Star Montessori School

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“Two infants were sitting in high chairs without the safety straps fastened. This was corrected when the infants were removed from the high chairs.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 17, 2025. Correction verified: Jan 22, 2026.

Administering Medication - Original Container with Child’s Name, Date

“Two children had medication that were not in the original containers.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2026. Correction verified: Jan 15, 2026.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child with a diagnosed food allergy was missing medication that was listed on their food allergy plan. The plan requires an epi-pen and antihistamine and they were missing the antihistamine.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2026. Correction verified: Jan 15, 2026.

Medication No Longer Used

“Two children with diagnosed food allergies had expired medication.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2026. Correction verified: Jan 15, 2026.

Children’s Records - Health Statement

“Five children did not have a health statement provided in their record.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 2, 2024.

Children’s Records - Immunizations

“One child was missing 1 dose of their DTap vaccine and 3 doses of their PCV vaccine.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Jul 23, 2024.

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

“A caregiver was present and had access to children prior to receiving eligibility results. The caregiver was at the operation for a total of 22 days.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2024. Correction verified: Jul 18, 2024.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Five of the twelve staff files reviewed had expired first aid.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2024. Correction verified: Feb 4, 2024.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“Five of the twelve staff files reviewed had an expired CPR certification.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2024. Correction verified: Feb 4, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One of the ten children records reviewed was lacking a parents signature. Also one of the ten children records reviewed was lacking the parent and health care professional’s signature.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2024. Correction verified: Feb 27, 2024.

Safety Requirements for Active Play Equipment - Used According to Manufacturer’s Instructions

“The operation changed the design of play equipment, making it no longer in compliance according to manufactures instructions.”

Rule 746.4601(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 29, 2024. Correction verified: Feb 27, 2024.

Immunization Records, Exceptions, and Exemptions Current

“One out of the ten children records reviewed was lacking the required immunizations.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2024. Correction verified: Feb 1, 2024.

Documented Annual Training- Required Content

“Twelve of the twelve staff files reviewed were lacking the required annual trainings.”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2024. Correction verified: Feb 4, 2024.

Immunizations-Docs may be official record or copy that have signature of health care prof. or name of other prof who administered vaccine

“One of the ten children records reviewed was lacking the signature and stamp of the health care professional who admistered their vaccines.”

Rule 746.623(2)(D). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2024. Correction verified: Feb 27, 2024.