Hearth Record

Holy Trinity Presbyterian Day

A licensed child care center in San Antonio, Texas 78247

16245 Nacogdoches Rd, San Antonio, Texas 78247. (210) 599-7640.

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 12 deficiencies in 3 months of the last 36. Last cited Feb 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?

12 deficiencies cited in the last three years

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

16 inspections on record. The latest, on Sep 24, 2026: no violation found.

Rated High by Texas: AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions, at the inspection on Feb 13, 2026

Rated High by Texas: Safety - Bodies of Water Inaccessible to Children, at the inspection on Feb 13, 2026

Rated High by Texas: Infant May Not Sleep in a Restrictive Device, at the inspection on Apr 23, 2024

Source:

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

When those deficiencies happened

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

12 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.

Feb 13, 2026: inspection6 deficiencies

  • AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

    “Caregiver was providing care to children in the infant classroom without another person supervising the caregiver. Note: This was corrected at inspection when another caregiver was placed in the classroom.”

    Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 26, 2026.

  • Safety - Bodies of Water Inaccessible to Children

    “A mop bucket with water was accessible to children in an adjacent classroom through an opened door. Note: This was corrected at inspection when mop bucket was removed.”

    Rule 746.3701(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 26, 2026.

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

    “Caregiver did not have a current first aid certification for review.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2026. Correction verified: Feb 23, 2026.

  • Each Caregiver and the Director Must Have Current Training in pediatric CPR

    “Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.”

    Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2026. Correction verified: Feb 23, 2026.

  • Safety - Air Conditioners, Fans, Heaters Safeguarded

    “Two portable fans were stored on top of two shelves in the PreK classroom. Note: This was corrected at inspection when fans were removed from the shelves.”

    Rule 746.3701(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 13, 2026.

  • Documented Annual Training- Required Content

    “Five of eight staff files reviewed during inspection did not include the following annual trainings for the last full year of employment: Administering medication, handling and disposing of hazardous materials, preventing and responding to emergencies due to food or an allergic reaction.”

    Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2026. Correction verified: Feb 23, 2026.

Mar 10, 2025: inspection2 deficiencies

  • Written Feeding Instructions - Review and Update Every 30 Days

    “There were two infants that did not have updated feeding schedules at time of inspection.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2025. Correction verified: Mar 13, 2025.

  • Required Personnel Records - Required Affidavit (Form 2985)

    “Two staff did not have an affidavit on file at time of review.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2025. Correction verified: Mar 13, 2025.

Apr 23, 2024: inspection1 deficiency

  • Infant May Not Sleep in a Restrictive Device

    “2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.”

    Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 23, 2024. Correction verified: Apr 30, 2024.

Apr 2, 2024: inspection3 deficiencies

  • Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

    “The operation has 3 playgrounds with mulch that is not adequate depth.”

    Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 16, 2024. Correction verified: Apr 23, 2024.

  • Documentation of Gas Leak Inspection

    “the operation does not have the proper documentation of the gas inspection available for review during a CCR inspection.”

    Rule 746.5405. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 16, 2024. Correction verified: Apr 5, 2024.

  • Documented Annual Training- Required Content

    “5 of the 10 files audtited are missing all of the required trainings for health and safety topics in section e of annual training hours for caregivers.”

    Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 16, 2024. Correction verified: Apr 23, 2024.

9 deficiencies older than three years
Jun 28, 2022: inspection7 deficiencies

  • Written Operational Policies - Safe Sleep for Infants 12 Months and Younger

    “Operational policies were missing safe sleep for infants from birth through 12 months.”

    Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2022. Correction verified: Jul 14, 2022.

  • Required Admission Information - Release Information

    “One out of ten children’s records reviewed was found missing authorized persons for pick-up.”

    Rule 746.605(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 8, 2022.

  • Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing

    “Six out of ten staff files evaluated were missing CPR and First aid training. Note: Operation had a schedule training for all staff on the following day.”

    Rule 746.1301(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 14, 2022.

  • Safety - Areas Free From Hazards

    “A staff member’s purse in the five-year-old classroom was sitting on the children’s low open shelve accessible to the children in care. Note: This was corrected at the inspection.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2022. Correction verified: Jul 19, 2022.

  • Children’s Records - Health Statement

    “Two out of ten children files were found missing a health-care statement.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2022. Correction verified: Jul 14, 2022.

  • Required Personnel Records- Meets Requirements

    “One out 10 staff files was found missing education documentation.”

    Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 8, 2022.

  • Required Personnel Records - Required Affidavit

    “One out of 10 staff files evaluated was found missing a notarized license affidavit.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2022. Correction verified: Jul 8, 2022.

Feb 10, 2022: report to the state2 deficiencies

  • Prohibited Punishments - Withholding Active Play

    “A caregiver was found prohibiting a child to play with toys or in centers due to the child’s daily behavior.”

    Rule 746.2805(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2022. Correction verified: Apr 5, 2022.

  • Discipline - Positive Methods of Discipline and Guidance

    “A caregiver had documented inappropriate discipline measures as a child colored the floor. The caregiver made a report stating that the child will clean the floor first thing the next morning. It was documented that the child was put to clean floors at arrival time.”

    Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 23, 2022. Correction verified: Apr 6, 2022.

All 21 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Sep 24, 2026InspectionNo violation found
Mar 24, 2026InspectionNo violation found
Mar 16, 2026Report to the stateNo violation found
Feb 26, 2026InspectionNo violation found
Feb 13, 2026Inspection6 deficiencies cited
Mar 10, 2025Inspection2 deficiencies cited
May 2, 2024InspectionNo violation found
Apr 23, 2024Report to the stateNo violation found
Apr 23, 2024Inspection1 deficiency cited
Apr 2, 2024Inspection3 deficiencies cited
Sep 1, 2023InspectionNo violation found
Aug 25, 2023Report to the stateNo violation found
Aug 22, 2023InspectionNo violation found
Aug 9, 2023InspectionNo violation found
Aug 4, 2023Report to the stateNo violation found
Apr 24, 2023InspectionNo violation found
Jul 19, 2022InspectionNo violation found
Jun 28, 2022Inspection7 deficiencies cited
Apr 6, 2022InspectionNo violation found
Feb 18, 2022InspectionNo violation found
Feb 10, 2022Report to the state2 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Mar 10, 1989.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 80 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.
  • 5 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?

  • Not rated in Texas Rising Star.
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 12.
Source:

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

11 of the 768 in Bexar County, as the source lists them, same ZIP code first
PlaceDeficiencies, 3 years
Judson at Stahl Kindercare21
La Petite Academy Judson4
Country Home Learning Center #4, Ltd4
Holy Trinity Presbyterian Day This child care provider12
Pinnacle Kids Academy11
Lost Creek Child Development Center3
Ct Day School0
Little Angels Home Childcare7
Gloria De La TorreNot given
San Antonio Country Day Montessori12
Monica Mendoza4
Kinder Learning Academy6

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

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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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