Lake Highlands Presbyterian CDC

High risk Employees and caregivers must show competence, good judgment and self-control.

State rule 746.1201(1) (minimum standards for child-care centers): "Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control"

Inspector's note: Through investigation it was determined that caregivers did not demonstrate competency and good judgment in the use of infant equipment at the operation, resulting in a child's injury.

Corrected Oct 22, 2026, verified by the state Nov 3, 2026. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "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.

Corrected Sep 11, 2026, verified by the state Sep 16, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Responsibilities of Caregivers - Share Information with Incoming Caregivers

State rule 746.1203(10) (minimum standards for child-care centers): "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.

Corrected Sep 11, 2026, verified by the state Sep 16, 2026.

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805(3) (minimum standards for child-care centers): "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.

Corrected Aug 20, 2026, verified by the state Aug 27, 2026. The inspector gave technical assistance (advice on how to comply).

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805(5) (minimum standards for child-care centers): "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.

Corrected Aug 20, 2026, verified by the state Aug 27, 2026. The inspector gave technical assistance (advice on how to comply).

High risk The operation must report to the state any situation that places children at risk.

State rule 746.305(a)(6) (minimum standards for child-care centers): "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.

Corrected Aug 20, 2026, verified by the state Aug 27, 2026. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "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.

Corrected May 26, 2026, verified by the state Jun 8, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Infant equipment such as high chairs and swings must be used with their safety straps.

State rule 746.2407 (minimum standards for child-care centers): "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.

Corrected May 26, 2026, verified by the state Jun 8, 2026.

High risk Employees and caregivers must show competence, good judgment and self-control.

State rule 746.1201(1) (minimum standards for child-care centers): "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.

Corrected Jun 11, 2026, verified by the state Jun 22, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Meals and drinks must follow the state's nutrition and food-service rules.

State rule 746.3301(i) (minimum standards for child-care centers): "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.

Corrected Jun 11, 2026, verified by the state Jun 22, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Incident and illness report forms must be filled in and shared with the parent.

State rule 746.707 (minimum standards for child-care centers): "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.

Corrected Jun 12, 2026, verified by the state Jun 22, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Infant equipment such as high chairs and swings must be used with their safety straps.

State rule 746.2407 (minimum standards for child-care centers): "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.

Corrected Feb 4, 2026, verified by the state Feb 19, 2026. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "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.

Corrected Jan 26, 2026, verified by the state Feb 4, 2026. The inspector gave technical assistance (advice on how to comply).

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805 (minimum standards for child-care centers): "Prohibited Punishments - No Harsh, Cruel or Unusual"

Inspector's note: A caregiver inappropriately redirected a child during nap by hitting their leg.

Corrected Dec 15, 2025, verified by the state Dec 29, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Each caregiver must know which children they are responsible for.

State rule 746.1205(a)(1) (minimum standards for child-care centers): "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.

Corrected Oct 24, 2025, verified by the state Oct 29, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Employees and caregivers must show competence, good judgment and self-control.

State rule 746.1201(1) (minimum standards for child-care centers): "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.

Corrected Oct 23, 2025, verified by the state Oct 29, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "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.

Corrected Aug 11, 2025, verified by the state Aug 25, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Responsibilities of Caregivers - Share Information with Incoming Caregivers

State rule 746.1203(10) (minimum standards for child-care centers): "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.

Corrected Aug 11, 2025, verified by the state Aug 25, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Play equipment 5 feet high or less needs at least six inches of loose-fill surfacing (such as mulch) underneath.

State rule 746.4907(a)(1) (minimum standards for child-care centers): "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.

Corrected Aug 18, 2025, verified by the state Aug 25, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Employees and caregivers must show competence, good judgment and self-control.

State rule 746.1201(1) (minimum standards for child-care centers): "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.

Corrected Jun 10, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk A child with a diagnosed food allergy must have an emergency plan signed by the parent and a health-care professional.

State rule 746.3819 (minimum standards for child-care centers): "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.

Corrected May 29, 2025, verified by the state May 29, 2025.

Medium-high risk Meals and drinks must follow the state's nutrition and food-service rules.

State rule 746.3301(i) (minimum standards for child-care centers): "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.

Corrected Jun 2, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Posting Requirements - Child's Food Allergy Plans

State rule 746.403(b) (minimum standards for child-care centers): "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.

Corrected Jun 2, 2025, verified by the state Jun 11, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Cots, beds and mats must be labelled with the child's name.

State rule 746.4503(b) (minimum standards for child-care centers): "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.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "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,

Corrected Feb 19, 2025, verified by the state Feb 26, 2025. The inspector gave technical assistance (advice on how to comply).

High risk The director must operate the center in compliance with the minimum standards.

State rule 746.1003(1) (minimum standards for child-care centers): "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.

Corrected Feb 19, 2025, verified by the state Feb 26, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "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.

Corrected Feb 19, 2025, verified by the state Feb 26, 2025. The inspector gave technical assistance (advice on how to comply).