Hearth Record

Country Home Learning Center #5, Ltd

A licensed child care center in Live Oak, Texas 78233

11909 Toepperwein Rd, Live Oak, Texas 78233. (210) 650-3115.

Texas’s own record, on its child care search

Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on its child care search.

The short answer

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

The last 24 months 8 deficiencies in 6 months of the last 36. Last cited Apr 2025. 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?

8 deficiencies cited in the last three years

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

30 inspections on record. The latest, on Oct 23, 2026: no violation found.

Rated High by Texas: Responsibilities of Caregivers - Know number of children responsible for, at the inspection on Aug 12, 2024

Rated High by Texas: Responsibilities of Caregivers - Know number of children responsible for, at the inspection on May 21, 2024

Rated High by Texas: Responsibilities of Caregivers - Know number of children responsible for, at the inspection on Apr 4, 2024

1 more rated High; all are listed below.

Source:

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

When those deficiencies happened

8 deficiencies in 6 months of the last 36. Last cited Apr 2025. Most serious: High. The last 3 years, to Nov 5, 2026.

8 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.

Apr 17, 2025: inspection2 deficiencies
  • Employee Handwashing After Diapering a Child

    “It was observed of a caregiver in the two year old classroom, not washing hands after a diaper change.”

    Rule 746.3415(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2025. Correction verified: May 2, 2025.

  • Children Handwashing After Toileting or Diapering

    “It was observed a child not washing hands in the two year old classroom after getting diaper changed.”

    Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 17, 2025. Correction verified: May 2, 2025.

Jan 6, 2025: report to the state1 deficiency
  • Incident/Illness Report Form Shared with Parent

    “The operation did not provide parents a copy of Incident Report Form 7239 and did not obtain a signature from parents within 48 hours after a child was injured in care, that required medical treatment.”

    Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2025. Correction verified: Jan 30, 2025.

Aug 12, 2024: inspection2 deficiencies
  • Responsibilities of Caregivers - Know number of children responsible for

    “The caregivers in the two year old classroom and four year old classroom gave incorrect number of children in the classrooms. Note: this was corrected at inspection when caregivers counted the children and provided the correct number of children in the classrooms.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2024. Correction verified: Aug 26, 2024.

  • Children Handwashing After Toileting or Diapering

    “A caregiver did not wash a child’s hands after changing the child’s diaper. Note: this was corrected at inspection when the inspector informed the caregiver the child’s hands needed to be washed.”

    Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2024. Correction verified: Aug 26, 2024.

May 21, 2024: inspection1 deficiency
  • Responsibilities of Caregivers - Know number of children responsible for

    “The caregiver in the Pre-K classroom gave incorrect number of children in the classroom. Caregiver stated there were 19 children when there were 20 children in the classroom during naptime. Note: This was corrected at inspection when a count was conducted by the director and caregiver was informed 20 children were present.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2024. Correction verified: Jun 4, 2024.

Apr 4, 2024: inspection1 deficiency
  • Responsibilities of Caregivers - Know number of children responsible for

    “A caregiver gave the incorrect number of children in classroom.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 4, 2024. Correction verified: Apr 10, 2024.

Feb 1, 2024: report to the state1 deficiency
  • Prohibited Punishments - Withholding Active Play

    “During an investigation, it has been determined that caregivers for school aged children withheld active play outdoors for children as discipline for behavior that they exhibit indoors during class time.”

    Rule 746.2805(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 29, 2024. Correction verified: Apr 4, 2024.

4 deficiencies older than three years
Aug 31, 2023: inspection1 deficiency
  • Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

    “One of eleven caregivers CPR/First Aid certification had just lapsed without a renewal class scheduled.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2023. Correction verified: Sep 8, 2023.

Aug 4, 2022: report to the state3 deficiencies
  • AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

    “A child received an injury while in care that required medical attention and licensing was not made aware by the operation within 48 hours after the incident.”

    Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2022. Correction verified: Sep 7, 2022.

  • Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

    “A child received an injury that required medical attention and the Licensing Incident/Illness Report Form was not utilized to document the injury.”

    Rule 746.701(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2022. Correction verified: Sep 7, 2022.

  • Incident/Illness Report Form Shared with Parent

    “The operation failed to share an Incident/Illness report form with the parent of a child that received an injury in care requiring medical attention.”

    Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2022. Correction verified: Sep 7, 2022.

All 52 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Oct 23, 2026InspectionNo violation found
Oct 9, 2026InspectionNo violation found
Oct 8, 2026Report to the stateNo violation found
Aug 8, 2026Report to the stateNo violation found
Aug 3, 2026InspectionNo violation found
Jul 26, 2026Report to the stateNo violation found
Jul 22, 2026InspectionNo violation found
Jul 18, 2026Report to the stateNo violation found
Jun 29, 2026InspectionNo violation found
Jun 26, 2026Report to the stateNo violation found
Jun 16, 2026InspectionNo violation found
Jan 29, 2026InspectionNo violation found
Aug 11, 2025InspectionNo violation found
May 2, 2025InspectionNo violation found
Apr 17, 2025Inspection2 deficiencies cited
Apr 14, 2025Report to the stateNo violation found
Apr 13, 2025Report to the stateNo violation found
Feb 18, 2025InspectionNo violation found
Feb 13, 2025Report to the stateNo violation found
Jan 14, 2025InspectionNo violation found
Jan 6, 2025Report to the state1 deficiency cited
Oct 25, 2024InspectionNo violation found
Oct 11, 2024Report to the stateNo violation found
Oct 3, 2024InspectionNo violation found
Aug 26, 2024InspectionNo violation found
Aug 14, 2024Report to the stateNo violation found
Aug 12, 2024Inspection2 deficiencies cited
Jun 4, 2024InspectionNo violation found
May 21, 2024Inspection1 deficiency cited
May 20, 2024Report to the stateNo violation found
May 3, 2024InspectionNo violation found
May 1, 2024Report to the stateNo violation found
Apr 24, 2024Report to the stateNo violation found
Apr 10, 2024InspectionNo violation found
Apr 4, 2024Inspection1 deficiency cited
Mar 20, 2024Report to the stateNo violation found
Feb 14, 2024InspectionNo violation found
Feb 1, 2024Report to the state1 deficiency cited
Nov 6, 2023InspectionNo violation found
Nov 2, 2023Report to the stateNo violation found
Aug 31, 2023Inspection1 deficiency cited
Jun 20, 2023InspectionNo violation found
Jun 16, 2023Report to the stateNo violation found
Mar 3, 2023Report to the stateNo violation found
Jan 10, 2023InspectionNo violation found
Dec 22, 2022InspectionNo violation found
Dec 9, 2022Report to the stateNo violation found
Aug 8, 2022InspectionNo violation found
Aug 4, 2022Report to the state3 deficiencies cited
Jul 25, 2022AssessmentNo violation found
Jul 22, 2022InspectionNo violation found
Apr 6, 2022InspectionNo violation found

Is it licensed?

  • Licensed Center, permit issued Jan 26, 1990.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 465 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.
  • 21 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 8.
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
Toepperwein Road Kindercare18
Country Home Learning Center #5, Ltd This child care provider8
Live Oak Head Start13
Graciela Morgan10
The Little Engine Learning Center16
Leticia Alvarado5
Bright Kids Daycare & Learning Center #322
Kids-R-Delightful, LLC11
Forest Angel’s Child Daycare3
Ilia WilliamsNot given
Ivonne A Kunz9
Little Treehouse Early Learning Center #612

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 8, 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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