Sandra Elizabeth Alexander
San Antonio, TX 78259 · infants to school-age · Home daycare: the provider shares the address with families
We are a directory, not the daycare. We cannot hold a spot, enroll a child or answer questions about care.
Own this daycare? Claim itAbout
Pinnacle Montessori is a licensed child care center in San Antonio, Texas. The state has permitted it since August 26, 2011, for up to 109 children, serving infants, toddlers, preschoolers and school-age children.
It is open Monday to Friday, 6:30 AM to 6:30 PM.
Texas Health and Human Services, Child Care Regulation made 35 visits in the last 3 years and cited 33 rules across 15 of them. The visit list, in the state's words, is below.
Hours
| Monday | 6:30 AM to 6:30 PM |
|---|---|
| Tuesday | 6:30 AM to 6:30 PM |
| Wednesday | 6:30 AM to 6:30 PM |
| Thursday | 6:30 AM to 6:30 PM |
| Friday | 6:30 AM to 6:30 PM |
| Saturday | Not listed |
| SundayToday | Not listed |
Programs
| Ages | Infants, toddlers, preschoolers and school-age childrenFrom the state license |
|---|---|
| Child care subsidy | Accepts state child care subsidiesFrom the state license |
| Licensed capacity | 109 childrenFrom the state license |
Cost
Pinnacle Montessori has not listed its tuition. For comparison, full-time infant care at a child care center in Bexar County has a median price of $171 a week (U.S. Department of Labor, 2022).
State record
35 visits in the last 3 years · Last visit Jun 25, 2026: no rules cited
Rules cited on 18 of 35 visits · 33 rules in all · 33 corrected
For comparison: 78% of Texas daycares had at least one rule cited in the last 3 years; the typical daycare had 3.
A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.
Own this daycare? Add your response to the state record
746.3407(8) - 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..”
Corrected during the visit
746.3317 - 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.”
Corrected during the visit
746.1315(b)(1) - 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.”
The state verified the correction on Jul 7, 2026
746.1205(a)(4) - 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.”
The state verified the correction on Feb 26, 2026
746.4503(a) - Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
“Two children were sleeping on mats that were torn.”
The state verified the correction on Feb 26, 2026
746.3407 - Maintenance of Building, Grounds and Equipment
“The side door of the van used to transport children does not open.”
The state verified the correction on Feb 26, 2026
746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
“The operation did not have emergency medical transport and treatment authorization forms for each child being transported.”
The state verified the correction on Feb 26, 2026
745.635(2) - 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.”
The state verified the correction on Dec 29, 2025
746.3701 - 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.”
The state verified the correction on Dec 2, 2025
746.613(b) - 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.”
The state verified the correction on Nov 12, 2025
746.3809 - 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.”
Corrected during the visit
746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
“The operation was not equipped with a carbon monoxide detector.”
The state verified the correction on Nov 12, 2025
746.3701 - 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.”
The state verified the correction on Dec 16, 2025
746.1601 - 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.”
The state verified the correction on Dec 16, 2025
746.1205(a)(4) - 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.”
The state verified the correction on Dec 16, 2025
746.613(b) - 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.”
The state verified the correction on Nov 12, 2025
746.3809 - 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.”
Corrected during the visit
746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
“The operation was not equipped with a carbon monoxide detector.”
The state verified the correction on Nov 12, 2025
746.3701 - 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.”
The state verified the correction on Dec 16, 2025
746.1601 - 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.”
The state verified the correction on Dec 16, 2025
746.1205(a)(4) - 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.”
The state verified the correction on Dec 16, 2025
746.613(b) - 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.”
The state verified the correction on Nov 12, 2025
746.3809 - 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.”
Corrected during the visit
746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
“The operation was not equipped with a carbon monoxide detector.”
The state verified the correction on Nov 12, 2025
746.3701 - 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.”
The state verified the correction on Dec 16, 2025
746.1601 - 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.”
The state verified the correction on Dec 16, 2025
746.1205(a)(4) - 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.”
The state verified the correction on Dec 16, 2025
746.613(b) - 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.”
The state verified the correction on Nov 12, 2025
746.3809 - 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.”
Corrected during the visit
746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
“The operation was not equipped with a carbon monoxide detector.”
The state verified the correction on Nov 12, 2025
746.3701 - 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.”
The state verified the correction on Dec 16, 2025
746.1601 - 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.”
