North Richland Hills Montessori

746.2415(b) - 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 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.

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

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

746.2417(2)(B) - Activities for Infants - Not in Restrictive Device for more than 15 Minutes

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.

746.3803(c) - Medication Authorization - Parent May Not Authorize in Excess of Label Directions or Child's Health-Care Professional Directions

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.

746.1203(4) - Provide care consistent with child's habits, interests, strengths, special needs, including any special supervision needs

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

746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers

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.

746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

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.

746.2803(4) - Discipline - Positive Methods of Discipline and Guidance

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.

746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers

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.

746.3805(a)(2) - Administering Medication - As Amended in Writing by Child's Health Care Professional

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.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

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.