Hearth Record

K N K Development and Learning Center

A licensed child care center in San Antonio, Texas 78220

4542 E Houston St, San Antonio, Texas 78220. (210) 648-5430.

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 18 deficiencies in 4 months of the last 36. Last cited Mar 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?

21 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 21, 2026: no violation found.

Rated High by Texas: Storage of Medication - Inaccessible to Children, at the inspection on Mar 25, 2026

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the inspection on Jul 8, 2025

Rated High by Texas: Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System, at the inspection on Jul 26, 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

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

18 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.

Mar 25, 2026: inspection5 deficiencies
  • Storage of Medication - Inaccessible to Children

    “An EpiPen was stored in a child’s backpack, accessible to children.”

    Rule 746.3807(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 25, 2026. Correction verified: Mar 26, 2026.

  • Administering Medication - Original Container with Child’s Name, Date

    “An EpiPen was not stored in it’s original container labeled with the child’s full name.”

    Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2026. Correction verified: Mar 26, 2026.

  • Required Admission Information-Child’s allergies and Completed Food Allergy Plan

    “One of five children files evaluated did not have the food allergy section completed by the parent.”

    Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2026. Correction verified: Mar 26, 2026.

  • Director Annual Training - Additional required topics

    “The director does not have administering medication training.”

    Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2026. Correction verified: Apr 28, 2026.

  • Written Operational Policies - Medication

    “Procedures for administering medication need to be updated in the operational policies. Two children enrolled require an EpiPen to be stored at the operation.”

    Rule 746.501(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2026. Correction verified: Apr 14, 2026.

Feb 11, 2026: report to the state1 deficiency
  • Written Operational Policies - Support inclusive services

    “The operational policies is missing the Special Care Services information.”

    Rule 746.501(a)(30). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2026. Correction verified: Apr 10, 2026.

Jul 8, 2025: inspection5 deficiencies
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “A caregiver exited the classroom, leaving the children unsupervised.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2025. Correction verified: Jul 23, 2025.

  • Posting Requirements - Daily menu, including all snacks and meals served by the child care center

    “Daily menus were not posted and not available for review.”

    Rule 746.401(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 8, 2025. Correction verified: Jul 23, 2025.

  • Children’s Products- Annual Certification

    “The Children’s Product Certification is not posted for staff and parents to review any products that have been recalled. Note: This was corrected at inspection when the form was posted.”

    Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 8, 2025.

  • Location of Handwashing Sink

    “Soap and hand towels were not available in the restroom to wash hands. Note: This was corrected at inspection when soap and hand towels were replenished in the restroom.”

    Rule 746.4405. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 8, 2025.

  • Children’s Records - Immunizations

    “One out of four children’s files evaluated did not have current immunization records on file.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2025. Correction verified: Jul 23, 2025.

Jul 26, 2024: inspection7 deficiencies
  • Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System

    “The operation did not have a carbon monoxide detector.”

    Rule 746.5531. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 29, 2024. Correction verified: Aug 13, 2024.

  • Required Equipment in Vehicles - Fire Extinguisher

    “Fire extinguisher located in the operation’s van was not mounted and was not inspected by the fire marshal.”

    Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2024. Correction verified: Aug 19, 2024.

  • Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

    “The operation’s two playgrounds did not have adequate depth of loose-fill.”

    Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 19, 2024.

  • Measurement of Use Zone for Stationary Equipment

    “The use zone for rotating and rocking equipment was overlapping the use zone of other rotating and rocking equipment on two playgrounds.”

    Rule 746.4803. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 19, 2024.

  • Children’s Records - Health Statement

    “Four children’s records did not contain health statements.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 20, 2024.

  • Children’s Records - Immunizations

    “Two children’s records reviewed did not have immunizations in their record.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 16, 2024.

  • Required Admission Information - Physician Information

    “Four children’s records reviewed did not have health care information for the child’s physician or an emergency-care facility.”

    Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2024. Correction verified: Aug 19, 2024.

Nov 7, 2023: inspection3 deficiencies
  • Types of Vehicles Used to Transport Children - Be Maintained Safely

    “The vehicle’s side door and left back door do not open.”

    Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2023. Correction verified: Nov 15, 2023.

  • Placement of Groups - Not Exceed Room Capacity

    “Space computation was reviewed after inspection and found that the school age classroom holds a capacity of seven children and ten children were observed in the classroom during the inspection.”

    Rule 746.1505(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2023. Correction verified: Nov 15, 2023.

