North Richland Hills Montessori

Summary of the record

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 17 cited deficiencies for North Richland Hills Montessori in the 3 years before October 10, 2026 (7 High, 7 Medium High, 3 Medium).

Records list 22 inspections in this window. Most recent inspection: 2026-09-22.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (57)

• 2026-09-22 · 746.3809 · Medium

  Medication No Longer Used

  Corrected at inspection: No. Correction date: 2026-10-06. Correction verified: 2026-10-05.

  There was one medication past its expired date.

• 2026-01-29 · 746.2415(b) · High

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

  Corrected at inspection: No. Correction date: 2026-01-29. Correction verified: 2026-02-04.

  At the time of the inspection 1 infant under the age of 12 months was observed asleep with an additional item in the crib. The additional item was a small round sound machine.

• 2025-09-08 · 745.641 · High

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

  Corrected at inspection: No. Correction date: 2025-09-08. Correction verified: 2025-09-11.

  At the time of the visit a caregiver present with children did not have an active background check.

• 2025-09-08 · 746.2417(2)(B) · High

  Activities for Infants - Not in Restrictive Device for more than 15 Minutes

  Corrected at inspection: No. Correction date: 2025-10-07. Correction verified: 2025-10-15.

  Based on information obtained it was determined that an infant in care was left in a restrictive device for more than 15 minutes at a time.

• 2025-05-13 · 746.3803(c) · Medium

  Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions

  Corrected at inspection: No. Correction date: 2025-05-13. Correction verified: 2025-05-19.

  At the time of the inspection a parent had authorized a dosage of medication that exceeded what the label stipulates the dosage to be based on the child's age. The medication had been administered twice.

• 2024-12-14 · 746.1203(10) · Medium High

  Responsibilities of Caregivers - Share Information with Incoming Caregivers

  Corrected at inspection: No. Correction date: 2025-01-13. Correction verified: 2025-01-30.

  Caregivers failed to provide information with incoming caregivers and a child who is diabetic was allowed access to candy and her blood glucose levels became elevated.

• 2024-12-14 · 746.1203(4) · Medium High

  Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

  Corrected at inspection: No. Correction date: 2025-01-13. Correction verified: 2025-01-30.

  A child who is diabetic had access to candy while in care and her glucose levels became elevated.

• 2024-11-19 · 746.1203(10) · Medium High

  Responsibilities of Caregivers - Share Information with Incoming Caregivers

  Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-27.

  Based on investigation it was found that a caregiver had received a group of children from another caregiver and was not provided information regarding specific incidents of a potty accident for a child in that group. This resulted in a parent not having the correct information when requesting it regarding the accident.

• 2024-11-19 · 746.1205(a)(4) · High

  Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

  Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-27.

  Based on information obtained through investigation it was found that a caregiver was allowing children to leave the classroom to the playground area. The caregiver was straddling the doorway to supervise the child on the playground and children inside the classroom. In doing this the caregiver loses the ability to maintain physical proximity to all children being supervised and the ability to intervene if any incidents were to occur.

• 2024-11-19 · 746.2803(4) · Medium High

  Discipline - Positive Methods of Discipline and Guidance

  Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-27.

  Based on information obtained through investigation, it was found the operation was sending children to the playground to run around. This was in response to behaviors inside the classroom.

• 2024-10-04 · 746.3805(a)(2) · High

  Administering Medication - As Amended in Writing by Child's Health Care Professional

  Corrected at inspection: No. Correction date: 2024-10-31. Correction verified: 2024-11-08.

  Through investigation it was found that an incorrect dosage was given to a child in excess of what is prescribed by the child's prescribing health care professional.

• 2024-10-04 · 746.1201(1) · High

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

  Corrected at inspection: No. Correction date: 2024-10-31. Correction verified: 2024-11-08.

  A caregiver administered a dosage of medication significantly higher than the prescribed dosage. The caregiver admitted to questioning the dosage but did not demonstrate good judgment when she did not verify with the parent or another staff member that the dosage was correct.

• 2024-04-03 · 746.1301(a)(4)(A) · Medium High

  Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

  Corrected at inspection: No. Correction date: 2024-04-19. Correction verified: 2024-04-08.

  1 caregiver who has been employed for more than 90 days does not have a current CPR/First Aid certificate on file.

• 2024-04-03 · 746.1301(a)(3)(A) · Medium High

  Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

  Corrected at inspection: No. Correction date: 2024-04-03. Correction verified: 2024-04-08.

  At the time of the visit a caregiver within their first 90 days of employment did not have a CPR/First Aid Training Certificate and was in a classroom unsupervised by another caregiver with a current CPR/First Aid certificate.

