Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
Plain-English summary of cited deficiencies
State records list 5 cited deficiencies dated January 15, 2025 to June 2, 2026 (2 High, 3 Medium High risk). Correction status: 1 corrected at inspection, 4 with a correction date recorded, 0 with no correction date recorded.
High risk · AP Background check results - Must receive notification prior to allowing subject to be present at your operation (745.641) Cited March 28, 2025 (correction date recorded: March 28, 2025; correction verified April 10, 2025; technical assistance given). What the record describes: A caregiver was observed working in a classroom without an approved background check.
High risk · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control (746.1201(1)) Cited January 15, 2025 (correction date recorded: March 10, 2025; correction verified March 28, 2025; technical assistance given). What the record describes: A child fell from a play structure and sustained an injury that required medical attention from a health care provider. Caregivers did not evaluate the child for injuries.
Medium High risk · Safety Requirements for Cribs - Snug Fitting Sheets (746.2409(a)(2)) Cited June 2, 2026 (corrected at inspection). What the record describes: A crib was observed with loose-fitting sheets.
Medium High risk · Fire Extinguishers Serviced (746.5307(b)) Cited June 17, 2025 (correction date recorded: July 2, 2025; correction verified June 24, 2025). What the record describes: Fire extinguishers in the infant building had not been serviced since September 2023.
Medium High risk · AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization (746.307(b)(1)) Cited January 15, 2025 (correction date recorded: March 10, 2025; correction verified March 28, 2025; technical assistance given). What the record describes: A child sustained an injury that required medical treatment from a health care professional, and the parent was not immediately notified of the incident.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 5 cited deficiencies for Montessori School of Downtown & Medical Center in the 3 years before October 10, 2026 (2 High, 3 Medium High).
Records list 7 inspections in this window. Most recent inspection: 2026-08-21.
HHSC risk weights of citations
Risk weight
Citations
High
2
Medium High
3
Medium
0
Medium Low
0
Low
0
Unknown
0
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
Safety Requirements for Cribs - Snug Fitting Sheets
A crib was observed during inspection having loose fitting sheets. This was corrected during the inspection when the caregiver was observed removing the loose sheets and replacing with snug fitting sheets.
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed present in a classroom in the role of a caregiver without an approved background. The caregiver was sent away from the operation during the inspection.
Safety Requirements for Cribs - Snug Fitting Sheets
Corrected at inspection: Yes. Correction date: 2026-06-02. Correction verified: Not recorded.
A crib was observed during inspection having loose fitting sheets. This was corrected during the inspection when the caregiver was observed removing the loose sheets and replacing with snug fitting sheets.
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2025-03-28. Correction verified: 2025-04-10.
A caregiver was observed present in a classroom in the role of a caregiver without an approved background. The caregiver was sent away from the operation during the inspection.
AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2025-03-10. Correction verified: 2025-03-28.
Based on the preponderance of evidence gathered during the investigation a child in care received an injury that required medical treatment from a health care professional and the parent was not immediately notified of the incident.
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-03-10. Correction verified: 2025-03-28.
Based on the preponderance of evidence obtained during the investigation, caregivers did not demonstrate good judgement when a child in care fell from a play structure sustaining an injury that required medical attention from a health care provider. Caregivers failed to evaluate the child for injuries.
Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2022-08-09. Correction verified: 2022-08-15.
Three of the four staff folders reviewed were observed having expired CPR training.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=129018
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.