Pinnacle Montessori Old Dorchester

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“Not enough loose fill material was present. The dirt ground could be seen around the slide area. Loose fill material was not at appropriate depth. There was grass and weeds growing in the loose fill on the playground.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 3, 2026. Correction verified: Jun 26, 2026.

AP Initial background checks submitted - At the time you hire someone

“During an inspection, a caregiver was observed to be present prior to a background check being entered through the online provider portal. The caregiver was sent home during the inspection.”

Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 23, 2026. Correction verified: Apr 23, 2026.

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

“The operation’s last fire inspection was conducted in March 2025.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2026. Correction verified: May 20, 2026.

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

“This standard was evaluated during the investigation and was found to be deficient. Video footage was obtained in which a caregiver was seen leaving a child in a room unsupervised for more than two minutes. Video footage also showed that another child entered a room unsupervised for less than one minute before being discovered by a caregiver.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Dec 30, 2025.

Report Situation Placing Children at Risk

“This standard was evaluated during the investigation and was found to be deficient. The operation’s management did not report to CCR that a child was left unsupervised in a room.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Dec 30, 2025.

Parental Communication - Situation that Placed a Child at Risk

“This standard was evaluated during the investigation and was found to be deficient. The operation’s staff did not inform the parent that the child had been left in a room unsupervised.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Dec 30, 2025.

Incident/Illness Report Form Shared with Parent

“This standard was evaluated during the investigation and was found to be deficient. The operation did not share an incident report with the child’s parent within 48 hours of the incident occurring.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Nov 19, 2025.

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

“During the inspection the three year old and two year old classes were obesred playing outside on the playground. During this time two children were observed coming out of an empty classroom and onto the playground to join their class unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2025. Correction verified: Nov 4, 2025.

Prohibited Punishments - Grabbing and Pulling

“This standard was evaluated during the investigation and was found to be deficient. A caregiver grabbed the arms of a child and pulled the child down onto a nap cot during naptime, grabbed a child’s hand after the child banged on a table, and grabbed the arm of a child”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2025. Correction verified: Oct 24, 2025.

Food Service and Preparation Requirement - Safe and Sanitary

“Video footage reviewed during the investigation showed that food was not kept safe and sanitary during lunch time when children were allowed to take and eat food off of other children’s plates and drink out of the water bottles of other children.”

Rule 746.3317. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2025. Correction verified: Oct 24, 2025.

Employee Handwashing Before Feeding a Child

“Video footage reviewed during the investigation showed caregivers serving breakfast, lunch, and snack to children without washing their hands.”

Rule 746.3415(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2025. Correction verified: Oct 24, 2025.

Children Handwashing Before Eating

“Video footage reviewed during the investigation showed that a group of children came inside after participating in outdoor activities and ate breakfast without washing their hands. The same group of children came inside after participating in outdoor activities and ate lunch without washing their hands. The same group of children did not wash their hands prior to eating an afternoon snack.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2025. Correction verified: Oct 24, 2025.

Children Not Required to Sleep - May Not Force Child to Sleep

“Video footage reviewed during the investigation showed that a caregiver attempted to force a child to sleep by placing a blanket over a child’s head.”

Rule 746.2905(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2025. Correction verified: Oct 24, 2025.

AP Initial background checks submitted - At the time you hire someone

“During the inspection a person was present and caring for children in the infant classroom with an inactive background check. This was corrected during the inspection when the caregiver was sent home for the day.”

Rule 745.621(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 2, 2025.

Initial background checks submitted - At the time you submit your application

“During the inspection a person was present and caring for children without an active background check.”

Rule 745.621(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2025. Correction verified: Jul 30, 2025.

Child/ Caregiver Ratio - 13 or More Children

“This standard was evaluated during the investigation and was found to be deficient. The infant and toddler classrooms were out of ratio.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2025. Correction verified: Sep 2, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“This standard was evaluated during the investigation and was found to be deficient. The caregiver in charge of a group of children in which one child required CPR, was not CPR certified.”

