Pinnacle Montessori

It was deteremined that caregiver in room 4 had 7 infants in care. The infants are 13 month, 13 months, 13 months, 14 month, 14 months, 14 months and 15 months old. Based of ages of the infants caregiver can only have 5 children to herself.

The operation failed to follow the probation conditions on ratios and health practices. The infant room 4 was observed out of ratio when one caregiver had 7 infants napping. The wooden garden bed was broken with nails protuding, two broken pieces of wood, and a wooden board with a nail protuding was observed in the garden.

The wooden garden bed was observed with broken wooden boards that had nails that were protouding out. I observed two pieces of broken wood in the garden. I observed a wooden board with a nail protuding out, in the garden outside by the cabinet located outside the classroom door.

The wooden fence in the playground has several screws that are protoding, and several wooden boards on the fence were oberved to be popping out of place, exposing the screws. During inspection it was observed in the garden area, a wooden board on the ground with a screw that was protuding out, creating a hazard.

Three of ten children's records reviewed lacked health statement.

Two caregivers were observed caring for children without an eligible background check result.

Activity plans for infants have not been created.

Garbage was observed accessible to the children in care as the lid on the trash did not completely close. Note: This was corrected at inspection as the trash can was replaced during inspection.

Spray bottles containing diluted bleach solution were observed accessible to the children in care. Note: This was corrected at inspection as the bottles were placed in a high cabinet.

A health inspection has not been obtained within the past 12 months.

The carbon monoxide detector was not checked for the month of October.

Ceilings tiles were observed still damaged due to a water leak in the ceiling.

Based on the investigation conducted, there is sufficient evidence to state there are no toys present in the classroom.

Based on the DFPS investigation conducted, there is sufficient evidence to state situations that placed children at risk were not reported to the children's parents.

Based on the DFPS investigation conducted, there is sufficient evidence to state that incident reports were not created for situations that placed children at risk.

Based on the DFPS investigation conducted, there is sufficient evidence to state staff did not have access to tracking systems such as attendance roosters.

Based on the DFPS investigation conducted, there is sufficient evidence to state that situations that placed children at risk were not reported to Child Care Regulation.

Ceilings tiles were observed to still damaged due to a water leak in the ceiling.

A caregiver without an eligible background check was observed caring for children during the inspection.

Multiple caregivers did not know the number of the children they are responsible for.

Caregivers did not know the children they are responsible for.

Multiple classes were observed exceeding the ratio with one caregiver.

A 15 year old child was observed present at the operation without a background check.

Permit holder is not complying with the with the child-care licensing law found in Chapter 42 of the Human Resources Code, the applicable minimum standards, and other applicable rules in the Texas Administrative Code

Child Care Regulation was not notified of an incident where a two year old child was left unsupervised for four minutes.

A two year old child was left unsupervised for four minutes.

Caregivers was unaware they were responsible for a two year old child who was left unsupervised for four minutes.

Based on the investigation conducted, it was determined that an incident report was not generated for the incident that placed a child at risk. A two year old was left unsupervised for four minutes.

Based on the investigation conducted, there is sufficient evidence to state a caregiver was left with 35 children in care.

Ceilings tiles were damaged due to a water leak in the ceiling.

A food allergy plan was not obtained for a child with a diagnosed food allergy.

Caregivers admitted to washing bibs in the hand washing sink, and lunch dishes were found in a hand washing sink.

One caregiver was missing four hours of pre-service training.

Cabinets in 2 classrooms had loose hinges which could cause the doors to fall off and possibly injury a child.

Cabinet located in the two-year-old classroom was not in good repair resulting in the cabinet door falling off.

Operation staff did not exercise good judgment when leaving an unattached cabinet door propped on the wall in the classroom resulting in it falling on a two year old child.

One out ten staff files reviewed during inspection did not have current First Aid and CPR training.

A caregiver was observed caring for children without an eligible background check result.

The operation did not have a current health inspection.

The three year old classroom was observed out of ratio as there was one caregiver to 16 children. The correct ratio is one caregiver to 15 children. Note: This was corrected at inspection as a second caregiver stepped in the classroom.

Based on the investigation conducted, there is sufficient evidence that the operation did not gather medical documentation for the child's special need.

A caregiver did not exercise good judgment when forcefully rocking the crib that a swaddled three-month-old was laying in.

The Safe Exception form for an infant observed swaddled did not include the medical reason for swaddling a three month old infant.

There was approximately one inch thread of a screw exposed on the blue, yellow and green play structure.

There was an infant sleeping on a restrictive device without an a sleep exception form on file.

