Houston Methodist Childcare Center

Medium-high risk The director and each caregiver must have current pediatric CPR training.

State rule 746.1315(b) (minimum standards for child-care centers): "Each Caregiver and the Director Must Have Current Training in pediatric CPR"

Inspector's note: One caregiver contained CPR training without the required CPR manikin and hands-on skill-based instruction.

Corrected Mar 30, 2026, verified by the state Apr 20, 2026. 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: A caregiver was observed in the infant classroom with a pending background check. Note: This was corrected during inspection.

Corrected Feb 20, 2026, verified by the state Feb 23, 2026. 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, there was sufficient evidence to support a child was left unsupervised on the playground for three to four minutes.

Corrected Mar 9, 2026, verified by the state Mar 20, 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 the evidence obtained in the investigation, the operation did not report a student left unsupervised in the preschool restroom. The operation also did not report a student left unsupervised on the playground in January.

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

High risk Parents must be told about a situation that placed their child at risk.

State rule 746.307(b)(4) (minimum standards for child-care centers): "Parental Communication - Situation that Placed a Child at Risk"

Inspector's note: Based on the evidence obtained, parents were not notified of a student being left unsupervised.

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

Medium-high risk The director and each caregiver must have current pediatric CPR training.

State rule 746.1315(b) (minimum standards for child-care centers): "Each Caregiver and the Director Must Have Current Training in pediatric CPR"

Inspector's note: One caregiver contained CPR training without the required CPR manikin and hands-on skill-based instruction.

Corrected Feb 27, 2026, verified by the state Mar 20, 2026. The inspector gave technical assistance (advice on how to comply).

Medium risk The licensing incident/illness report form must be used for situations that place children at risk.

State rule 746.701(5) (minimum standards for child-care centers): "Licensing Incident/Illness Report Form - Situations Placing Children at Risk"

Inspector's note: Based on the evidence obtained, the operation did not complete incident reports for students being left unsupervised.

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

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: Five staff records contained CPR training without the required CPR manikin and hands-on skill-based instruction.

Corrected Nov 24, 2025, verified by the state Nov 24, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Caregivers must complete the remaining required annual training hours on the state's topics.

State rule 746.1309(f) (minimum standards for child-care centers): "Documented Annual Training - Remaining training hour topics"

Inspector's note: Based on evidence obtained during the investigation, the preschool caregivers did not obtain training in biting.

Corrected Apr 16, 2025, verified by the state Apr 9, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Determining Child/Caregiver Ratios - Caregiver Skills/Needs of Children

State rule 746.1507(3) (minimum standards for child-care centers): "Determining Child/Caregiver Ratios - Caregiver Skills/Needs of Children"

Inspector's note: Based on evidence obtained during the investigation, the caregivers did not have the experience/skills with preschoolers that bite.

Corrected Apr 16, 2025, verified by the state Apr 9, 2025. The inspector gave technical assistance (advice on how to comply).