RecordWell Data

Pinnacle Montessori Academy Of Alamo Ranch

11400 CULEBRA RD, San Antonio, TX 78253 · Bexar County

72cited violations
61serious
92inspections & investigations
0enforcement actions

Program

Type
Licensed center
Licensed capacity
210
Ages
Infant, Toddler, Pre-Kindergarten, School
Hours
06:30 AM-06:30 PM
Director / administrator
Esia Mercado
Phone
(210) 716-1250
Regulated since
Aug 13, 2015
HHSC IDs
Operation 1151873 · number 1544442
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
2026109 Cleanliness & sanitation (2), Supervision & ratios (2), Safety & premises (2), Food & allergies (1), Staff background & training (1), Other (2)
20251311 Cleanliness & sanitation (1), Supervision & ratios (1), Safety & premises (4), Staff background & training (2), Other (5)
202499 Cleanliness & sanitation (3), Supervision & ratios (3), Safety & premises (3)
2023118 Illness & medication (3), Supervision & ratios (6), Records & paperwork (1), Other (1)
20222823 Cleanliness & sanitation (5), Illness & medication (5), Supervision & ratios (9), Discipline & child guidance (1), Safety & premises (3), Staff background & training (1), Records & paperwork (1), Other (3)
202111 Safety & premises (1)

Inspections, investigations & assessments

  1. Sep 21, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  2. Sep 15, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  3. Aug 20, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  4. Aug 19, 2026 Report · Deficiencies cited (self-report)
    • Safety & premises Serious

      During the course of the investigation, it was noted that a toddler caregiver was utilizing a cell phone while a child exited the classroom.

      HHSC 746.1203(3)(D) — Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

      HHSC risk weight: Medium High. Corrected 2026-09-08. Correction verified 2026-09-21.

    • Supervision & ratios Serious

      During the course of the investigation, it was noted a toddler was unsupervised for approximately 2.5 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 2026-09-08. Correction verified 2026-09-21.

    HHSC inspection history

  5. Aug 10, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  6. Aug 7, 2026 Report · Deficiencies cited
    • Supervision & ratios Serious

      During the investigation, it was determined that a 2-year-old child was left unattended on the playground for approximately 30 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 2026-09-04. Correction verified 2026-09-15.

    • Other Serious

      During the investigation, it was determined that a parent was not notified immediately when a child was left unattended outside. The parent was notified within 2.5 hours of the incident.

      HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk

      HHSC risk weight: High. Corrected 2026-09-04. Correction verified 2026-09-15.

    • Food & allergies Serious

      It was determined during the investigation, while viewing video footage that a child was not offered water upon return to the classroom from being outside.

      HHSC 746.3301(f)(1) — Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

      HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-15.

    • Cleanliness & sanitation Serious

      During the investigation, it was determined while viewing video footage that a child did not wash their hands upon entering the classroom from outside.

      HHSC 746.3417(4) — Children Handwashing After Outdoor Activities

      HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-15.

    HHSC inspection history

  7. Jun 4, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. May 11, 2026 Inspection · Deficiencies cited
    • Safety & premises Serious

      At time of inspeciton, crib sheets were observed to not be tight-fitted.

      HHSC 746.2409(a)(2) — Safety Requirements for Cribs - Snug Fitting Sheets

      HHSC risk weight: Medium High. Corrected 2026-05-11. Correction verified 2026-06-04.

    • Other

      At time of inspection, six out of seven monthly feeding instructions were not updated for the month of May.

      HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days

      HHSC risk weight: Medium. Corrected 2026-05-29. Correction verified 2026-06-04.

    HHSC inspection history

  9. Jan 12, 2026 Inspection · Deficiencies cited
    • Staff background & training Serious

      At the time of the inspection, two out of the ten staff members did not have current CPR/First Aid certifications for review.

      HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR

      HHSC risk weight: Medium High. Corrected 2026-01-26. Correction verified 2026-01-14.

    HHSC inspection history

  10. Jan 2, 2026 Inspection · Deficiencies cited
    • Cleanliness & sanitation Serious

      The diaper changing mat in the infant room had two tears on the vinyl. Note, a picture of the diaper changing mat was taken.

      HHSC 746.3503(a) — Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

      HHSC risk weight: Medium High. Corrected 2026-01-12. Correction verified 2026-01-12.

