Angel’s Childcare
A licensed child care center in San Antonio, Texas 78223
539 Kathy Dr, San Antonio, Texas 78223. (210) 686-6555.
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The short answer
Record last released by Texas HHSC on Nov 5, 2026.
- 21 deficiencies cited in the last three years Middle in Bexar County: 5
- 1 rated High by Texas, its most serious level (needs attention)
- 19 inspections on record
- 3-Star 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?
21 deficiencies cited in the last three years
The middle of the 768 child care providers in Bexar County had 5.
19 inspections on record. The latest, on May 6, 2026: 2 deficiencies cited.
Rated High by Texas: Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901, at the inspection on Dec 20, 2023
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
21 deficiencies in 6 months of the last 36. Last cited May 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.
May 6, 2026: inspection2 deficiencies
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Written Operational Policies - Parent Rights
“The operational policy was missing a written statement on the parents’ rights. NOTE: This was corrected at inspection. The operational policy was missing written statements on the promotion of indoor and outdoor physical activities.”
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Required Admission Information - School Information for School-age Child
“There was no school-age information available at the time of the inspection. NOTE: This was corrected at inspection.”
Oct 29, 2025: inspection1 deficiency
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Documented Annual Training- Required Content
“One out of three files evaluated does not have the required training in the following topics: Preventing and responding to emergencies due to food or an allergic reaction; and Handling, storing, and disposing of hazardous materials.”
Apr 29, 2025: inspection3 deficiencies
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Maintenance of Building, Grounds and Equipment
“Several nap mats were torn with foam exposed. Note: This was corrected at inspection when the nap mats were removed.”
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Documented Annual Training Area - 24 Hours Required
“1 of the 4 staff files evaluated did not have current training hours for one caregiver.”
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Children’s Records - Immunizations
“1 of 4 children’s records evaluated did not have current immunization records on file.”
Nov 13, 2024: inspection8 deficiencies
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Documented Annual Training - Caregivers of Children Under 24 Months Required
“One caregiver that provides care for children younger than 24 months of age, does not have the required training. One clock hour of the annual training hours must cover the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development.”
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Director Annual Training - Caring for children under 24 months
“The Director of this operation provides care for children younger than 24 months of age, and does not have the required training. One clock hour of the annual training hours must cover the following topics: (1) Recognizing and preventing shaken baby syndrome and abusive head trauma; (2) Understanding and using safe sleep practices and preventing sudden infant death syndrome (SIDS); and (3) Understanding early childhood brain development.”
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Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
“One caregiver has expired Pediatric First Aid certification as of 11/04/24.”
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Each Caregiver and the Director Must Have Current Training in pediatric CPR
“One caregiver has expired Pediatric CPR certification as of 11/04/24.”
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Employee Handwashing After Diapering a Child
“Caregiver did not wash their hands after diaper changing. This was corrected at inspection when the caregiver was prompted to wash their hands.”
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Documented Annual Training- Required Content
“One caregiver does not have the required training in the following topics: Preventing and responding to emergencies due to food or an allergic reaction; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?)”
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Director Annual Training - Additional required topics
“The Director does not have the required training in the following topics: Preventing and responding to emergencies due to food or an allergic reaction; and Handling, storing, and disposing of hazardous materials including compliance with ?746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?)-”
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Children’s Records - Immunizations
“3 out of 4 children’s records did not have current immunization records on file.”
Sep 19, 2024: inspection1 deficiency
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Children’s Products- Annual Certification
“The children’s product form has not been re-certified. The form was last certified on 3/10/2023. Note: Corrected at inspection when director completed the form during inspection.”
Dec 20, 2023: inspection6 deficiencies
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Controlling Person - Submit Controlling Person Form to Licensing within two days after a person becomes a controlling person. See TAC 745.901
“A required individual was not added to the operation’s controlling person list within the required time frame.”
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Requirement of Gas Leak Inspection
“The last gas inspection was conducted 12/13/2021.”
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Required Admission Information - Emergency Contact
“Two files reviewed did not include neceassy informaton for their listed emergency contact.”
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Immunization Records, Exceptions, and Exemptions Current
“One of the four children’s files reviewed did not include a current immunization record.”
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Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
“One of the four children’s files reviewed did not include a signed health statement 12 months after the enrollment date.”
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Posting Requirements - List entitled “Current Employees”--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
“The posted employee list was not current as it included names no longer associated with the opeation and did not list employees present at the operation.”
15 deficiencies older than three years
Oct 18, 2023: inspection5 deficiencies
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Safety Requirements for Cribs - Infant Not in Crib with Drop Gate Down
“Upon arrival to the center, there was a drop gate that was not secured in the upward position with a child in the crib. This was corrected when the drop gate was secured in an upward position.”
