Pinnacle Montessori Academy of Saginaw

Documentation of Drills

“There was no documentation of fire drills for November 2025 or June or July of 2026.”

Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 8, 2026. Correction verified: Oct 26, 2026.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“An infant under 12 months old was observed sleeping in a crib swaddled and did not have a sleep exemption form on file. This was corrected during inspection with the caregiver removing the child from the swaddle.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2026. Correction verified: Sep 23, 2026.

Child/ Caregiver Ratio - 13 or More Children

“During investigation inspection walk through, one classroom was out of ratio by 3 children with one caregiver.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2026. Correction verified: Sep 23, 2026.

Maximum Group Size 13 or More Children

“During investigation inspection walk through, one classroom was observed over the maximum group size by one child. This was corrected during inspection, with the director adjusting the classroom ratio.”

Rule 746.1609. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 15, 2026.

Complying with Laws and Rules

“The operation has repeated deficiencies that require the permit holder to take appropriate actions to ensure compliance.”

Rule 746.201(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2026. Correction verified: Sep 23, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“During inspection walk through, caregivers in two separate classrooms stated the wrong number of children present.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2026. Correction verified: Sep 15, 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 classroom transitioning back inside from the playground left a child behind and was notified by another classroom caregiver. When reviewing video of outdoor play, multiple children were observed going in and out of a door leading to a classroom restroom without adequate supervision.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2026. Correction verified: Sep 15, 2026.

Child/ Caregiver Ratio - 13 or More Children

“One room with a specified age of 3 years old during inspection was out of ratio by 2 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2026. Correction verified: Sep 23, 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 child was left unsupervised in a classroom for approximately 1 minute and 24 seconds during a classroom transition.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 15, 2026.

Child/ Caregiver Ratio - 13 or More Children

“Based on the ages present with one caregiver for a two-minute period, the caregiver was out of ratio by 8 children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2026. Correction verified: Sep 23, 2026.

Chairs - Safety Straps Used if Required by Manufacturer

“Safety straps had been removed for cleaning from a feeding table and were not yet reinstalled before placing children in the seats. As a result, a child crawled out of their seat and fell off the table.”

Rule 746.4501(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 25, 2026. Correction verified: Jun 25, 2026.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“Two caregivers did not use good judgement by not notifying the director of a child’s fall from a play structure that was high for the child’s age and was not intended for the age of the child. The incident resulted in injury. One caregiver did not use good judgement by serving a child popcorn, which is a potential choking hazard for the child’s age.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jun 24, 2026.

Safety Requirements for Active Play Equipment - Used According to Manufacturer’s Instructions

“A child’s accidental play injury occurred at the playground on a play structure that was not intended for the child’s age, according to the play structures manual.”

Rule 746.4601(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jun 24, 2026.

Child/ Caregiver Ratio - 13 or More Children

“Based on the information obtained, it was determined that the operation was out if ratio in the infant room on the morning of 5/11/2026. There were 9 infants to 1 caregiver until the next caregiver arrived.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2026. Correction verified: Jun 24, 2026.

Children’s Records - Health Statement

“Two of ten children records evaluated did not have a health statement.”

Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2026. Correction verified: May 14, 2026.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“The operation failed to self-report to HHS that a child was injured while in care requiring medical treatment.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2026. Correction verified: May 6, 2026.

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

“The operation did not provide an incident report form 7239 nor a report with the same information required by the form 7239.”

Rule 746.701(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 14, 2026. Correction verified: May 6, 2026.

No Swaddling of Infant Unless Completed Sleep Exception Form on File

“An infant was sleeping in a crib swaddled with a sleeved sleep sack.”

Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2025. Correction verified: Nov 24, 2025.

Medication No Longer Used

“An Epi-pen stored at the operation for a child in care was expired at the time of inspection.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2025. Correction verified: Nov 24, 2025.

AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

“A nine month old infant was in a crib with a pacifier connected to their clothing with a lanyard and clip.”

Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2025. Correction verified: Oct 21, 2025.

Director’s Absence - Qualified Caregiver in Charge

“Director was not present at the time of inspection, and the only two caregivers present did not know who was in charge.”

Rule 746.1013(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2025. Correction verified: Oct 7, 2025.

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

“The operation failed to submit a background check to CBCU for a caregiver present with children at the time of inspection.”

Rule 745.621(a)(7). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 13, 2025.

Prohibited Punishments - Grabbing and Pulling

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2025. Correction verified: Jul 1, 2025.

Maximum Group Size 13 or More Children

“On March 5 and 6 of 2025, the infant room had 11 infants documented in care. The room was out ratio for maximum group size by 1 infant.”

Rule 746.1609. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2025. Correction verified: Apr 8, 2025.

Required Personnel Records - Required Affidavit (Form 2985)

“3 employee files did not have required notarized affidavit 2985.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2025. Correction verified: Mar 7, 2025.