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Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
Texas HHSC records list 27 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated October 6, 2026.
The same records list 36 cited deficiencies dated October 19, 2023 to June 24, 2026 (HHSC risk levels: 9 High, 18 Medium High, 7 Medium, 2 Medium Low).
Correction status recorded by HHSC: 4 corrected at inspection, 32 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 32 of these citations.
The official HHSC record has the full inspection history and the latest information.
Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.
View the official state record · Report an issue with this page
This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 36 cited deficiencies for Pinnacle Montessori in the 3 years before October 10, 2026 (9 High, 18 Medium High, 7 Medium, 2 Medium Low).
Records list 27 inspections in this window. Most recent inspection: 2026-10-06.
| Risk weight | Citations |
|---|---|
| High | 9 |
| Medium High | 18 |
| Medium | 7 |
| Medium Low | 2 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
2026-06-24 · 746.3317 · Medium High
Food Service and Preparation Requirement - Safe and Sanitary
A toddler was observed playing in the mulch in the outdoor playground while eating a waffle. This was corrected at inspection when the waffle was thrown away.
Corrected at inspection
2026-06-24 · 746.3407(8) · Medium High
Garbage Inaccessible to Children; Maintained in Sanitary Manner
A child was observed playing with a fast-food cup containing melted dairy product on the playground. This was corrected at inspection when the trash was removed..
Corrected at inspection
2026-06-24 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Three of ten training records audited did not have CPR training that included hands-on skills based instruction.
Correction date recorded: 2026-07-08
2026-06-24 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2026-07-08. Correction verified: 2026-07-07.
Three of ten training records audited did not have CPR training that included hands-on skills based instruction.
2026-06-24 · 746.3407(8) · Medium High
Garbage Inaccessible to Children; Maintained in Sanitary Manner
Corrected at inspection: Yes. Correction date: 2026-06-24. Correction verified: Not recorded.
A child was observed playing with a fast-food cup containing melted dairy product on the playground. This was corrected at inspection when the trash was removed..
2026-06-24 · 746.3317 · Medium High
Food Service and Preparation Requirement - Safe and Sanitary
Corrected at inspection: Yes. Correction date: 2026-06-24. Correction verified: Not recorded.
A toddler was observed playing in the mulch in the outdoor playground while eating a waffle. This was corrected at inspection when the waffle was thrown away.
2026-02-10 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-02-24. Correction verified: 2026-02-26.
During the course of the investigation, it was determined that a child was left unsupervised for four minutes.
2026-02-09 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2026-02-23. Correction verified: 2026-02-26.
The side door of the van used to transport children does not open.
2026-02-09 · 746.4503(a) · Medium
Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
Corrected at inspection: No. Correction date: 2026-02-16. Correction verified: 2026-02-26.
Two children were sleeping on mats that were torn.
2026-02-09 · 746.5617(a)(2) · High
Required Equipment in Vehicles - Emergency Medical Information
Corrected at inspection: No. Correction date: 2026-02-13. Correction verified: 2026-02-26.
The operation did not have emergency medical transport and treatment authorization forms for each child being transported.
2025-12-16 · 745.635(2) · High
AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
Corrected at inspection: No. Correction date: 2025-12-16. Correction verified: 2025-12-29.
A caregiver who had direct access to children in care was found by the Centralized Background Check Unit to be ineligible to be present at operation. Note: This was corrected at inspection when the caregiver was sent home.
2025-11-17 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2025-11-24. Correction verified: 2025-12-02.
Wire fencing was accessible behind a garden area on the playground and the fencing of the garden area was in need of repair due to becoming loose. A play area behind another garden area had two wooden boards on the ground, with exposed screws and a container was also in the play area containing dried cement with a rod sticking out.
2025-10-23 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: Yes. Correction date: 2025-10-23. Correction verified: Not recorded.
Three medications were stored in the first aid cabinet which belonged to children that were no longer enrolled and another medication was stored in a basket that expired on 8/8/25. Note: This was corrected at inspection when the director removed the medications from storage area to discard.
2025-10-23 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2025-10-27. Correction verified: 2025-11-12.
The operation was not equipped with a carbon monoxide detector.
2025-10-23 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2025-10-30. Correction verified: 2025-11-12.
Three of ten children's records reviewed did not have current immunization records on file at time of review.
2025-10-23 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2025-12-10. Correction verified: 2025-12-16.
Based on the DFPS investigation, caregivers were facing away from the children. One caregiver was prepping lunch, and the other caregiver was assisting children in the restroom. Neither caregiver was visually aware of the children in the classroom.
2025-10-23 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-12-10. Correction verified: 2025-12-16.