  • Notification of Change in Space

    “Space computation was reviewed after inspection and found the sanctuary space being used for children was not licensed space.”

    Rule 746.301(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 8, 2023. Correction verified: Nov 15, 2023.

13 deficiencies older than three years
Jun 14, 2023: inspection2 deficiencies
  • Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

    “During inspection, an infant was observed laying in a crib with a bib around its neck. In the crib it was also observed to be a pacifier with a strap.”

    Rule 746.2401(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2023. Correction verified: Jun 22, 2023.

  • Prohibited Punishments - Grabbing and Pulling

    “During inspection, it was observed a caregiver in the toddler class grabbed a child roughly by the arm to sit them down.”

    Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2023. Correction verified: Jun 22, 2023.

Jun 2, 2023: inspection5 deficiencies
  • 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 video footage on 5.30.23 in the PreK classroom the children were left numerous times unsupervised.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 14, 2023.

  • Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

    “Based on the video footage on 5.30.23 a PreK caregiver was observed on their cell phone not supervising the children in the classroom.”

    Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 14, 2023.

  • Food Service and Preparation Requirement - Safe and Sanitary

    “Based on the video footage on 5.30.23 a PreK caregiver was observed feeding four children out of one bowl for breakfast.”

    Rule 746.3317. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 14, 2023.

  • Written Activity Plan - No Long Waiting Periods

    “Based on the video footage on 5.30.23 in the PreK classroom three toddlers were observed waiting in highchairs for longer periods of time between activities.”

    Rule 746.2205(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 14, 2023.

  • Screen Time Activities - Not Exceed One Hour Daily

    “Based on the video footage on 5.30.23 in the PreK classroom the children were observed watching TV for more than an hour.”

    Rule 746.2207(c)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 14, 2023.

Jun 1, 2023: report to the state2 deficiencies
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “Based on the video footage on 5.30.23 the PreK caregiver did not using good judgement when shoving children in the chairs into the tables, roughly pulling a child?’s arm and roughly taking children in and out of the highchairs.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 14, 2023.

  • Prohibited Punishments - Corporal Punishment

    “Based on the video footage on 5.30.23 in the PreK classroom the caregiver was observed striking a child four times on the right arm with a ruler taken from the table while the child was in a highchair.”

    Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 2, 2023. Correction verified: Jun 14, 2023.

Nov 16, 2022: inspection1 deficiency
  • Required Admission Information - Date of Admission

    “Several children files are missing admission date, signatures, and emergency informationwhile reviewing files during inspection.”

    Rule 746.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2022. Correction verified: Nov 18, 2022.

Dec 8, 2021: inspection3 deficiencies
  • Safety - Televisions Anchored to Prevent Tip Over

    “There was one television in the Pre K classroom where children were in care and the television was not secured or anchored to the shelf upon which it was sitting.”

    Rule 746.3701(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 10, 2021. Correction verified: Dec 17, 2021.

  • First Aid Kit - Incomplete Kit

    “The first aid kid in the transportation van was missing the required tweezers. This was corrected at inspection when the director stocked the first aid kit with all required items.”

    Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 8, 2021.

  • Required Records Maintained and Made Available - Children’s Product Certification

    “The Consumer Product Safety Commission form was not available for review at inspection. This was corrected at inspection when the director downloaded, signed, and posted the form.”

    Rule 746.801(18). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 8, 2021.

All 19 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Sep 21, 2026InspectionNo violation found
Jul 7, 2026InspectionNo violation found
May 20, 2026InspectionNo violation found
Mar 25, 2026Inspection5 deficiencies cited
Feb 23, 2026InspectionNo violation found
Feb 11, 2026Report to the state1 deficiency cited
Jul 23, 2025InspectionNo violation found
Jul 8, 2025Inspection5 deficiencies cited
Jan 27, 2025InspectionNo violation found
Jul 26, 2024Inspection7 deficiencies cited
Nov 15, 2023InspectionNo violation found
Nov 7, 2023Inspection3 deficiencies cited
Jun 22, 2023InspectionNo violation found
Jun 14, 2023Inspection2 deficiencies cited
Jun 9, 2023Report to the stateNo violation found
Jun 2, 2023Inspection5 deficiencies cited
Jun 1, 2023Report to the state2 deficiencies cited
Nov 16, 2022Inspection1 deficiency cited
Dec 8, 2021Inspection3 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Apr 4, 2013.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 48 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.
  • 3 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: 2-Star (the first 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 21.
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

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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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