Betty’s Babies Child Care and Learning Center
A licensed child care center in San Antonio, Texas 78238
6231 Viva Max Dr, San Antonio, Texas 78238. (210) 451-0445.
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.
- 10 deficiencies cited in the last three years Middle in Bexar County: 5
- 3 rated High by Texas, its most serious level (needs attention)
- 21 inspections on record
- Not star-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?
10 deficiencies cited in the last three years
The middle of the 768 child care providers in Bexar County had 5.
21 inspections on record. The latest, on Aug 19, 2026: no violation found.
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 inspection on Aug 4, 2026
Rated High by Texas: Infant May Not Sleep in a Restrictive Device, at the inspection on Aug 4, 2026
Rated High by Texas: Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control, at the report to the state on Jun 25, 2026
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
10 deficiencies in 7 months of the last 36. Last cited Aug 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.
Aug 4, 2026: inspection2 deficiencies
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Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
“At time of inspection, a school aged child was observed to walk out of classroom and caregivers were not aware. At time of inspection a toddler class was left unsupervised during naptime.”
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Infant May Not Sleep in a Restrictive Device
“At time of inspection, an infant was observed asleep in a swing.”
Jun 26, 2026: report to the state1 deficiency
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Safety - Areas Free From Hazards
“The bottle warmer plug was within the reach of infants in the classroom.”
Jun 25, 2026: report to the state1 deficiency
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Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
“It was determined during the DFPS investigation the operations caregiver did not demonstrate good judgment when they placed the baby bottle warmer in the front area of the class refrigerator, leaving the cord exposed to children.”
Mar 24, 2026: inspection1 deficiency
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Child/ Caregiver Ratio - 13 or More Children
“During inspection it was observed that one caregiver had 6 infants in care. The infants are 5 month old, 6 month old, 6 month old, 9 month old, 13 month old, and 14 month old. Based on the ages caregiver was out of ratio. Note: This was corrected when directer took the two older infants into infant room 2 and director was counted in the ratio.”
Sep 17, 2025: inspection2 deficiencies
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Written Feeding Instructions - Review and Update Every 30 Days
“Four infants feeding instructions have not been updated as required.”
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Children’s Records - Health Statement
“One of five children’s records reviewed lacked health statement.”
Sep 17, 2024: inspection1 deficiency
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Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
“Two infants did not have infant feeding instructions available for review.”
May 31, 2024: report to the state1 deficiency
-
Immunization Records, Exceptions, and Exemptions Current
“Three children files reviewed were not updated on immunizations.”
Jan 17, 2024: assessment1 deficiency
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Report Number of Employees
“The operation has not reported the number of employees that left their employment in 2023.”
16 deficiencies older than three years
Oct 6, 2023: inspection1 deficiency
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Maintenance of Building, Grounds and Equipment
“The seat belt on the third roll of the van did not buckle, as required.”
Sep 19, 2023: inspection1 deficiency
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Safety Requirements for Cribs - Label for Each Infant
“The cribs in the infant were not labeled with child’s name. Note: Corrected at inspection when caregiver labeled the infant cribs.”
Sep 1, 2023: report to the state3 deficiencies
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Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
“During the course of the DFPS investigation, it was determined that a caregiver used poor judgment when she placed a 6-year-old child who was physically acting out into the two-year-old classroom. Due to the child’s state of mind from being upset and the child’s larger size this could potentially place the younger children at risk.”
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Prohibited Punishments - Restrictive device for time out
“During the course of the DFPS investigation, it was determined that a 5 year old child was placed in a highchair for 30 minutes when the child was physically acting out.”
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Janitorial duties
“Video footage obtained during the investigation showed a caregiver who was caring for a child, vacuuming the classroom.”
Oct 11, 2022: inspection2 deficiencies
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Annual Fire Inspection - Conducted by Fire Marshal
“Recite: Operation’s last fire inspection was conducted on 10/8/2020.”
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Fire Extinguishers Serviced
“Recite:The fire extinguishers at the operation were not in service since September 2020.”
