Pinnacle Montessori
6929 CAMP BULLIS RD, San Antonio, TX 78256 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 170
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:30 PM
- Director / administrator
- Vanessa Tellez
- Phone
- (210) 910-6268
- Regulated since
- May 21, 2025
- HHSC IDs
- Operation 1479782 · number 1797869
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 0 | Illness & medication (2), Supervision & ratios (2), Other (2) |
| 2025 | 4 | 0 | Supervision & ratios (2), Staff background & training (2) |
| 2024 | 10 | 8 | Illness & medication (4), Supervision & ratios (4), Records & paperwork (2) |
Inspections, investigations & assessments
-
Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 28, 2026 Report · Deficiencies cited
-
Supervision & ratios
During the investigation process, it was determined that there were children with an age difference higher than 18 months older than the youngest infant in the infant classroom.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2026-07-22. Correction verified 2026-07-29.
-
Supervision & ratios
-
May 28, 2026 Report · Deficiencies cited
-
Supervision & ratios
During the investigation process, it was determined that there were children with an age difference higher than 18 months older than the youngest infant in the infant classroom.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2026-07-22. Correction verified 2026-07-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
May 11, 2026 Inspection · Deficiencies cited
-
Other
There were three electrical outlets missing outlet covers. This was corrected at inspection when the outlets were covered.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-05-11.
-
Illness & medication
Four out of ten children's files did not have updated immunization records.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-06-08. Correction verified 2026-06-02.
-
Other
-
May 11, 2026 Inspection · Deficiencies cited
-
Other
There were three electrical outlets missing outlet covers. This was corrected at inspection when the outlets were covered.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-05-11.
-
Illness & medication
Four out of ten children's files did not have updated immunization records.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-06-08. Correction verified 2026-06-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 6, 2025 Inspection · Deficiencies cited
-
Staff background & training
Two individuals who is no longer associated with the operation, (the first as of Feb. 1, 2025 and the second as of Feb. 21, 2025), have active background checks under the operation.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-03-06.
-
Supervision & ratios
The operational polices did not include information regarding Procedures for supporting inclusive services to children with special care needs.
HHSC 746.501(a)(30) — Written Operational Policies - Support inclusive services
HHSC risk weight: Medium. Corrected 2025-03-13. Correction verified 2025-03-14.
-
Staff background & training
-
Mar 6, 2025 Inspection · Deficiencies cited
-
Staff background & training
Two individuals who is no longer associated with the operation, (the first as of Feb. 1, 2025 and the second as of Feb. 21, 2025), have active background checks under the operation.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-03-06.
-
Supervision & ratios
The operational polices did not include information regarding Procedures for supporting inclusive services to children with special care needs.
HHSC 746.501(a)(30) — Written Operational Policies - Support inclusive services
HHSC risk weight: Medium. Corrected 2025-03-13. Correction verified 2025-03-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
Through the investigation process it was determined that two children were left unattended for one - two minutes.
HHSC 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
HHSC risk weight: High. Corrected 2024-12-05. Correction verified 2024-12-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Nov 21, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
Through the investigation process it was determined that two children were left unattended for one - two minutes.
HHSC 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
HHSC risk weight: High. Corrected 2024-12-05. Correction verified 2024-12-06.
-
Supervision & ratios Serious
-
Nov 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 28, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 24, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
It was determined through an investigation that proper supervision was not practiced when a child was able to get out of a gated area, unsupervised.
HHSC 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
HHSC risk weight: High. Corrected 2024-11-14. Correction verified 2024-11-18.
-
Records & paperwork Serious
It was determined in the investigation that an incident where a child was unsupervised was not reported to CCR.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-11-14. Correction verified 2024-11-18.
-
Illness & medication
It was determined through an investigation that an occurrence of improper supervision was not documented.
HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk
HHSC risk weight: Medium. Corrected 2024-11-14. Correction verified 2024-11-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Oct 24, 2024 Report · Deficiencies cited
-
Supervision & ratios Serious
It was determined through an investigation that proper supervision was not practiced when a child was able to get out of a gated area, unsupervised.
HHSC 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
HHSC risk weight: High. Corrected 2024-11-14. Correction verified 2024-11-18.
-
Records & paperwork Serious
It was determined in the investigation that an incident where a child was unsupervised was not reported to CCR.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-11-14. Correction verified 2024-11-18.
-
Illness & medication
It was determined through an investigation that an occurrence of improper supervision was not documented.
HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk
HHSC risk weight: Medium. Corrected 2024-11-14. Correction verified 2024-11-18.
-
Supervision & ratios Serious
-
Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 18, 2024 Report · Deficiencies cited
-
Illness & medication Serious
It was determined in an investigation that the operation did not administer medication as advised on the prescription label.
HHSC 746.3805(a)(2) — Administering Medication - As Amended in Writing by Child's Health Care Professional
HHSC risk weight: High. Corrected 2024-10-16. Correction verified 2024-10-28.
-
Illness & medication Serious
-
Sep 18, 2024 Report · Deficiencies cited
-
Illness & medication Serious
It was determined in an investigation that the operation did not administer medication as advised on the prescription label.
HHSC 746.3805(a)(2) — Administering Medication - As Amended in Writing by Child's Health Care Professional
HHSC risk weight: High. Corrected 2024-10-16. Correction verified 2024-10-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Aug 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 8, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.