Hearth Record

Ernestine Ramirez

A registered child care home in San Antonio, Texas 78201

815 Kentucky Ave, San Antonio, Texas 78201. (210) 977-0421.

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 10 deficiencies in 4 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?

10 deficiencies cited in the last three years

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

13 inspections on record. The latest, on Aug 4, 2026: no violation found.

Rated High by Texas: Smoke-Detection System, at the inspection on Jul 28, 2026

Rated High by Texas: Basic Requirements for Infants - Free from Choking Objects, at the inspection on Sep 9, 2024

Rated High by Texas: AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age, at the inspection on Sep 9, 2024

Source:

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

When those deficiencies happened

10 deficiencies in 4 months of the last 36. Last cited Jul 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

10 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 28, 2026: inspection4 deficiencies

  • Smoke-Detection System

    “Two classrooms did not have a smoke detector.”

    Rule 747.5111. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Aug 4, 2026.

  • Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance

    “Operation did not submit proof of liability insurance annually by anniversary date of issuance.”

    Rule 747.209(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Aug 3, 2026.

  • Children’s Records - Admission Information

    “Two of four children’s records reviewed were missing admission information of: child’s and parents address, admission date, parent telephone number, emergency contact, release information, emergency care authorization, and special care statement.”

    Rule 747.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Aug 4, 2026.

  • Health Statement on File

    “One of four children’s records reviewed did not have a health statement on file.”

    Rule 747.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2026. Correction verified: Aug 4, 2026.

Aug 22, 2025: inspection2 deficiencies

  • Animals at Center - Documentation of Vaccinations

    “At time of inspection, three pet vaccinations were past due.”

    Rule 747.3703(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 8, 2025.

  • Fire Extinguishers Serviced

    “At time of inspection, operations fire extinguisher was last serviced July 2024.”

    Rule 747.5107(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2025. Correction verified: Sep 8, 2025.

Sep 9, 2024: inspection2 deficiencies

  • Basic Requirements for Infants - Free from Choking Objects

    “At time of inspection an infnat was observed inside the play yard wearing a bib.”

    Rule 747.2301(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2024. Correction verified: Sep 20, 2024.

  • AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

    “At time of inspection an infant younger than twelve months was observed inside the play yard with a blanket. Corrected at inspection.”

    Rule 747.2315(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2024. Correction verified: Sep 20, 2024.

Jun 11, 2024: inspection1 deficiency

  • Children’s Records Accessible - to Licensing

    “At time of inspection, operation could not provide childrens files for review.”

    Rule 747.601(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2024. Correction verified: Jun 27, 2024.

Jun 3, 2024: report to the state1 deficiency

  • Allow Parents to Visit Child-care Home Anytime During Hours of Operation

    “During the investigation, it was made aware the operation has “at-door policy” that has parents drop off and pick up at the door.”

    Rule 747.207(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 25, 2024. Correction verified: Jul 15, 2024.

2 deficiencies older than three years
Oct 5, 2022: inspection1 deficiency

  • Child/ Caregiver Ratio - Registered Child Care Home

    “Operation was out of ratio by one child, having one child under 18 months and six children over 18 months.”

    Rule 747.1701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 5, 2022. Correction verified: Oct 12, 2022.

Dec 27, 2021: report to the state1 deficiency

  • Child/ Caregiver Ratio - Registered Child Care Home

    “Based on documentation and interviews with provider and parents. The provider was out of ratio by have two infants under age of seventeen months.”

    Rule 747.1701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 28, 2022. Correction verified: Jan 31, 2022.

All 16 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Aug 4, 2026InspectionNo violation found
Jul 28, 2026Inspection4 deficiencies cited
Aug 22, 2025Inspection2 deficiencies cited
Dec 27, 2024InspectionNo violation found
Dec 19, 2024Report to the stateNo violation found
Sep 20, 2024InspectionNo violation found
Sep 9, 2024Inspection2 deficiencies cited
Jul 15, 2024InspectionNo violation found
Jun 11, 2024Inspection1 deficiency cited
Jun 3, 2024Report to the state1 deficiency cited
Sep 29, 2023InspectionNo violation found
Oct 12, 2022InspectionNo violation found
Oct 5, 2022Inspection1 deficiency cited
Jan 31, 2022InspectionNo violation found
Jan 10, 2022InspectionNo violation found
Dec 27, 2021Report to the state1 deficiency cited

Is it licensed?

  • Registered Child-Care Home, permit issued Jun 28, 1993.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 12 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.
  • 3 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 10.
Source:

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

11 of the 768 in Bexar County, as the source lists them, same ZIP code first
PlaceDeficiencies, 3 years
Yvonne C RodriguezNot given
Ernestine Ramirez This child care provider10
Y School Age @ Advance Learning Academy2
Over the Rainbow Christian Learning Center LLC2
Abc Daycare47
1.2..me Kidz4
Christina Morales12
Upbring Head Start (Redeemer)2
Beautiful Children Learning Daycare11
Tree of Life Daycare10
Y School Age @beacon Hill Academy5
Maria Felicitas HernandezNot given

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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