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TexasSan Antonio › Pinnacle Montessori

Pinnacle Montessori

Child care center · 111 EXETER PLACE DR, San Antonio, TX 78253-7094 · License 1707651

0Compliance score
Poor

Capacity 219. InfantToddlerPre-KindergartenSchool

Violation history (500)

SeverityDateStandard / narrativeCorrected
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation does not have a current fire inspection available for review.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Ceilings tiles were damaged due to a water leak in the ceiling.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver without an eligible background check was observed caring for children during the inspection.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
The three year old classroom was observed out of ratio as there was one caregiver to 16 children. The correct ratio is one caregiver to 15 children. Note: This was corrected at inspection as a second caregiver stepped in the classroom.
Yes
5 746.2426(a)(2) - Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
There was an infant sleeping on a restrictive device without an a sleep exception form on file.
4 746.3401(a) - Annual Sanitation Inspection
A health inspection has not been obtained within the past 12 months.
4 746.3407 - Maintenance of Building, Grounds and Equipment
It was observed in room 2 that a cabinet was missing a drawer door, creating a hazard. One chair in room 8 was observed broken. One wheel on a scooter board was missing. The boards on two garden beds were observed broken, creating a harzard. The bottom of the metal fence located in the garden play area was bent, creating a tripping hazard. Several boards on the wooden fence had nails that were protuding. Note: The wooden chair was removed from the classroom, the scooter was removed from the playground, and the drawer was fixed during inspection.
3 746.901 - Required Personnel Records
The personnel records were not available during the time of the inspection and were not reviewed.
5 746.305(a)(6) - Report Situation Placing Children at Risk
Child Care Regulation was not notified of an incident where a two year old child was left unsupervised for four minutes.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A 15 year old child was observed present at the operation without a background check.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The operation did not have updated infant feeding instructions for the 9 infants enrolled.
5 745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
A caregiver was present and in ratio with an ineligible background check on 5/25/2023, 5/26/2023 and 5/30/2023. Note, caregiver removed them self from the classroom and left the premises on 5/30/2023.
4 746.201(9) - Complying with Laws and Rules
Permit holder is not complying with the with the child-care licensing law found in Chapter 42 of the Human Resources Code, the applicable minimum standards, and other applicable rules in the Texas Administrative Code
5 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
A caregiver gave an incorrect count of the children in care. Note: This was corrected at inspection as the caregiver gave a correct count after counting again.
Yes
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
RECITE; Two staff member files reviewed did not have first aid and CPR training available for review.
5 746.1205(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
A two year old child was left unsupervised for four minutes.
4 746.801(11) - Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care
Recited: The operation lacks a current fire inspection.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not exercise good judgment when forcefully rocking the crib that a swaddled three-month-old was laying in.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
Child was observed not washing hands after toileting. Note: This was corrected at inspection when the child washed their hands.
Yes
4 746.3401(a) - Annual Sanitation Inspection
The operation did not have a current health inspection.
4 746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Garbage was observed accessible to the children in care as the lid on the trash did not completely close. Note: This was corrected at inspection as the trash can was replaced during inspection.
5 746.5105 - Corrections Made to Fire Inspection
Upon conducting the follow up for inspection, it was observed that repairs have not been conducted to successfully obtain a passing fire inspection. The report advising of corrections needed was done 7/2022.
4 746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
Based on the investigation conducted, there is sufficient evidence to state there are no toys present in the classroom.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Cabinets in 2 classrooms had loose hinges which could cause the doors to fall off and possibly injury a child.
3 746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Based on the investigation conducted, it was determined that an incident report was not generated for the incident that placed a child at risk. A two year old was left unsupervised for four minutes.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the investigation conducted, there is evidence to state a caregiver did not exercise good judgment when allowing children to play with the water in the toilet during a lockdown drill.
3 746.1013(a)(3) - Director's Absence - Caregiver in Charge Has Access to All Records
Director was not present during the inspection and the person in charge was unable to provide essential information due to lack of knowledge.
4 746.3407 - Maintenance of Building, Grounds and Equipment
In the toddler classroom a toilet brush and plunger were found in the children's restroom. This was corrected when the director had an employee remove these items during inspection.
Yes
5 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
When speaking to two caregivers in classrooms, they were not aware of the ages of the children that were caring for.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
A fire inspection has not been conducted at the operation in the past 12 months.
