Spirit’s Heart Childcare Center
A licensed child care center in San Antonio, Texas 78219
3155 Ackerman Rd Ste 113, San Antonio, Texas 78219. (210) 451-9553.
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The short answer
Record last released by Texas HHSC on Nov 5, 2026.
- 14 deficiencies cited in the last three years Middle in Bexar County: 5
- 7 rated High by Texas, its most serious level (needs attention)
- 23 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?
14 deficiencies cited in the last three years
The middle of the 768 child care providers in Bexar County had 5.
23 inspections on record. The latest, on Sep 17, 2026: no violation found.
Rated High by Texas: Responsibilities of Caregivers - Know children responsible for, at the inspection on Aug 7, 2026
Rated High by Texas: Prohibited Punishments - Humiliating, Rejecting, Yelling, at the report to the state on Aug 6, 2026
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 3, 2026
4 more rated High; all are listed below.
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
14 deficiencies in 5 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 7, 2026: inspection1 deficiency
-
Responsibilities of Caregivers - Know children responsible for
“A caregiver did not know the number of children in their care when asked.”
Aug 6, 2026: report to the state1 deficiency
-
Prohibited Punishments - Humiliating, Rejecting, Yelling
“During the investigation process, it was determined that daycare staff yell at the children when they are misbehaving.”
Aug 3, 2026: inspection4 deficiencies
-
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
“Recite: Active supervision was not practiced when a child left his assigned group to attempt to open the operation door to let the CCR inspector in, when the caregiver left the group to open the door to let the CCR inspector in, and when a child was observed to be stabbing other children with a pencil.”
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AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
“A infant was observed to be seated in a swing that was placed in a crib.”
-
Responsibilities of Caregivers - Know children’s names and ages
“The caregiver in the toddler room was unable to provide the ages of the children in her care.”
-
Screen Time Activities - Not Used for Under Two
“A child, identified as 18 months, was observed to be watching cartoons on the tablet.”
Jul 14, 2026: report to the state1 deficiency
-
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
“It was determined in an investigation that proper supervision was not utilized when a child was left alone and an unfamiliar person was able to enter the building and classroom spaces and access a child.”
Apr 29, 2025: inspection2 deficiencies
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Food Service and Preparation Requirement - No Foods That Present Choking Risk
“Whole grapes were served to children 2-4 years of age.”
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Food Service and Preparation Requirement - Use Sanitary Holders
“Children were observed eating snack on the floor.”
Oct 14, 2024: inspection2 deficiencies
-
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
“During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.”
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Child/Caregiver Ratio - 18 Months Difference in Age
“A fourteen month old infant was in the transition classroom where the oldest child was ten years old.”
May 20, 2024: inspection3 deficiencies
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Annual Sanitation Inspection
“The health inspection had not been conducted. The last report is dated 5/12/23.”
-
Children Handwashing After Toileting or Diapering
“A caregiver was observed not washing a child’s hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.”
-
Screen Time Activities - Not Used for Under Two
“A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.”
8 deficiencies older than three years
Sep 21, 2023: report to the state1 deficiency
-
Safety - Areas Free From Hazards
“During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.”
Aug 11, 2023: inspection1 deficiency
-
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
“One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.”
Aug 19, 2022: inspection1 deficiency
-
Children’s Records - Immunizations
“Two of six files did not have an updated immunization record in the file.”
Jul 25, 2022: report to the state1 deficiency
-
Report Outbreak of Communicable Illness
“Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.”
Mar 23, 2022: report to the state2 deficiencies
-
Responsibilities of Caregivers - Free of other activities
“Observed caregiver in toddler class viewing her cell phone during snack time.”
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Discipline - Positive Methods of Discipline and Guidance
“During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.”
Jan 28, 2022: inspection1 deficiency
-
Children’s Products- Annual Certification
“The children’s product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.”
Dec 22, 2021: inspection1 deficiency
-
Electronic Child Safety Alarm - is equipped in each vehicle
“The new center van is not equipped with an electric child safety alarm.”
All 31 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Sep 17, 2026 | Inspection | No violation found |
| Sep 1, 2026 | Inspection | No violation found |
| Aug 11, 2026 | Inspection | No violation found |
| Aug 7, 2026 | Inspection | 1 deficiency cited |
| Aug 6, 2026 | Report to the state | 1 deficiency cited |
| Aug 3, 2026 | Inspection | 4 deficiencies cited |
| Jul 15, 2026 | Inspection | No violation found |
| Jul 14, 2026 | Report to the state | 1 deficiency cited |
| Mar 26, 2026 | Inspection | No violation found |
| Sep 30, 2025 | Inspection | No violation found |
| May 12, 2025 | Inspection | No violation found |
| Apr 29, 2025 | Inspection | 2 deficiencies cited |
| Oct 29, 2024 | Inspection | No violation found |
| Oct 14, 2024 | Inspection | 2 deficiencies cited |
| Oct 3, 2024 | Report to the state | No violation found |
| Jun 5, 2024 | Inspection | No violation found |
| May 20, 2024 | Inspection | 3 deficiencies cited |
| May 16, 2024 | Report to the state | No violation found |
| Nov 13, 2023 | Inspection | No violation found |
| Sep 21, 2023 | Report to the state | 1 deficiency cited |
| Aug 11, 2023 | Inspection | 1 deficiency cited |
| Jan 19, 2023 | Inspection | No violation found |
| Jan 11, 2023 | Report to the state | No violation found |
| Aug 19, 2022 | Inspection | 1 deficiency cited |
| Jul 25, 2022 | Report to the state | 1 deficiency cited |
| Jun 8, 2022 | Inspection | No violation found |
| Apr 7, 2022 | Inspection | No violation found |
| Mar 29, 2022 | Inspection | No violation found |
| Mar 23, 2022 | Report to the state | 2 deficiencies cited |
| Jan 28, 2022 | Inspection | 1 deficiency cited |
| Dec 22, 2021 | Inspection | 1 deficiency cited |
Is it licensed?
- Licensed Center, permit issued Sep 1, 2020.
- Accepts state child care subsidies.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 60 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.
- 8 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 14.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Marisa Molina | 17 |
| Rollings Academy Learning Center | 18 |
| Spirit’s Heart Childcare Center This child care provider | 14 |
| Family Gatherings | 13 |
| Jumping Kangaroos Daycare LLC | 3 |
| Debbie’s Lil Scholars | 5 |
| Y School Age @ Bella Cameron Elementary | 1 |
| Cynthia May | 1 |
| Stephanies Angels | 7 |
| Brandi L. Wintermeier | 0 |
| Crown of Life Lutheran School | 3 |
| Eleanor Rodriguez | 2 |
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
-
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).
-
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).
-
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).
-
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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