• 2024-02-09 · 745.641 · High

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

  Corrected at inspection: No. Correction date: 2024-02-09. Correction verified: 2024-02-13.

  The operation allowed an volunteer to be present at the operation prior to receiving a background check determination of, ?Eligible?; ?Provisional Eligibility with Conditions,?; or,? Eligible with Conditions.? Their current status is pending. The volunteer was not responsible for a group of children but had access to the children in the course of her duties.

• 2024-01-12 · 746.1203(4) · Medium High

  Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

  Corrected at inspection: No. Correction date: 2024-02-09. Correction verified: 2024-02-13.

  Based on information obtained a caregiver did not adequately supervise children in care when a child went into the bathroom with another child. The caregiver was engaged in classroom duties to the extent that she was not aware of the children in the class and their ongoing behavior or actions. The level of supervision was not adjusted based on the child's previous behaviors.

• 2023-12-18 · 746.3309(c) · Medium

  Parent Provided Meals/Snacks - Provide Safe Storage and Service

  Corrected at inspection: Yes. Correction date: 2023-12-18. Correction verified: Not recorded.

  At the time of the inspection a jar of infant food was found opened in the cabinet in the classroom. When caregivers were asked how long it had been present they stated it had been there for a week, but not opened this week. The jar was observed to be labeled with instructions to refridgerate after opening and to discard 2 days after it was opened. The jar was thrown away immediately.

• 2023-05-19 · 745.8641 · High

  Requirements during probation

  Corrected at inspection: No. Correction date: 2023-05-19. Correction verified: 2023-06-02.

  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.

• 2023-04-06 · 746.2805(3) · High

  Prohibited Punishments - Grabbing and Pulling

  Corrected at inspection: No. Correction date: 2023-05-04. Correction verified: 2023-05-19.

  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.

• 2023-01-09 · 746.2415(b) · High

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

  Corrected at inspection: No. Correction date: 2023-01-09. Correction verified: 2023-01-24.

  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.

• 2023-01-09 · 746.603(a)(6) · Low

  Children's Records - Vision and Hearing Screening

  Corrected at inspection: No. Correction date: 2023-01-27. Correction verified: 2023-01-24.

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

• 2023-01-09 · 746.3701 · Medium High

  Safety - Areas Free From Hazards

  Corrected at inspection: No. Correction date: 2023-01-27. Correction verified: 2023-01-24.

  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.

• 2022-10-19 · 746.3805(b)(1) · Medium High

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

  Corrected at inspection: No. Correction date: 2022-10-26. Correction verified: 2022-10-20.

  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.

• 2022-10-19 · 746.1305(b) · Medium High

  Pre-service Training for Caregivers of Children Under 24 Months

  Corrected at inspection: No. Correction date: 2022-10-26. Correction verified: 2022-11-28.

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

• 2022-10-19 · 746.603(a)(4) · Medium

  Children's Records - Immunizations

  Corrected at inspection: No. Correction date: 2022-10-26. Correction verified: 2022-10-20.

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

• 2022-08-01 · 746.1309(d) · Medium High

  Documented Annual Training - Caregivers of Children Under 24 Months Required

  Corrected at inspection: No. Correction date: 2022-08-19. Correction verified: 2022-08-18.

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

• 2022-08-01 · 746.2415(b) · High

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

  Corrected at inspection: No. Correction date: 2022-08-01. Correction verified: 2022-08-18.

  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

• 2022-08-01 · 746.1109(b)(1) · Medium

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

  Corrected at inspection: No. Correction date: 2022-08-01. Correction verified: 2022-08-18.

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

• 2022-07-25 · 746.1107(2) · Medium High

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

  Corrected at inspection: No. Correction date: 2022-08-19. Correction verified: 2022-08-18.

  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.

• 2022-07-12 · 746.801(10) · Medium

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

  Corrected at inspection: No. Correction date: 2022-07-22. Correction verified: 2022-07-22.

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

• 2022-07-12 · 746.1301(1)(A) · Medium High

  Training Requirements for Employees, Caregivers, and Directors - Orientation

  Corrected at inspection: No. Correction date: 2022-07-22. Correction verified: 2022-08-01.

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

• 2022-07-12 · 746.631(a) · Medium High

  Sign-in and Sign-out Tracking System

  Corrected at inspection: No. Correction date: 2022-07-12. Correction verified: 2022-07-25.

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

• 2022-07-12 · 746.3701 · Medium High

  Safety - Areas Free From Hazards

  Corrected at inspection: Yes. Correction date: 2022-07-12. Correction verified: Not recorded.

  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.