4 746.3407 - Maintenance of Building, Grounds and Equipment
During inspection I observed a chair was broken. Note: Corrected at inspection when chair was removed.
Yes
2 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
One file reviewed lacked notarized affidavit.
5 746.2428 - No Swaddling of Infant Unless Completed Sleep Exception Form on File
The Safe Exception form for an infant observed swaddled did not include the medical reason for swaddling a three month old infant.
4 746.3407 - Maintenance of Building, Grounds and Equipment
Cabinet located in the two-year-old classroom was not in good repair resulting in the cabinet door falling off.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Multiple classes were observed exceeding the ratio with one caregiver.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was observed caring for children without an eligible background check result.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Recited: Needed repairs remain to be made to remove all damaged ceiling tiles. New tiles have been purchased and are ready for replacement.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on the investigation conducted, there is sufficient evidence to state a caregiver was left with 35 children in care.
3 746.901 - Required Personnel Records
Recited: Personnel files have not been assembled/completed for employees. Director is still in the process of completing them.
5 746.305(a)(6) - Report Situation Placing Children at Risk
Child Care Regulation (CCR) was not notified by the operation staff of a child left unsupervised.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
It was deteremined that caregiver in room 4 had 7 infants in care. The infants are 13 month, 13 months, 13 months, 14 month, 14 months, 14 months and 15 months old. Based of ages of the infants caregiver can only have 5 children to herself.
4 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Three of the ten files reviewed were missing update immunizations.
1 746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Three of ten children's records reviewed lacked health statement.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
The carbon monoxide detector was not checked for the month of October.
3 746.1311(a) - Director Annual Training 30 Hours Required
Director lacked 25 hours of annual training.
4 746.631(b) - Caregivers Have Access to Tracking System
Based on the DFPS investigation conducted, there is sufficient evidence to state staff did not have access to tracking systems such as attendance roosters.
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Multiple caregivers did not know the number of the children they are responsible for.
5 745.8641 - Requirements during probation
The operation failed to follow the probation conditions on ratios and health practices. The infant room 4 was observed out of ratio when one caregiver had 7 infants napping. The wooden garden bed was broken with nails protuding, two broken pieces of wood, and a wooden board with a nail protuding was observed in the garden.
4 746.3701 - Safety - Areas Free From Hazards
The wooden fence in the playground has several screws that are protoding, and several wooden boards on the fence were oberved to be popping out of place, exposing the screws. During inspection it was observed in the garden area, a wooden board on the ground with a screw that was protuding out, creating a hazard.
5 746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Based on the investigation conducted, there is reason to believe a 20-month-old child was alone for 38 minutes in a restroom.
4 746.2411(2)(B) - Safety Requirements for Play Yards - Snug Fitting Sheets
The sheets in one of the infant rooms did not fit properly.
4 746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A trash can observed in a toddler classroom bathroom was observed to be full of trash and did not have a lid covering it. A trash can outside was observed to be tipped over and there was trash scattered on the ground.
3 746.1013(a)(3) - Director's Absence - Caregiver in Charge Has Access to All Records
Based on the investigation conducted, there sufficient evidence to state the person in charge did not have access to records.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
The ceiling tiles in the operation had multiple water stains and leaks.
3 746.603(a)(10) - Children's Records - Specialized Medical Assistance from Health Care Professional
Based on the investigation conducted, there is sufficient evidence that the operation did not gather medical documentation for the child's special need.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Based on the DFPS investigation conducted, there is sufficient evidence to state situations that placed children at risk were not reported to the children's parents.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Two caregivers were observed caring for children without an eligible background check result.
4 746.801(11) - Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care
During the inspection there was not a fire inspection available for review.
4 746.3401(a) - Annual Sanitation Inspection
A current health inspection was not avaiable for review.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Operation staff did not exercise good judgment when leaving an unattached cabinet door propped on the wall in the classroom resulting in it falling on a two year old child.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Recited: The ceiling tiles in the operation had multiple water stains and leaks.
5 746.4601(4) - Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
There was approximately one inch thread of a screw exposed on the blue, yellow and green play structure.
4 746.1609 - Maximum Group Size 13 or More Children
It was observed that classroom 2 was out of ratio. Three caregiver's had 11 children in care. The ages of the children 4 month, 4 month, 7 month, 7 month, 9 month, 11 month, 11 month, 11 month, 12 month, 13 month, and 14 month old.
4 746.1203(6) - Responsibilities of Caregivers - Free of other activities
A caregiver was observed to be on her cell phone while supervising children
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Ceilings tiles were observed to still damaged due to a water leak in the ceiling.
