Pinnacle Children Academy

Infant May Not Sleep in a Restrictive Device

“A child was observed sleeping in a restrictive device. Note: The caregiver removed the child once it was called to her attention.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2026. Correction verified: Jul 10, 2026.

Child/ Caregiver Ratio - 13 or More Children

“Six infants was observed in the infant classroom with two caregivers. Note: One caregiver reported just arriving in the classroom prior to Licensing entering the building.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2026. Correction verified: Jul 10, 2026.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“Two infants was observed not strapped in while sitting in a bouncer seat. Note: This was corrected when the caregiver removed the children from the bouncer seat.”

Rule 746.2407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 26, 2026.

Requirements for Feeding Infants - Fed in Safe Manner

“A child was observed drinking a bottle while laying in a bouncer seat. Note: This was corrected when the caregiver removed the child from the bouncer seat.”

Rule 746.2419(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 26, 2026.

Screen Time Activities - Off When Not in Use

“During the follow up, the television was on in the Toddler classroom when it was not in use. Note: The television was turned off during the inspection.”

Rule 746.2207(c)(6). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 8, 2026.

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

“As of today, the operation still has not had the annual fire inspection completed since January 29th, 2025.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 12, 2026. Correction verified: Jun 12, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver did not know the correct number of children they were responsible for during the inspection.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2026. Correction verified: Apr 8, 2026.

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

“A caregiver placed a child in a highchair and put the child in the hallway, closed the room door, and walked away leaving the child unsupervised.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

Prohibited Punishments - Corporal Punishment

“A caregiver was observed on video hitting a child on the arm.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

Prohibited Punishments - Grabbing and Pulling

“A caregiver grabbed a child by the arms, forcing the child down and when placing the child on their nap mat; the child hit the back of their on the nap mat.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

Prohibited Punishments - Restrictive device for time out

“A caregiver placed a child in a highchair when the child did not want to lay down and take a nap The child was able to climb out of the highchair.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“Caregivers were using their personal cell phones to talk and text while caring for children.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“A caregiver placed an infant in a baby bouncer and did not fasten the safety straps. The infant almost flipped out of the baby bouncer.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

Food Service and Preparation Requirement - Use Sanitary Holders

“A caregiver served children food while they were in their cribs and laying down on their nap mats.”

Rule 746.3317(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

Children Handwashing Before Eating

“Children did not have their hands washed before eating.”

Rule 746.3417(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

Screen Time Activities - Not Used During Eating or Rest Times

“Based on the information obtained, children were watching television during naptime.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

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

“A caregiver was observed forcing a child to sleep by making a child laydown on their nap mat.”

Rule 746.2905(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 8, 2026. Correction verified: Apr 8, 2026.

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

“The annual fire inspection has not been conducted since January 29th, 2025.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2026. Correction verified: Mar 27, 2026.

Nighttime Care - Screen Time Activities Meet Requirements

“Observed children under 2 engaged in screen time during the inspection. Note- The operation turned the television off.”

Rule 746.3209(b)(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 2, 2026.

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 follow up inspection, a caregiver left 6 children unsupervised in the pre-kindergarten classroom.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2025. Correction verified: Oct 14, 2025.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“During the follow up inspection a caregiver yelled at children to sit down and stop running.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2025. Correction verified: Oct 14, 2025.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“A caregivers background check was inactivated on 8/19/25 and did not have an active and eligible background check during the inspection. The operation has not received a new eligibility determination letter from CBCU stating the caregiver can be present. Note: The caregiver left the operation during the inspection.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2025. Correction verified: Aug 27, 2025.

Director’s Absence - Caregiver in Charge Has Access to All Records

“The employee left in charge did not have access to children’s files that were requested during the inspection. Note: The operation provided the childrern’s files when the owner arrived.”

Rule 746.1013(a)(3). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 26, 2025.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“Based on the information obtained, there was sufficient to support that a caregiver has yelled at children.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2025. Correction verified: Sep 29, 2025.

Prohibited Punishments - Restrictive device for time out

“A child was climbing on the nap mats and a caregiver put the child in a restrictive device.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 31, 2025.

Required Admission Information - Emergency Contact

“2 out of 10 children’s files evaluated were missing the address for the emergency contact person.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2025. Correction verified: Jul 31, 2025.

Sign-in and Sign-out Tracking System

“2 children were not signed in to the daycare’s tracking system during the inspection. Note: The operation signed the 2 children in during the inspection.”

Rule 746.631(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 21, 2025.

Posting of Activity Plan

“An activity schedule was not posted in the Pre-K 2 Classroom during the inspection.”

Rule 746.2209. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2025. Correction verified: Jul 31, 2025.

Required Records Maintained and Made Available - Personnel and Training Records

“Documentation showing current CPR and First Aid training certificates for 2 out of 10 staff files evaluated were not available to review upon request during the inspection.”

Rule 746.801(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 21, 2025.

Required Personnel Records

“Staff files evaluated were missing the following information: - Proof of meeting the minimum education requirements - Proof of the Background Check Request (Note-these were printed and placed in the file during inspection)”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2025. Correction verified: Jul 31, 2025.

Maintenance of Building, Grounds and Equipment

“The tarp under the loose-fill was showing and it could cause a tripping hazard.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 30, 2025. Correction verified: Feb 5, 2025.

Written Feeding Instructions - Review and Update Every 30 Days

“There were no updated feeding instruction for an 11mos. infant.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2025. Correction verified: Jan 31, 2025.

Posting Requirements - Daily menu, including all snacks and meals served by the child care center

“There were menu available during the inspection.”

Rule 746.401(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2025. Correction verified: Jan 31, 2025.

Documentation of Drills

“The emergency practices was missing 3 months of documentation.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2025. Correction verified: Feb 6, 2025.

Required Records Maintained and Made Available - Sanitation Inspection Report

“There was no health inspection available for review during the monitoring.”

Rule 746.801(12). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2025. Correction verified: Feb 4, 2025.

Required Records Maintained and Made Available - Playground Maintenance Records

“There were no playground monthly check list available for review during the inspeciton.”

Rule 746.801(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 22, 2025. Correction verified: Jan 31, 2025.

Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible

“During the walkthrough, an infant was found in a restrictive device sleeping. Note: This was corrected at the inspection.”

Rule 746.2426(a)(2). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 2, 2024.

Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age

“During the walkthrough three infants were on individual cots, beds or mats. Note: This was corrected at the inspection.”

Rule 746.4503(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 2, 2024.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“During the inspection, records showed that a caregiver did not have updated First Aid and CPR at the time of the inspection.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 17, 2024. Correction verified: Jan 18, 2024.

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

“During the inspection, records showed that a caregiver did not have updated First Aid and CPR at the time of the inspection.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2024. Correction verified: Jan 18, 2024.

Electronic Records-Available During Business Hours

“During the inspection, two caregivers files was not available for review during business hours.”

Rule 746.805(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2024. Correction verified: Jan 17, 2024.