Hearth Record

Pinnacle Kids Academy

A licensed child care center in San Antonio, Texas 78251

410 Carson Hill Dr, San Antonio, Texas 78251. (210) 660-8585.

Texas’s own record, on its child care search

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 6 deficiencies in 4 months of the last 36. Last cited Sep 2026. Most serious: High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels
Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

6 deficiencies cited in the last three years

The middle of the 768 child care providers in Bexar County had 5.

23 inspections on record. The latest, on Nov 3, 2026: no violation found.

Rated High by Texas: Basic Requirements for Infants - Never Unsupervised, at the inspection on Sep 30, 2026

Rated High by Texas: Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control, at the report to the state on Jan 30, 2026

Rated High by Texas: Report Situation Placing Children at Risk, at the report to the state on Jul 16, 2024

1 more rated High; all are listed below.

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

6 deficiencies in 4 months of the last 36. Last cited Sep 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

6 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

Sep 30, 2026: inspection1 deficiency
  • Basic Requirements for Infants - Never Unsupervised

    “A teacher was observed sleeping while they were the sole caregiver of five children during naptime. One of the children was awake. The specified age group was 12 to 17 months. This was corrected at inspection when the assistant director woke the teacher up.”

    Rule 746.2401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2026. Correction verified: Oct 8, 2026.

Jan 30, 2026: report to the state1 deficiency
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “During the course of the investigation, it was determined that toddler children had been frightened by a caregiver in a dinosaur costume who visited their classrooms after it was previously determined on other occasions that some of the children were afraid of the costume and the visits disrupted the classes and made some children cry. The costume was not associated with the curriculum.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2026. Correction verified: Mar 25, 2026.

Aug 5, 2025: report to the state1 deficiency
  • Child/ Caregiver Ratio - 13 or More Children

    “Based on observation made during inspection, it was determined that the infant room 2 was out of ratio. Caregiver had five infants in care and the ages are 10 month old, 11 month old, 11 month old, 14 month old and 16 month old. Based on the ages of the infants, caregiver can only have four infants in care.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 25, 2025. Correction verified: Sep 4, 2025.

Jul 16, 2024: report to the state3 deficiencies
  • Report Situation Placing Children at Risk

    “Based on the information collected for this investigation, it was learned that the operation did not notify licensing when the staff failed to feed an infant their breast milk bottle on two separate occasions. It was discovered that one of the incidents, due to the lack of proper labeling of bottles, uncovered the infant caregiver served an infant the wrong breast milk bottle. Both caregivers in the classroom were aware of the situation and did not informed the director. Therefore, the operation did not notify licensing.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2024. Correction verified: Aug 6, 2024.

  • Parental Communication - Situation that Placed a Child at Risk

    “Information obtained for this investigation, revealed two infant caregivers were aware an infant was given the wrong breastmilk bottle and the parent was not informed of this mistake. Staff informed the parent of not being able to recognize which bottle belonged to the two infants with the same bottle, in which both had breastmilk.”

    Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2024. Correction verified: Aug 6, 2024.

  • Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

    “Information obtained during investigation; determined the same infant was not served their last PM bottle on two separate occasions.”

    Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2024. Correction verified: Aug 6, 2024.

3 deficiencies older than three years
Aug 14, 2023: inspection2 deficiencies
  • Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

    “The climbing wall on the Pre-K/ School age playground had a cracked and broken pocket.”

    Rule 746.4601(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2023. Correction verified: Sep 11, 2023.

  • Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

    “The diaper changing mat in the Little Sprouts classroom had the vinyl torn. Note, corrected at inspection when the diaper changing mat was replaced with a new one.”

    Rule 746.3503(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 14, 2023.

Dec 28, 2022: report to the state1 deficiency
  • Administering Medication - Original Container with Child’s Name, Date

    “The medication (inhaler) being administered to a child did not have its original container with the name of child, name of medication or instructions on the doses for the medication.”

    Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 18, 2023. Correction verified: Jan 18, 2023.

All 34 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Nov 3, 2026InspectionNo violation found
Oct 8, 2026InspectionNo violation found
Sep 30, 2026Inspection1 deficiency cited
Sep 28, 2026Report to the stateOutcome pending
Apr 29, 2026InspectionNo violation found
Mar 25, 2026InspectionNo violation found
Feb 4, 2026InspectionNo violation found
Jan 30, 2026Report to the state1 deficiency cited
Nov 18, 2025InspectionNo violation found
Sep 4, 2025InspectionNo violation found
Aug 19, 2025InspectionNo violation found
Aug 5, 2025Report to the state1 deficiency cited
Jun 16, 2025InspectionNo violation found
Jun 11, 2025InspectionNo violation found
Feb 28, 2025InspectionNo violation found
Feb 21, 2025Report to the stateNo violation found
Jul 24, 2024InspectionNo violation found
Jul 22, 2024Report to the stateNo violation found
Jul 16, 2024Report to the state3 deficiencies cited
Jun 12, 2024InspectionNo violation found
Mar 13, 2024InspectionNo violation found
Mar 4, 2024Report to the stateNo violation found
Dec 22, 2023InspectionNo violation found
Nov 13, 2023Report to the stateNo violation found
Sep 11, 2023InspectionNo violation found
Aug 17, 2023InspectionNo violation found
Aug 15, 2023Report to the stateNo violation found
Aug 14, 2023Inspection2 deficiencies cited
May 5, 2023InspectionNo violation found
Apr 26, 2023Report to the stateNo violation found
Jan 23, 2023InspectionNo violation found
Dec 29, 2022InspectionNo violation found
Dec 28, 2022Report to the state1 deficiency cited
Aug 26, 2022InspectionNo violation found

Is it licensed?

  • Licensed Center, permit issued Aug 17, 2015.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 190 children.
Source:

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

  • No corrective or adverse action by Texas on record.
  • 11 reports to the state on record; Texas doesn’t publish whether they were .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 2026. Updated daily.

Who does the caring?

  • Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

  • Texas’s open data doesn’t list owners.

How is it rated?

  • Texas Rising Star: 4-Star (the highest of three levels).
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 768 child care providers in Bexar County, the middle value for deficiencies cited in the last three years was 5; this one had 6.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

What the record doesn’t say

  • Texas doesn’t publish whether a complaint was substantiated.
  • Texas rates some paperwork slips as High risk, so read what was actually cited.
  • Texas doesn’t publish staffing levels or owners for individual providers.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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