Pinnacle Montessori
A licensed child care center in San Antonio, Texas 78259
19730 Bulverde Rd, San Antonio, Texas 78259. (210) 494-8900.
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.
- 34 deficiencies cited in the last three years Middle in Bexar County: 5
- 9 rated High by Texas, its most serious level (needs attention)
- 46 inspections on record
- Not star-rated Texas Rising Star rating
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?
34 deficiencies cited in the last three years
The middle of the 768 child care providers in Bexar County had 5.
46 inspections on record. The latest, on Oct 6, 2026: 1 deficiency cited.
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 Feb 10, 2026
Rated High by Texas: Required Equipment in Vehicles - Emergency Medical Information, at the inspection on Feb 9, 2026
Rated High by Texas: AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter, at the inspection on Dec 16, 2025
6 more rated High; all are listed below.
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
33 deficiencies in 11 months of the last 36. Last cited Oct 2026. Most serious: High. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
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.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
Oct 6, 2026: inspection1 deficiency
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Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
“The loose-fill around the composite play structures in the Primary and Pre-Primary playgrounds were less than six-inches. The platform heights for both structures were both five feet or less.”
Jun 24, 2026: inspection3 deficiencies
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CPR Training and Recertification Adhere to Guidelines-skill based
“Three of ten training records audited did not have CPR training that included hands-on skills based instruction.”
-
Food Service and Preparation Requirement - Safe and Sanitary
“A toddler was observed playing in the mulch in the outdoor playground while eating a waffle. This was corrected at inspection when the waffle was thrown away.”
-
Garbage Inaccessible to Children; Maintained in Sanitary Manner
“A child was observed playing with a fast-food cup containing melted dairy product on the playground. This was corrected at inspection when the trash was removed..”
Feb 10, 2026: 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
“During the course of the investigation, it was determined that a child was left unsupervised for four minutes.”
Feb 9, 2026: inspection3 deficiencies
-
Required Equipment in Vehicles - Emergency Medical Information
“The operation did not have emergency medical transport and treatment authorization forms for each child being transported.”
-
Maintenance of Building, Grounds and Equipment
“The side door of the van used to transport children does not open.”
-
Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
“Two children were sleeping on mats that were torn.”
Dec 16, 2025: inspection1 deficiency
-
AP Background check determination - If ineligible then you must immediately remove subject from operation and confirm to CBCU receipt of notice letter
“A caregiver who had direct access to children in care was found by the Centralized Background Check Unit to be ineligible to be present at operation. Note: This was corrected at inspection when the caregiver was sent home.”
Nov 17, 2025: inspection1 deficiency
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Safety - Areas Free From Hazards
“Wire fencing was accessible behind a garden area on the playground and the fencing of the garden area was in need of repair due to becoming loose. A play area behind another garden area had two wooden boards on the ground, with exposed screws and a container was also in the play area containing dried cement with a rod sticking out.”
Oct 23, 2025: report to the state3 deficiencies
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Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
“Based on the DFPS investigation, caregivers were facing away from the children. One caregiver was prepping lunch, and the other caregiver was assisting children in the restroom. Neither caregiver was visually aware of the children in the classroom.”
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Child/ Caregiver Ratio - 13 or More Children
“Based on the DFPS investigation, a caregiver left a classroom to inform the director of an injury that occurred in the classroom, leaving the second caregiver over ratio by three children. Caregiver was left alone with fourteen children with a specified age group of two years.”
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Safety - Areas Free From Hazards
“Based on the DFPS investigation, a two-year-old child cut their finger on a paper cutter that was stored accessible to children in the classroom.”
Oct 23, 2025: inspection3 deficiencies
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Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
“The operation was not equipped with a carbon monoxide detector.”
-
Immunization Records, Exceptions, and Exemptions Current
“Three of ten children’s records reviewed did not have current immunization records on file at time of review.”
-
Medication No Longer Used
“Three medications were stored in the first aid cabinet which belonged to children that were no longer enrolled and another medication was stored in a basket that expired on 8/8/25. Note: This was corrected at inspection when the director removed the medications from storage area to discard.”
Oct 3, 2025: inspection1 deficiency
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Floors, ceilings and Walls in Good Repair and Clean
“A section of the ceiling was missing half of a ceiling tile in the Mesquite classroom due to a leaking air conditioner unit. Ceiling tiles were also observed with yellow stains in the Maple, Willow, Oak, and Mesquite classrooms.”
Nov 21, 2024: inspection5 deficiencies
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Annual Sanitation Inspection
“The operation did not have a current sanitation inspection on file at time of review.”