Based on the DFPS investigation, a caregiver left a classroom to inform the director of an injury that occurred in the classroom, leaving the second caregiver over ratio by three children. Caregiver was left alone with fourteen children with a specified age group of two years.
2025-10-23 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2025-12-10. Correction verified: 2025-12-16.
Based on the DFPS investigation, a two-year-old child cut their finger on a paper cutter that was stored accessible to children in the classroom.
2025-10-03 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2025-10-10. Correction verified: 2025-10-23.
A section of the ceiling was missing half of a ceiling tile in the Mesquite classroom due to a leaking air conditioner unit. Ceiling tiles were also observed with yellow stains in the Maple, Willow, Oak, and Mesquite classrooms.
2024-11-21 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2024-12-16. Correction verified: 2024-12-16.
Caregivers did not have all of the required training at the time of inspection.
2024-11-21 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2024-12-06. Correction verified: 2024-12-03.
Three out of the ten records reviewed did not have education qualification requirements on file at the time of review.
2024-11-21 · 746.5307(a) · Medium High
Inspect Fire Extinguishers Monthly
Corrected at inspection: No. Correction date: 2024-11-28. Correction verified: 2024-12-04.
The operation did not have documented that the fire extinguishers had been inspected.
2024-11-21 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-02.
Five out of ten records reviewed did not have current immunization records on file at time of review.
2024-11-21 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2024-12-31. Correction verified: 2024-12-16.
The operation did not have a current sanitation inspection on file at time of review.
2024-06-24 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-07-05. Correction verified: 2024-07-12.
One out of 10 child immunization records reviewed did not have a record on file.
2024-06-24 · 746.303(a)(4) · Medium High
Report Change in Director
Corrected at inspection: No. Correction date: 2024-06-28. Correction verified: 2024-07-09.
A director change occurred approximately a month ago and the operation did not notify Child Care Regulation.
2024-06-24 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2024-06-24. Correction verified: 2024-07-24.
Two classrooms had a toaster oven on the counter accessible to the children.
2024-06-24 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2024-06-28. Correction verified: 2024-07-12.
Two out of 10 staff files evaluated did not have a documented orientation completed. Caregivers hire dates were 5/22/24 and 5/23/24.
2024-06-24 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2024-06-28. Correction verified: 2024-07-12.
A fire drill for May had not been recorded.
2024-02-02 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2024-02-13. Correction verified: 2024-02-23.
A child was seen wandering inside the building from the playground.
2024-01-29 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2024-02-13. Correction verified: 2024-02-23.
A child was left on the playground unsupervised.
2023-12-21 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-01-31. Correction verified: 2024-02-07.
The operation's annual fire inspection expired on 10/11/2023, upon request, the operation did not have their recent fire inspection form to provide during the inspection.
2023-12-21 · 746.605(3) · Medium Low
Required Admission Information - Date of Admission
Corrected at inspection: Yes. Correction date: 2023-12-21. Correction verified: Not recorded.
One of the children records evaluated did not have the child's admission date to the center. NOTE: This was corrected at inspection when the child's admission date was added to the record.
2023-12-21 · 746.605(7) · High
Required Admission Information - Release Information
Corrected at inspection: No. Correction date: 2024-01-05. Correction verified: 2024-01-04.
One of the children records evaluated did not have anyone listed as an authorized pick up personnel.
2023-12-04 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2023-12-08. Correction verified: 2023-12-04.
The operation did not provide the requested transportation training certificate.
2023-11-30 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2023-12-08. Correction verified: 2023-12-04.
A caregiver who drove the van to pick up the afterschool children from school did not have a completed transportation training or certificate.
2023-10-23 · 746.303(a)(1) · Medium Low
Report Change in Designee
Corrected at inspection: No. Correction date: 2023-10-23. Correction verified: 2023-11-03.
On 10/2/2023, former director Nancy Gonzales informed me that she is no longer working at the operation. An email was sent to the operation by inspector Natasha Harper, asking the operation if they have found a new director. The operation failed to inform Licensing of their change in Designee and Ms. Gonzales is currently still listed as a Designee.
2023-10-19 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2023-11-15. Correction verified: 2023-12-04.
A caregiver who drove the van to pick up the afterschool children from school did not have a completed transportation training.
2023-10-19 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2023-11-15. Correction verified: 2023-11-30.
The vent in the nap room bathroom was covered with dust.
2023-01-06 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: No. Correction date: 2023-03-03. Correction verified: 2023-03-28.
Based on information gathered the operation reported a positive covid case a day late.
2022-12-09 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2023-01-31. Correction verified: 2022-12-29.
