Pinnacle Kids Academy

Medication No Longer Used

“A child’s Avi-Q was found to have expired on 1/14/26.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2026. Correction verified: Mar 23, 2026.

CPR Training and Recertification Adhere to Guidelines-skill based

“During the inspection, one caregiver was found to have online CPR training only. Note: The director scheduled an in-person class for the caregiver to be completed the next day.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2025. Correction verified: Oct 14, 2025.

Diaper Changing Steps-Supplies Kept Out of Child’s Reach

“During the walkthrough, there was diaper cream on the floor of the restroom, accessible to children. Note: This was corrected at inspection when the diaper cream was removed from the restroom and placed out of reach of the children”

Rule 746.3501(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 2, 2025.

Safety - Electrical Outlets Covered

“During the walkthrough, there were two plugs observed without covers. Note: This was corrected at inspection when the plugs were covered.”

Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 2, 2025.

Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“invdividuals who drive only had one hour of transportation training available for review.”

Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: May 9, 2025.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“The handwasshing sink in the infant spaces is also utilized to wash bottles, utensils, and bowls/plates.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 29, 2024. Correction verified: Nov 6, 2024.

Food Service and Preparation Requirement - Single Use Items if Cannot Sanitize

“Food service equipment, such as bowls, utensils and bottles, are not being sanitized. Noted, that these items are being cleaned with dish soap and water.”

Rule 746.3317(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 29, 2024. Correction verified: Nov 6, 2024.

Safety - Electrical Outlets Covered

“In several of the classrooms there were outlets observed to be uncovered. Noted: Caregivers either called for an outlet cover or added an outlet cover when this was brought to their attention.”

Rule 746.3701(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 29, 2024. Correction verified: Nov 6, 2024.

Director Responsibilities - Operate in Compliance

“Based off of the DFPS investigation, the director failed to notify Child Care Regulation of an infant being left unsupervised for approximately 45 minutes. The director also failed to notify the parents of the infant.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2024. Correction verified: Aug 13, 2024.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“This standard was found deficient as part of a DFPS Investigation when it was determined that a ten-month-old infant was left unsupervised for approximately 45 minutes resulting in a finding of neglectful supervision.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2024. Correction verified: Aug 13, 2024.

Basic Requirements for Infants - Never Unsupervised

“Based off of the DFPS investigation, a ten-month-old infant was left unsupervised for approximately 45 minutes resulting in a finding of neglectful supervision.”

Rule 746.2401(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 6, 2024. Correction verified: Aug 13, 2024.

Report Situation Placing Children at Risk

“The director failed to notify Child Care Regulation (CCR) of an infant child being left unsupervised for an extended period of time. The reportable incident occurred on 3/25/2024 and CCR was never notified by the operation.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2024. Correction verified: Jul 11, 2024.

Parental Communication - Situation that Placed a Child at Risk

“The director failed to notify a parent of their infant child being left unsupervised for an extended period of time. The reportable incident occurred on 3/25/2024 and the parent was never notified by the operation.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2024. Correction verified: Jul 11, 2024.

Infant May Not Sleep in a Restrictive Device

“An infant was observed sleeping in a restrictive device. This was corrected at inspection when the child was removed and placed in a crib.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2024. Correction verified: Jun 21, 2024.

Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met

“There were 10 children with a specified age group of 12 to 17 months with one caregiver during nap. This was corrected at inspection when a second caregiver was added to the room.”

Rule 746.1613(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 12, 2024.