North Richland Hills Montessori
Repeat pattern: the same regulatory standard was cited more than once within a 60-month window.
Regulatory record
Compiled from the originating licensing authority. Each item links to its source. Severity marked “(inferred)” was derived from the citation, not assigned by the authority.
- Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
At the time of the visit a caregiver present with children did not have an active background check.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
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.
source: Texas HHSC CCR verify - Serious
A child who is diabetic had access to candy while in care and her glucose levels became elevated.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
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.
source: Texas HHSC CCR verify - Serious
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.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
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.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
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.
source: Texas HHSC CCR verify - Serious
1 caregiver who has been employed for more than 90 days does not have a current CPR/First Aid certificate on file.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
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.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- source: Texas HHSC CCR
- Moderate
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
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.
source: Texas HHSC CCR verify - Minor
At the time of the inspection 2 of the 10 children's files reviewed did not have the required hearing and vision screening.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
At the time of the inspection 1 caregiver did not have the required training required for working with children under 24 months of age.
source: Texas HHSC CCR verify - Moderate
At the time of the inspection 1 child did not have the required immunization record in their enrollment file.
source: Texas HHSC CCR verify - Serious
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
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
source: Texas HHSC CCR verify - Serious
At the time of the inspection 2 caregivers reported to work in classrooms with children under 24 months did not have the required training.
source: Texas HHSC CCR verify - Moderate
At the time of the inspection a caregiver still enrolled in high school was observed to be the only caregiver in the infant classroom.
source: Texas HHSC CCR verify - Serious
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- source: Texas HHSC CCR
- Serious
At the time of inspection, annual training including infant training were not available for review.
source: Texas HHSC CCR verify - Moderate
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.
source: Texas HHSC CCR verify - Serious
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.
source: Texas HHSC CCR verify - Serious
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
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.
source: Texas HHSC CCR verify - Serious
At the time of the inspection the operation did not have record of the times children were signed in and out of classrooms.
source: Texas HHSC CCR verify - Moderate
At the time of inspection the operation did not have playground maintenance checklists or documented safety drills available for review.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
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.
source: Texas HHSC CCR verify - Serious
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
source: Texas HHSC CCR verify - Moderate
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.
source: Texas HHSC CCR verify - Serious
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.
source: Texas HHSC CCR verify - Moderate
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.
source: Texas HHSC CCR verify - Serious
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.
source: Texas HHSC CCR verify - Serious
At the time of inspection, annual training including infant training, CPR/First Aid certificates were not available for review.
source: Texas HHSC CCR verify - Minor
Based on information obtained through the investigation it was determined the operation did not obtain updated records upon the re-enrollment of a child.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - Moderate
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- source: Texas HHSC CCR
- Critical
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.
source: Texas HHSC CCR verify - Serious
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.
source: Texas HHSC CCR verify - Serious
The infant room was found to be over ratio (5 children/1 caregiver) on at least 2 days (6/9/22 -6/10/22).
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Critical
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.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Serious
The caregiver admitted that positive methods of discipline and guidance were not practiced in managing the behaviors of challenging children.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - Critical
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.
source: Texas HHSC CCR verify - Critical
Due to the caregivers' age and condition, the assignment to an active 4 year old class did not match her current skills or abilities.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
- Moderate
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.
source: Texas HHSC CCR verify - source: Texas HHSC CCR
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- Texas HHSC CCR — https://data.texas.gov
Independent data record assembled from public licensing sources. Not legal advice; not affiliated with any government agency or law firm.