Hearth Record

Green Acres Child Care Center

A licensed child care center in San Antonio, Texas 78210

1710 S Saint Marys St, San Antonio, Texas 78210. (210) 223-3107.

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 6 deficiencies in 4 months of the last 36. Last cited May 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?

6 deficiencies cited in the last three years

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

13 inspections on record. The latest, on May 14, 2026: 2 deficiencies cited.

Rated High by Texas: Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months, at the inspection on May 14, 2026

Source:

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

When those deficiencies happened

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

6 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.

May 14, 2026: inspection2 deficiencies
  • Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

    “The operation did not have a current fire inspection.”

    Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2026. Correction verified: May 28, 2026.

  • Maintenance of Building, Grounds and Equipment

    “The grass outside was observed to be high, inhibiting the children from be able to participate in outdoor time.”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 18, 2026. Correction verified: May 27, 2026.

Jun 24, 2025: inspection1 deficiency
  • Electric or Battery-Operated Carbon Monoxide Detectors-Inspection of CO System

    “Two smoke detectors have not had batteries changed within the year.”

    Rule 746.5537(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 24, 2025. Correction verified: Jun 25, 2025.

Oct 7, 2024: inspection1 deficiency
  • Children’s Records - Immunizations

    “Four children records were reviewed. One of the four records were missing current immunization records in their file.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2024. Correction verified: Oct 15, 2024.

Mar 5, 2024: inspection2 deficiencies
  • CPR Training and Recertification Adhere to Guidelines-skill based

    “Five staff members had CPR training that was taken online, therefore the CPR card is not valid since it does not adhere with guidelines established by the American Heart Association.”

    Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Mar 18, 2024.

  • Children’s Records - Health Statement

    “Two children lacked health statement.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Mar 8, 2024.

9 deficiencies older than three years
Mar 8, 2023: inspection6 deficiencies
  • Director Annual Training - Caring for children under 24 months

    “Director lacked training in recognizing and preventing shaken baby syndrome and abusive head trauma, understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and understanding early childhood brain development.”

    Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2023. Correction verified: Mar 14, 2023.

  • Transportation Safety Training -Director and Employee Complete 2 Hours Annually

    “Director lacked training in transportation.”

    Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2023. Correction verified: Mar 14, 2023.

  • Safety - Areas Free From Hazards

    “Two televisions at the center were not mounted, as required. The side door of the van does open, creating a safety concern.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 6, 2023. Correction verified: Apr 3, 2023.

  • Documented Annual Training - 1 hour in Prevention, Recognition and Reporting of child maltreatment

    “Two caregiver’s lacked training in prevention, recognition and reporting of child maltreatment.”

    Rule 746.1309(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2023. Correction verified: Mar 14, 2023.

  • Director Annual Training -Required 1 hour in prevention, recognition and reporting of child maltreatment

    “Director lacked training in prevention, recognition and reporting child maltreatment.”

    Rule 746.1311(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2023. Correction verified: Mar 14, 2023.

  • Children’s Records - Immunizations

    “Two children’s records reviewed lacked immunization record.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2023. Correction verified: Mar 8, 2023.

Apr 22, 2022: report to the state1 deficiency
  • Infant Daily Report - Share with Parent

    “The operation failed to provide written daily reports for an infant in care.”

    Rule 746.2431. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2022. Correction verified: May 10, 2022.

Mar 24, 2022: inspection2 deficiencies
  • Required Admission Information - Emergency Contact

    “Three out of four children’s records evaluated were missing all the required emergency contact information.”

    Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Mar 31, 2022.

  • Children’s Records - Health Statement

    “Two of the four children’s records evaluated were missing the required Healthcare Provider Statement.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2022. Correction verified: Mar 31, 2022.

All 17 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
May 14, 2026Inspection2 deficiencies cited
Apr 2, 2026InspectionNo violation found
Mar 20, 2026Report to the stateNo violation found
Jun 24, 2025Inspection1 deficiency cited
Feb 20, 2025InspectionNo violation found
Oct 7, 2024Inspection1 deficiency cited
Apr 2, 2024InspectionNo violation found
Mar 28, 2024InspectionNo violation found
Mar 28, 2024Report to the stateNo violation found
Mar 5, 2024Inspection2 deficiencies cited
Aug 10, 2023InspectionNo violation found
Aug 7, 2023Report to the stateNo violation found
Apr 3, 2023InspectionNo violation found
Mar 8, 2023Inspection6 deficiencies cited
May 6, 2022InspectionNo violation found
Apr 22, 2022Report to the state1 deficiency cited
Mar 24, 2022Inspection2 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Aug 19, 1991.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 24 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.
  • 4 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: 3-Star (the middle 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 6.
Source:

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

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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