• 2022-07-12 · 746.3819 · Medium High

  Food Allergy Emergency Plan Signed by Parents and Health Care Professional

  Corrected at inspection: No. Correction date: 2022-07-22. Correction verified: 2022-07-25.

  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.

• 2022-07-12 · 746.901(1) · Medium Low

  Required Personnel Records - Dates of Employment

  Corrected at inspection: No. Correction date: 2022-07-22. Correction verified: 2022-08-01.

  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.

• 2022-07-06 · 746.3501(1) · Medium High

  Diaper Changing Steps- Prompt

  Corrected at inspection: No. Correction date: 2022-07-22. Correction verified: 2022-08-01.

  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.

• 2022-07-06 · 746.1203(11) · Medium High

  Responsibilities of Caregivers - Share Information with Incoming Caregiver

  Corrected at inspection: No. Correction date: 2022-07-22. Correction verified: 2022-08-01.

  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.

• 2022-06-22 · 746.2201(b) · Medium

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

  Corrected at inspection: No. Correction date: 2022-07-13. Correction verified: 2022-07-12.

  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.

• 2022-06-22 · 746.1003(3) · High

  Director Responsibilities - Employee Assignments

  Corrected at inspection: No. Correction date: 2022-07-13. Correction verified: 2022-07-12.

  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.

• 2022-06-22 · 746.609(b) · Low

  Update Admission Information - Parent Sign and Date

  Corrected at inspection: No. Correction date: 2022-07-13. Correction verified: 2022-07-12.

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

• 2022-06-22 · 746.1201(1) · High

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

  Corrected at inspection: No. Correction date: 2022-07-13. Correction verified: 2022-07-12.

  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.

• 2022-06-16 · 746.1301(1)(A) · Medium High

  Training Requirements for Employees, Caregivers, and Directors - Orientation

  Corrected at inspection: No. Correction date: 2022-07-11. Correction verified: 2022-07-12.

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

• 2022-06-16 · 746.901(1) · Medium Low

  Required Personnel Records - Dates of Employment

  Corrected at inspection: No. Correction date: 2022-07-11. Correction verified: 2022-07-12.

  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.

• 2022-06-16 · 746.3809 · Medium

  Medication No Longer Used

  Corrected at inspection: No. Correction date: 2022-06-24. Correction verified: 2022-07-12.

  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.

• 2022-06-16 · 746.3819 · Medium High

  Food Allergy Emergency Plan Signed by Parents and Health Care Professional

  Corrected at inspection: No. Correction date: 2022-06-24. Correction verified: 2022-07-12.

  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.

• 2022-06-16 · 746.801(10) · Medium

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

  Corrected at inspection: No. Correction date: 2022-06-24. Correction verified: 2022-07-12.

  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.

• 2022-06-16 · 746.3805(b)(1) · Medium High

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

  Corrected at inspection: No. Correction date: 2022-06-24. Correction verified: 2022-07-12.

  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

• 2022-06-13 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2022-06-16. Correction verified: 2022-06-29.

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

• 2022-06-13 · 746.1401(f) · Medium High

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

  Corrected at inspection: No. Correction date: 2022-06-24. Correction verified: 2022-06-29.

  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.

• 2022-06-13 · 745.641 · High

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

  Corrected at inspection: No. Correction date: 2022-06-16. Correction verified: 2022-06-29.

  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.

• 2022-04-08 · 746.2415(b) · High

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

  Corrected at inspection: No. Correction date: 2022-04-08. Correction verified: 2022-04-14.

  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.

• 2022-04-08 · 746.2426 · High

  Infant May Not Sleep in a Restrictive Device

  Corrected at inspection: No. Correction date: 2022-04-08. Correction verified: 2022-04-14.

  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.

• 2022-03-18 · 746.1201(1) · High

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

  Corrected at inspection: No. Correction date: 2022-03-31. Correction verified: 2022-04-08.

  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.

• 2022-03-18 · 746.2803(4)(A) · Medium High

  Positive Methods of Discipline and Guidance - Use Praise and Encouragement

  Corrected at inspection: No. Correction date: 2022-03-31. Correction verified: 2022-04-08.

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

• 2022-03-18 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2022-03-31. Correction verified: 2022-04-08.

  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.

• 2022-03-18 · 746.1003(3) · High

  Director Responsibilities - Employee Assignments

  Corrected at inspection: No. Correction date: 2022-03-31. Correction verified: 2022-04-08.

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

• 2021-12-10 · 746.501(b)(1) · Medium Low

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

  Corrected at inspection: Yes. Correction date: 2021-12-15. Correction verified: Not recorded.

  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.