Hearth Record

Little Hands Playschool

A licensed child care center in San Antonio, Texas 78218

7030 Ray Bon Dr, San Antonio, Texas 78218. (210) 908-9915.

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 21 deficiencies in 5 months of the last 36. Last cited Jul 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.

38 inspections on record. The latest, on Jul 16, 2026: 1 deficiency cited.

Rated High by Texas: Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months, at the inspection on Apr 23, 2025

Rated High by Texas: AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited, at the report to the state on Jun 4, 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 Jun 4, 2024

5 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

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

21 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.

Jul 16, 2026: inspection1 deficiency
  • Annual Fire Inspection - Conducted by Fire Marshal

    “The required fire inspection had expired and a current fire inspection was not available for review.”

    Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 22, 2026. Correction verified: Jul 21, 2026.

Apr 23, 2025: inspection1 deficiency
  • Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

    “The operation does not have a current annual fire inspection.”

    Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: May 7, 2025.

Nov 6, 2024: inspection4 deficiencies
  • Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

    “One of ten caregivers was not current on CPR/First Aid.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2024. Correction verified: Dec 2, 2024.

  • Required Admission Information - Emergency Contact

    “One of four children’s files did not have an address listed for their emergency contact. One of four children’s files did not have an admission date for child.”

    Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 20, 2024. Correction verified: Dec 2, 2024.

  • Children’s Records - Immunizations

    “Three of four children’a files did not include an up-to-date immunization record.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2024. Correction verified: Dec 2, 2024.

  • Required Personnel Records - Required Affidavit (Form 2985)

    “Three of ten staff files were missing the notarized employment affidavit. One of ten staff files was missing the pre-employment affidavit.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2024. Correction verified: Dec 2, 2024.

Jun 4, 2024: report to the state6 deficiencies
  • AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

    “This standard was found deficient as part of a DFPS Investigation.”

    Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.

  • 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 failed to provide proper supervision to a group of children in her care during transportation from school to the child care facility resulting in a child being left behind in the transportation vehicle unattended for an undetermined amount of time when the other children ran ahead into the operation without waiting to be counted or for a name to face to be conducted.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.

  • Report Situation Placing Children at Risk

    “During a DFPS investigation, it was determined that the operation failed to report to Child Care Regulation an incident of a child left unsupervised on a transportation vehicle for an undetermined amount of time.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.

  • Parental Communication - Situation that Placed a Child at Risk

    “During a DFPS investigation, it was determined that the operation failed to immediately notify the parent of a child that their child had been left unattended in the transportation vehicle for an undetermined amount of time.”

    Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.

  • Safety Precautions for Loading and Unloading Children - Account for All Children

    “During a DFPS investigation, it was determined that a caregiver did not conduct the required safety precautions to ensure no child remained on a transportation vehicle upon arrival at the child care facility.”

    Rule 746.5605(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.

  • Electronic Child Safety Alarm - is equipped in each vehicle

    “During a DFPS investigation, it was determined that the operation was using a van to transport children in care that was not equipped with an electronic child safety alarm.”

    Rule 746.5625(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 1, 2024. Correction verified: Aug 14, 2024.

Dec 4, 2023: inspection9 deficiencies
  • Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

    “There was no fire inspection available for review. The director was not able to provide verification that it was completed.”

    Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2023. Correction verified: Dec 15, 2023.

  • Training Requirements for Employees, Caregivers, and Directors - Transportation training

    “The director did not have verification of current transportation training on file. One of fourteen employees had verification of only 10 of the required 24 hours of annual training.”

    Rule 746.1301(a)(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 15, 2024. Correction verified: Dec 15, 2023.

  • Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

    “One of fourteen employees did not have current certification for CPR/First Aid.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 1, 2024. Correction verified: Dec 14, 2023.

  • Food Service and Preparation Requirement - Safe and Sanitary

    “Lunch had been prepared and left cooling on stove uncovered for over an hour; it was then served to children during lunchtime. An unopened gallon of milk was found in refrigerator with the expiration date of 11/29/23. This was corrected during inspection as the milk was thrown out.”

    Rule 746.3317. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 4, 2023.

  • Maintenance of Building, Grounds and Equipment

    “Several areas of the operation was observed to be dirty and unsanitary .”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 1, 2024. Correction verified: Dec 28, 2023.

  • Safety - Areas Free From Hazards

    “The restrooms had toilet brushes and a plunger accessible to small children. This was corrected during inspection when the items were moved and made inaccessible to children.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 4, 2023. Correction verified: Dec 28, 2023.

  • Maintenance Procedures for Active Play - Inspect Daily

    “The assistant director had completed the playground maintenance checklist for the day, and had left several hazards out accessible to children.”

    Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 4, 2023. Correction verified: Dec 28, 2023.

  • Fire Extinguishers Serviced

    “Three of the four fire extinguishers in the operation had not been serviced in over one year. Two had last service date of May/2022 and the third has been serviced in November/2022.”

    Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2023. Correction verified: Dec 15, 2023.

  • Children’s Records - Immunizations

    “One of ten children’s files did not contain a current and up-to-date immunization record.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 31, 2023. Correction verified: Dec 15, 2023.

28 deficiencies older than three years
Apr 19, 2023: inspection1 deficiency
  • Types of Vehicles Used to Transport Children - Be Maintained Safely

    “One transportation van was found with a deployed air bag.”

    Rule 746.5603(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 19, 2023.

Apr 12, 2023: report to the state1 deficiency
  • Report Outbreak of Communicable Illness

    “It was determined that the operation did not report a Covid Case to licensing in the appropriate timeframe.”

    Rule 746.305(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 24, 2023. Correction verified: May 18, 2023.

Apr 11, 2023: inspection1 deficiency
  • Required Equipment in Vehicles - Fire Extinguisher

    “Two out of three vehicle fire extinguishers were found not properly mounted.”

    Rule 746.5617(a)(5). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 11, 2023.

Jan 5, 2023: inspection1 deficiency
  • Responsibilities of Caregivers - Know Group Responsible For

    “At the time of inspection both caregivers in the prek room did not know how many children were in her care. She stated there were 13 children in her care when there were 12.”

    Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 5, 2023. Correction verified: Jan 18, 2023.

May 20, 2022: inspection2 deficiencies
  • AP Background check results - Must receive notification prior to allowing subject to be present at your operation

    “An employee present during the inspection was put inactive background check status in 11/2021. Individual did not have an eligibility status and was present in the operation.”

    Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2022. Correction verified: May 31, 2022.

  • Safety - Areas Free From Hazards

    “In the Two/Three year old Classroom a caregiver’s purse was noted on top of a desk at reach of children. Note: Caregiver immediately locked her purse in a locked cabinet.”

    Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: May 20, 2022.

Feb 10, 2022: inspection2 deficiencies
  • Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

    “Two infants were obsereved lanyard on attached to them as they slept. This corrected at inspection when caregiver removed the lanyards attached to the sleeping infants.”

    Rule 746.2401(6). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 10, 2022.

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

    “Two caregivers did not have a their current First Aid/CPR on file.”

    Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 17, 2022. Correction verified: Feb 17, 2022.

Dec 28, 2021: inspection1 deficiency
  • Maintenance of Building, Grounds and Equipment

    “A dead rodent was found on the infant playground”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 28, 2021. Correction verified: Jan 11, 2022.

Dec 14, 2021: inspection3 deficiencies
  • Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points

    “The inside of the slide had was broken and had hole covered by tape.”

    Rule 746.4601(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2021. Correction verified: Dec 28, 2021.

  • Infant Care Area Furnishings and Equipment -Use of Safety Straps

    “Two out three infants were not securely strapped in the high chairs while they were eating.”

    Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2021. Correction verified: Dec 28, 2021.

  • Maintenance of Building, Grounds and Equipment

    “Minimal rodent feces was found in three classrooms.”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2021. Correction verified: Dec 28, 2021.

Dec 2, 2021: assessment4 deficiencies
  • Maintenance of Building, Grounds and Equipment

    “Rodent feces was found in multiple classrooms, including the school-age and two-year-old classrooms. Rodent feces were also found in the kitchen closet. The school-age restroom had not been adequately cleaned and had a strong order of urine.”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2021. Correction verified: Dec 14, 2021.

  • Sanitize Tables Tops, Furniture and Similar Equipment

    “The toys and furniture in the infant and two-year-old classroom were soiled and had not been properly cleaned. A rug in the school-age classroom had been chewed up in multiple places by rodents. The outside infant toys were soiled with dirt, torn, and had standing water.”

    Rule 746.3407(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2021. Correction verified: Dec 14, 2021.

  • Safety - Areas Free From Hazards

    “Mouse traps and an open trash bin were observed in the school-age classroom assessable to children.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2021. Correction verified: Dec 14, 2021.

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

    “The loose-fill on the playground did not meet the proper depth, and grass was seen growing over the loose-fill.”

    Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2021. Correction verified: Dec 14, 2021.

Nov 23, 2021: assessment2 deficiencies
  • Training Requirements for Employees, Caregivers, and Directors - Orientation

    “During an inspection on November 19, 2021 it was proven two caregivers who hired in the September 2021 did not receive their orientation training.”

    Rule 746.1301(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2021. Correction verified: Dec 7, 2021.

  • Orientation-Minimum Standards

    “During an inspection November 19, 2021 it was proven two caregivers had not received their orientation training and been at the operation since September 7, 2021”

    Rule 746.1303(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 23, 2021. Correction verified: Dec 7, 2021.

Nov 22, 2021: report to the state6 deficiencies
  • Director Responsibilities - Operate in Compliance

    “The director failed to ensure the staff were adequately trained in their daily duties and failed to respond appropriately to children becoming injured in care.”

    Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2022. Correction verified: Feb 25, 2022.

  • AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

    “Neglect occurred when four toddlers were exposed to a chemical cleaner resulting in a severe reaction, and emergency services were not sought.”

    Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2022. Correction verified: Feb 25, 2022.

  • Critical Injury - Contact EMS After Ensuring Supervision of Group

    “Operation failed to contract emergency services when four children came into contact with a chemical cleaner, which caused a severe reaction.”

    Rule 746.3607(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2022. Correction verified: Feb 25, 2022.

  • Critical Injury - Contact Parent

    “The operation failed to notify the parents of children who required medical attention. The incident occurred at 9:00 am, and the parents found out about the incident when they picked up their children.”

    Rule 746.3607(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2022. Correction verified: Feb 25, 2022.

  • Pest Extermination in Areas Where Children Present Treated Only if Allowed on Label

    “The operation failed to follow the directions on the label for a chemical cleaner and did not wipe down the surface before children entered the room, resulting in four toddlers needing medical attention.”

    Rule 746.3429(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2022. Correction verified: Feb 25, 2022.

  • Safety - Areas Free From Hazards

    “Staff failed to remove the chemical cleaner left on surfaces within the operation resulting in four children becoming exposed to the cleaner and needing medical attention.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 16, 2022. Correction verified: Feb 25, 2022.

Nov 19, 2021: inspection1 deficiency
  • Child/ Caregiver Ratio - 13 or More Children

    “Caregiver was observed with thirteen children care between the ages of twelve months and four years old with speiified age group of two years old.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 19, 2021. Correction verified: Nov 30, 2021.

Nov 10, 2021: report to the state1 deficiency
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “During the course of the investigation it was proven two caregivers used bad judgment by having a verbal altercation with profanity in front of children.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 19, 2021.

Nov 9, 2021: report to the state2 deficiencies
  • Sanitize Tables Tops, Furniture and Similar Equipment

    “Based on interviews with staff and observation of the operation confirms rodent feces present in the classrooms. Rodent feces was seen in vicinity of furniture and children’s toys.”

    Rule 746.3407(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 19, 2021.

  • Garbage Inaccessible to Children; Maintained in Sanitary Manner

    “During the course of the investigation it was proven the operation has infestation of Rats. Rat Exerment was seen in classrooms staff confirmed seeing rats during operating hours.”

    Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 12, 2021. Correction verified: Nov 19, 2021.

All 49 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jul 16, 2026Inspection1 deficiency cited
Apr 16, 2026InspectionNo violation found
Oct 22, 2025InspectionNo violation found
Apr 23, 2025Inspection1 deficiency cited
Apr 17, 2025Report to the stateNo violation found
Dec 18, 2024InspectionNo violation found
Nov 6, 2024Inspection4 deficiencies cited
Oct 7, 2024InspectionNo violation found
Aug 14, 2024InspectionNo violation found
Jun 4, 2024Report to the state6 deficiencies cited
Apr 10, 2024InspectionNo violation found
Mar 7, 2024InspectionNo violation found
Feb 27, 2024InspectionNo violation found
Feb 9, 2024InspectionNo violation found
Dec 28, 2023InspectionNo violation found
Dec 20, 2023InspectionNo violation found
Dec 14, 2023Report to the stateNo violation found
Dec 4, 2023Inspection9 deficiencies cited
May 18, 2023InspectionNo violation found
Apr 19, 2023Inspection1 deficiency cited
Apr 12, 2023Report to the state1 deficiency cited
Apr 11, 2023Inspection1 deficiency cited
Mar 6, 2023InspectionNo violation found
Feb 9, 2023InspectionNo violation found
Jan 18, 2023InspectionNo violation found
Jan 5, 2023Inspection1 deficiency cited
Dec 8, 2022InspectionNo violation found
Nov 29, 2022InspectionNo violation found
Nov 29, 2022Report to the stateNo violation found
Nov 7, 2022InspectionNo violation found
Oct 3, 2022InspectionNo violation found
Sep 8, 2022InspectionNo violation found
Aug 8, 2022InspectionNo violation found
Jul 1, 2022InspectionNo violation found
May 20, 2022Inspection2 deficiencies cited
Feb 25, 2022InspectionNo violation found
Feb 10, 2022Inspection2 deficiencies cited
Jan 11, 2022InspectionNo violation found
Dec 28, 2021Inspection1 deficiency cited
Dec 14, 2021Inspection3 deficiencies cited
Dec 2, 2021Assessment4 deficiencies cited
Nov 30, 2021InspectionNo violation found
Nov 23, 2021Assessment2 deficiencies cited
Nov 22, 2021Report to the state6 deficiencies cited
Nov 19, 2021Inspection1 deficiency cited
Nov 16, 2021Report to the stateNo violation found
Nov 12, 2021InspectionNo violation found
Nov 10, 2021Report to the state1 deficiency cited
Nov 9, 2021Report to the state2 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued May 31, 2019.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 112 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.
  • 9 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: 3-Star (the middle 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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