-05-20 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2025-06-02. Correction verified: 2025-06-11.
This standard was tasked as part of an investigation and found deficient. A child was served food identified on their food allergy emergency plan.
2025-05-20 · 746.403(b) · Medium High
Posting Requirements - Child's Food Allergy Plans
Corrected at inspection: No. Correction date: 2025-06-02. Correction verified: 2025-06-11.
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.
2025-02-12 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: Yes. Correction date: 2025-02-12. Correction verified: Not recorded.
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.
2025-01-22 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2025-02-19. Correction verified: 2025-02-26.
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.
2025-01-22 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2025-02-19. Correction verified: 2025-02-26.
Caregivers in the operation left a child unattended in the classroom. The administrative staff found the child in the classroom.
2025-01-22 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2025-02-19. Correction verified: 2025-02-26.
A caregiver left 2 children unsupervised in the bathroom. After a minute the caregiver looked in the bathroom to monitor the children,
2024-11-11 · 746.4601(1) · High
Safety Requirements for Active Play Equipment - Arranged for Supervision
Corrected at inspection: No. Correction date: 2024-12-05. Correction verified: 2024-12-18.
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.
2024-08-29 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2024-08-29. Correction verified: 2024-09-06.
One caregiver was observed not washing a child's hands after diaper changing.
2024-04-05 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-04-09. Correction verified: 2024-04-16.
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.
2024-04-05 · 746.3505(a) · Medium High
Diapering Procedures - Caregiver's Hands Washed
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-16.
In two classrooms, caregiver's hands were not washed after diaper changing.
2024-04-05 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-16.
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.
2024-04-05 · 746.5207(a)(3) · Medium High
Emergency Evacuation and Relocation Diagram - Designated Location
Corrected at inspection: No. Correction date: 2024-04-12. Correction verified: 2024-04-16.
The designated relocation site was not indicate on the emergency evacuation diagrams.
2024-04-05 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-16.
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.
2024-04-05 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2024-04-24. Correction verified: 2024-04-18.
One caregiver that has worked at the operation for at least 90 days is not current in CPR training.
2024-04-05 · 746.5207(a)(4) · Medium High
Emergency Evacuation and Relocation Diagram - Designated Location Inside
Corrected at inspection: No. Correction date: 2024-04-12. Correction verified: 2024-04-16.
The emergency evacuation diagram does not indicate the location inside thte center where children and caregivers shelter in place.
2024-04-05 · 746.3505(b) · Medium High
Diapering Procedures - Wash Infant's Hands
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-16.
In two classrooms, infant's hands were not washed after diaper changing.
2024-04-04 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2024-04-30. Correction verified: 2024-05-03.
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.
2024-02-13 · 746.3407(13) · Medium High
Using, Storing and Disposing of Hazardous Materials
Corrected at inspection: No. Correction date: 2024-03-13. Correction verified: 2024-03-18.
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.
2024-02-13 · 746.1205(a)(1) · High
Responsibilities of Caregivers - Know children responsible for
Corrected at inspection: No. Correction date: 2024-03-13. Correction verified: 2024-03-18.
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.
2024-02-13 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: No. Correction date: 2024-03-13. Correction verified: 2024-03-18.
This standard was evaluated as part of an investigation and was in deficient. Bleach was inside a bubble bottle that was not labeled correctly.
2023-06-22 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-06-26. Correction verified: 2023-06-26.
An infant feeding instruction reviewed had not been updated within the required timeframe.
2023-06-22 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2023-06-22. Correction verified: 2023-06-28.
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.
2023-06-22 · 746.4135(c) · Medium
Children's Products-Posting of CPSC website
Corrected at inspection: Yes. Correction date: 2023-06-22. Correction verified: Not recorded.
The operation did not have updated documentation for CPSC recall items. This was corrected during inspection.
2023-06-21 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-07-19. Correction verified: 2023-07-27.
The operation failed to notify childcare regulation within the required timeframe when they were made aware of a situation that placed children at risk.
2023-06-21 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2023-07-19. Correction verified: 2023-07-27.
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.
2023-06-21 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2023-07-19. Correction verified: 2023-07-27.
This standard was evaluated as part of an investigation and was deficient. Children were being yelled at and humiliated.
2022-07-14 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2022-07-20. Correction verified: 2022-07-21.
Ten infant schedules were reviewed and did not have the required signature. Three of ten infant schedules reviewed did not have the required date.
2022-07-14 · 746.2909(1) · Medium High
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
Corrected at inspection: Yes. Correction date: 2022-07-14. Correction verified: Not recorded.
One child was blocking the classrooms entrance during naptime. The child was moved to another part of the classroom.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=268969
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.