The records include recorded violations parents may want to understand before enrolling. These are conversation starters, not a pass-or-fail judgment.
Next: Review the inspection history below and ask the provider what the records mean and what changed afterward.
Summary
This summary covers 65 available inspections for Lake Highlands Presbyterian CDC from August 24, 2021 through August 10, 2026.
24 inspections recorded violations, with 45 recorded violations in total.
The most recent higher-concern violation was on May 26, 2026 and involved equipment or readiness.
Supervision was a higher-concern topic that showed up in eight inspections.
Six later inspections, from June 8, 2026 through August 10, 2026, showed no recorded violations, but the records do not say whether they were formal follow-ups.
At a glance
Total inspections
65
23 in last 12 months
Recorded violations
45
10 in last 12 months
Higher-concern violations
40
9 in last 12 months
Repeated topics
5
Last 36 months
Local comparison
65 total inspections vs 10 local median in 75238
Compared to 13 local facilities
Recorded violations per inspection
This provider
0.69
Local median
0.67
0.69This provider
0.67Local median
Inspections with higher-concern violations
This provider
35%
Local median
24%
35%This provider
24%Local median
Inspections with recorded violations
This provider
37%
Local median
33%
37%This provider
33%Local median
Repeated topics
This provider
5
Local average
1
5This provider
1Local average
Repeated topics
Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.
Supervision
Appeared across 8 inspections, with 9 recorded violations.
A caregiver in room 109 fell asleep while caring for children.
Correction deadline
May 26, 2026
Correction status
Correction evaluated June 8, 2026
More details
Official Texas risk level
High
Report section
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Official code
746.1205(a)(4)
Higher concern: Equipment or readiness
Report finding
I observed an infant sitting in a bouncer without being properly strapped in Infant A.
Correction deadline
May 26, 2026
Correction status
Correction evaluated June 8, 2026
More details
Official Texas risk level
Medium High
Report section
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
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.
Correction deadline
June 11, 2026
Correction status
Correction evaluated June 22, 2026
More details
Official Texas risk level
High
Report section
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Official code
746.1201(1)
Higher concern: Facility condition
Report finding
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.
Correction deadline
June 11, 2026
Correction status
Correction evaluated June 22, 2026
More details
Official Texas risk level
Medium High
Report section
746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
Official code
746.3301(i)
Medium concern: Incident records
Report finding
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.
Correction deadline
June 12, 2026
Correction status
Correction evaluated June 22, 2026
More details
Official Texas risk level
Medium
Report section
746.707 - Incident/Illness Report Form Shared with Parent
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.
Correction deadline
February 4, 2026
Correction status
Correction evaluated February 19, 2026
More details
Official Texas risk level
Medium High
Report section
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
During a classroom transition, a child was left unattended.
Correction deadline
January 26, 2026
Correction status
Correction evaluated February 4, 2026
More details
Official Texas risk level
High
Report section
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
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.
Correction deadline
October 24, 2025
Correction status
Correction evaluated October 29, 2025
More details
Official Texas risk level
High
Report section
746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
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.
Correction deadline
August 11, 2025
Correction status
Correction evaluated August 25, 2025
More details
Official Texas risk level
Medium High
Report section
746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
Official code
746.1203(10)
Higher concern: Supervision
Report finding
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.
Correction deadline
August 11, 2025
Correction status
Correction evaluated August 25, 2025
More details
Official Texas risk level
High
Report section
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium
Report section
746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Caregivers in the operation left a child unattended in the classroom. The administrative staff found the child in the classroom.
Correction deadline
February 19, 2025
Correction status
Correction evaluated February 26, 2025
More details
Official Texas risk level
High
Report section
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Official code
746.1205(a)(4)
Higher concern: Licensing compliance
Report finding
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.
Correction deadline
February 19, 2025
Correction status
Correction evaluated February 26, 2025
More details
Official Texas risk level
High
Report section
746.1003(1) - Director Responsibilities - Operate in Compliance
A caregiver left 2 children unsupervised in the bathroom. After a minute the caregiver looked in the bathroom to monitor the children,
Correction deadline
February 19, 2025
Correction status
Correction evaluated February 26, 2025
More details
Official Texas risk level
High
Report section
746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
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.
