Hearth Record

Pinnacle Montessori

A licensed child care center in San Antonio, Texas 78256

6929 Camp Bullis Rd, San Antonio, Texas 78256. (210) 910-6268.

Texas’s own record, on its child care search

Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on its child care search.

The short answer

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

The last 24 months 10 deficiencies in 5 months of the last 36. Last cited May 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?

10 deficiencies cited in the last three years

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

20 inspections on record. The latest, on Jul 29, 2026: no violation found.

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the report to the state on Nov 21, 2024

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the report to the state on Oct 24, 2024

Rated High by Texas: Report Situation Placing Children at Risk, at the report to the state on Oct 24, 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

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

10 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.

May 28, 2026: report to the state1 deficiency
  • Child/Caregiver Ratio - 18 Months Difference in Age

    “During the investigation process, it was determined that there were children with an age difference higher than 18 months older than the youngest infant in the infant classroom.”

    Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2026. Correction verified: Jul 29, 2026.

May 11, 2026: inspection2 deficiencies
  • Safety - Electrical Outlets Covered

    “There were three electrical outlets missing outlet covers. This was corrected at inspection when the outlets were covered.”

    Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 11, 2026.

  • Immunization Records, Exceptions, and Exemptions Current

    “Four out of ten children’s files did not have updated immunization records.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2026. Correction verified: Jun 2, 2026.

Mar 6, 2025: inspection2 deficiencies
  • Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

    “Two individuals who is no longer associated with the operation, (the first as of Feb. 1, 2025 and the second as of Feb. 21, 2025), have active background checks under the operation.”

    Rule 745.651(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 6, 2025.

  • Written Operational Policies - Support inclusive services

    “The operational polices did not include information regarding Procedures for supporting inclusive services to children with special care needs.”

    Rule 746.501(a)(30). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2025. Correction verified: Mar 14, 2025.

Nov 21, 2024: report to the state1 deficiency
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “Through the investigation process it was determined that two children were left unattended for one - two minutes.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2024. Correction verified: Dec 6, 2024.

Oct 24, 2024: report to the state3 deficiencies
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “It was determined through an investigation that proper supervision was not practiced when a child was able to get out of a gated area, unsupervised.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2024. Correction verified: Nov 18, 2024.

  • Report Situation Placing Children at Risk

    “It was determined in the investigation that an incident where a child was unsupervised was not reported to CCR.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2024. Correction verified: Nov 18, 2024.

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

    “It was determined through an investigation that an occurrence of improper supervision was not documented.”

    Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2024. Correction verified: Nov 18, 2024.

Sep 18, 2024: report to the state1 deficiency
  • Administering Medication - As Amended in Writing by Child’s Health Care Professional

    “It was determined in an investigation that the operation did not administer medication as advised on the prescription label.”

    Rule 746.3805(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2024. Correction verified: Oct 28, 2024.

All 27 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jul 29, 2026InspectionNo violation found
Jun 23, 2026InspectionNo violation found
Jun 12, 2026InspectionNo violation found
Jun 11, 2026Report to the stateNo violation found
Jun 9, 2026InspectionNo violation found
May 28, 2026Report to the state1 deficiency cited
May 11, 2026Inspection2 deficiencies cited
Feb 26, 2026InspectionNo violation found
Feb 24, 2026Report to the stateNo violation found
Nov 18, 2025InspectionNo violation found
Apr 25, 2025InspectionNo violation found
Mar 6, 2025Inspection2 deficiencies cited
Feb 24, 2025InspectionNo violation found
Feb 24, 2025InspectionNo violation found
Jan 16, 2025InspectionNo violation found
Dec 6, 2024InspectionNo violation found
Nov 25, 2024InspectionNo violation found
Nov 21, 2024Report to the state1 deficiency cited
Nov 18, 2024InspectionNo violation found
Oct 28, 2024InspectionNo violation found
Oct 24, 2024Report to the state3 deficiencies cited
Sep 24, 2024InspectionNo violation found
Sep 18, 2024Report to the state1 deficiency cited
Aug 8, 2024InspectionNo violation found
Jul 15, 2024InspectionNo violation found
Jul 12, 2024Report to the stateNo violation found
Jun 21, 2024InspectionNo violation found

Is it licensed?

  • Licensed Center, permit issued May 21, 2025.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 170 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.
  • 7 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: 2-Star (the first 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 10.
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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