Nanie Care - Sheba R. Fuller
A licensed child care home in San Antonio, Texas 78244
6719 Walnut Lake Dr, San Antonio, Texas 78244. (210) 449-4662.
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.
- 7 deficiencies cited in the last three years Middle in Bexar County: 5
- 3 rated High by Texas, its most serious level (needs attention)
- 9 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?
7 deficiencies cited in the last three years
The middle of the 768 child care providers in Bexar County had 5.
9 inspections on record. The latest, on Jun 15, 2026: no violation found.
Rated High by Texas: Prohibited Equipment - Trampolines, at the inspection on Jun 24, 2025
Rated High by Texas: Written Operational Policies - Emergency Preparedness Plan, at the inspection on Jul 18, 2024
Rated High by Texas: Required Admission Information - Emergency Medical Authorization, at the inspection on Jul 18, 2024
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
7 deficiencies in 3 months of the last 36. Last cited Jun 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.
Jun 5, 2026: inspection1 deficiency
-
Records Maintained and Made Available - Safety Drills Documentation
“During the inspection documentation of fire drills was not completed.”
Jun 24, 2025: inspection1 deficiency
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Prohibited Equipment - Trampolines
“Trampolines pose a safety risk to children when over 4 feet in diameter are not permitted.”
Jul 18, 2024: inspection5 deficiencies
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Written Operational Policies - Emergency Preparedness Plan
“Other than the procedure for handling medical emergencies located in the operational policies, there is no written emergency preparedness plan,”
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Required Admission Information - Emergency Medical Authorization
“While reviewing children’s files, two of eight files did not have an address for the emergency contact.”
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Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
“The primary caregiver’s CPR/FA certification expired in Mar/2024 and has not been renewed.”
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Fire Drill Monthly - Exit in 3 Minutes
“There was no verification that a fire drill was conducted during the months of January through June of this year. Note this was corrected during inspection, when a fire drill was conducted and documented as completed.”
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Children’s Records - Admission Information
“While reviewing children’s files: Four of eight files did not include a signed physician’s statement for the child. One of eight files did not have a current immunization record. Two school aged children did not have the required school name/phone # listed nor any information for permission to ride bus/walk/get ride from school. Seven of eight files did not have information of any special care needs.”
10 deficiencies older than three years
Aug 1, 2023: inspection2 deficiencies
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AP Background check results - Must receive notification prior to allowing subject to be present at your operation
“Sixteen year old godson was present in the home without a cleared background check. NOTE: This was corrected when he was picked up and will remain out of the home while children are in care.”
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AP Never exceed capacity of the home
“The permit holder had 8 children in care, when her permit allows only 6 children. Note: This was corrected when two children were picked up early by their parent.”
Aug 24, 2022: inspection2 deficiencies
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AP Never exceed capacity of the home
“Permit holder was caring for 7 children at time of inspection when licensed for 6 children.”
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Child/Caregiver Ratio - Licensed Child Care Home
“Permit holder was over ratio by one based on ages of children.”
Aug 16, 2022: inspection6 deficiencies
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AP Background check results - Must receive notification prior to allowing subject to be present at your operation
“Permit holder has a 21 year old god daughter and a 16 year old god son staying with her at this time. Note: This was corrected during inspection when the left the operation and made arrangements to stay elsewhere.”
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AP Never exceed capacity of the home
“Permit holder was caring for 11 children at time of inspection. One child, her god son was visiting. Note: This was corrected when permit holder’s Godson was picked up. Permit holder had another 4 toddlers picked up by parents as well.”
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Required Admission Information - Emergency Medical Authorization
“One of nine files reviewed does not have an emergency medical authorization in file.”
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Child/Caregiver Ratio - Licensed Child Care Home
“Permit holder was over ratio based on ages of children.”
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Required Admission Information - Emergency Contact
“Six of nine children’s files did not have addresses listed for their emergency contacts.”
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Children’s Records - Immunizations
“Three of nine files did not have current immunization records. Four of nine files did not have a healthcare statement signed by physician.”
All 10 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Jun 15, 2026 | Assessment | No violation found |
| Jun 5, 2026 | Inspection | 1 deficiency cited |
| Jul 15, 2025 | Inspection | No violation found |
| Jun 24, 2025 | Inspection | 1 deficiency cited |
| Jul 18, 2024 | Inspection | 5 deficiencies cited |
| Aug 14, 2023 | Inspection | No violation found |
| Aug 1, 2023 | Inspection | 2 deficiencies cited |
| Sep 7, 2022 | Inspection | No violation found |
| Aug 24, 2022 | Inspection | 2 deficiencies cited |
| Aug 16, 2022 | Inspection | 6 deficiencies cited |
Is it licensed?
- Licensed Child-Care Home, permit issued Oct 16, 2018.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 12 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.
- 0 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 7.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| La Petite Academy Beech Trail | 35 |
| Kitz Korner Day Care | 7 |
| Maria Rivera | 3 |
| Nanie Care - Sheba R. Fuller This child care provider | 7 |
| Kitz Korner Daycare | 7 |
| Tree House Christian Learning Center | 27 |
| My Little Rainforest | 0 |
| Sharitta Polite | 4 |
| Malisa Martinez | Not given |
| Naomi Cano | 1 |
| Judy Ann Leahy | Not given |
| A&v Learning Center LLC | 0 |
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
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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).
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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).
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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).
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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
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Paid listing
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