Houston Methodist Child Care Center at The Woodlands

Medium-high risk Pediatric CPR training and recertification must follow the state's guidelines and be skill-based.

State rule 746.1315(b)(1) (minimum standards for child-care centers): "CPR Training and Recertification Adhere to Guidelines-skill based"

Inspector's note: One out of ten personnel files reviewed does not have CPR practice on a manikin.

Corrected Feb 20, 2026, verified by the state Mar 12, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Fire extinguishers must be inspected monthly.

State rule 746.5307(a) (minimum standards for child-care centers): "Inspect Fire Extinguishers Monthly"

Inspector's note: Fire extinguishers have not been inspected or documented by center personnel for the 2025 calendar year.

Corrected Feb 20, 2026, verified by the state Feb 25, 2026.

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: The operation maintains an epi pen for a child that has food allergies that expired November, 2024.

Corrected Feb 27, 2026, verified by the state Mar 12, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Required Documentation for Unitary Surfacing Materials

State rule 746.4913 (minimum standards for child-care centers): "Required Documentation for Unitary Surfacing Materials"

Inspector's note: The operation does not have fall test data available for unitary surfacing.

Corrected Feb 20, 2026, verified by the state Feb 23, 2026.

High risk The state prohibits certain punishments of children, such as hitting, grabbing, shaming, withholding food or rest, or locking a child in a room.

State rule 746.2805 (minimum standards for child-care centers): "Prohibited Punishments - No Harsh, Cruel or Unusual"

Inspector's note: Based on the information gathered during the DFPS investigation, evidence supported a caregiver hit a child on their head as a form of redirection.

Corrected Mar 3, 2026, verified by the state Mar 12, 2026. The inspector gave technical assistance (advice on how to comply).

High risk The operation must report to the state any situation that places children at risk.

State rule 746.305(a)(6) (minimum standards for child-care centers): "Report Situation Placing Children at Risk"

Inspector's note: Based on information gathered in a DFPS investigation, evidence supported that center management was made aware of a situation that may have placed a child at risk. The operation did not report this allegation to Child Care Regulations.

Corrected Jan 30, 2026, verified by the state Jan 30, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk Caregivers must complete 24 hours of annual training, and it must be documented.

State rule 746.1309(a) (minimum standards for child-care centers): "Documented Annual Training Area - 24 Hours Required"

Inspector's note: During the inspection, there was not documentation of the required number of trainings for five caregivers.

Corrected Apr 7, 2025, verified by the state May 9, 2025. The inspector gave technical assistance (advice on how to comply).