A caregiver was present and in ratio with an ineligible background check on 5/25/2023, 5/26/2023 and 5/30/2023. Note, caregiver removed them self from the classroom and left the premises on 5/30/2023.

Garbage was observed accessible to the children in care as the trash can did not have a lid placed on it.

A caregiver incorrectly stated there were 16 children in care when there were actually 14. Note: This was corrected at inspection when the caregiver counted again and gave the correct count of children in their care.

Child was observed not washing hands after toileting. Note: This was corrected at inspection when the child washed their hands.

Based on the evidence conducted, there is sufficient evidence to state caregivers were not aware that a 20 month old left the group, therefore, the child became unsupervised.

Based on the investigation conducted, there is reason to believe a 20-month-old child was alone for 38 minutes in a restroom.

Child Care Regulation (CCR) was not notified by the operation staff of a child left unsupervised.

Based on the investigation conducted, there sufficient evidence to state the person in charge did not have access to records.

In the toddler classroom a toilet brush and plunger were found in the children's restroom. This was corrected when the director had an employee remove these items during inspection.

Upon conducting the follow up for inspection, it was observed that repairs have not been conducted to successfully obtain a passing fire inspection. The report advising of corrections needed was done 7/2022.

A toddler class was observed as they came in from outdoors. They did not immediately wash their hands before being allowed to play with toys at their tables. This was corrected at inspection when an assistant caregiver began helping each child wash their hands.

Recited: Needed repairs remain to be made to remove all damaged ceiling tiles. New tiles have been purchased and are ready for replacement.

Recited: Personnel files have not been assembled/completed for employees. Director is still in the process of completing them.

Recited: The ceiling tiles in the operation had multiple water stains and leaks.

A trash can observed in a toddler classroom bathroom was observed to be full of trash and did not have a lid covering it. Note: This was corrected when a trash can lid was obtained and put on top of the trash can.

Recited: The operation lacks a current fire inspection.

Recited: Two out of ten personnel files were provided during the follow up inspection. The additional files were unavailable and incomplete.

Recited: Two of the ten files reviewed did not contain the Parent Handbook Acknowledgment form signed.

Two of the ten files reviewed did not contain the Parent Handbook Acknowledgment form signed.

In observing the infant rooms, the monthly written feeding instructions had not been updated in over thirty days.

The sheets in one of the infant rooms did not fit properly.

When speaking to two caregivers in classrooms, they were not aware of the ages of the children that were caring for.

A caregiver was observed to be on her cell phone while supervising children

Director was not present during the inspection and the person in charge was unable to provide essential information due to lack of knowledge.

During the inspection there was not a fire inspection available for review.

The personnel records were not available during the time of the inspection and were not reviewed.

The ceiling tiles in the operation had multiple water stains and leaks.

A trash can observed in a toddler classroom bathroom was observed to be full of trash and did not have a lid covering it. A trash can outside was observed to be tipped over and there was trash scattered on the ground.

Three of the ten files reviewed were missing update immunizations.

A fire inspection has not been conducted at the operation in the past 12 months.

Based on the investigation conducted, there is evidence to state a caregiver did not exercise good judgment when allowing children to play with the water in the toilet during a lockdown drill.

One classroom did not have the sleeping mats labeled with the child's name or an assigned number. One classroom did not have a number/child assignment map available.

A caregiver gave an incorrect count of the children in care. Note: This was corrected at inspection as the caregiver gave a correct count after counting again.

A caregiver did not have documentation of first-aid training.

A caregiver did not have documentation of Pre-Service training in their personnel record.

There is a 7 inch gap along the fence line to the ground located on the left side of the playground. (Corrected at time of inspection when the gap was closed off.)

A child's admission inforrmation form did not have the health statement documentation completed.

There are high weeds located on the left side of the center playground areas.

A caregiver did not have documentation of Pediatric CPR in thier personnel record.

A caregiver was observed wiping a child's nose while out on the playground although did not wash or sanitize hands after wiping the child's nose. (Corrected at time of inspection when the caregiver used hand sanitizer.)

A child's admission information record lacked a copy of the immunization record.

A child's admission information form lacked an emergency contact.

There are three holes along the fence line located in the playground area.

A caregiver placed a child's blanket from head to toe on the child in order for the child to fall asleep during nap time.

Through observations made using the center's video camera footage it was determined that one caregiver pulled a child's hair while another caregiver was pulling a child's arm aggressively.

The operation did not notify Child Care Regulation regarding a situation that placed a child at risk.

It is was determined that two caregivers failed to provide children with courtesy, patience and respect in completing their caregiver responsibilities.