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Prohibited Equipment for Infants - Bean Bags, Waterbeds, Foam Pads As Sleeping Equipment
“At the time of inspection a blanket was being used as a crib sheet for a child under 12 months.”
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Employee Handwashing After Diapering a Child
“At the time of inspection the caregiver in the three year old classroom did not wash their hands after a diaper change. This was corrected when the caregiver washed their hands.”
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Children Handwashing After Toileting or Diapering
“One child did not wash their hands after a diaper change. This was corrected when the caregiver washed the child’s hands.”
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Diapering Procedures - Sanitizing Diaper Changing Area
“At the time of inspection the changing table was not disinfected after a diaper change.”
May 18, 2023: inspection2 deficiencies
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Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
“At the time of inspection three infant feeding schedules were not available for review.”
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Documentation of Drills
“At the time of inspection, there was not any documentation for the fire drill being conducted this month. This was corrected when the documentation was correctly added.”
Jan 5, 2023: inspection6 deficiencies
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Responsibilities of Caregivers - Supervision of Children
“One infant was in the infant room unsupervised. This was corrected when the caregiver and the rest of the children entered the infant room.”
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Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device
“Two children older than 18 months were placed in the high chairs. This was corrected when the children were removed from the high chairs.”
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Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
“The annual fire inspection was expired.”
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Furnishings and Equipment for Toddlers - Age-appropriate
“At the time of inspection there were not any age appropriate toys in the classroom the children were combined in. The toys were only infant toys.”
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Children Handwashing After Toileting or Diapering
“The caregiver did not wash the child’s hands after a diaper change. This was corrected when the child’s hands were washed.”
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Diapering Procedures - Sanitizing Diaper Changing Area
“At the time of inspection the diaper changing mat was not sanitized.”
Feb 1, 2022: inspection2 deficiencies
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Diapering Procedures - Wash Infant’s Hands
“A caregiver failed to wash one infant’s hands after diaper changing.”
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Child/Caregiver Ratio - 12 or Fewer Children
“During inspection, there were seven children in care with one caregiver. There were two infants under eighteen months combined with five children between the ages of eighteen months and four years. According to minimum standards, there can only be four children or less age eighteen months to four years combined with two infants under eighteen months if there is only one caregiver present. This was corrected at inspection when another caregiver arrived and the operation was brought into ratio compliance.”
All 21 visits on record
| Date | Visit | What the record says |
|---|---|---|
| May 6, 2026 | Inspection | 2 deficiencies cited |
| Oct 29, 2025 | Inspection | 1 deficiency cited |
| Jun 23, 2025 | Inspection | No violation found |
| Apr 29, 2025 | Inspection | 3 deficiencies cited |
| Nov 13, 2024 | Inspection | 8 deficiencies cited |
| Sep 19, 2024 | Inspection | 1 deficiency cited |
| May 31, 2024 | Report to the state | No violation found |
| Apr 9, 2024 | Inspection | No violation found |
| Jan 2, 2024 | Inspection | No violation found |
| Dec 20, 2023 | Inspection | 6 deficiencies cited |
| Nov 9, 2023 | Inspection | No violation found |
| Nov 7, 2023 | Report to the state | No violation found |
| Nov 3, 2023 | Inspection | No violation found |
| Oct 18, 2023 | Inspection | 5 deficiencies cited |
| Aug 22, 2023 | Inspection | No violation found |
| May 18, 2023 | Inspection | 2 deficiencies cited |
| Jan 13, 2023 | Inspection | No violation found |
| Jan 5, 2023 | Inspection | 6 deficiencies cited |
| Jul 14, 2022 | Inspection | No violation found |
| Feb 11, 2022 | Inspection | No violation found |
| Feb 1, 2022 | Inspection | 2 deficiencies cited |
Is it licensed?
- Licensed Center, permit issued Jul 1, 2020.
- Accepts state child care subsidies.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 18 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.
- 2 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?
- Texas Rising Star: 3-Star (the middle of three levels).
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 21.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| East Central Child Development Center | 0 |
| Elisabeth Lujan | 2 |
| Elizabeth Frances Otero | Not given |
| Hands N Hands Childcare | 17 |
| Y School Age @ Steele Montessori | 2 |
| Angel’s Childcare This child care provider | 21 |
| Smart Ducklings Daycare | 30 |
| Mitzy Casanova | 2 |
| Mercy’s Playhouse | 5 |
| Playtime Daycare | 6 |
| Courtney Garcia | Not given |
| Kid Kountry Early Learning Center LLC | 33 |
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
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.