The state verified the correction on Dec 16, 2025
746.1205(a)(4) - 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.”
The state verified the correction on Dec 16, 2025
746.3407(9) - 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.”
The state verified the correction on Oct 23, 2025
746.901(2) - 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.”
The state verified the correction on Dec 3, 2024
746.5307(a) - Inspect Fire Extinguishers Monthly
“The operation did not have documented that the fire extinguishers had been inspected.”
The state verified the correction on Dec 4, 2024
746.3401(a) - Annual Sanitation Inspection
“The operation did not have a current sanitation inspection on file at time of review.”
The state verified the correction on Dec 16, 2024
746.603(a)(4) - Children's Records - Immunizations
“Five out of ten records reviewed did not have current immunization records on file at time of review.”
The state verified the correction on Dec 2, 2024
746.1309(e) - Documented Annual Training- Required Content
“Caregivers did not have all of the required training at the time of inspection.”
The state verified the correction on Dec 16, 2024
746.303(a)(4) - Report Change in Director
“A director change occurred approximately a month ago and the operation did not notify Child Care Regulation.”
The state verified the correction on Jul 9, 2024
746.5205(4) - Documentation of Drills
“A fire drill for May had not been recorded.”
The state verified the correction on Jul 12, 2024
746.3701 - Safety - Areas Free From Hazards
“Two classrooms had a toaster oven on the counter accessible to the children.”
The state verified the correction on Jul 24, 2024
746.603(a)(4) - Children's Records - Immunizations
“One out of 10 child immunization records reviewed did not have a record on file.”
The state verified the correction on Jul 12, 2024
746.1301(a)(1)(A) - 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.”
The state verified the correction on Jul 12, 2024
746.1205(a)(4) - 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.”
The state verified the correction on Feb 23, 2024
746.1205(a)(4) - 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.”
The state verified the correction on Feb 23, 2024
746.1205(a)(4) - 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.”
The state verified the correction on Feb 23, 2024
746.605(7) - Required Admission Information - Release Information
“One of the children records evaluated did not have anyone listed as an authorized pick up personnel.”
The state verified the correction on Jan 4, 2024
746.5101(a) - 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.”
The state verified the correction on Feb 7, 2024
746.605(3) - 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.”
Corrected during the visit
746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
“The operation did not provide the requested transportation training certificate.”
The state verified the correction on Dec 4, 2023
746.1316(a) - 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.”
The state verified the correction on Dec 4, 2023
746.303(a)(1) - Report Change in Designee
“On 10/2/2023, former director [name] informed me that she is no longer working at the operation. An email was sent to the operation by inspector [name] Harper, asking the operation if they have found a new director. The operation failed to inform Licensing of their change in Designee and [name] is currently still listed as a Designee.”
The state verified the correction on Nov 3, 2023
746.1316(a) - 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.”
The state verified the correction on Dec 4, 2023
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
“The vent in the nap room bathroom was covered with dust.”
The state verified the correction on Nov 30, 2023
746.305(a)(4) - Report Outbreak of Communicable Illness
“Based on information gathered the operation reported a positive covid case a day late.”
The state verified the correction on Mar 28, 2023
746.3407(9) - 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.”
The state verified the correction on Dec 29, 2022
746.201(9) - 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.”
The state verified the correction on Mar 1, 2023
746.1203(4) - 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.”
The state verified the correction on Nov 15, 2022
746.4907(a)(1) - 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.”
The state verified the correction on Oct 21, 2022
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
“A Fire inspection was not available for review.”
The state verified the correction on Oct 21, 2022
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
“An emergency preparedness plan was not accessible for review.”
The state verified the correction on Aug 2, 2022
746.1301(4)(A) - Training Requirements for Employees, Caregivers, and directors - Pediatric CPR
“One out of ten staff files had an expired CPR and First Aid training.”
The state verified the correction on Aug 2, 2022
746.501(a)(18) - 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.”
The state verified the correction on Aug 2, 2022
746.2421(b) - 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.”
The state verified the correction on Jul 7, 2022
746.1201(1) - 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.”
The state verified the correction on Aug 19, 2022
746.2401(3) - 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.”
The state verified the correction on Aug 19, 2022
746.2803(4) - 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.”
The state verified the correction on Aug 19, 2022
746.307(b)(3) - 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.”
The state verified the correction on Jun 29, 2022
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
“Two caregivers were negligent in accounting for their children responsible while in their care.”