Correction deadline
December 5, 2024
Correction status
Correction evaluated December 18, 2024
More details
Official Texas risk level
High
Report section
746.4601(1) - Safety Requirements for Active Play Equipment - Arranged for Supervision
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.
Correction deadline
April 5, 2024
Correction status
Correction evaluated April 16, 2024
More details
Official Texas risk level
Medium High
Report section
746.3505(e) - Diapering Procedures - Sanitizing Diaper Changing Area
Official code
746.3505(e)
Higher concern: Facility condition
Report finding
In two classrooms, infant's hands were not washed after diaper changing.
The designated relocation site was not indicate on the emergency evacuation diagrams.
Correction deadline
April 12, 2024
Correction status
Correction evaluated April 16, 2024
More details
Official Texas risk level
Medium High
Report section
746.5207(a)(3) - Emergency Evacuation and Relocation Diagram - Designated Location
Official code
746.5207(a)(3)
Higher concern: Equipment or readiness
Report finding
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.
Correction deadline
April 9, 2024
Correction status
Correction evaluated April 16, 2024
More details
Official Texas risk level
Medium High
Report section
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Official code
746.3819
Higher concern: Incident records
Report finding
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.
Correction deadline
April 5, 2024
Correction status
Correction evaluated April 16, 2024
More details
Official Texas risk level
High
Report section
746.305(a)(6) - Report Situation Placing Children at Risk
Official code
746.305(a)(6)
Higher concern: Staff training
Report finding
One caregiver that has worked at the operation for at least 90 days is not current in CPR training.
Correction deadline
April 24, 2024
Correction status
Correction evaluated April 18, 2024
More details
Official Texas risk level
Medium High
Report section
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
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.
Correction deadline
April 30, 2024
Correction status
Correction evaluated May 3, 2024
More details
Official Texas risk level
High
Report section
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
This standard was evaluated as part of an investigation and was in deficient. Bleach was inside a bubble bottle that was not labeled correctly.
Correction deadline
March 13, 2024
Correction status
Correction evaluated March 18, 2024
More details
Official Texas risk level
High
Report section
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Official code
746.3407(12)
Higher concern: Supervision
Report finding
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.
Correction deadline
March 13, 2024
Correction status
Correction evaluated March 18, 2024
More details
Official Texas risk level
High
Report section
746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
Official code
746.1205(a)(1)
Higher concern: Hazardous access
Report finding
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.
Correction deadline
March 13, 2024
Correction status
Correction evaluated March 18, 2024
More details
Official Texas risk level
Medium High
Report section
746.3407(13) - Using, Storing and Disposing of Hazardous Materials
An infant feeding instruction reviewed had not been updated within the required timeframe.
Correction status
Correction evaluated June 26, 2023
More details
Official Texas risk level
Medium
Report section
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Official code
746.2421(b)
Medium concern: Administrative posting
Report finding
The operation did not have updated documentation for CPSC recall items. This was corrected during inspection.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium
Report section
746.4135(c) - Children's Products-Posting of CPSC website
Official code
746.4135(c)
Higher concern: Equipment or readiness
Report finding
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.
Correction deadline
June 22, 2023
Correction status
Correction evaluated June 28, 2023
More details
Official Texas risk level
Medium High
Report section
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
The operation failed to notify childcare regulation within the required timeframe when they were made aware of a situation that placed children at risk.
Correction deadline
July 19, 2023
Correction status
Correction evaluated July 27, 2023
More details
Official Texas risk level
High
Report section
746.305(a)(6) - Report Situation Placing Children at Risk
Official code
746.305(a)(6)
Higher concern: Child guidance
Report finding
This standard was evaluated as part of an investigation and was deficient. Children were being yelled at and humiliated.
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.
Correction deadline
July 19, 2023
Correction status
Correction evaluated July 27, 2023
More details
Official Texas risk level
Medium High
Report section
746.1203(5) - Responsibilities of Caregivers - Interact positively with children
A infant was observed sitting in a Kidney Table without being strapped in with the safety straps. This was corrected during the inspection.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.3701 - Safety - Areas Free From Hazards
Official code
746.3701
Higher concern: Child guidance
Report finding
A 13 week old infant was observed asleep wearing a swaddle blanket that restricted the child's arms. This was removed from the infant during the inspection.
Correction status
Completed at time of inspection
More details
Official Texas risk level
High
Report section
746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File