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Inspect Fire Extinguishers Monthly
“The operation did not have documented that the fire extinguishers had been inspected.”
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Documented Annual Training- Required Content
“Caregivers did not have all of the required training at the time of inspection.”
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Children’s Records - Immunizations
“Five out of ten records reviewed did not have current immunization records on file at time of review.”
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Required Personnel Records- Meets Requirements
“Three out of the ten records reviewed did not have education qualification requirements on file at the time of review.”
Jun 24, 2024: inspection5 deficiencies
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Training Requirements for Employees, Caregivers, and Directors - Orientation
“Two out of 10 staff files evaluated did not have a documented orientation completed. Caregivers hire dates were 5/22/24 and 5/23/24.”
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Report Change in Director
“A director change occurred approximately a month ago and the operation did not notify Child Care Regulation.”
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Safety - Areas Free From Hazards
“Two classrooms had a toaster oven on the counter accessible to the children.”
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Documentation of Drills
“A fire drill for May had not been recorded.”
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Children’s Records - Immunizations
“One out of 10 child immunization records reviewed did not have a record on file.”
Feb 2, 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
“A child was seen wandering inside the building from the playground.”
Jan 29, 2024: report to the state1 deficiency
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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 on the playground unsupervised.”
Dec 21, 2023: inspection3 deficiencies
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Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
“The operation’s annual fire inspection expired on 10/11/2023, upon request, the operation did not have their recent fire inspection form to provide during the inspection.”
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Required Admission Information - Release Information
“One of the children records evaluated did not have anyone listed as an authorized pick up personnel.”
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Required Admission Information - Date of Admission
“One of the children records evaluated did not have the child’s admission date to the center. NOTE: This was corrected at inspection when the child’s admission date was added to the record.”
Dec 4, 2023: assessment1 deficiency
-
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
“The operation did not provide the requested transportation training certificate.”
Nov 30, 2023: inspection1 deficiency
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Transportation Safety Training -Director and Employee Complete 2 Hours Annually
“A caregiver who drove the van to pick up the afterschool children from school did not have a completed transportation training or certificate.”
31 deficiencies older than three years
Oct 23, 2023: inspection1 deficiency
-
Report Change in Designee
“On 10/2/2023, former director Nancy Gonzales informed me that she is no longer working at the operation. An email was sent to the operation by inspector Natasha Harper, asking the operation if they have found a new director. The operation failed to inform Licensing of their change in Designee and Ms. Gonzales is currently still listed as a Designee.”
Oct 19, 2023: report to the state2 deficiencies
-
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
“A caregiver who drove the van to pick up the afterschool children from school did not have a completed transportation training.”
-
Floors, ceilings and Walls in Good Repair and Clean
“The vent in the nap room bathroom was covered with dust.”
Jan 6, 2023: report to the state1 deficiency
-
Report Outbreak of Communicable Illness
“Based on information gathered the operation reported a positive covid case a day late.”
Dec 9, 2022: report to the state2 deficiencies
-
Complying with Laws and Rules
“The operation’s permit holder did not respond to multiple attempts by director requesting the repair of missing/damaged ceiling tiles in multiple classrooms. The operation came into compliance when they provided photos of the repaired ceiling tiles.”
-
Floors, ceilings and Walls in Good Repair and Clean
“The operation had damaged ceiling tiles in multiple classrooms. The operation came into compliance when photos of the repaired ceiling tiles were sent via email.”
Oct 7, 2022: report to the state1 deficiency
-
Responsibilities of Caregivers - Supervision of Children
“Based on interviews conducted, two caregivers failed to supervise a child in their care during transition and as a result, an 18-month child walked away and entered a vacant classroom without the knowledge of the caregivers. The child was left unattended for four minutes.”
Sep 29, 2022: inspection2 deficiencies
-
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
“A Fire inspection was not available for review.”
-
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
“Pre-primary playground was missing the required depth of loose fill within their use zones.”
Jul 7, 2022: inspection3 deficiencies
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Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
“One out of ten staff files had an expired CPR and First Aid training.”
-
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
“An emergency preparedness plan was not accessible for review.”
-
Written Operational Policies - Promotion of Physical Activity
“Operation policies were missing the time durations, and benefits, of how the operation will be promoting indoor and outdoor physical activity.”
Jun 29, 2022: inspection1 deficiency
-
Written Feeding Instructions - Review and Update Every 30 Days
“Five feeding instruction forms were noted not up to date. Note: Forms were dated 5/6/2022.”
