Hearth Record

Pinnacle Kids Academy

A licensed child care center in San Antonio, Texas 78250

7003 Tezel Rd, San Antonio, Texas 78250. (210) 543-2900.

Texas’s own record, on its child care search

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The short answer

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

The last 24 months 7 deficiencies in 4 months of the last 36. Last cited Sep 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?

7 deficiencies cited in the last three years

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

22 inspections on record. The latest, on Sep 30, 2026: 1 deficiency cited.

Rated High by Texas: Required Equipment in Vehicles - Fire Extinguisher, at the inspection on Oct 9, 2025

Rated High by Texas: AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant, at the report to the state on Jun 27, 2024

Rated High by Texas: Responsibilities of Caregivers - Know number of children responsible for, at the inspection on Mar 28, 2024

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

7 deficiencies in 4 months of the last 36. Last cited Sep 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

7 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.

Sep 30, 2026: inspection1 deficiency

  • CPR Training and Recertification Adhere to Guidelines-skill based

    “One of out 10 staff’s files audited did not have in-person CPR training.”

    Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2026. Correction verified: Oct 13, 2026.

Oct 9, 2025: inspection3 deficiencies

  • Required Equipment in Vehicles - Fire Extinguisher

    “One of the two fire extinguishers was observed last serviced on 1/2024.”

    Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2025. Correction verified: Oct 16, 2025.

  • Children’s Records - Health Statement

    “One of the then children files was missing a healthcare statement. Two of the ten children files were missing updated immunization records.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 9, 2025. Correction verified: Oct 16, 2025.

  • Minimum Qualifications Employees and Caregivers - Affidavit (Form 2985)

    “One of the ten staff files were missing affidavits at the time of inspection.”

    Rule 746.1105(3). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2025. Correction verified: Oct 15, 2025.

Jun 27, 2024: report to the state1 deficiency

  • AP Infants Sleep on Backs or Must Have Completed and Signed Sleep Exception Form for the Infant

    “During the course of the investigation, it was verified an infant was placed face-down into a crib.”

    Rule 746.2427. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 19, 2024. Correction verified: Jul 25, 2024.

Jun 24, 2024: inspection1 deficiency

  • Written Feeding Instructions - Review and Update Every 30 Days

    “At time of inspection, five out of eight monthly feeding instructions were not updated for June 2024.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2024. Correction verified: Jun 26, 2024.

Mar 28, 2024: inspection1 deficiency

  • Responsibilities of Caregivers - Know number of children responsible for

    “At time of inspection a toddler teacher stated the wrong number of children present when asked.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 28, 2024. Correction verified: Apr 5, 2024.

5 deficiencies older than three years
Jul 28, 2023: inspection1 deficiency

  • Responsibilities of Caregivers - Know number of children responsible for

    “During walk-through a toddler teacher stated they had seven children in care and there were eight children in the class.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2023. Correction verified: Aug 7, 2023.

Dec 19, 2022: inspection2 deficiencies

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

    “1 out of the 6 staff files did not have updated CPR/FA training at time of inspection.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 6, 2023. Correction verified: Dec 21, 2022.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “1 feeding log was not updated in infant room at time of inspection.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 22, 2022. Correction verified: Dec 21, 2022.

Feb 7, 2022: inspection2 deficiencies

  • Caregiver Responsible for Each Child

    “Caregiver was not aware of how many toddlers were in care during naptime.”

    Rule 746.1501(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 7, 2022. Correction verified: Feb 15, 2022.

  • Sanitize Potty-Chairs

    “A toilet in the toddler classroom was had not been flushed or sanitized after used. A pair of soiled clothes were found in the restroom. This was corrected at inspection when caregiver sanitized the toilet and placed the soiled clothes in the bag. The soiled clothes were placed in unused cubby out of the children’ reach.”

    Rule 746.3407(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 7, 2022.

All 28 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Sep 30, 2026Inspection1 deficiency cited
Oct 9, 2025Inspection3 deficiencies cited
Apr 10, 2025InspectionNo violation found
Dec 18, 2024InspectionNo violation found
Oct 22, 2024InspectionNo violation found
Oct 16, 2024Report to the stateNo violation found
Sep 17, 2024InspectionNo violation found
Sep 16, 2024Report to the stateNo violation found
Jul 25, 2024InspectionNo violation found
Jul 1, 2024InspectionNo violation found
Jun 27, 2024Report to the state1 deficiency cited
Jun 24, 2024Inspection1 deficiency cited
May 14, 2024InspectionNo violation found
Apr 5, 2024InspectionNo violation found
Mar 28, 2024Inspection1 deficiency cited
Mar 21, 2024Report to the stateNo violation found
Nov 9, 2023InspectionNo violation found
Oct 30, 2023Report to the stateNo violation found
Oct 19, 2023InspectionNo violation found
Oct 3, 2023InspectionNo violation found
Aug 7, 2023InspectionNo violation found
Jul 28, 2023Inspection1 deficiency cited
May 5, 2023InspectionNo violation found
Feb 24, 2023Report to the stateNo violation found
Dec 19, 2022Inspection2 deficiencies cited
Apr 4, 2022InspectionNo violation found
Feb 15, 2022InspectionNo violation found
Feb 7, 2022Inspection2 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Jul 5, 2011.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 152 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.
  • 6 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: 4-Star (the highest 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 7.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

12 of the 768 in Bexar County, as the source lists them, same ZIP code first
PlaceDeficiencies, 3 years
Pinnacle Kids Academy This child care provider7
La Petite Guilbeau23
Fernandez Elementary Head Start5
Tammy Huerth2
Rosa DenaNot given
Home Away From Home14
Brauchle Elementary School Head Start2
Lil’ Peas & Sprouts Learning Center, LLC6
Veronica Rodriguez1
Veronica Cathleen Villarreal26
The Kid’s Garden Learning Center13
The Nest School San Antonio17
Little Wonder Academy8

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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