Pinnacle Montessori Academy of Alamo Ranch

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“A child was left unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 24, 2023.

Parental Communication - Situation that Placed a Child at Risk

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

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2023. Correction verified: Oct 24, 2023.

Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

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

Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Dec 8, 2023.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“A four year old child was left unsperviseed in the classroom for six minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2023. Correction verified: Mar 29, 2023.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The operation did not have a current fire inspection.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2023. Correction verified: Mar 3, 2023.

Responsibilities of Caregivers - Supervision of Children

“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.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2023. Correction verified: Feb 3, 2023.

Report Situation Placing Children at Risk

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

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2023. Correction verified: Feb 3, 2023.

Incident/Illness Report Form Shared with Parent

“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.”

Rule 746.707. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 30, 2023.

Responsibilities of Caregivers - Supervision of Children

“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.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2023. Correction verified: Jan 30, 2023.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

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

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2023. Correction verified: Jan 30, 2023.

Incident/Illness Report Form Shared with Parent

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

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2023. Correction verified: Jan 30, 2023.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“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.”

Rule 746.4751(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 9, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“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.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2022. Correction verified: Nov 30, 2022.

Responsibilities of Caregivers - Supervision of Children

“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.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2022. Correction verified: Dec 22, 2022.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“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.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2022. Correction verified: Dec 22, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2022. Correction verified: Dec 22, 2022.

Responsibilities of Caregivers - Supervision of Children

“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.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Dec 12, 2022.

Children Handwashing After Toileting or Diapering

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

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 27, 2022.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“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.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 21, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“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.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2022. Correction verified: Aug 22, 2022.

Report Situation Placing Children at Risk

“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.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2022. Correction verified: Aug 22, 2022.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“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.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2022. Correction verified: Aug 22, 2022.

Director Responsibilities - Operate in Compliance

“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.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2022. Correction verified: Jul 21, 2022.

Responsibilities of Caregivers- Supervision of Children

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

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2022. Correction verified: Jul 21, 2022.

Report Situation Placing Children at Risk

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

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2022. Correction verified: Jul 21, 2022.

Parental Communication - Situation that Placed a Child at Risk

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

Rule 746.307(b)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2022. Correction verified: Jul 21, 2022.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

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

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 6, 2022. Correction verified: Jul 21, 2022.

Responsibilities of Caregivers- Supervision of Children

“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.”

Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jul 21, 2022.

Report Situation Placing Children at Risk

“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.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jul 21, 2022.

Responsibilities of Caregivers - Free of other activities

“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.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jul 21, 2022.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

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

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jul 21, 2022.

Incident/Illness Report Form Shared with Parent

“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.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2022. Correction verified: Jul 21, 2022.

Child/ Caregiver Ratio - 13 or More Children

“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.”

Rule 746.1601. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 29, 2022.

Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

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

Rule 746.4601(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2022. Correction verified: May 18, 2022.

Maintenance of Building, Grounds and Equipment

“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.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2022. Correction verified: May 18, 2022.

Safety - Areas Free From Hazards

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

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2022. Correction verified: May 18, 2022.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

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

Rule 746.4751(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2022. Correction verified: May 18, 2022.

Report Number of Employees

“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.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Feb 28, 2022.

Report Outbreak of Communicable Illness

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

Rule 746.305(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2022. Correction verified: Feb 9, 2022.