Hearth Record

Parent/Child Inc. Midcrown Head Start Elc

A licensed child care center in San Antonio, Texas 78218

8003 Midcrown Dr, San Antonio, Texas 78218. (210) 226-6232.

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 5 deficiencies in 2 months of the last 36. Last cited Jan 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?

5 deficiencies cited in the last three years

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

14 inspections on record. The latest, on Aug 21, 2026: no violation found.

Source:

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

When those deficiencies happened

5 deficiencies in 2 months of the last 36. Last cited Jan 2025. Most serious: Medium High. The last 3 years, to Nov 5, 2026.

5 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.

Jan 24, 2025: assessment2 deficiencies
  • CPR Training and Recertification Adhere to Guidelines-skill based

    “One of ten caregivers did not take the required CPR course, which must include use of a CPR manikin and both written and hands-on skill-based instruction, practice, and testing. The certification obtained was for an online course.”

    Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2025. Correction verified: Jan 30, 2025.

  • Required Personnel Records - Required Affidavit (Form 2912)

    “Four of ten staff didn?t have the Pre Employment Affidavit required for any employees hired after 9/1/2023”

    Rule 746.901(5). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2025. Correction verified: Jan 29, 2025.

Jan 16, 2025: inspection2 deficiencies
  • First Aid Kit - Supplies Not Expired

    “Expired items listed were found in first aid kit: 10 packages of emergency water (Exp 8/24); 2 packages of emergency food ration (exp 11/24); unopened box of antiseptic wipes/burn cream/antibiotic ointment (exp 3/22); unopened package of eye care treatment (exp 3/24/22) Note: This was corrected at inspection when items were removed/thrown out.”

    Rule 746.4003(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 16, 2025.

  • Children’s Records - Immunizations

    “One of ten children’s record did not have an up to date immunization record in their file.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 14, 2025. Correction verified: Jan 30, 2025.

Jan 31, 2024: inspection1 deficiency
  • Children’s Records - Immunizations

    “One of ten children’s files reviewed did not include an up-to-date immunization record.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2024. Correction verified: Jan 31, 2024.

8 deficiencies older than three years
Feb 7, 2023: inspection1 deficiency
  • Children’s Products- Annual Certification

    “The Childen’s Product Certification Form 2885 was last certified on 10.19.21. NOTE: This was corrected at inspection.”

    Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 7, 2023.

Dec 9, 2022: report to the state1 deficiency
  • Parental Communication - Situation that Placed a Child at Risk

    “Based upon information gathered as a result of this investigation and interviews conducted it was determined that the operation did not notify a parent of a situation that placed their child at risk.”

    Rule 746.307(b)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 4, 2023. Correction verified: Jan 4, 2023.

Aug 24, 2022: inspection5 deficiencies
  • AP Ensure total number of children both at & away from center within capacity

    “At the time of the inspection 11 infants (0-17months) were in care when the operation is licensed for 10 based on the permit.”

    Rule 746.201(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Aug 30, 2022.

  • Medication Authorization - Signed and Dated

    “One of the two medication action plans was not signed or dated by the parent.”

    Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Aug 26, 2022.

  • Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

    “The emergency preparedness plan did not specify procedures: Reunifying NOTE: This was corrected when a written procedure was created.”

    Rule 746.5202(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 24, 2022.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “Three of the six infants did not have updated feeding schedules.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 24, 2022. Correction verified: Aug 26, 2022.

  • Children’s Records - Immunizations

    “One of the ten children files did not have a current immunization on file. NOTE: This was corrected when current immunization records were provided.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 24, 2022.

Jan 12, 2022: inspection1 deficiency
  • Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers

    “A two month old infant was observed sleeping with bib and lanyard attached to them. This was corrected at inspection when director removed the bib and lanyard from the sleeping infant.”

    Rule 746.2401(6). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jan 12, 2022.

All 24 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Aug 21, 2026InspectionNo violation found
Aug 20, 2026Report to the stateNo violation found
Aug 19, 2026Report to the stateNo violation found
Jan 16, 2026InspectionNo violation found
Jan 9, 2026InspectionNo violation found
Jan 24, 2025Assessment2 deficiencies cited
Jan 16, 2025Inspection2 deficiencies cited
Nov 21, 2024InspectionNo violation found
Oct 24, 2024InspectionNo violation found
Oct 18, 2024Report to the stateNo violation found
May 6, 2024InspectionNo violation found
Apr 25, 2024Report to the stateNo violation found
Jan 31, 2024Inspection1 deficiency cited
Nov 28, 2023Report to the stateNo violation found
Feb 15, 2023AssessmentNo violation found
Feb 7, 2023Inspection1 deficiency cited
Dec 15, 2022InspectionNo violation found
Dec 9, 2022Report to the state1 deficiency cited
Aug 30, 2022InspectionNo violation found
Aug 24, 2022Inspection5 deficiencies cited
Jan 12, 2022Inspection1 deficiency cited
Nov 8, 2021InspectionNo violation found
Oct 8, 2021Report to the stateNo violation found
Oct 7, 2021Report to the stateNo violation found

Is it licensed?

  • Licensed Center, permit issued Feb 11, 2022.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 100 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.
  • 8 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 5.
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
Blocks and Tots Learning Center 28
Pre-K 4 Sa East Education Center7
Y School Age Schertz Elementary1
Little Hands Playschool21
My Kids 2 Preschool Academy4
Rsla, Inc.10
Kiddie Klub Learning Center15
Parent/Child Inc. Midcrown Head Start Elc This child care provider5
Rachel Gehrer9
Zabrinas Jolly Bunch2
Little Achievers Learning Academy30
Maribel Reyna De Herrera0

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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