North Richland Hills Montessori

Requirements during probation

“The probation condition requiring weekly observations by the director is not being met. The observations were not completed for 1 week for one of the infant rooms and none for the second.”

Rule 745.8641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2023. Correction verified: Jun 2, 2023.

Prohibited Punishments - Grabbing and Pulling

“Based on information obtained during the investigation a child was injured when a caregiver was guiding a child inside the building by grabbing or pulling the child’s arm.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 4, 2023. Correction verified: May 19, 2023.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“At the time of the inspection an infant, under 12 months of age, was observed laying on their back in a crib with a blanket across them. The blanket was removed from the crib at the inspection.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2023. Correction verified: Jan 24, 2023.

Safety - Areas Free From Hazards

“At the time of the inspection one classroom was observed to have peeling drywall at a window ledge and another was observed to have baseboard vynil peeled from the wall near a door. The peeling areas could be easily torn by a child and put in their mouths.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2023. Correction verified: Jan 24, 2023.

Children’s Records - Vision and Hearing Screening

“At the time of the inspection 2 of the 10 children’s files reviewed did not have the required hearing and vision screening.”

Rule 746.603(a)(6). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 27, 2023. Correction verified: Jan 24, 2023.

Pre-service Training for Caregivers of Children Under 24 Months

“At the time of the inspection 1 caregiver did not have the required training required for working with children under 24 months of age.”

Rule 746.1305(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2022. Correction verified: Nov 28, 2022.

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

“At the time of the inspection one child had 2 epi pens stored at the operation without the prescription label or orginal box they were prescribed in.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2022. Correction verified: Oct 20, 2022.

Children’s Records - Immunizations

“At the time of the inspection 1 child did not have the required immunization record in their enrollment file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 26, 2022. Correction verified: Oct 20, 2022.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“At the time of the inspection an infant (8 months) was observed sleeping in the crib with a pacifier that has an attached plush animal. A photograph was taken. The pacifier was removed from the crib by the inspector”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 18, 2022.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“At the time of the inspection 2 caregivers reported to work in classrooms with children under 24 months did not have the required training.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 18, 2022.

Caregiver Qualification Age Exemption Attends High School - Not in Charge of Group

“At the time of the inspection a caregiver still enrolled in high school was observed to be the only caregiver in the infant classroom.”

Rule 746.1109(b)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2022. Correction verified: Aug 18, 2022.

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

“At the time of the inspection a caregiver was found to be without a high school diploma or equivalent. The caregiver was found to be in a class with a second caregiver.”

Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 18, 2022.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“At the time of inspection, annual training including infant training were not available for review.”

Rule 746.1301(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Aug 1, 2022.

Safety - Areas Free From Hazards

“At the time of the inspection a water hose was left on a sidewalk where children would walk over it in a play area. The hose was moved to the side and a plan was discussed to purchase a storage item for the water hose.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 12, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Jul 25, 2022.

Sign-in and Sign-out Tracking System

“At the time of the inspection the operation did not have record of the times children were signed in and out of classrooms.”

Rule 746.631(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2022. Correction verified: Jul 25, 2022.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“At the time of inspection the operation did not have playground maintenance checklists or documented safety drills available for review.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Jul 22, 2022.

Required Personnel Records - Dates of Employment

“At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.”

Rule 746.901(1). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Aug 1, 2022.

Responsibilities of Caregivers - Share Information with Incoming Caregiver

“Based on information obtained through the investigation it was determined that caregivers did not communicate the needs of children effectively in a transition, causing a child to be left in a diaper over a prolonged period of time.”

Rule 746.1203(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Aug 1, 2022.

Diaper Changing Steps- Prompt

“Based on information obtained through an investigation it was determined that a caregiver did not change a child’s diaper for a prolonged period of time.”

Rule 746.3501(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2022. Correction verified: Aug 1, 2022.

Director Responsibilities - Employee Assignments

“Based on information obtained through the investigation it was determined that caregivers were not provided additional training to care for a child with differing abilities.”

Rule 746.1003(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 13, 2022. Correction verified: Jul 12, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Based on information obtained through the investigation it was determined a caregiver used poor judgement when telling the inspector that “montessori does not work for children like that” referring to a child of differing abilities.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 13, 2022. Correction verified: Jul 12, 2022.

