Hearth Record

Pre-K 4 Sa East Education Center

A licensed child care center in San Antonio, Texas 78218

5230 Eisenhauer Rd, San Antonio, Texas 78218. (210) 206-2850.

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 6 deficiencies in 5 months of the last 36. Last cited Sep 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?

7 deficiencies cited in the last three years

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

29 inspections on record. The latest, on Sep 29, 2026: no violation found.

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 report to the state on Sep 17, 2024

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 report to the state on Dec 4, 2023

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 report to the state on Nov 15, 2023

Source:

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

When those deficiencies happened

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

6 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.

Sep 15, 2026: inspection1 deficiency
  • Child/ Caregiver Ratio - 13 or More Children

    “In classroom #19, there were 20 children (SAG 3 years old) with one teacher out of ratio by five childrn.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2026. Correction verified: Sep 29, 2026.

Aug 28, 2026: report to the state1 deficiency
  • Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

    “During the inspection, it was found that two staff members did not have first aid training.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2026. Correction verified: Sep 8, 2026.

Sep 17, 2024: report to the state1 deficiency
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “During an investigation, it was determined that a caregiver failed to ensure an exterior door to an empty classroom was securely locked behind her which resulted in children entering an empty classroom with no supervision. Caregivers outdoors failed to provide adequate supervision to become aware that children had entered the building unsupervised.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2024. Correction verified: Oct 24, 2024.

Sep 4, 2024: inspection1 deficiency
  • Children’s Records - Immunizations

    “One of ten records did not have an up to date immunization record.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2024. Correction verified: Oct 15, 2024.

Aug 8, 2024: report to the state1 deficiency
  • Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

    “During a DFPS investigation, it was discovered that the operation failed to inactivate an employee that has not been associated/employed with the operation for over seven days.”

    Rule 745.651(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2024. Correction verified: Oct 31, 2024.

Dec 4, 2023: report to the state1 deficiency
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “During this investigation, it was determined that caregivers left a child unsupervised while the classroom of children went outdoors to the playground.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 2, 2024. Correction verified: Jan 12, 2024.

Nov 15, 2023: report to the state1 deficiency
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

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

13 deficiencies older than three years
Sep 29, 2023: inspection3 deficiencies
  • Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

    “A new employee that began employment as a caregiver in a classroom did not have First Aid certification.”

    Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2023. Correction verified: Oct 11, 2023.

  • Sheltering Drill For Severe Weather-Four times a calendar year

    “The emergency practices log for last school year 2022-2023 had documentation for only two drills conducted all year.”

    Rule 746.5205(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2023. Correction verified: Oct 16, 2023.

  • Required Personnel Records- Training Hours

    “Seven of eleven personnel files did not have their annual training records available for review. Seven of eleven records did not have an employment start date.”

    Rule 746.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 31, 2023. Correction verified: Nov 1, 2023.

Sep 19, 2023: inspection1 deficiency
  • AP Background check results - Must receive notification prior to allowing subject to be present at your operation

    “A caregiver was present in a classroom without an active background check”

    Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 19, 2023. Correction verified: Oct 9, 2023.

Sep 15, 2023: report to the state1 deficiency
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “During this investigation, it was determined that a caregiver left a child unsupervised, allowing the child to wander to another classroom.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 3, 2023. Correction verified: Oct 11, 2023.

Aug 22, 2023: report to the state1 deficiency
  • AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

    “During the investigation, it was discovered that CCR was not notified within the required timeframe of 48 hours. Operation was made aware that child would be taken for medical treatment.”

    Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 7, 2023. Correction verified: Sep 15, 2023.

Nov 17, 2022: inspection1 deficiency
  • Training Requirements for Directors 30- Annual Training

    “The director is missing 24.5 annual training hours from 2021 to include child development, discipline and guidance, curriculum, teacher-child interactions, serving children with special needs, abuse and neglect, emergency preparedness, preventing the spread of communicable diseases, administering medication, preventing and responding to food or allergic reactions, physical safety and hazards, handling hazardous materials, and three hours management.”

    Rule 746.1301(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2022. Correction verified: Nov 29, 2022.

Oct 26, 2022: report to the state1 deficiency
  • Prohibited Punishments - Corporal Punishment

    “A caregiver grabbed a child by the forearm when the child refused to nap, resulting in two fingernail abrasions that broke the skin.”

    Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2022. Correction verified: Nov 9, 2022.

Oct 26, 2022: inspection3 deficiencies
  • Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

    “Three of four staff files audited did not have current first aid training.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2022. Correction verified: Nov 8, 2022.

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

    “Three of four staff files audited did not have current CPR training.”

    Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2022. Correction verified: Nov 8, 2022.

  • Documented Annual Training- Required Content

    “Four of four staff files reviewed did not have training for handling hazardous materials or administering medications.”

    Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 3, 2022. Correction verified: Nov 8, 2022.

Nov 10, 2021: inspection2 deficiencies
  • Safety - Electrical Outlets Covered

    “One preshool classroom had missing electrical safety outlets. This was corrected at inspection when director added to the safety plugs to the electrical outlet.”

    Rule 746.3701(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 10, 2021.

  • Safety - Air Conditioners, Fans, Heaters Safeguarded

    “In one of the preschool classroom an electrical fan was unmounted and in easy access to the children. This was corrected at inspection when caregiver removed the fan and placed it in the closet.”

    Rule 746.3701(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 10, 2021.

All 59 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Sep 29, 2026InspectionNo violation found
Sep 15, 2026Inspection1 deficiency cited
Aug 28, 2026Report to the stateNo violation found
Aug 28, 2026Report to the state1 deficiency cited
May 29, 2026InspectionNo violation found
May 27, 2026Report to the stateNo violation found
May 26, 2026InspectionNo violation found
May 13, 2026Report to the stateNo violation found
May 5, 2026InspectionNo violation found
Oct 29, 2025InspectionNo violation found
Oct 22, 2025Report to the stateNo violation found
Aug 27, 2025InspectionNo violation found
Mar 21, 2025InspectionNo violation found
Mar 18, 2025Report to the stateNo violation found
Feb 13, 2025Report to the stateNo violation found
Oct 24, 2024InspectionNo violation found
Sep 19, 2024InspectionNo violation found
Sep 17, 2024Report to the state1 deficiency cited
Sep 9, 2024Report to the stateNo violation found
Sep 4, 2024Inspection1 deficiency cited
Aug 23, 2024Report to the stateNo violation found
Aug 8, 2024Report to the state1 deficiency cited
May 21, 2024InspectionNo violation found
May 17, 2024Report to the stateNo violation found
May 3, 2024InspectionNo violation found
May 1, 2024Report to the stateNo violation found
Apr 18, 2024InspectionNo violation found
Apr 12, 2024Report to the stateNo violation found
Mar 25, 2024InspectionNo violation found
Mar 22, 2024Report to the stateNo violation found
Mar 5, 2024InspectionNo violation found
Mar 1, 2024Report to the stateNo violation found
Feb 23, 2024Report to the stateNo violation found
Feb 5, 2024Report to the stateNo violation found
Jan 12, 2024InspectionNo violation found
Jan 2, 2024InspectionNo violation found
Dec 7, 2023InspectionNo violation found
Dec 4, 2023Report to the state1 deficiency cited
Nov 16, 2023InspectionNo violation found
Nov 15, 2023Report to the stateNo violation found
Nov 15, 2023Report to the state1 deficiency cited
Sep 29, 2023Inspection3 deficiencies cited
Sep 22, 2023Report to the stateNo violation found
Sep 19, 2023Inspection1 deficiency cited
Sep 15, 2023Report to the state1 deficiency cited
Aug 22, 2023Report to the state1 deficiency cited
May 26, 2023InspectionNo violation found
May 24, 2023Report to the stateNo violation found
Apr 24, 2023Report to the stateNo violation found
Nov 17, 2022Inspection1 deficiency cited
Nov 9, 2022InspectionNo violation found
Oct 26, 2022Report to the state1 deficiency cited
Oct 26, 2022Inspection3 deficiencies cited
Oct 21, 2022Report to the stateNo violation found
Sep 23, 2022InspectionNo violation found
Aug 30, 2022Report to the stateNo violation found
May 17, 2022InspectionNo violation found
May 6, 2022Report to the stateNo violation found
Nov 10, 2021Inspection2 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Feb 13, 2015.
  • Licensed for ages: Pre-Kindergarten.
  • Capacity: 550 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.
  • 30 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 7.
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

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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