Jun 11, 2022: report to the state3 deficiencies
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Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
“An infant caregiver failed to use good judgment when she moved an infant by using her feet to reposition him.”
-
Basic Requirements for Infants - Holding and Comforting
“An infant caregiver was not attending to crying infants. Infants were allowed to cry for approximately 25-30 minutes without being comforted.”
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Discipline - Positive Methods of Discipline and Guidance
“A caregiver redirected an infant on two separate occasions by pulling the infant’s arm and leg, causing the child to hit his face during one of the interactions.”
May 16, 2022: report to the state6 deficiencies
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Responsibilities of Caregivers - Know Group Responsible For
“Two caregivers were negligent in accounting for their children responsible while in their care.”
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Responsibilities of Caregivers- Supervision of Children
“Based on interviews conducted, two caregivers in two different incidents failed to supervise a child age 4 and child age 2 years old, by not ensuring all children were accounted for resulting in the children being left behind.”
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Report Situation Placing Children at Risk
“The operation failed to report to Licensing on negligent supervision.”
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Parental Communication - Notify Parent Immediately of Administration of an unassigned Epinephrine Auto-injector
“The operation did not notify parents in a timely manner of the incidents regarding supervision.”
-
Responsibilities of Caregivers - Free of other activities
“Based on the evidence provided a caregiver was noted utilizing a cell phone while caring for children.”
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Licensing Incident/Illness Report Form - Communicable Diseases
“An incident report was not available for review.”
May 16, 2022: inspection3 deficiencies
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Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
“There were two bead strings found in the infant classroom (0-12months). One string was on a child and the other was found inside an infant crib. Note: Caregivers removed immediately.”
-
Maintenance of Building, Grounds and Equipment
“Classroom Mesquite is currently being used for storage and not maintained as licensed space.”
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Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
“The loose-fill around the all fall zones in both playgrounds did not have the required depth. The loose fill was less than 1 inch in some areas.”
May 13, 2022: report to the state5 deficiencies
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AP Background check results - Must receive notification prior to allowing subject to be present at your operation
“Two employees present during the investigation were found missing background checks. Individuals did not have an eligibility status and were present in the operation.”
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Responsibilities of Caregivers- Supervision of Children
“Based on interviews conducted, two caregivers failed to supervise children in their classroom as a result of two children 2 years of age walking out of the classroom.”
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Report Situation Placing Children at Risk
“The operation failed to make a report to Child Care Regulation within 48 hours regarding children who were placed at risk while in their care due to a lack of supervision.”
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Parental Communication - Notify Parent Immediately of Administration of an unassigned Epinephrine Auto-injector
“The operation did not notify parents in a timely manner of the incidents regarding supervision.”
-
Licensing Incident/Illness Report Form - Communicable Diseases
“An incident report was not available for review.”
Feb 25, 2022: assessment1 deficiency
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Report Number of Employees
“A review of Employees Who left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.”
All 70 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Oct 6, 2026 | Inspection | 1 deficiency cited |
| Jun 25, 2026 | Inspection | No violation found |
| Jun 24, 2026 | Inspection | 3 deficiencies cited |
| Jun 16, 2026 | Report to the state | No violation found |
| Feb 26, 2026 | Inspection | No violation found |
| Feb 19, 2026 | Inspection | No violation found |
| Feb 13, 2026 | Inspection | No violation found |
| Feb 10, 2026 | Report to the state | 1 deficiency cited |
| Feb 9, 2026 | Inspection | 3 deficiencies cited |
| Dec 29, 2025 | Inspection | No violation found |
| Dec 16, 2025 | Inspection | 1 deficiency cited |
| Dec 2, 2025 | Inspection | No violation found |
| Nov 17, 2025 | Inspection | 1 deficiency cited |
| Nov 7, 2025 | Inspection | No violation found |
