Pinnacle Montessori
19730 BULVERDE RD, San Antonio, TX 78259 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 109
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:30 PM
- Director / administrator
- Reagan Gutierrez
- Phone
- (210) 494-8900
- Regulated since
- Aug 26, 2011
- HHSC IDs
- Operation 742008 · number 1212386
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 7 | 2 | Cleanliness & sanitation (2), Supervision & ratios (2), Safety & premises (1), Staff background & training (1), Other (1) |
| 2025 | 9 | 3 | Cleanliness & sanitation (1), Illness & medication (2), Supervision & ratios (3), Safety & premises (2), Staff background & training (1) |
| 2024 | 12 | 2 | Illness & medication (2), Supervision & ratios (5), Safety & premises (2), Staff background & training (3) |
| 2023 | 9 | 2 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (2), Staff background & training (3), Records & paperwork (2) |
| 2022 | 27 | 12 | Cleanliness & sanitation (1), Illness & medication (2), Supervision & ratios (9), Safety & premises (5), Staff background & training (2), Records & paperwork (1), Other (7) |
Inspections, investigations & assessments
-
Jun 25, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2026 Inspection · Deficiencies cited
-
Staff background & training
Three of ten training records audited did not have CPR training that included hands-on skills based instruction.
HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
HHSC risk weight: Medium High. Corrected 2026-07-08. Correction verified 2026-07-07.
-
Cleanliness & sanitation
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.
HHSC 746.3317 — Food Service and Preparation Requirement - Safe and Sanitary
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-06-24.
-
Cleanliness & sanitation
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..
HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-06-24.
-
Staff background & training
-
Jun 17, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 19, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 10, 2026 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
During the course of the investigation, it was determined that a child was left unsupervised for four 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 2026-02-24. Correction verified 2026-02-26.
-
Supervision & ratios Serious
-
Feb 9, 2026 Inspection · Deficiencies cited
-
Safety & premises
The side door of the van used to transport children does not open.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2026-02-23. Correction verified 2026-02-26.
-
Other
Two children were sleeping on mats that were torn.
HHSC 746.4503(a) — Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
HHSC risk weight: Medium. Corrected 2026-02-16. Correction verified 2026-02-26.
-
Supervision & ratios Serious
The operation did not have emergency medical transport and treatment authorization forms for each child being transported.
HHSC 746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information
HHSC risk weight: High. Corrected 2026-02-13. Correction verified 2026-02-26.
-
Safety & premises
-
Dec 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2025 Inspection · Deficiencies cited
-
Staff background & training Serious
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.
HHSC 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
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2025-12-29.
-
Staff background & training Serious
-
Dec 2, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 17, 2025 Inspection · Deficiencies cited
-
Safety & premises
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.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2025-11-24. Correction verified 2025-12-02.
-
Safety & premises
-
Nov 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 6, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
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.
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 2025-12-10. Correction verified 2025-12-16.
-
Supervision & ratios
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.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-12-10. Correction verified 2025-12-16.
-
Safety & premises
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.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2025-12-10. Correction verified 2025-12-16.
-
Supervision & ratios Serious
-
Oct 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 23, 2025 Inspection · Deficiencies cited
-
Illness & medication
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.
HHSC 746.3809 — Medication No Longer Used
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-10-23.
-
Supervision & ratios Serious
The operation was not equipped with a carbon monoxide detector.
HHSC 746.5531 — Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
HHSC risk weight: High. Corrected 2025-10-27. Correction verified 2025-11-12.
-
Illness & medication
Three of ten children's records reviewed did not have current immunization records on file at time of review.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2025-10-30. Correction verified 2025-11-12.
-
Illness & medication
-
Oct 3, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
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.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2025-10-10. Correction verified 2025-10-23.
-
Cleanliness & sanitation
-
Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Mar 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 21, 2024 Inspection · Deficiencies cited
-
Staff background & training
Caregivers did not have all of the required training at the time of inspection.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2024-12-16. Correction verified 2024-12-16.
-
Supervision & ratios
The operation did not have a current sanitation inspection on file at time of review.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2024-12-31. Correction verified 2024-12-16.
-
Supervision & ratios
The operation did not have documented that the fire extinguishers had been inspected.
HHSC 746.5307(a) — Inspect Fire Extinguishers Monthly
HHSC risk weight: Medium High. Corrected 2024-11-28. Correction verified 2024-12-04.