    HHSC inspection history

  11. Dec 22, 2025 Report · Deficiencies cited
    • Cleanliness & sanitation Serious

      Several classrooms were observed of having the children's cots stored in the restroom. One restroom had toilet paper on the floor next to the cots. Several cots stacked up also had the children's blankets. Note, pictures were taken of all classrooms and restrooms.

      HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

      HHSC risk weight: Medium High. Corrected 2026-01-12. Correction verified 2026-01-12.

    HHSC inspection history

  12. Sep 30, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  13. Sep 16, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  14. Sep 10, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  15. Sep 2, 2025 Inspection · Deficiencies cited
    • Other Serious

      At the time of inspection the caregiver in the toddler room stated there were 18 children in her care when there were 16. NOTE: This was corrected when the caregiver recounted the children.

      HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for

      HHSC risk weight: High. Corrected 2025-09-02. Correction verified 2025-09-10.

    HHSC inspection history

  16. Aug 29, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  17. Aug 26, 2025 Inspection · Deficiencies cited
    • Safety & premises Serious

      Recite: Bolts were observed to be protruding from the PVC pipe that is utilized as a barrier. Chicken wire was observed on the ground on the playground.

      HHSC 746.3701 — Safety - Areas Free From Hazards

      HHSC risk weight: Medium High. Corrected 2025-09-03. Correction verified 2025-09-16.

    HHSC inspection history

  18. Aug 13, 2025 Inspection · Deficiencies cited
    • Other Serious

      A caregiver was observed utilizing their cell phone for personal use while supervising a napping group of children.

      HHSC 746.1203(3)(D) — Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

      HHSC risk weight: Medium High. Corrected 2025-08-13. Correction verified 2025-08-26.

    • Staff background & training

      Five of the nine caregivers did not have training certificates totaling 24 hours available for review.

      HHSC 746.1309(a) — Documented Annual Training Area - 24 Hours Required

      HHSC risk weight: Medium. Corrected 2025-09-08. Correction verified 2025-09-16.

    • Staff background & training

      The director did not have training certificates totaling 30 hours available for review.

      HHSC 746.1311(a) — Director Annual Training 30 Hours Required

      HHSC risk weight: Medium. Corrected 2025-09-08. Correction verified 2025-09-16.

    • Safety & premises Serious

      A nine month old infant, who does not walk, was observed to be utilizing a cot for napping.

      HHSC 746.2405(2) — Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age

      HHSC risk weight: Medium High. Corrected 2025-08-13. Correction verified 2025-08-26.

    • Safety & premises Serious

      Bolts were observed to be protruding from the PVC pipe that utilized as a barrier. Chicken wire was observed to be on the ground on the playground.

      HHSC 746.3701 — Safety - Areas Free From Hazards

      HHSC risk weight: Medium High. Corrected 2025-08-20. Correction verified 2025-08-26.

    • Other Serious

      A standing fan was observed to be on the floor in the primary room.

      HHSC 746.3701(3) — Safety - Air Conditioners, Fans, Heaters Safeguarded

      HHSC risk weight: Medium High. Corrected 2025-08-13. Correction verified 2025-08-26.

    • Safety & premises Serious

      The loose fill on the playgrounds was not installed the thee reuqired 6 inch depth.

      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 2025-09-15. Correction verified 2025-09-16.

    HHSC inspection history

  19. Jul 11, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  20. Jun 10, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  21. Jun 2, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  22. May 23, 2025 Report · Deficiencies cited
    • Other Serious

      An investigation revealed that caregivers were utilizing personnel devices, such as cell phones, for non-job-related activities, including viewing camera footage and sending text messages.

      HHSC 746.1203(3)(D) — Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

      HHSC risk weight: Medium High. Corrected 2025-07-01. Correction verified 2025-07-11.

    • Other Serious

      It was determined in an investigation that a caregiver was using prohibited punishment by yelling at children as a form of discipline.

      HHSC 746.2805(5) — Prohibited Punishments - Humiliating, Rejecting, Yelling

      HHSC risk weight: High. Corrected 2025-07-01. Correction verified 2025-07-11.

    HHSC inspection history

  23. Apr 8, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  24. Mar 11, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  25. Mar 7, 2025 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  26. Feb 25, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  27. Feb 18, 2025 Inspection · Deficiencies cited
    • Supervision & ratios Serious

      Operation did not have a Sleep Exception Form completed for the two month old infant observed asleep in a restrictive device.