| Nov 6, 2025 | Report to the state | No violation found |
| Oct 23, 2025 | Report to the state | 3 deficiencies cited |
| Oct 23, 2025 | Inspection | No violation found |
| Oct 23, 2025 | Report to the state | No violation found |
| Oct 23, 2025 | Inspection | 3 deficiencies cited |
| Oct 3, 2025 | Inspection | 1 deficiency cited |
| Sep 23, 2025 | Report to the state | No violation found |
| Mar 4, 2025 | Inspection | No violation found |
| Dec 17, 2024 | Inspection | No violation found |
| Nov 21, 2024 | Inspection | 5 deficiencies cited |
| Jul 24, 2024 | Inspection | No violation found |
| Jun 24, 2024 | Inspection | 5 deficiencies cited |
| Feb 23, 2024 | Inspection | No violation found |
| Feb 6, 2024 | Inspection | No violation found |
| Feb 2, 2024 | Report to the state | 1 deficiency cited |
| Feb 2, 2024 | Inspection | No violation found |
| Jan 29, 2024 | Report to the state | 1 deficiency cited |
| Dec 21, 2023 | Inspection | 3 deficiencies cited |
| Dec 8, 2023 | Inspection | No violation found |
| Dec 4, 2023 | Assessment | 1 deficiency cited |
| Dec 1, 2023 | Report to the state | No violation found |
| Nov 30, 2023 | Inspection | 1 deficiency cited |
| Oct 23, 2023 | Inspection | 1 deficiency cited |
| Oct 19, 2023 | Report to the state | 2 deficiencies cited |
| Jul 21, 2023 | Inspection | No violation found |
| Jul 20, 2023 | Report to the state | No violation found |
| Jul 7, 2023 | Inspection | No violation found |
| Mar 28, 2023 | Inspection | No violation found |
| Feb 21, 2023 | Inspection | No violation found |
| Jan 6, 2023 | Report to the state | 1 deficiency cited |
| Dec 16, 2022 | Inspection | No violation found |
| Dec 9, 2022 | Report to the state | 2 deficiencies cited |
| Dec 5, 2022 | Inspection | No violation found |
| Nov 15, 2022 | Inspection | No violation found |
| Oct 11, 2022 | Inspection | No violation found |
| Oct 7, 2022 | Report to the state | 1 deficiency cited |
| Sep 29, 2022 | Inspection | 2 deficiencies cited |
| Aug 19, 2022 | Inspection | No violation found |
| Aug 16, 2022 | Report to the state | No violation found |
| Jul 7, 2022 | Inspection | 3 deficiencies cited |
| Jun 29, 2022 | Inspection | 1 deficiency cited |
| Jun 22, 2022 | Inspection | No violation found |
| Jun 11, 2022 | Report to the state | 3 deficiencies cited |
| Jun 10, 2022 | Report to the state | No violation found |
| Jun 7, 2022 | Inspection | No violation found |
| Jun 3, 2022 | Report to the state | No violation found |
| May 16, 2022 | Inspection | 3 deficiencies cited |
| May 16, 2022 | Report to the state | 6 deficiencies cited |
| May 13, 2022 | Report to the state | 5 deficiencies cited |
| May 6, 2022 | Inspection | No violation found |
| Apr 30, 2022 | Report to the state | No violation found |
| Feb 25, 2022 | Assessment | 1 deficiency cited |
| Dec 30, 2021 | Inspection | No violation found |
| Dec 6, 2021 | Inspection | No violation found |
| Nov 15, 2021 | Inspection | No violation found |
| Nov 8, 2021 | Report to the state | No violation found |
Is it licensed?
- Licensed Center, permit issued Aug 26, 2011.
- Accepts state child care subsidies.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 109 children.
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.
- 22 reports to the state on record; Texas doesn’t publish whether they were A complaint allegation the state investigated and found true: the evidence showed it more likely than not happened. Inconclusive means the evidence couldn’t show it either way. Neither inconclusive nor unsubstantiated proves it didn’t happen. Source: California Department of Social Services, complaint findings; each state’s licensing agency..
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?
- Not star-rated in Texas Rising Star (TWC’s code: ELD).
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 34.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Pinnacle Montessori This child care provider | 34 |
| La Petite Academy | 5 |
| Life Time Fitness Camps | 9 |
| Leafspring School at Cibolo Canyons | 7 |
| Summit Christian Learning Center | 1 |
| Sandra Elizabeth Alexander | 0 |
| Jpr International Inc. DBA Kidus | 12 |
| Country Kids Academy | 5 |
| The Lily Pad Farm School | 9 |
| The Lilypad Garden School | 7 |
| Little Wishes and Big Dreams Playhouse Ltd | 28 |
| Primrose School at Bulverde Road | 6 |
| Anthonela Heredia | 15 |
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
-
Texas Health and Human Services Commission, Child care operations (bc5r-88dy).
Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
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Texas Health and Human Services Commission, Inspections and investigations (m5q4-3y3d).
Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
-
Texas Health and Human Services Commission, Deficiencies (non-compliance data) (tqgd-mf4x).
Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
-
Texas Workforce Commission, Subsidy providers and Texas Rising Star.
Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. No licence stated.
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.
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.