Hearth Record

Kids-R-Delightful, LLC

A licensed child care center in Live Oak, Texas 78233

6465 Forest Blf, Live Oak, Texas 78233. (210) 946-5437.

Texas’s own record, on its child care search

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 11 deficiencies in 3 months of the last 36. Last cited Apr 2026. Most serious: Medium 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?

11 deficiencies cited in the last three years

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

10 inspections on record. The latest, on Aug 27, 2026: no violation found.

Source:

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

When those deficiencies happened

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

11 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.

Apr 29, 2026: inspection3 deficiencies
  • Medication Authorization Expires on First Anniversary

    “When reviewing children’s files, the authorization form for a child’s medication expired in July 2024, and an updated form was not available.”

    Rule 746.3803(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 7, 2026. Correction verified: May 5, 2026.

  • Documentation of Fire Inspection

    “The most recent fire inspection report was not available for inspection. The last recorded inspection was held on 8/15/24”

    Rule 746.5103. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 5, 2026. Correction verified: Apr 29, 2026.

  • Emergency Preparedness Plan-Continuity of Care Until Children Released

    “When reviewing the emergency preparedness plan, the information did not detail how they will continue with care for children during the emergency.”

    Rule 746.5202(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2026. Correction verified: Apr 30, 2026.

May 22, 2025: inspection4 deficiencies
  • Required Admission Information - Emergency Contact

    “Seven out of the ten children files reviewed, were missing the emergency contact person’s information that is not their parent in the home.”

    Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2025. Correction verified: May 29, 2025.

  • Written Operational Policies - Benefits

    “Promotion of indoor and outdoor physical activity was not available for review in the operational policy.”

    Rule 746.501(a)(18)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2025. Correction verified: Jun 9, 2025.

  • Written Operational Policies - Parent Rights

    “When reviewing the operational policy and the application there was no signed verification that the parents were aware of their parent rights.”

    Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2025. Correction verified: May 29, 2025.

  • Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation’s child-care program

    “Four out of ten files reviewed did not have a health statement on file.”

    Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jun 11, 2025.

Jun 3, 2024: inspection4 deficiencies
  • Training Requirements for Employees, Caregivers, and Directors - Transportation training

    “One of two staff who provide transporation did not have annual transportation training.”

    Rule 746.1301(a)(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2024. Correction verified: Jun 21, 2024.

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

    “One of ten employee records reviewed was not current in pediatric first aid/CPR.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2024. Correction verified: Jun 21, 2024.

  • Immunization Records, Exceptions, and Exemptions Current

    “Five of ten children’s records reviewed did not have current immunizations on file.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2024. Correction verified: Jun 26, 2024.

  • Director Annual Training - Additional required topics

    “The director was missing training for: SIDS/Shaken baby, Preventing and responding to emergencies due to food or an allergic reaction and Handling, storing, and disposing of hazardous materials.”

    Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2024. Correction verified: Jun 21, 2024.

7 deficiencies older than three years
Jun 12, 2023: inspection1 deficiency
  • Written Feeding Instructions - Review and Update Every 30 Days

    “Three of the infant feeding instructions had not been updated in the last month.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2023. Correction verified: Jun 19, 2023.

Aug 17, 2022: inspection3 deficiencies
  • Immunization Records, Exceptions, and Exemptions Current

    “6 out of the 10 children’s files reviewed were missing current/updated immunization records.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2022. Correction verified: Sep 12, 2022.

  • Director Annual Training - Additional required topics

    “The director was missing training for the previous training year in the required topics of; 1) Emergency preparedness 2) Preventing and controlling the spread of communicable diseases, including immunizations 3) Administering medication 4) Preventing and responding to emergencies due to food or an allergic reaction 5) Understanding building and physical premises safety and 6) Handling, storing, and disposing of hazardous materials”

    Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2022. Correction verified: Sep 12, 2022.

  • Medication No Longer Used

    “The medication on file for one of the children was expired as of 10/2020.”

    Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 29, 2022. Correction verified: Sep 12, 2022.

Dec 15, 2021: inspection3 deficiencies
  • Child/ Caregiver Ratio - 13 or More Children

    “Ten children were noted in the 18-23 month old classroom.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2021. Correction verified: Dec 21, 2021.

  • Maintenance of Building, Grounds and Equipment

    “The changing table and a bounce-and-play in the infant room were noted dirty and with debri including a small rubber band.”

    Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 15, 2021.

  • Diapering Procedures - Wash Infant’s Hands

    “The caregiver was observed not washing the child’s hands after diaper change in the 18-23 month old classroom.”

    Rule 746.3505(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 15, 2021. Correction verified: Dec 21, 2021.

All 15 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Aug 27, 2026InspectionNo violation found
Aug 20, 2026Report to the stateNo violation found
Apr 29, 2026Inspection3 deficiencies cited
Dec 19, 2025InspectionNo violation found
May 22, 2025Inspection4 deficiencies cited
Jun 3, 2024Inspection4 deficiencies cited
May 10, 2024InspectionNo violation found
Jul 20, 2023Report to the stateNo violation found
Jun 12, 2023Inspection1 deficiency cited
Jun 8, 2023Report to the stateNo violation found
Aug 17, 2022Inspection3 deficiencies cited
Dec 22, 2021InspectionNo violation found
Dec 22, 2021Report to the stateNo violation found
Dec 15, 2021Inspection3 deficiencies cited
Dec 9, 2021Report to the stateNo violation found

Is it licensed?

  • Licensed Center, permit issued Nov 14, 2018.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 113 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.
  • 5 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: 4-Star (the highest 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 11.
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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