      HHSC 746.2426(a)(1) — Infant May Not Sleep in a Restrictive Device

      HHSC risk weight: High. Corrected 2025-02-18. Correction verified 2025-02-25.

    HHSC inspection history

  28. Jan 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  29. Nov 6, 2024 Inspection · Deficiencies cited
    • Supervision & ratios Serious

      The electronic child safety alarm was observed not functioning in one of the operation's vans used to transport the children in care.

      HHSC 746.5625(b) — Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions

      HHSC risk weight: High. Corrected 2024-12-20. Correction verified 2025-01-07.

    HHSC inspection history

  30. Aug 6, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  31. Jul 24, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  32. May 17, 2024 Inspection · Deficiencies cited
    • Safety & premises Serious

      Loose fill observed by the slides on the playground did not meet the required 6 inches of dept.

      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 2024-07-31. Correction verified 2024-08-06.

    • Supervision & ratios Serious

      The operation did not obtain a fire inspection within the last 12 months.

      HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      HHSC risk weight: High. Corrected 2024-06-28. Correction verified 2024-05-21.

    HHSC inspection history

  33. Mar 4, 2024 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  34. Feb 8, 2024 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      During the course of this investigation, it was determined that supervision was not appropriate when a 14 month old child was able to leave a classroom unattended. Caregivers were unaware the child left until the child was brought back 5-7 minutes after the child exited 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 2024-02-23. Correction verified 2024-03-04.

    • Safety & premises Serious

      The automatic door closer that is meant to close classrooms doors was not working properly in room 112.

      HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

      HHSC risk weight: Medium High. Corrected 2024-02-23. Correction verified 2024-03-04.

    HHSC inspection history

  35. Feb 8, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation Serious

      While viewing video for an investigation, a caregiver was observed not washing her hands after changing a child's diaper.

      HHSC 746.3415(4) — Employee Handwashing After Diapering a Child

      HHSC risk weight: Medium High. Corrected 2024-02-08. Correction verified 2024-03-04.

    • Cleanliness & sanitation Serious

      While viewing video for an investigation, a child was observed to not have their hands washed after a diaper change.

      HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering

      HHSC risk weight: Medium High. Corrected 2024-02-08. Correction verified 2024-03-04.

    HHSC inspection history

  36. Jan 26, 2024 Inspection · Deficiencies cited
    • Cleanliness & sanitation Serious

      A bottle of Lysol was observed on a shelf in the bathroom that was within children's reach. This was CORRECTED AT INSPECTION when the Lysol was moved to a high shelf.

      HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

      HHSC risk weight: High. Corrected at inspection. Corrected 2024-01-26.

    • Safety & premises Serious

      A cot was observed to be leaned up against the backdoor of the classroom, blocking its use as a fire exit. Note this was CORRECTED AT INSPECTION when the cot was moved.

      HHSC 746.5209(c) — No Blocked or Locked Doors as Exits

      HHSC risk weight: High. Corrected 2024-01-26. Correction verified 2024-02-08.

    HHSC inspection history

  37. Dec 8, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  38. Nov 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Oct 24, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  40. Oct 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  41. Sep 22, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  42. Sep 21, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  43. Sep 21, 2023 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  44. Sep 21, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      A child was left 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 2023-10-12. Correction verified 2023-10-24.

    • Other Serious

      A parent was not notified of a situation that placed their child at risk until the day after the incident.

      HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk

      HHSC risk weight: High. Corrected 2023-10-12. Correction verified 2023-10-24.

    HHSC inspection history

  45. Sep 15, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  46. Aug 30, 2023 Inspection · Deficiencies cited
    • Supervision & ratios Serious

      The electronic child safety alarm was observed not functioning in one of the operation's vans used to transport the children in care.

      HHSC 746.5625(b) — Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions

      HHSC risk weight: High. Corrected 2023-11-30. Correction verified 2023-12-08.

    HHSC inspection history

  47. Jul 28, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  48. Jun 30, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  49. May 31, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  50. Apr 27, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  51. Mar 29, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  52. Mar 13, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  53. Mar 10, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      A four year old child was left unsperviseed in the classroom for six 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 2023-03-13. Correction verified 2023-03-29.

