Hearth Record

Kathleen Doege

A registered child care home in Saint Hedwig, Texas 78152

3085 Kusmierz Rd, Saint Hedwig, Texas 78152. (210) 324-5112.

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 13 deficiencies in 5 months of the last 36. Last cited Jun 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?

13 deficiencies cited in the last three years

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

8 inspections on record. The latest, on Jun 26, 2026: 1 deficiency cited.

Rated High by Texas: Safety Requirements for Wading Pools - Drained Daily and Sanitized, at the inspection on Oct 28, 2024

Rated High by Texas: Required Fees, at the inspection on Oct 28, 2024

Source:

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

When those deficiencies happened

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

13 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.

Jun 26, 2026: inspection1 deficiency

  • Sign-in and Sign-out Logs Maintained

    “During the inspection the primary caregivers last sign in/out was 1/27/26.”

    Rule 747.635(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 10, 2026. Correction verified: Jul 14, 2026.

Dec 1, 2025: assessment1 deficiency

  • Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR

    “This is a recite for the primary caregiver first aid/cpr not being renewed by the compliance date.”

    Rule 747.1007(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2025. Correction verified: Dec 3, 2025.

Oct 23, 2025: inspection3 deficiencies

  • Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR

    “First Aid/CPR expired 11/2024.”

    Rule 747.1007(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2025. Correction verified: Dec 3, 2025.

  • Primary Caregiver in a Registered Home Qualifications-Proof of Training in Required Topics (A-L)

    “The annual training courses for the primary caregiver are not complete. The primary caregiver had 12 training hours in classroom related items.”

    Rule 747.1007(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2025. Correction verified: Jan 27, 2026.

  • Children Handwashing After Toileting or Diapering

    “Children did not wash their hands before sitting down for snack.”

    Rule 747.3213(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2025. Correction verified: Jan 27, 2026.

Jan 9, 2025: assessment1 deficiency

  • Training Requirements for Primary Caregiver -30 Hours Annual Training

    “Primary caregiver is missing 12 out of the 30 annual trainings hours required.”

    Rule 747.1303(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2025. Correction verified: Feb 3, 2025.

Oct 28, 2024: inspection7 deficiencies

  • Safety Requirements for Wading Pools - Drained Daily and Sanitized

    “A wadding pool observed filled with water was observed in the children’s play area.”

    Rule 747.4813(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2024. Correction verified: Nov 25, 2024.

  • Required Fees

    “A background check fee has not been paid.”

    Rule HRC42.054. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2024. Correction verified: Nov 25, 2024.

  • Training Requirements for Primary Caregiver -30 Hours Annual Training

    “Primary caregiver is missing 14 out of the 30 annual trainings hours required.”

    Rule 747.1303(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2024. Correction verified: Jan 9, 2025.

  • Sign-in and Sign-out Logs Maintained

    “Attendance records have not been kept. Note: This was corrected at inspection when the Primary Caregiver took attendance for the children present today.”

    Rule 747.635(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2024. Correction verified: Nov 25, 2024.

  • Screen Time Activities - Not Used for Under Two

    “Screen time was used for the children present at the operation which included an 18-month-old.”

    Rule 747.2105(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2024. Correction verified: Nov 25, 2024.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “Feeding instructions have not been updated in 30 days.”

    Rule 747.2321(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2024. Correction verified: Nov 25, 2024.

  • Written Operational Policies - Parent Rights

    “Parents rights were not included in the operational policies.”

    Rule 747.501(9). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 28, 2024. Correction verified: Nov 25, 2024.

8 deficiencies older than three years
Dec 12, 2022: inspection1 deficiency

  • Primary Caregiver Annual Training -30 Hours Required

    “The provider did not have 20 clock hours of training that is required annually.”

    Rule 747.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 6, 2023. Correction verified: Jan 17, 2023.

Oct 28, 2022: inspection7 deficiencies

  • Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR

    “The first aid and CPR was expired for the provider.”

    Rule 747.1007(5). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2022. Correction verified: Nov 12, 2022.

  • Primary Caregiver Annual Training - Special topics for children under 24 months

    “The SIDS and Shaken Baby Training was expired for the provider.”

    Rule 747.1309(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Dec 12, 2022.

  • Fenced Outdoor Activity Space

    “At the time of inspection the children were not using the fenced back yard for outdoor time.”

    Rule 747.4105. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Dec 12, 2022.

  • Primary Caregiver Annual Training -30 Hours Required

    “The provider did not have 25 clock hours of training that is required annually.”

    Rule 747.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Dec 12, 2022.

  • Children’s Records - Immunizations

    “Three children’s files did not contain immunization records.”

    Rule 747.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 11, 2022. Correction verified: Nov 27, 2022.

  • Records Maintained and Made Available - Pet Vaccinations

    “Six dog vaccinations were expired.”

    Rule 747.801(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 18, 2022. Correction verified: Nov 27, 2022.

  • Required Health Statement

    “One child’s file did not contain a health statement.”

    Rule 747.611(a). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 11, 2022. Correction verified: Nov 27, 2022.

All 11 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jun 26, 2026Inspection1 deficiency cited
Jan 27, 2026InspectionNo violation found
Dec 3, 2025AssessmentNo violation found
Dec 1, 2025Assessment1 deficiency cited
Oct 23, 2025Inspection3 deficiencies cited
Jan 9, 2025Assessment1 deficiency cited
Nov 25, 2024InspectionNo violation found
Oct 28, 2024Inspection7 deficiencies cited
Oct 30, 2023InspectionNo violation found
Dec 12, 2022Inspection1 deficiency cited
Oct 28, 2022Inspection7 deficiencies cited

Is it licensed?

  • Registered Child-Care Home, permit issued Jan 28, 2013.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 12 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.
  • 0 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 13.
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
Kathleen Doege This child care provider13
Jennifer Lynn Vance1
Frezsanee Yelton1
Crown of Life Lutheran School3
Eleanor Rodriguez2
Alamo Heights United Methodist Weekday School12
Country Home Learning Center #1, Ltd.5
Judson at Stahl Kindercare21
La Petite Toepperwein31
La Petite Academy Judson4
Valley Hi Baptist Academy49
La Petite Guilbeau23

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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