Documentation of Special Care Needs on File and Used in Planning Activities

“Based on information obtained through the investigation it was determined that the operation did not have documentation of special care needs on file and did not provide accommodations to a child with a differing ability.”

Rule 746.2201(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 13, 2022. Correction verified: Jul 12, 2022.

Update Admission Information - Parent Sign and Date

“Based on information obtained through the investigation it was determined the operation did not obtain updated records upon the re-enrollment of a child.”

Rule 746.609(b). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 13, 2022. Correction verified: Jul 12, 2022.

Training Requirements for Employees, Caregivers, and Directors - Orientation

“At the time of inspection, annual training including infant training, CPR/First Aid certificates were not available for review.”

Rule 746.1301(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2022. Correction verified: Jul 12, 2022.

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

“At the time of inspection the operation had several childrens medications which were expired including: 3 Epinephrine injections 2 Albuteral/Proair inhalers 1 Prescription Topical Cream”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jul 12, 2022.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“At the time of inspection 2 children had incomplete food allergy plans in their file and 1 child with food allergies did not have a plan in their file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jul 12, 2022.

Medication No Longer Used

“At the time of inspection there were several expired medications belonging to children including medication used to treat asthma and food allergies. Expired medication included two epinephrine pens, three inhalers, and a prescription topical ointment.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jul 12, 2022.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“At the time of inspection the operation did not have a current fire inspection report, playground maintenance checklists, or documented safety drills available for review.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jul 12, 2022.

Required Personnel Records - Dates of Employment

“At the time of inspection several personnel records were incomplete and missing required documentation. Of 10 records evaluated, 2 records were missing photo identification, 2 were missing preservice training, and 2 had incomplete applications without signed orientation statements.”

Rule 746.901(1). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2022. Correction verified: Jul 12, 2022.

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

“At the time of inspection there were 2 individual instructors conducting camp programs without background checks. An art instructor from Art by Lewis and an instructor from Snapology were observed having contact and supervising groups of children in the music room without additional operation staff present.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2022. Correction verified: Jun 29, 2022.

Substitutes, Volunteers and Contractors - Unqualified Not Left Alone with Children

“At the time of inspection, 2 contractors were observed at the operation providing instruction to school age children without caregiver qualifications. Contractors were alone with children, unsupervised by operation staff. Contractors were reported at the operation on a weekly basis.”

Rule 746.1401(f). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2022. Correction verified: Jun 29, 2022.

Child/ Caregiver Ratio - 13 or More Children

“The infant room was found to be over ratio (5 children/1 caregiver) on at least 2 days (6/9/22 -6/10/22).”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2022. Correction verified: Jun 29, 2022.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“At the time of inspection, a 7 month old infant was in a crib with a blanket draped over one side and a stuffed toy dog on top of her back. The caregiver removed the blanket and toy from the crib.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2022. Correction verified: Apr 14, 2022.

Infant May Not Sleep in a Restrictive Device

“At the time of inspection a 5 month old infant was observed sleeping in a bouncy seat. The child requires the use of a cranial helmet, however did not currently have a Sleep Exception Form signed by a physician or parent. The caregiver removed the infant and placed him on his back into a crib.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2022. Correction verified: Apr 14, 2022.

Director Responsibilities - Employee Assignments

“Due to the caregivers’ age and condition, the assignment to an active 4 year old class did not match her current skills or abilities.”

Rule 746.1003(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Apr 8, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Video was reviewed of the caregiver roughly pulling the child by the arm. Staff reported the caregiver being aggressive in disciplining the children, using rough language, face grabbing and pulling arms. The caregiver admitted that she pulled and grabbed children by their arms when disciplining.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Apr 8, 2022.

Report Situation Placing Children at Risk

“Concerns regarding the caregiver were identified by staff and reported to administrators. The operation failed to report the situation to Licensing in a timely manner.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Apr 8, 2022.

Positive Methods of Discipline and Guidance - Use Praise and Encouragement

“The caregiver admitted that positive methods of discipline and guidance were not practiced in managing the behaviors of challenging children.”

Rule 746.2803(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Apr 8, 2022.

Operational Policies - Inform Parents That They May Visit Center Anytime During Operating Hours

“This rule was evaluated with regard to an investigation and has been found to be in violation. The director understands that parents can visit the child-care center any time during the child-care center’s hours of operation without having to secure prior approval.”

Rule 746.501(b)(1). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 15, 2021.