3 746.503 - Provide Parents With Copy of Policies
Two of the ten files reviewed did not contain the Parent Handbook Acknowledgment form signed.
4 746.3407 - Maintenance of Building, Grounds and Equipment
The wooden garden bed was observed with broken wooden boards that had nails that were protouding out. I observed two pieces of broken wood in the garden. I observed a wooden board with a nail protuding out, in the garden outside by the cabinet located outside the classroom door.
5 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
Caregivers did not know the children they are responsible for.
1 746.1057 - Director Certificate Not Renewed
The director credential expired on 9/30/2025.
4 746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
A food allergy plan was not obtained for a child with a diagnosed food allergy.
3 746.901 - Required Personnel Records
Recited: Two out of ten personnel files were provided during the follow up inspection. The additional files were unavailable and incomplete.
4 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
One caregiver was missing four hours of pre-service training.
3 746.503 - Provide Parents With Copy of Policies
Recited: Two of the ten files reviewed did not contain the Parent Handbook Acknowledgment form signed.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One out ten staff files reviewed during inspection did not have current First Aid and CPR training.
5 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
Caregivers was unaware they were responsible for a two year old child who was left unsupervised for four minutes.
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
One classroom did not have the sleeping mats labeled with the child's name or an assigned number. One classroom did not have a number/child assignment map available.
4 746.5307(b) - Fire Extinguishers Serviced
Two fire extinguisher have not been serviced, as required.
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver incorrectly stated there were 16 children in care when there were actually 14. Note: This was corrected at inspection when the caregiver counted again and gave the correct count of children in their care.
Yes
3 746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Based on the DFPS investigation conducted, there is sufficient evidence to state that incident reports were not created for situations that placed children at risk.
5 746.1205(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 the evidence conducted, there is sufficient evidence to state caregivers were not aware that a 20 month old left the group, therefore, the child became unsupervised.
4 746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Garbage was observed accessible to the children in care as the trash can did not have a lid placed on it.
3 746.2203(a) - Written Activity Plans
Activity plans for infants have not been created.
5 746.305(a)(6) - Report Situation Placing Children at Risk
Based on the DFPS investigation conducted, there is sufficient evidence to state that situations that placed children at risk were not reported to Child Care Regulation.
4 746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
A trash can observed in a toddler classroom bathroom was observed to be full of trash and did not have a lid covering it. Note: This was corrected when a trash can lid was obtained and put on top of the trash can.
Yes
4 746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink
Caregivers admitted to washing bibs in the hand washing sink, and lunch dishes were found in a hand washing sink.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two staff member files reviewed did not have first aid and CPR training available for review.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
In observing the infant rooms, the monthly written feeding instructions had not been updated in over thirty days.
4 746.3417(4) - Children Handwashing After Outdoor Activities
A toddler class was observed as they came in from outdoors. They did not immediately wash their hands before being allowed to play with toys at their tables. This was corrected at inspection when an assistant caregiver began helping each child wash their hands.
Yes
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Spray bottles containing diluted bleach solution were observed accessible to the children in care. Note: This was corrected at inspection as the bottles were placed in a high cabinet.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Ceilings tiles were observed still damaged due to a water leak in the ceiling.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation does not have a current fire inspection available for review.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
RECITE; Two staff member files reviewed did not have first aid and CPR training available for review.
1 746.1057 - Director Certificate Not Renewed
The director credential expired on 9/30/2025.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Multiple classes were observed exceeding the ratio with one caregiver.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The operation did not have updated infant feeding instructions for the 9 infants enrolled.
5 745.635(2) - AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
A caregiver was present and in ratio with an ineligible background check on 5/25/2023, 5/26/2023 and 5/30/2023. Note, caregiver removed them self from the classroom and left the premises on 5/30/2023.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
A caregiver did not exercise good judgment when forcefully rocking the crib that a swaddled three-month-old was laying in.
5 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
Caregivers did not know the children they are responsible for.
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
One classroom did not have the sleeping mats labeled with the child's name or an assigned number. One classroom did not have a number/child assignment map available.

Severity 5 = most serious. Source: official state record.

Inspections (280)

280 inspection record(s) on file from TX-HHSC.

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