Instituto Bilingue Montessori San Jose

Child/Caregiver Ratio - 18 Months Difference in Age

“Two caregivers were providing care for 22 children ages 15mo to 2yo. Youngest child is 15mo and oldest child 34mo. Note: During inspection children were separated into two different classrooms.”

Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 2, 2026. Correction verified: Apr 8, 2026.

Required Equipment in Vehicles - Emergency Medical Information

“Transportation binders taken during routes are missing parent s names / telephone numbers, emergency telephone numbers, emergency medical transport and treatment authorization forms for each child being transported. Note: This was corrected at inspection when provider made copies of the admission form to be added to the transportation binders.”

Rule 746.5617(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 30, 2026.

Safety - Areas Free From Hazards

“An AC unit is within playground and accessible to children, one of the mulch barriers is broken, two active play structures are 1’6” within each other and there is a play structure with slide underneath regular flooring (not surfacing).”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 1, 2026. Correction verified: Apr 1, 2026.

Notification of Additional Services Offered

“Operation provided transportation service prior to CCR approval. Note: This was corrected at inspection when service was reviewed and approved during inspection.”

Rule 746.301(7). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 18, 2025.

Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

“Play structure has broken components including broken metal and plastic parts, rotten wood, exposed screws and lifted lining.”

Rule 746.4601(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2026. Correction verified: Jan 22, 2026.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“Operation has two areas with active play equipment, the equipment is surrounded by 1-4 inch of pea gravel.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2026. Correction verified: Jan 22, 2026.

Measurement of Use Zone for Stationary Equipment

“Operation has two active play structures 3ft away from each other.”

Rule 746.4803. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2026. Correction verified: Jan 22, 2026.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“A caregiver was present at operation and providing care for children without an active/current background check. Note: This was corrected at inspection when provider submitted a background check request and sent the employee home pending background check eligibility notice.”

Rule 745.641. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 3, 2025.

Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

“One out of ten staff files reviewed has a invalid high school diploma.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2025. Correction verified: Apr 17, 2025.

Safety - Areas Free From Hazards

“Play structure in the playground has oxidized material underneath the structure.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2025. Correction verified: Apr 17, 2025.

Children’s Records - Vision and Hearing Screening

“Two out of ten children’s records reviewed are missing hearing / vision screening.”

Rule 746.603(a)(6). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2025. Correction verified: Apr 17, 2025.

Education Outside of U.S.

“Two caregivers with education received outside of the United States did not have the documents translated into English.”

Rule 746.1111. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2024. Correction verified: Oct 15, 2024.

Required Personnel Records- Meets Requirements

“1 of 10 personnel records reviewed was missing the documentation showing how the employee meets the minimum age and education qualifications.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 11, 2024. Correction verified: Nov 18, 2024.

Documentation PEDIATRIAC CPR-1st aid original certificate on file at center or copy available if licensing requests

“A caregiver was not able to provide an original certificate or letter documenting the completion of pediatric first aid and pediatric CPR upon CCR’s request.”

Rule 746.1329(c)(2). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2024. Correction verified: Oct 15, 2024.

Hand Sanitizer - Stored Out of Child’s Reach When Not in Use

“Three bottles of hand sanitizers were observed on top of a shelf within children’s reach in two classrooms. Note: This was CORRECTED during the inspection as the bottles of hand sanitizers were stored in an area out of children’s reach.”

Rule 746.3420(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 30, 2024.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“Based on the information obtained during DFPS investigation it was determined a child was involved in an incident that raised to the level of abuse under the care of the operation.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2024. Correction verified: Mar 26, 2024.

Prohibited Punishments - No Harsh, Cruel or Unusual

“Based on the information obtained during DFPS investigation it was determined a caregiver used inappropriate forms of discipline towards a child in care including grabbing, pulling, and dragging.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2024. Correction verified: Mar 26, 2024.