Hearth Record

Katherine Ryan Program

A licensed child care center in San Antonio, Texas 78212

205 W Huisache Ave, San Antonio, Texas 78212. (210) 732-8801.

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 4 deficiencies in 3 months of the last 36. Last cited Apr 2025. 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?

4 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 Oct 27, 2026: outcome pending.

Source:

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

When those deficiencies happened

4 deficiencies in 3 months of the last 36. Last cited Apr 2025. Most serious: Medium High. The last 3 years, to Nov 5, 2026.

4 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 2, 2025: inspection1 deficiency

  • Required Admission Information - Special Needs Statement

    “Three of the four children files didn’t have “not applicable” for special needs. One of the four children is missing page 2 of the child’s enrollment form and signed operational policy.”

    Rule 746.605(12). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2025. Correction verified: Apr 30, 2025.

Dec 9, 2024: inspection2 deficiencies

  • Nutrition and Food Service - Regular Meals and Snacks

    “During snack time the children were provided vanilla Oreos.”

    Rule 746.3301(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 9, 2024. Correction verified: Dec 18, 2024.

  • Documentation of Drills

    “No documentation of the severe weather was available on the emergency practice.”

    Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 9, 2024. Correction verified: Dec 13, 2024.

Apr 11, 2024: inspection1 deficiency

  • Garbage Inaccessible to Children; Maintained in Sanitary Manner

    “In both of the toddler classrooms two trashcans accessible to children were observed with no lids that contained food in them. NOTE: This was corrected when the trash was taken out.”

    Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2024. Correction verified: Apr 22, 2024.

7 deficiencies older than three years
Sep 7, 2023: inspection2 deficiencies

  • Written Operational Policies - Criteria for Extreme Weather

    “The following written statements for Promoting of indoor and outdoor physical activity were not available for review.”

    Rule 746.501(a)(18)(F). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2023. Correction verified: Sep 13, 2023.

  • Required Personnel Records- signed dated statement that employee attended abuse/neglect training

    “Three of the four staff did not have Form 2947 that reviews the orientation.”

    Rule 746.901(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2023. Correction verified: Sep 19, 2023.

Feb 3, 2023: inspection3 deficiencies

  • First Aid Kit - Incomplete Kit

    “The first aid kit was observed missing the guide to First aid and emergency care. NOTE: Corrected at inspection.”

    Rule 746.4003(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 10, 2023.

  • Required Admission Information - Physician Information

    “In the four of the four children’s admission forms the healthcare information was missing the addresses to the hospital/physician listed.”

    Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2023. Correction verified: Feb 10, 2023.

  • Required Records Maintained and Made Available - Children’s Product Certification

    “The Children’s Products Certification Form 2885 was unavailable for review. NOTE: This was corrected at inspection.”

    Rule 746.801(18). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 3, 2023.

Jun 29, 2022: inspection2 deficiencies

  • Diapering Procedures - Use Disposable Gloves

    “A toddler caregiver was observed not changing gloves and washing hands between each diaper change. NOTE: This was corrected as several diaper changes were observed as gloves were changed.”

    Rule 746.3505(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 29, 2022.

  • Diapering Procedures-Soiled Diapers Kept in a Sanitary Manner

    “Although there is a trashcan with a lid used for diapers, several diapers were observed in another trashcan without a lid accessible to children. NOTE: The toddler caregiver changed out the trashcan and started using the other trashcan with a lid used for diapers.”

    Rule 746.3505(f). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 29, 2022.

All 10 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Oct 27, 2026InspectionOutcome pending
Nov 10, 2025InspectionNo violation found
Apr 2, 2025Inspection1 deficiency cited
Dec 18, 2024InspectionNo violation found
Dec 9, 2024Inspection2 deficiencies cited
Apr 11, 2024Inspection1 deficiency cited
Sep 7, 2023Inspection2 deficiencies cited
Feb 3, 2023Inspection3 deficiencies cited
Jun 29, 2022Inspection2 deficiencies cited
Mar 24, 2022InspectionNo violation found

Is it licensed?

  • Licensed Center, permit issued Apr 2, 2019.
  • Licensed for ages: Toddler, Pre-Kindergarten.
  • Capacity: 30 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.
  • 0 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 4.
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
San Antonio College Early Childhood Ctr5
Brighton Center5
San Antonio Zoo School14
Y School Age @ Sunshine Cottage1
Lil’ Munchkins Child Care Center23
Y School Age @ Twain1
Katherine Ryan Program This child care provider4
Tia’s Child Care Academy8
Upbring Head Start (San Antonio College)2
Y School Age @ Rogers0
Baby Boss Learning Center17
Ties-N-Bows14

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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