-
Illness & medication
Five out of ten records reviewed did not have current immunization records on file at time of review.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-12-13. Correction verified 2024-12-02.
-
Staff background & training
Three out of the ten records reviewed did not have education qualification requirements on file at the time of review.
HHSC 746.901(2) — Required Personnel Records- Meets Requirements
HHSC risk weight: Medium. Corrected 2024-12-06. Correction verified 2024-12-03.
-
Staff background & training
-
Jul 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 24, 2024 Inspection · Deficiencies cited
-
Staff background & training
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.
HHSC 746.1301(a)(1)(A) — Training Requirements for Employees, Caregivers, and Directors - Orientation
HHSC risk weight: Medium High. Corrected 2024-06-28. Correction verified 2024-07-12.
-
Supervision & ratios
A director change occurred approximately a month ago and the operation did not notify Child Care Regulation.
HHSC 746.303(a)(4) — Report Change in Director
HHSC risk weight: Medium High. Corrected 2024-06-28. Correction verified 2024-07-09.
-
Safety & premises
Two classrooms had a toaster oven on the counter accessible to the children.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2024-06-24. Correction verified 2024-07-24.
-
Safety & premises
A fire drill for May had not been recorded.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected 2024-06-28. Correction verified 2024-07-12.
-
Illness & medication
One out of 10 child immunization records reviewed did not have a record on file.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-07-05. Correction verified 2024-07-12.
-
Staff background & training
-
Feb 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 2, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
A child was seen wandering inside the building from the playground.
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 2024-02-13. Correction verified 2024-02-23.
-
Supervision & ratios Serious
-
Feb 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 29, 2024 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
A child was left on the playground 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 2024-02-13. Correction verified 2024-02-23.
-
Supervision & ratios Serious
-
Dec 21, 2023 Inspection · Deficiencies cited
-
Supervision & ratios Serious
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.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2024-01-31. Correction verified 2024-02-07.
-
Records & paperwork
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.
HHSC 746.605(3) — Required Admission Information - Date of Admission
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2023-12-21.
-
Records & paperwork Serious
One of the children records evaluated did not have anyone listed as an authorized pick up personnel.
HHSC 746.605(7) — Required Admission Information - Release Information
HHSC risk weight: High. Corrected 2024-01-05. Correction verified 2024-01-04.
-
Supervision & ratios Serious
-
Dec 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 4, 2023 Assessment · Deficiencies cited
-
Staff background & training
The operation did not provide the requested transportation training certificate.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2023-12-08. Correction verified 2023-12-04.
-
Staff background & training
-
Dec 1, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 30, 2023 Inspection · Deficiencies cited
-
Staff background & training
A caregiver who drove the van to pick up the afterschool children from school did not have a completed transportation training or certificate.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2023-12-08. Correction verified 2023-12-04.
-
Staff background & training
-
Oct 23, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
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.
HHSC 746.303(a)(1) — Report Change in Designee
HHSC risk weight: Medium Low. Corrected 2023-10-23. Correction verified 2023-11-03.
-
Supervision & ratios
-
Oct 19, 2023 Report · Deficiencies cited
-
Staff background & training
A caregiver who drove the van to pick up the afterschool children from school did not have a completed transportation training.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2023-11-15. Correction verified 2023-12-04.
-
Cleanliness & sanitation
The vent in the nap room bathroom was covered with dust.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2023-11-15. Correction verified 2023-11-30.
-
Staff background & training
-
Jul 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Jul 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2023 Report · Deficiencies cited (self-report)
-
Illness & medication
Based on information gathered the operation reported a positive covid case a day late.
HHSC 746.305(a)(4) — Report Outbreak of Communicable Illness
HHSC risk weight: Medium High. Corrected 2023-03-03. Correction verified 2023-03-28.
-
Illness & medication
-
Dec 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 9, 2022 Report · Deficiencies cited
-
Supervision & ratios
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.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2023-01-31. Correction verified 2023-03-01.
-
Cleanliness & sanitation
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.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2023-01-31. Correction verified 2022-12-29.
-
Supervision & ratios
-
Dec 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 11, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2022 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
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.
HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children
HHSC risk weight: High. Corrected 2022-11-04. Correction verified 2022-11-15.
-
Supervision & ratios Serious
-
Sep 29, 2022 Inspection · Deficiencies cited
-
Safety & premises
Pre-primary playground was missing the required depth of loose fill within their use zones.