The operation had damaged ceiling tiles in multiple classrooms. The operation came into compliance when photos of the repaired ceiling tiles were sent via email.
2022-12-09 · 746.201(9) · Medium High
Complying with Laws and Rules
Corrected at inspection: No. Correction date: 2023-01-31. Correction verified: 2023-03-01.
The operation's permit holder did not respond to multiple attempts by director requesting the repair of missing/damaged ceiling tiles in multiple classrooms. The operation came into compliance when they provided photos of the repaired ceiling tiles.
2022-10-07 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-11-04. Correction verified: 2022-11-15.
Based on interviews conducted, two caregivers failed to supervise a child in their care during transition and as a result, an 18-month child walked away and entered a vacant classroom without the knowledge of the caregivers. The child was left unattended for four minutes.
2022-09-29 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-10-20. Correction verified: 2022-10-21.
A Fire inspection was not available for review.
2022-09-29 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-10-21.
Pre-primary playground was missing the required depth of loose fill within their use zones.
2022-07-07 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2022-07-14. Correction verified: 2022-08-02.
Operation policies were missing the time durations, and benefits, of how the operation will be promoting indoor and outdoor physical activity.
2022-07-07 · 746.1301(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2022-07-14. Correction verified: 2022-08-02.
One out of ten staff files had an expired CPR and First Aid training.
2022-07-07 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2022-07-14. Correction verified: 2022-08-02.
An emergency preparedness plan was not accessible for review.
2022-06-29 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2022-07-01. Correction verified: 2022-07-07.
Five feeding instruction forms were noted not up to date. Note: Forms were dated 5/6/2022.
2022-06-11 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-19.
An infant caregiver failed to use good judgment when she moved an infant by using her feet to reposition him.
2022-06-11 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-19.
A caregiver redirected an infant on two separate occasions by pulling the infant's arm and leg, causing the child to hit his face during one of the interactions.
2022-06-11 · 746.2401(3) · Medium High
Basic Requirements for Infants - Holding and Comforting
Corrected at inspection: No. Correction date: 2022-08-08. Correction verified: 2022-08-19.
An infant caregiver was not attending to crying infants. Infants were allowed to cry for approximately 25-30 minutes without being comforted.
2022-05-16 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-05-30. Correction verified: 2022-06-07.
Classroom Mesquite is currently being used for storage and not maintained as licensed space.
2022-05-16 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2022-05-30. Correction verified: 2022-06-07.
The loose-fill around the all fall zones in both playgrounds did not have the required depth. The loose fill was less than 1 inch in some areas.
2022-05-16 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: Yes. Correction date: 2022-05-16. Correction verified: Not recorded.
There were two bead strings found in the infant classroom (0-12months). One string was on a child and the other was found inside an infant crib. Note: Caregivers removed immediately.
2022-05-16 · 746.307(b)(3) · High
Parental Communication - Notify Parent Immediately of Administration of an unassigned Epinephrine Auto-injector
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
The operation did not notify parents in a timely manner of the incidents regarding supervision.
2022-05-16 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
Two caregivers were negligent in accounting for their children responsible while in their care.
2022-05-16 · 746.701(4) · Medium
Licensing Incident/Illness Report Form - Communicable Diseases
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
An incident report was not available for review.
2022-05-16 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
Based on interviews conducted, two caregivers in two different incidents failed to supervise a child age 4 and child age 2 years old, by not ensuring all children were accounted for resulting in the children being left behind.
2022-05-16 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
The operation failed to report to Licensing on negligent supervision.
2022-05-16 · 746.1203(6) · Medium High
Responsibilities of Caregivers - Free of other activities
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
Based on the evidence provided a caregiver was noted utilizing a cell phone while caring for children.
2022-05-13 · 746.307(b)(3) · High
Parental Communication - Notify Parent Immediately of Administration of an unassigned Epinephrine Auto-injector
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
The operation did not notify parents in a timely manner of the incidents regarding supervision.
2022-05-13 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
The operation failed to make a report to Child Care Regulation within 48 hours regarding children who were placed at risk while in their care due to a lack of supervision.
2022-05-13 · 746.701(4) · Medium
Licensing Incident/Illness Report Form - Communicable Diseases
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
An incident report was not available for review.
2022-05-13 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
Two employees present during the investigation were found missing background checks. Individuals did not have an eligibility status and were present in the operation.
2022-05-13 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-06-11. Correction verified: 2022-06-29.
Based on interviews conducted, two caregivers failed to supervise children in their classroom as a result of two children 2 years of age walking out of the classroom.
2022-02-25 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2022-03-01. Correction verified: 2022-02-25.
A review of Employees Who left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=742008
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.