North Richland Hills Montessori

Medium risk Medication no longer used must be returned to the parent or disposed of.

State rule 746.3809 (minimum standards for child-care centers): "Medication No Longer Used"

Inspector's note: There was one medication past its expired date.

Corrected Oct 6, 2026, verified by the state Oct 5, 2026.

High risk Infants under 12 months may sleep with only a snug-fitting sheet and mattress cover in the crib.

State rule 746.2415(b) (minimum standards for child-care centers): "Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age"

Inspector's note: 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.

Corrected Jan 29, 2026, verified by the state Feb 4, 2026. The inspector gave technical assistance (advice on how to comply).

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

State rule 746.2417(2)(B) (minimum standards for child-care centers): "Activities for Infants - Not in Restrictive Device for more than 15 Minutes"

Inspector's note: 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.

Corrected Oct 7, 2025, verified by the state Oct 15, 2025. The inspector gave technical assistance (advice on how to comply).

High risk A person may not be at the operation until their background check result has come back and allows it.

State rule 745.641 (licensing rules for every operation): "Background check results - Must receive notification prior to allowing subject to be present at your operation"

Inspector's note: At the time of the visit a caregiver present with children did not have an active background check.

Corrected Sep 8, 2025, verified by the state Sep 11, 2025. The inspector gave technical assistance (advice on how to comply).

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

State rule 746.3803(c) (minimum standards for child-care centers): "Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions"

Inspector's note: 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.

Corrected May 13, 2025, verified by the state May 19, 2025.

Medium-high risk Responsibilities of Caregivers - Share Information with Incoming Caregivers

State rule 746.1203(10) (minimum standards for child-care centers): "Responsibilities of Caregivers - Share Information with Incoming Caregivers"

Inspector's note: 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.

Corrected Jan 13, 2025, verified by the state Jan 30, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Caregivers must provide care that fits each child's habits, interests, strengths and special needs.

State rule 746.1203(4) (minimum standards for child-care centers): "Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs"

Inspector's note: A child who is diabetic had access to candy while in care and her glucose levels became elevated.

Corrected Jan 13, 2025, verified by the state Jan 30, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "Supervision ensures each child's safety, well-being, including physical proximity and auditory or visual awareness of each child's on going activity"

Inspector's note: 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.

Corrected Dec 13, 2024, verified by the state Dec 27, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Responsibilities of Caregivers - Share Information with Incoming Caregivers

State rule 746.1203(10) (minimum standards for child-care centers): "Responsibilities of Caregivers - Share Information with Incoming Caregivers"

Inspector's note: 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.

Corrected Dec 13, 2024, verified by the state Dec 27, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Discipline must follow the state's rules for positive discipline and guidance.

State rule 746.2803(4) (minimum standards for child-care centers): "Discipline - Positive Methods of Discipline and Guidance"

Inspector's note: 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.

Corrected Dec 13, 2024, verified by the state Dec 27, 2024. The inspector gave technical assistance (advice on how to comply).