Hearth Record

123-Abc Play & Learn

A licensed child care home in San Antonio, Texas 78228

5418 Bakersfield St, San Antonio, Texas 78228. (210) 385-3663.

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 3 months of the last 36. Last cited Jun 2026. 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.

9 inspections on record. The latest, on Jun 1, 2026: 2 deficiencies cited.

Source:

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

When those deficiencies happened

5 deficiencies in 3 months of the last 36. Last cited Jun 2026. 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.

Jun 1, 2026: inspection2 deficiencies
  • Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers

    “The was no current CPR/First Aid training for the primary caregiver, the CPR/First Aid expired 01/12/2026.”

    Rule 747.1313(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 20, 2026. Correction verified: Jul 17, 2026.

  • Caregivers Required Annual Training-Required Topics without hour restriction

    “The primary caregiver did not have required annual training in the following topics: Emergency Preparedness, Communicable Diseases, Administering medication, Food Allergies, Building Safety and Hazardous Materials.”

    Rule 747.1305(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jul 2, 2026.

Feb 10, 2026: assessment1 deficiency
  • Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance

    “The operation did not update their liability insurance information by the renewal date.”

    Rule 747.209(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2026. Correction verified: Feb 13, 2026.

Jun 12, 2024: inspection2 deficiencies
  • Training Requirements for Caregivers- Pediatric First-Aid and Pediatric CPR

    “First Aid and CPR training was not available for review during inspection.”

    Rule 747.1303(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 26, 2024. Correction verified: Jul 1, 2024.

  • Primary Caregiver Annual Training - Required Special Topics without specific hours

    “The primary caregiver’s 30 hour of trainings did not consist of the required trainings: emergency preparedness, administering medication, preventing and responding to emergencies due to food or an allergic reaction, understanding building and physical premises safety and Handling, storing, and disposing of hazardous materials.”

    Rule 747.1309(d). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2024. Correction verified: Jul 19, 2024.

8 deficiencies older than three years
Dec 5, 2022: inspection5 deficiencies
  • Smoke Detectors Testing

    “Last documentation of the smoke detector tested was on 10.4.22. NOTE: This was corrected at inspection.”

    Rule 747.5115. High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 5, 2022.

  • Required Admission Information - Release Information

    “Two of the five children did not have release information. Two of the five children didn’t have elementary school name and number on the admission information Form 2935 for two children files. In addition to having permission to ride or walk. This was corrected. Three of the five did not have special care statement.”

    Rule 747.605(7). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2022. Correction verified: Jan 2, 2023.

  • Electric or Battery Operated CO System-Test Monthly

    “Last documentation of the Carbon Monoxide tested was 10.4.22. NOTE: This was corrected at inspection.”

    Rule 747.5337(a)(2). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 5, 2022.

  • Children’s Records - Health Statement

    “One of the five children files didn’t have a healthcare statement available for review.”

    Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 5, 2023. Correction verified: Jan 2, 2023.

  • Records Maintained and Made Available - Safety Drills Documentation

    “Last fire drill conducted was on 10.4.22. NOTE: This was corrected at inspection.”

    Rule 747.801(7). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 5, 2022.

Nov 15, 2021: inspection3 deficiencies
  • Training Requirements for Primary Caregiver -30 Hours Annual Training

    “While reviewing care giver’s training file only 11 hours out of the required 30 hours were completed.”

    Rule 747.1303(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 13, 2021.

  • Written Operational Policies - Promotion of Physical Activity

    “The operational policies did not contain an indoor/outdoor policy as required per minimum standards.”

    Rule 747.501(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 13, 2021.

  • Children’s Records - Immunizations

    “Two of the 4 records reviewed did not have current immunization records in their file.”

    Rule 747.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 13, 2021.

All 10 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jun 1, 2026Inspection2 deficiencies cited
Feb 10, 2026Assessment1 deficiency cited
Jun 10, 2025InspectionNo violation found
Jun 12, 2024Inspection2 deficiencies cited
Jun 27, 2023InspectionNo violation found
Dec 5, 2022Inspection5 deficiencies cited
May 6, 2022InspectionNo violation found
Mar 15, 2022InspectionNo violation found
Feb 15, 2022InspectionNo violation found
Nov 15, 2021Inspection3 deficiencies cited

Is it licensed?

  • Licensed Child-Care Home, permit issued Jun 14, 2022.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 12 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?

  • Texas Rising Star: 4-Star (the highest of three levels).
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.

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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