Sep 26, 2022: inspection8 deficiencies
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Responsibilities of Caregivers - Supervision of Children
“Several children were observed exiting classroom 1 unsupervised on different occasions.”
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Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
“A Lysol spray and hand sanitizer bottle were on the child size table within reach of children next to food. There was a Lysol bottle on the kitchen counter next to food and food preparation items.”
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Arrangement of Napping Equipment -Provides Sufficient Walking and Work Space
“During naptime in classroom 1, it was observed children sleeping close to each other walking space in between.”
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Adequate Lighting During Naptime
“Classroom 1 had the lights off in the classroom during naptime. Staff had a flashlight and night light on, but classroom was still too dark. Director turned on the light in the main hallway.”
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Annual Sanitation Inspection
“The operation’s last health inspection was conducted 10/25/2021.”
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Annual Fire Inspection - Conducted by Fire Marshal
“Operation’s last fire inspection was conducted on 10/8/2020.”
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Emergency Evacuation and Relocation Diagram - Posted in Each Room
“The evacuation diagram was not visibly posted in the lobby/ main walk way or in classroom 1 of the operation.”
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Fire Extinguishers Serviced
“The fire extinguishers at the operation were not in service since September 2020.”
Mar 1, 2022: assessment1 deficiency
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Report Number of Employees
“A review of the Employees Who Left Employment in 2021 data from February 23, 2022 revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022 as required by field communication #340. Note. Operation complied after the required due date.”
All 29 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Aug 19, 2026 | Inspection | No violation found |
| Aug 4, 2026 | Inspection | 2 deficiencies cited |
| Jun 30, 2026 | Inspection | No violation found |
| Jun 26, 2026 | Report to the state | 1 deficiency cited |
| Jun 25, 2026 | Report to the state | 1 deficiency cited |
| Apr 2, 2026 | Inspection | No violation found |
| Mar 24, 2026 | Inspection | 1 deficiency cited |
| Sep 17, 2025 | Inspection | 2 deficiencies cited |
| Aug 20, 2025 | Inspection | No violation found |
| Mar 27, 2025 | Inspection | No violation found |
| Oct 29, 2024 | Inspection | No violation found |
| Oct 17, 2024 | Report to the state | No violation found |
| Sep 17, 2024 | Inspection | 1 deficiency cited |
| Jun 14, 2024 | Inspection | No violation found |
| May 31, 2024 | Report to the state | 1 deficiency cited |
| Mar 27, 2024 | Inspection | No violation found |
| Jan 23, 2024 | Inspection | No violation found |
| Jan 17, 2024 | Assessment | 1 deficiency cited |
| Dec 22, 2023 | Inspection | No violation found |
| Oct 6, 2023 | Inspection | 1 deficiency cited |
| Sep 19, 2023 | Inspection | 1 deficiency cited |
| Sep 1, 2023 | Report to the state | 3 deficiencies cited |
| Jul 20, 2023 | Inspection | No violation found |
| Jul 3, 2023 | Inspection | No violation found |
| Jun 30, 2023 | Report to the state | No violation found |
| Mar 29, 2023 | Inspection | No violation found |
| Oct 11, 2022 | Inspection | 2 deficiencies cited |
| Sep 26, 2022 | Inspection | 8 deficiencies cited |
| Mar 1, 2022 | Assessment | 1 deficiency cited |
Is it licensed?
- Licensed Center, permit issued Oct 11, 2019.
- Accepts state child care subsidies.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 50 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.
- 6 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 star-rated in Texas Rising Star (TWC’s code: SUSI).
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.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Country Home Learning Center #3, Ltd. | 3 |
| Adelina Fritz Child Development Center | 5 |
| Pci Place for Life Child Development Center | 3 |
| Wheels for Kids Childcare Center | 11 |
| Kid Care Learning Center | 3 |
| A-2-Z Learning Center #3 | 1 |
| Betty’s Babies Child Care and Learning Center This child care provider | 10 |
| Driggers Child Development Center | 0 |
| Smarty Pants Learning Center | 2 |
| Educare Child Care No 3 | 3 |
| A Place for Kids Luth Ch of Re | 13 |
| Nextgen Learning Center | 8 |
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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