Rule 746.1315(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 17, 2025.

Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

“This standard was evaluated during the investigation and was found to be deficient. The operation did not share a copy of an incident report with the parent within two days of the incident occurring.”

Rule 746.701(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 27, 2025. Correction verified: Jul 10, 2025.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“The center director’s CPR training certificate expired in March 2025”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 22, 2025. Correction verified: May 22, 2025.

Required Records Maintained and Made Available - Tracking System

“During the inspection child daily tracking logs were not available for review. This was corrected during the inspection when the director created child tracking logs and distributed them to each classroom.”

Rule 746.801(19). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 1, 2025.

AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant

“This standard was evaluated during the investigation and was found to be deficient. During the investigation staff stated that infants are placed on their stomachs to sleep.”

Rule 746.2427(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2025. Correction verified: May 1, 2025.

Annual Fire Inspection - Conducted by Fire Marshal

“The operation’s last fire inspection was conducted in September 2023.”

Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2025. Correction verified: Mar 13, 2025.

AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605

“The designated person in charge of the operation during the time of inspection was present without an active background check. This was corrected during the inspection when the staff member left the facility.”

Rule 745.621(a)(7). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 7, 2025.

AP Parental Notification of Deficiency as described in 746.309 within 5 Days

“The Notification of Safe Sleep Deficiency form 2970 was due to be sent out to all parents by 11/26/24. However this notification was not sent out to parents until 12/05/24.”

Rule 746.311(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 10, 2024. Correction verified: Dec 10, 2024.

Maintenance of Building, Grounds and Equipment

“This standard was evaluated during the investigation and was found to be deficient. There is a gap between the fence and the building which was large enough for a child to slip through and leave the playground.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 24, 2024. Correction verified: Jan 7, 2025.

Annual Fire Inspection - Conducted by Fire Marshal

“The operation’s last fire inspection was conducted in September 2023.”

Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2025. Correction verified: Feb 11, 2025.

Infant May Not Sleep in a Restrictive Device

“In the Infant 2 classroom an 11 month old infant was sleeping in an infant swing during the inspection. This was corrected during the inspection when the director removed the infant from the swing and placed the infant in a crib to sleep.”

Rule 746.2426(a)(1). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 21, 2024.

Annual Fire Inspection - Conducted by Fire Marshal

“The operation’s last fire inspection was conducted in September 2023.”

Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 5, 2025. Correction verified: Dec 10, 2024.

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

“This standard was evaluated during the investigation and was found to be deficient. Caregivers did not properly supervise a child in care when the child was allowed to slip through a gap between the fence and the wall on the playground, and leave the playground for less than one minute.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 27, 2024. Correction verified: Dec 10, 2024.

Maintenance of Building, Grounds and Equipment

“This standard was evaluated during the investigation and was found to be deficient. There is a gap between the fence and the building which was large enough for a child to slip through and leave the playground.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2024. Correction verified: Dec 10, 2024.

Incident/Illness Report Form Shared with Parent

“This standard was evaluated during the investigation and was found to be deficient. The operation did not share an incident report with the child’s parent.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2024. Correction verified: Dec 10, 2024.

Care Requirements for Toddlers - Routines Maintained

“This standard was evaluated during the investigation and was found to be deficient. A diaper changing routine was not maintained resulting in a child wearing the same diaper from morning drop off to late afternoon pick up. The child’s diaper was wet as the child was picked up during the end of nap time.”

Rule 746.2501(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2024. Correction verified: Jul 17, 2024.

Required Records Storage

“This standard was evaluated during the investigation and was found to be deficient. During the investigation the operation was unable to provide child attendance records from the week before. The records were disposed of prior to the beginning of the investigation.”

Rule 746.803(a). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2024. Correction verified: Jul 17, 2024.