The state verified the correction on Jun 29, 2022
746.701(4) - Licensing Incident/Illness Report Form - Communicable Diseases
“An incident report was not available for review.”
The state verified the correction on Jun 29, 2022
746.1203(4) - 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.”
The state verified the correction on Jun 29, 2022
746.305(a)(6) - Report Situation Placing Children at Risk
“The operation failed to report to Licensing on negligent supervision.”
The state verified the correction on Jun 29, 2022
746.1203(6) - Responsibilities of Caregivers - Free of other activities
“Based on the evidence provided a caregiver was noted utilizing a cell phone while caring for children.”
The state verified the correction on Jun 29, 2022
746.4907(d) - 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.”
The state verified the correction on Jun 7, 2022
746.3407 - Maintenance of Building, Grounds and Equipment
“Classroom Mesquite is currently being used for storage and not maintained as licensed space.”
The state verified the correction on Jun 7, 2022
746.2401(6) - 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.”
Corrected during the visit
746.307(b)(3) - 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.”
The state verified the correction on Jun 29, 2022
746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
“Two caregivers were negligent in accounting for their children responsible while in their care.”
The state verified the correction on Jun 29, 2022
746.701(4) - Licensing Incident/Illness Report Form - Communicable Diseases
“An incident report was not available for review.”
The state verified the correction on Jun 29, 2022
746.1203(4) - 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.”
The state verified the correction on Jun 29, 2022
746.305(a)(6) - Report Situation Placing Children at Risk
“The operation failed to report to Licensing on negligent supervision.”
The state verified the correction on Jun 29, 2022
746.1203(6) - Responsibilities of Caregivers - Free of other activities
“Based on the evidence provided a caregiver was noted utilizing a cell phone while caring for children.”
The state verified the correction on Jun 29, 2022
746.4907(d) - 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.”
The state verified the correction on Jun 7, 2022
746.3407 - Maintenance of Building, Grounds and Equipment
“Classroom Mesquite is currently being used for storage and not maintained as licensed space.”
The state verified the correction on Jun 7, 2022
746.2401(6) - 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.”
Corrected during the visit
746.307(b)(3) - 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.”
The state verified the correction on Jun 29, 2022
746.1203(4) - 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.”
The state verified the correction on Jun 29, 2022
746.701(4) - Licensing Incident/Illness Report Form - Communicable Diseases
“An incident report was not available for review.”
The state verified the correction on Jun 29, 2022
745.641 - 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.”
The state verified the correction on Jun 29, 2022
746.305(a)(6) - 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.”
The state verified the correction on Jun 29, 2022
746.303(b) - 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.”
The state verified the correction on Feb 25, 2022
Reviews
If your child goes or went here, your review helps other parents. We check every review against our review guidelines.
San Antonio, TX 78259 · infants to school-age · Home daycare: the provider shares the address with families
San Antonio, TX 78259 · toddlers to preschool · Home daycare: the provider shares the address with families
San Antonio, TX 78259 · Home daycare: the provider shares the address with families
2575 Summit Church Rd, San Antonio, TX
San Antonio, TX 78259 · toddlers to school-age · Home daycare: the provider shares the address with families
San Antonio, TX 78259 · infants to preschool · Home daycare: the provider shares the address with families
19336 Bulverde Rd, San Antonio, TX
18510 US Highway 281 N, San Antonio, TX
21578 Bulverde Road, San Antonio, TX
FAQ
Yes. Texas Health and Human Services, Child Care Regulation lists it as licensed and operating, with a permit issued August 26, 2011.
Texas Health and Human Services, Child Care Regulation lists the most recent visit on June 25, 2026, with no rules cited. It lists 35 visits in the last 3 years.
Yes. Inspectors cited 33 rules across 18 of 35 visits in the last 3 years; 33 show a correction in the state record. For comparison: 78% of Texas daycares had at least one rule cited in the last 3 years; the typical daycare had 3. A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.
109, the licensed capacity on the state record. It is licensed to serve infants, toddlers, preschoolers and school-age children.
Yes. The state record says it accepts child care subsidies.
Monday to Friday, 6:30 AM to 6:30 PM. These are the hours on the state record. Holiday hours can differ.
It has not listed its tuition. Call (210) 494-8900 to ask.
(210) 494-8900.
19730 Bulverde Rd, San Antonio, TX 78259.