Hearth Record

Sienna Montessori School

A licensed child care center in Missouri City, Texas 77459

10010 Steep Bank Trce, Missouri City, Texas 77459. (281) 778-2223.

Texas’s own record, on its child care search

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 18 deficiencies in 4 months of the last 36. Last cited Sep 2026. Most serious: High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels
Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

18 deficiencies cited in the last three years

The middle of the 477 child care providers in Fort Bend County had 4.

9 inspections on record. The latest, on Sep 10, 2026: 1 deficiency cited.

Rated High by Texas: Required Admission Information - Emergency Medical Authorization, at the inspection on Sep 15, 2025

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

18 deficiencies in 4 months of the last 36. Last cited Sep 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

18 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

Sep 10, 2026: inspection1 deficiency
  • Types of Vehicles Used to Transport Children - Be Maintained Safely

    “A seatbelt buckle at the back of a bus was observed to be broken.”

    Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2026. Correction verified: Sep 18, 2026.

Sep 15, 2025: inspection9 deficiencies
  • Required Admission Information - Emergency Medical Authorization

    “5 out of 10 children’s records evaluated did not have completed the authorization for emergency medical attention.”

    Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 16, 2025.

  • Safety Requirements for Cribs - Snug Fitting Sheets

    “Cribs that are being used by infants was observed to not have snug fitted sheets.”

    Rule 746.2409(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 18, 2025.

  • Floors, ceilings and Walls in Good Repair and Clean

    “Two bathrooms in two different classrooms were observed to have the based board peeling and detached from the wall.”

    Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 29, 2025.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “Three infants did not have an updated feeding instruction that is required to be updated every 30 days.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 16, 2025.

  • Written Operational Policies - Parent Rights

    “7 out of 10 children’s records evaluated did not have the parent rights form completed.”

    Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 23, 2025.

  • Children’s Records - Health Statement

    “5 out 10 children’s records evaluated did not have a health statement in their file.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 16, 2025.

  • Required Personnel Records- Meets Requirements

    “3 out of 10 staff records evaluated did not have documentation showing education credentials.”

    Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 16, 2025.

  • Required Personnel Records - Required Affidavit (Form 2985)

    “2 out 10 staff records evaluated did not have a notarized affidavit in the file”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 16, 2025.

  • Required Personnel Records - Required Affidavit (Form 2912)

    “6 out of 10 files evaluated did not have the preemployment affidavit in the file.”

    Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Sep 16, 2025.

Jan 21, 2025: assessment1 deficiency
  • Report Number of Employees

    “A review of the Employees Who Left Employment in 2024 data revealed that the center had not reported the number of employees who left employment in 2024 by January 15, 2025, as required.”

    Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2025. Correction verified: Jan 28, 2025.

Sep 20, 2024: inspection7 deficiencies
  • Training Requirements for Employees, Caregivers, and Directors - Orientation

    “A caregiver hired 9/8/24 did not have proof that orientation had been completed within 7 days.”

    Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2024. Correction verified: Sep 26, 2024.

  • Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training

    “A caregiver hired 9/9/24 with no previous childcare experience did not have proof that 8 hours of preservice had been completed prior to being counted in ratio.”

    Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 27, 2024. Correction verified: Oct 2, 2024.

  • CPR Training and Recertification Adhere to Guidelines-skill based

    “5 out of 5 staff files reviewed showed caregivers and the director with online CPR certification that does not meet minimum standard requirements.”

    Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2024. Correction verified: Oct 4, 2024.

  • Documented Annual Training- Required Content

    “2 out of 5 staff files reviewed did not show that they had completed the required health and safety topics in their most recently completed training year.”

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

  • Written Operational Policies - Parent Rights

    “10 out of 10 children’s files reviewed did not have proof that parents had received information related to parent’s rights contained within the operational policies.”

    Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2024. Correction verified: Sep 23, 2024.

  • Children’s Records - Immunizations

    “One child did not have a copy of their must current immunizations on file and was missing 3 required immunizations.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2024. Correction verified: Sep 23, 2024.

  • Required Personnel Records - Required Affidavit (Form 2912)

    “2 caregivers hired within the last year did not have the pre-employment affidavit available for review in their file.”

    Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 24, 2024. Correction verified: Sep 23, 2024.

7 deficiencies older than three years
Nov 30, 2022: inspection1 deficiency
  • Children’s Records - Immunizations

    “2 out of 10 records reviewed for children were missing immunization records.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2022. Correction verified: Dec 1, 2022.

Dec 16, 2021: inspection1 deficiency
  • Safety Requirements for Cribs - Snug Fitting Sheets

    “It was observed one infant was sleeping in the crib with mattress sheet that was not not snugly fitted in Mobile Infant classroom. NOTE: This was corrected, the caregiver fixed the fitted sheet during the inspection.”

    Rule 746.2409(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 16, 2021.

Dec 3, 2021: inspection5 deficiencies
  • Infant May Not Sleep in a Restrictive Device

    “An 6 month old infant was observed sleeping in the bouncer during the inspection. NOTE: The infant was being removed from the bouncer during the inspection.”

    Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2021. Correction verified: Dec 16, 2021.

  • Training Requirements for Employees, Caregivers, and Directors - Transportation Training

    “The transportation training for one caregiver was not available for review.”

    Rule 746.1301(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 6, 2021. Correction verified: Dec 3, 2021.

  • Requirements for Feeding Infants - Label Bottles/Cups

    “Several water bottles were observed not being labeled with children name in the Non-Mobile Infants classroom; Red Room Primary Classroom. NOTE: This was corrected as the bottles were labeled with the children names during the inspection.”

    Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 3, 2021.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “Two Infant feeding Instruction Forms for two Infants ages 11mo and 13mo were observed not being updated. The last forms was observed completed by parents since September 2021.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 10, 2021. Correction verified: Dec 13, 2021.

  • Required Records Maintained and Made Available - Personnel and Training Records

    “The training record for one employee in Red Room classroom was not available for reviewed. The caregiver was hired since August 2021.”

    Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 10, 2021. Correction verified: Dec 28, 2021.

All 12 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Sep 10, 2026Inspection1 deficiency cited
Sep 15, 2025Inspection9 deficiencies cited
Feb 20, 2025InspectionNo violation found
Feb 17, 2025Report to the stateNo violation found
Jan 21, 2025Assessment1 deficiency cited
Sep 26, 2024InspectionNo violation found
Sep 20, 2024Inspection7 deficiencies cited
Oct 16, 2023InspectionNo violation found
Apr 14, 2023Report to the stateNo violation found
Nov 30, 2022Inspection1 deficiency cited
Dec 16, 2021Inspection1 deficiency cited
Dec 3, 2021Inspection5 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Apr 3, 2001.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 168 children.
Source:

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

  • No corrective or adverse action by Texas on record.
  • 2 reports to the state on record; Texas doesn’t publish whether they were .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 2026. Updated daily.

Who does the caring?

  • Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

  • Texas’s open data doesn’t list owners.

How is it rated?

  • Texas Rising Star: 3-Star (the middle of three levels).
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 477 child care providers in Fort Bend County, the middle value for deficiencies cited in the last three years was 4; this one had 18.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

What the record doesn’t say

  • Texas doesn’t publish whether a complaint was substantiated.
  • Texas rates some paperwork slips as High risk, so read what was actually cited.
  • Texas doesn’t publish staffing levels or owners for individual providers.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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