    HHSC inspection history

  54. Mar 1, 2023 Inspection · Deficiencies cited
    • Supervision & ratios Serious

      The operation did not have a current fire inspection.

      HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      HHSC risk weight: High. Corrected 2023-03-01. Correction verified 2023-03-03.

    HHSC inspection history

  55. Feb 3, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  56. Jan 30, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  57. Jan 27, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      Based upon information gathered, surveillance and interviews conducted supervision was determined to have occurred when a child left the classroom to go into the gym unsupervised.

      HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children

      HHSC risk weight: High. Corrected 2023-01-30. Correction verified 2023-02-03.

    • Records & paperwork Serious

      Based upon information gathered and interviews conducted this incident was reported to Licensing more than two days after the incident occurring.

      HHSC 746.305(a)(6) — Report Situation Placing Children at Risk

      HHSC risk weight: High. Corrected 2023-01-30. Correction verified 2023-02-03.

    • Illness & medication

      Based upon information gathered and interviews conducted the incident report wasn't signed or a copy provided to the parent until after 48 hours of the incident occurring. NOTE: This was corrected at inspection.

      HHSC 746.707 — Incident/Illness Report Form Shared with Parent

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-01-30.

    HHSC inspection history

  58. Jan 26, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  59. Jan 23, 2023 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  60. Jan 19, 2023 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      Based upon information gathered, surveillance and interviews conducted inadequate supervision was determined to have occurred when children were left on the playground unsupervised as the caregiver went back into the classroom. In addition to several children running outside the classroom door into the playground unsupervised to get water bottles.

      HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children

      HHSC risk weight: High. Corrected 2023-01-23. Correction verified 2023-01-30.

    • Illness & medication

      Two of the four incident reports were unavailable for review. NOTE: One of the two incident reports was corrected at inspection.

      HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk

      HHSC risk weight: Medium. Corrected 2023-01-23. Correction verified 2023-01-30.

    • Illness & medication

      Two of the four children incident reports were not shared with the parents. NOTE: One of the two was corrected at inspection.

      HHSC 746.707 — Incident/Illness Report Form Shared with Parent

      HHSC risk weight: Medium. Corrected 2023-01-23. Correction verified 2023-01-30.

    HHSC inspection history

  61. Dec 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  62. Dec 12, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  63. Dec 9, 2022 Inspection · Deficiencies cited
    • Supervision & ratios Serious

      There was a slide on the Pre-K playground that had half of the screws missing making the slide not secured in place. Note: This was corrected at in inspection when the operation's maintenance personnel applied the screws to secure the slide in place.

      HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-12-09.

    HHSC inspection history

  64. Nov 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  65. Nov 9, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  66. Nov 2, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  67. Nov 2, 2022 Report · Deficiencies cited (self-report)
    • Other Serious

      In the course of this investigation, information gathered determined a lack of judgment by staff to immediately notify the parent of a child in distress. Parent was contacted approximately two hours after staff observed the child limping.

      HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

      HHSC risk weight: High. Corrected 2022-11-30. Correction verified 2022-11-30.

    HHSC inspection history

  68. Oct 28, 2022 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      A child was not adequately supervised on the playground. They were able to leave their playground and reach a different one on the other side of the daycare and caregivers were not aware until the child was brought back by the director.

      HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children

      HHSC risk weight: High. Corrected 2022-12-19. Correction verified 2022-12-22.

    HHSC inspection history

  69. Oct 26, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  70. Oct 21, 2022 Report · Deficiencies cited (self-report)
    • Staff background & training Serious

      Based on information gathered, a caregiver whose background check is provisionally eligible with conditions was left alone with children in a classroom. This was corrected when a caregiver with an eligible background check returned to the classroom.

      HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

      HHSC risk weight: High. Corrected 2022-12-16. Correction verified 2022-12-22.

    • Supervision & ratios Serious

      Based on information gathered, two caregivers did not use good judgement when it was decided to take an infant who was experiencing symptoms of allergic reaction to the child's relative who is an employee at the center versus following operational procedures and specific emergency instructions on the child's food allergy emergency plan such as immediately calling 911, administering epi-pen, keeping child warm, and avoiding unnecessary movement. Caregivers did not use good judgement when a known food allergen was served in an infant classroom where an infant with that specific diagnosed food allergy was present. Although food wasn't directly served to the infant, the infant was sitting at a table with other children eating the food allergen. Shortly after, the child started experiencing symptoms an allergic reaction.

      HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

      HHSC risk weight: High. Corrected 2022-12-16. Correction verified 2022-12-22.

    HHSC inspection history

  71. Oct 21, 2022 Report · Deficiencies cited (self-report)
    • Supervision & ratios Serious

      It was determined that the operation failed to adequately supervise a child in care when they left the child on the playground for approximately 2 minutes by themself when the group returned to their classroom.

      HHSC 746.1203(4) — Responsibilities of Caregivers - Supervision of Children

      HHSC risk weight: High. Corrected 2022-12-02. Correction verified 2022-12-12.

    HHSC inspection history

  72. Oct 6, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  73. Sep 20, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  74. Sep 16, 2022 Report · No deficiencies cited (self-report)

    No violations cited on this visit.

    HHSC inspection history

  75. Aug 22, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  76. Jul 27, 2022 Inspection · Deficiencies cited
    • Cleanliness & sanitation Serious

      A child's hands were not washed after diaper changing. Note: This was corrected at inspection as the caregiver washed the child's hands.

      HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-27.

    HHSC inspection history

  77. Jul 21, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  78. Jul 7, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  79. Jun 21, 2022 Inspection · Deficiencies cited
    • Cleanliness & sanitation Serious

      A Lysol and a pink disinfect bottle were observed accessible to the children in care as it was located on a top of a child's height bookshelf within their reach. Note: This was corrected at inspection as the caregiver moved the disinfectant bottles to a high shelf.

      HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

      HHSC risk weight: High. Corrected at inspection. Corrected 2022-06-21.

    HHSC inspection history

  80. Jun 20, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  81. Jun 18, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  82. Jun 15, 2022 Report · Deficiencies cited
    • Cleanliness & sanitation Serious

      Caregiver did not exercise good judgment when failing to ensure the disinfectant tablet completely dissolved in the water before allowing children to use it, resulting in a three year old placing a small piece of the tablet in their mouth for a couple of seconds.

      HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

      HHSC risk weight: High. Corrected 2022-08-11. Correction verified 2022-08-22.

    • Cleanliness & sanitation Serious

      The operation staff did not report a situation where a child was placed at risk. The operation staff did not report an incident where a three year old placed a small piece of a disinfectant dissolvable tablet in their mouth while in care that required a call to poison control.

      HHSC 746.305(a)(6) — Report Situation Placing Children at Risk

      HHSC risk weight: High. Corrected 2022-08-11. Correction verified 2022-08-22.

    • Illness & medication

      The operation staff did not generate an incident report at the time a three year old child placed a piece of dissolvable disinfectant tablet in their mouth while in care.

      HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk

      HHSC risk weight: Medium. Corrected 2022-08-11. Correction verified 2022-08-22.

    HHSC inspection history

  83. Jun 14, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  84. Jun 10, 2022 Report · Deficiencies cited
    • Discipline & child guidance Serious

      Based on the information obtained for this investigation, the director failed to communicate truthfully with the parents and attempted to withheld information on two children who had physical contact with each other while on the playground. Director did not follow up with staff to collect more information on the incident. Director failed to notify licensing on the incident and neglected to create an incident report.

      HHSC 746.1003(1) — Director Responsibilities - Operate in Compliance

      HHSC risk weight: High. Corrected 2022-07-06. Correction verified 2022-07-21.

    • Supervision & ratios Serious

      The lack of supervision enabled two children to display inappropriate sexual behavior on each other while on the playground.

      HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children

      HHSC risk weight: High. Corrected 2022-07-06. Correction verified 2022-07-21.

    • Supervision & ratios Serious

      The operation failed to notify licensing on an incident that happen on the playground with two children.

      HHSC 746.305(a)(6) — Report Situation Placing Children at Risk

      HHSC risk weight: High. Corrected 2022-07-06. Correction verified 2022-07-21.

    • Other Serious

      The parents of two children involved with an incident on the playground regarding child-on-child contact were not properly informed.

      HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk

      HHSC risk weight: Medium High. Corrected 2022-07-06. Correction verified 2022-07-21.

    • Illness & medication

      The operation failed to create an incident report on the specific date and time the incident occurred with two children on the playground.

      HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk

      HHSC risk weight: Medium. Corrected 2022-07-06. Correction verified 2022-07-21.

    HHSC inspection history

  85. Jun 10, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  86. Jun 9, 2022 Report · Deficiencies cited
    • Supervision & ratios Serious

      A toddler walked behind the building from the toddler playground to the preschool playground unsupervised. The toddler was on the preschool playground for approximately less then five minutes unsupervised.

      HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children

      HHSC risk weight: High. Corrected 2022-06-27. Correction verified 2022-07-21.

    • Other Serious

      Information gathered for this investigation based on footage determined one staff was sweeping the play structure platform while the other staff was walking around the playground holding a cell phone and glancing at it when the toddler was observed walking away from the play area.

      HHSC 746.1203(6) — Responsibilities of Caregivers - Free of other activities

      HHSC risk weight: Medium High. Corrected 2022-06-27. Correction verified 2022-07-21.

    • Supervision & ratios Serious

      The operation failed to notified licensing on a toddler who wandered off to the preschool playground and was on the play structure that is not age appropriate.

      HHSC 746.305(a)(6) — Report Situation Placing Children at Risk

      HHSC risk weight: High. Corrected 2022-06-27. Correction verified 2022-07-21.

    • Illness & medication

      Information gathered for this investigation determined a licensing incident report was not created for the child who was found unsupervised on the preschool playground.

      HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk

      HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-07-21.

    • Illness & medication

      Information gathered for this investigation determined an incident report was not shared with the parent when a child was found unsupervised in the pre-school playground.

      HHSC 746.707 — Incident/Illness Report Form Shared with Parent

      HHSC risk weight: Medium. Corrected 2022-06-27. Correction verified 2022-07-21.

    HHSC inspection history

  87. May 18, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  88. Mar 29, 2022 Inspection · Deficiencies cited
    • Supervision & ratios Serious

      A caregiver was observed out of ratio when observed caring for 18 children. The three year old ratio is 1 to 15. Note: This was corrected it at inspection as another caregiver stepped in the classroom.

      HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-03-29.

    HHSC inspection history

  89. Mar 24, 2022 Report · Deficiencies cited
    • Cleanliness & sanitation Serious

      The wooden fence observed dividing the playground space is not in good repair with many wooden boards missing and gates not properly attached to the wooden beams.

      HHSC 746.3407 — Maintenance of Building, Grounds and Equipment

      HHSC risk weight: Medium High. Corrected 2022-05-31. Correction verified 2022-05-18.

    • Safety & premises Serious

      Nails were observed protruding from the broken wooden fences that divides the playground spaces.

      HHSC 746.3701 — Safety - Areas Free From Hazards

      HHSC risk weight: Medium High. Corrected 2022-05-31. Correction verified 2022-05-18.

    • Safety & premises Serious

      The plastic steps on the playscape were observed broken as gaps were seen where children stepped on to them.

      HHSC 746.4601(7) — Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

      HHSC risk weight: High. Corrected 2022-05-31. Correction verified 2022-05-18.

    • Safety & premises Serious

      Hazards were not removed or repaired promptly after noticing the hazards during their required active play inspections.

      HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired

      HHSC risk weight: Medium High. Corrected 2022-05-31. Correction verified 2022-05-18.

    HHSC inspection history

  90. Feb 25, 2022 Assessment · Deficiencies cited
    • Records & paperwork

      A review of the 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 2022-02-28. Correction verified 2022-02-28.

    HHSC inspection history

  91. Jan 11, 2022 Report · Deficiencies cited (self-report)
    • Illness & medication Serious

      The operation did not report two positive COVID cases to Child Care Regulation within 48 hours

      HHSC 746.305(a)(4) — Report Outbreak of Communicable Illness

      HHSC risk weight: Medium High. Corrected 2022-02-02. Correction verified 2022-02-09.

    HHSC inspection history

  92. Oct 26, 2021 Inspection · Deficiencies cited
    • Safety & premises Serious

      Wax burners were observed in two classrooms. Only one class had it plugged in with hot liquid that was accessible to children. This was corrected at inspection when the caregivers agreed to remove the wax burners from the classroom.

      HHSC 746.3701 — Safety - Areas Free From Hazards

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2021-10-26.

    HHSC inspection history

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.

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HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
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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, via 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.