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2022-09-30. Correction verified 2022-10-21.
-
Safety & premises Serious
A Fire inspection was not available for review.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2022-10-20. Correction verified 2022-10-21.
-
Safety & premises
-
Aug 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 16, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 7, 2022 Inspection · Deficiencies cited
-
Staff background & training
One out of ten staff files had an expired CPR and First Aid training.
HHSC 746.1301(4)(A) — Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2022-07-14. Correction verified 2022-08-02.
-
Supervision & ratios
Operation policies were missing the time durations, and benefits, of how the operation will be promoting indoor and outdoor physical activity.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2022-07-14. Correction verified 2022-08-02.
-
Safety & premises
An emergency preparedness plan was not accessible for review.
HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
HHSC risk weight: Medium High. Corrected 2022-07-14. Correction verified 2022-08-02.
-
Staff background & training
-
Jun 29, 2022 Inspection · Deficiencies cited
-
Other
Five feeding instruction forms were noted not up to date. Note: Forms were dated 5/6/2022.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2022-07-01. Correction verified 2022-07-07.
-
Other
-
Jun 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2022 Report · Deficiencies cited
-
Other Serious
An infant caregiver failed to use good judgment when she moved an infant by using her feet to reposition him.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2022-08-08. Correction verified 2022-08-19.
-
Other
An infant caregiver was not attending to crying infants. Infants were allowed to cry for approximately 25-30 minutes without being comforted.
HHSC 746.2401(3) — Basic Requirements for Infants - Holding and Comforting
HHSC risk weight: Medium High. Corrected 2022-08-08. Correction verified 2022-08-19.
-
Other
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.
HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance
HHSC risk weight: Medium High. Corrected 2022-08-08. Correction verified 2022-08-19.
-
Other Serious
-
Jun 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 3, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
May 16, 2022 Inspection · Deficiencies cited
-
Safety & premises Serious
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.
HHSC 746.2401(6) — Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
HHSC risk weight: High. Corrected at inspection. Corrected 2022-05-16.
-
Safety & premises
Classroom Mesquite is currently being used for storage and not maintained as licensed space.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2022-05-30. Correction verified 2022-06-07.
-
Other
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.
HHSC 746.4907(d) — Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
HHSC risk weight: Medium High. Corrected 2022-05-30. Correction verified 2022-06-07.
-
Safety & premises Serious
-
May 16, 2022 Report · Deficiencies cited (self-report)
-
Other Serious
Two caregivers were negligent in accounting for their children responsible while in their care.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Supervision & ratios Serious
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.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Other
Based on the evidence provided a caregiver was noted utilizing a cell phone while caring for children.
HHSC 746.1203(6) — Responsibilities of Caregivers - Free of other activities
HHSC risk weight: Medium High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Supervision & ratios Serious
The operation failed to report to Licensing on negligent supervision.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Supervision & ratios Serious
The operation did not notify parents in a timely manner of the incidents regarding supervision.
HHSC 746.307(b)(3) — Parental Communication - Notify Parent Immediately of Administration of an unassigned Epinephrine Auto-injector
HHSC risk weight: High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Illness & medication
An incident report was not available for review.
HHSC 746.701(4) — Licensing Incident/Illness Report Form - Communicable Diseases
HHSC risk weight: Medium. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Other Serious
-
May 13, 2022 Report · Deficiencies cited
-
Staff background & training Serious
Two employees present during the investigation were found missing background checks. Individuals did not have an eligibility status and were present in the operation.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Supervision & ratios Serious
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.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Supervision & ratios Serious
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.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Supervision & ratios Serious
The operation did not notify parents in a timely manner of the incidents regarding supervision.
HHSC 746.307(b)(3) — Parental Communication - Notify Parent Immediately of Administration of an unassigned Epinephrine Auto-injector
HHSC risk weight: High. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Illness & medication
An incident report was not available for review.
HHSC 746.701(4) — Licensing Incident/Illness Report Form - Communicable Diseases
HHSC risk weight: Medium. Corrected 2022-06-11. Correction verified 2022-06-29.
-
Staff background & training Serious
-
May 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 30, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Feb 25, 2022 Assessment · Deficiencies cited
-
Records & paperwork
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.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2022-03-01. Correction verified 2022-02-25.
-
Records & paperwork
-
Dec 30, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 6, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2021 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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.