4510 CAROLINE ST, Houston, TX 77004 · (713) 520-6801 · State permit no. 418838
Between Oct 20, 2021 and Oct 20, 2026, the state cited Montessori School of Downtown & Medical Center for 7 deficiencies — the Texas HHSC term for rule violations — over 10 routine inspections and 7 other visits (investigations or paperwork reviews); 2 were under rules the state weights High. The rule cited most often here is 746.1301 (2 times, most recently Jul 26, 2022).
The state lists Montessori School of Downtown & Medical Center as serving infant and toddler children, open 06:30 AM to 06:00 PM (Mon, Tue, Wed, Thu, Fri). Programs on file: School Age Care, Accredited, Meals Provided, Snacks Provided, Skill Classes, Part Time Care. Program type: Child Care Program.
All 7 violations, newest first
One rule cited at Montessori School of Downtown & Medical Center changed after some of these citations (marked “rule revised”), so the wording that applied at the time may differ from our plain-English explanation.
Medium High · Jun 2, 2026 · Inspection
746.2409(a)(2) - 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.
In plain English: Each crib must have a firm, flat mattress made for that crib model that fits snugly with no added padding, snug-fitting sheets, secure hardware, slats no more than 2 3/8 inches apart, documentation that it meets federal crib standards, and a label with the infant's name (or a number with an assignment map). Cribs must be sanitized before another infant uses them, and an infant may never be left in a crib with the drop gate down. Official rule text
- Corrected at inspection:
- Yes
- Correction date:
- Jun 2, 2026
- Technical assistance given:
- No
Medium High · Jun 17, 2025 · Inspection
746.5307(b) - Fire Extinguishers Serviced
Fire extinguishers in the infant building were observed not serviced last dated 9/2023.
In plain English: The director or a designee must inspect the fire extinguishers every month and record the date and the employee's name. Extinguishers must be serviced as the manufacturer or the fire marshal requires. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jul 2, 2025
- Correction verified:
- Jun 24, 2025
- Technical assistance given:
- No
High · Mar 28, 2025 · Inspection
745.641 - 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.
In plain English: An operation must get notice from the state's background check unit that a person is eligible, eligible with conditions, or provisionally eligible with conditions before letting that person be at the operation. While waiting, the person may attend orientation or pre-service training only if they have no contact with children in care. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Mar 28, 2025
- Correction verified:
- Apr 10, 2025
- Technical assistance given:
- Yes
Medium High · Jan 15, 2025 · Investigation (report)
746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
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.
In plain English: The center must tell a parent immediately if there is an allegation that their child was abused or neglected in care, or after the child has an injury needing medical treatment, an illness needing hospitalization, an emergency allergic reaction that required a stock epinephrine auto-injector, a situation such as a fire, flood, or severe-weather damage at the center, or another unusual situation that put the child at risk. Minor injuries such as small cuts or bites must be reported at pickup; the parents of every child at the center must get written notice within 48 hours of a reportable disease in a child or employee, and the parents of a group must get written notice within 48 hours of a lice or other infestation outbreak in that group. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Mar 10, 2025
- Correction verified:
- Mar 28, 2025
- Technical assistance given:
- Yes
High · Jan 15, 2025 · Investigation (report)
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
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.
In plain English: Every center employee, including staff not counted in the child-to-caregiver ratio, must show competency, good judgment, and self-control around children and treat them with courtesy, respect, and patience. Employees must make sure no child is abused, neglected, or exploited in care, and must report suspected abuse or neglect to the state. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Mar 10, 2025
- Correction verified:
- Mar 28, 2025
- Technical assistance given:
- Yes
Medium High · Jul 26, 2022 · Inspection
746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Three of the four staff folders reviewed were observed having expired CPR training.
Plain-English explanation above · rule revised September 2024
- Corrected at inspection:
- No
- Correction date:
- Aug 9, 2022
- Correction verified:
- Aug 15, 2022
- Technical assistance given:
- No
Medium High · Jul 26, 2022 · Inspection
746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Three of the four staff folders reviewed were observed having expired first aid training.
Plain-English explanation above · rule revised September 2024
- Corrected at inspection:
- No
- Correction date:
- Aug 9, 2022
- Correction verified:
- Aug 15, 2022
- Technical assistance given:
- Yes
Source and correctionsThis page reports the state’s records for Montessori School of Downtown & Medical Center; it is not a rating, a recommendation, or a background check, and may not be used for employment, tenant, credit, or insurance decisions.
Explanations follow the current rules (HHSC minimum standards, revised December 2025).