Live Oak Head Start
A licensed child care center in Live Oak, Texas 78233
8001 Village Oak Dr, Live Oak, Texas 78233. (210) 599-6438.
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.
- 13 deficiencies cited in the last three years Middle in Bexar County: 5
- 2 rated High by Texas, its most serious level (needs attention)
- 17 inspections on record
- Not rated Texas Rising Star rating
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.
17 inspections on record. The latest, on Oct 28, 2026: outcome pending.
Rated High by Texas: Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control, at the report to the state on Jun 21, 2024
Rated High by Texas: Prohibited Punishments - Grabbing and Pulling, at the report to the state on Jun 21, 2024
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
13 deficiencies in 7 months of the last 36. Last cited Aug 2026. Most serious: High. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
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.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
Aug 28, 2026: inspection2 deficiencies
-
Annual Sanitation Inspection
“The operation did not have a current annual sanitation inspection. The last inspection date was 3/17/2025.”
-
Cots, Beds, Mats Labeled With Child’s Name
“One of the classrooms did not have the sleeping cots labeled.”
Jun 15, 2026: report to the state1 deficiency
-
Responsibilities of Caregivers - Interact positively with children
“It was determined a caregiver did not positively interact with a child when the caregiver poked the child in the forehead hard enough for the child to fall back from their knees to their bottom.”
Mar 21, 2025: inspection3 deficiencies
-
Each Caregiver and the Director Must Have Current Training in pediatric CPR
“One of eight staff files reviewed did not have a current certificate in pediatric first aid and CPR.”
-
Director Annual Training 30 Hours Required
“The director had 20.5 hour of the required 30 training hours for the previous training year.”
-
Medication No Longer Used
“Medications stored at the operation for children were expired.”
Jun 21, 2024: report to the state2 deficiencies
-
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
“Caregivers did not use good judgement when they did not notify the director or parent of a child’s continued complaints of pain to their left arm.”
-
Prohibited Punishments - Grabbing and Pulling
“Based on the video footage of the playground on 6.21.2024, a caregiver was observed pulling a child up by their left hand to standing position after the child attempted to sit themself on the ground.”
May 14, 2024: inspection1 deficiency
-
Measurement of Use Zone for Stationary Equipment
“The use zone of the swing overlapped with the use zone of the play tunnel on the playground.”
Apr 17, 2024: inspection3 deficiencies
-
Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation
“Monthly carbon monoxide detector checks were not documented when completed. Last carbon monoxide detector check was last documented on 6/1/23.”
-
Documented Annual Training- Required Content
“Two of eight staff records reviewed were missing annual training for administering medications and responding to emergencies due to food or an allergic reaction.”
-
Measurement of Use Zone for Stationary Equipment
“A table was overlapping the use zone of a slide on the playground.”
Dec 6, 2023: report to the state1 deficiency
-
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
“A caregiver did not have proof of current first aid training available.”
2 deficiencies older than three years
Apr 25, 2023: inspection1 deficiency
-
Documented Annual Training- Required Content
“3 out of the 8 staff records reviewed were missing annual training in the required following topics: (1) Emergency preparedness, (2) Preventing and controlling the spread of communicable diseases, including immunizations, (3) Administering medication, if applicable,(4) Preventing and responding to emergencies due to food or an allergic reaction, (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic & (6) Handling, storing, and disposing of hazardous materials”
Aug 22, 2022: inspection1 deficiency
-
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
“The emergency preparedness plan was missing specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments.”
All 22 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Oct 28, 2026 | Inspection | Outcome pending |
| Aug 28, 2026 | Inspection | 2 deficiencies cited |
| Aug 12, 2026 | Inspection | No violation found |
| Jun 15, 2026 | Report to the state | 1 deficiency cited |
| Oct 30, 2025 | Inspection | No violation found |
| Apr 2, 2025 | Inspection | No violation found |
| Mar 21, 2025 | Inspection | 3 deficiencies cited |
| Aug 2, 2024 | Inspection | No violation found |
| Jul 17, 2024 | Inspection | No violation found |
| Jul 9, 2024 | Inspection | No violation found |
| Jun 27, 2024 | Inspection | No violation found |
| Jun 21, 2024 | Report to the state | 2 deficiencies cited |
| May 14, 2024 | Inspection | 1 deficiency cited |
| Apr 17, 2024 | Inspection | 3 deficiencies cited |
| Jan 29, 2024 | Inspection | No violation found |
| Dec 6, 2023 | Report to the state | 1 deficiency cited |
| May 2, 2023 | Inspection | No violation found |
| Apr 26, 2023 | Report to the state | No violation found |
| Apr 25, 2023 | Inspection | 1 deficiency cited |
| Mar 15, 2023 | Inspection | No violation found |
| Mar 11, 2023 | Report to the state | No violation found |
| Aug 22, 2022 | Inspection | 1 deficiency cited |
Is it licensed?
- Licensed Center, permit issued Nov 14, 2014.
- Accepts state child care subsidies.
- Licensed for ages: Toddler, Pre-Kindergarten, School.
- Capacity: 78 children.
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 A complaint allegation the state investigated and found true: the evidence showed it more likely than not happened. Inconclusive means the evidence couldn’t show it either way. Neither inconclusive nor unsubstantiated proves it didn’t happen. Source: California Department of Social Services, complaint findings; each state’s licensing agency..
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.
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.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Toepperwein Road Kindercare | 18 |
| Country Home Learning Center #5, Ltd | 8 |
| Live Oak Head Start This child care provider | 13 |
| Graciela Morgan | 10 |
| The Little Engine Learning Center | 16 |
| Leticia Alvarado | 5 |
| Bright Kids Daycare & Learning Center #3 | 22 |
| Kids-R-Delightful, LLC | 11 |
| Forest Angel’s Child Daycare | 3 |
| Ilia Williams | Not given |
| Ivonne A Kunz | 9 |
| Little Treehouse Early Learning Center #6 | 12 |
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
-
Texas Health and Human Services Commission, Child care operations (bc5r-88dy).
Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
-
Texas Health and Human Services Commission, Inspections and investigations (m5q4-3y3d).
Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
-
Texas Health and Human Services Commission, Deficiencies (non-compliance data) (tqgd-mf4x).
Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
-
Texas Workforce Commission, Subsidy providers and Texas Rising Star.
Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. No licence stated.
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.
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.