Hearth Record

First Heaven Child Care LLC

A licensed child care center in Laredo, Texas 78043

120 S Hwy 83, Laredo, Texas 78043. (956) 602-0156.

Texas’s own record, on its child care search

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.

The last 24 months 17 deficiencies in 4 months of the last 36. Last cited Aug 2026. Most serious: 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?

17 deficiencies cited in the last three years

The middle of the 128 child care providers in Webb County had 4.

12 inspections on record. The latest, on Aug 25, 2026: 2 deficiencies cited.

Rated High by Texas: Required Immunizations, at the inspection on Nov 21, 2025

Rated High by Texas: Required Equipment in Vehicles - Emergency Medical Information, at the inspection on Dec 19, 2024

Source:

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

When those deficiencies happened

17 deficiencies in 4 months of the last 36. Last cited Aug 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

17 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.

Aug 25, 2026: inspection2 deficiencies
  • Each Caregiver and the Director Must Have Current Training in pediatric CPR

    “Four employee’s files were evaluated. One file had an expired First aid/CPR certificate.”

    Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2026. Correction verified: Sep 8, 2026.

  • Immunization Records, Exceptions, and Exemptions Current

    “Four children’s files were evaluated. One file was pending an updated immuinzation record.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 1, 2026. Correction verified: Sep 8, 2026.

Nov 21, 2025: inspection5 deficiencies
  • Required Immunizations

    “Four children’s files were reviewed. One file did not have the immunization record. Two files were pending updated immunization records.”

    Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2025. Correction verified: Dec 4, 2025.

  • CPR Training and Recertification Adhere to Guidelines-skill based

    “Four employee files were reviewed. One employee completed the CPR training 100 % online. The training did not include hands on practice.”

    Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2025. Correction verified: Dec 4, 2025.

  • Child/Caregiver Ratio - 18 Months Difference in Age

    “Sixteen month old child was in a group of 15 children. Oldest child in the group was 13 years of age. There was an age gap of more than 18 months between infant child and oldest child in the classroom. Infant teacher was observed supervisng five children. Based on specified age group of 11 months, the maximum number of children in the group with one caregiver could be four.”

    Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2025. Correction verified: Dec 16, 2025.

  • Pre-service Training- Developmental Stages

    “Four employee files were reviewed. One employee was pending pre-service training in the following topics: developmental stages of children, age-appropriate activities for children, positive guidance and discipline of children, fostering children’s self-esteem, supervision and safety practices in the careof children, postiive interaction with children, and preventing and controlling the spread of communicable diseases.”

    Rule 746.1305(a)(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 8, 2025. Correction verified: Dec 4, 2025.

  • Documented Annual Training- Required Content

    “Four employee files were evaluated. One employee was pending training in topics in emergency preparedness; preventing and controlling the spread of communicable diseases; administering medication; preventing and responding to emergencies due to food or an allergic reaction; understanding building and physical premises; and handling, storing and disposing of hazardous materials.”

    Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 1, 2025. Correction verified: Dec 4, 2025.

Dec 19, 2024: inspection7 deficiencies
  • Required Equipment in Vehicles - Emergency Medical Information

    “Transportation binder did not have the following information:Mediical authorization, list of children and emergency contacts.”

    Rule 746.5617(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 23, 2024. Correction verified: Jan 23, 2025.

  • Transportation Safety Training -Director and Employee Complete 2 Hours Annually

    “Directors have not completed required transportation training.”

    Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2025. Correction verified: Jan 8, 2025.

  • Child/ Caregiver Ratio - 13 or More Children

    “One caregiver was observed supervising 6 children in the infant classroom. Specified age group was 12 17 months. The maximum number of children one caregiver can supervise is 5 children.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2025. Correction verified: Jan 10, 2025.

  • Safety Requirements for Play Yards - Snug Fitting Sheets

    “Sheets in play yards did not fit snugly. Sheets were loose on the mattress.”

    Rule 746.2411(2)(B). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2025. Correction verified: Jan 10, 2025.

  • Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play

    “Driniking water was not available during outdoor play.”

    Rule 746.3301(f)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2025. Correction verified: Jan 10, 2025.

  • Pre-service Training- Age Appropriate Activities

    “Two caregivers were missing pre-service training on age appropriate activities, and supervision and safety practices in the care of children. One employee was missing training in the developmental stages of children.”

    Rule 746.1305(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 8, 2025. Correction verified: Jan 6, 2025.

  • Director Annual Training - Additional required topics

    “Director was missing training on the following topics: Preventing and responding to emergencies due to food or an allergic reaction and preventing and responding to emergencies due to food or an allergic reaction.”

    Rule 746.1311(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2025. Correction verified: Jan 13, 2025.

Jan 12, 2024: inspection3 deficiencies
  • Each Caregiver and the Director Must Have Current Training in pediatric CPR

    “One out of four employees had an expired CPR/First Aid Certificate.”

    Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 26, 2024. Correction verified: Feb 6, 2024.

  • Director Annual Training 30 Hours Required

    “The director was missing the 30 hours of annual training.”

    Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 2, 2024. Correction verified: Feb 20, 2024.

  • Written Activity Plan - Outdoor Play - Infant Birth to 12 Months

    “The infant daily schedule did not have the opportunity for outdoor play twice a day.”

    Rule 746.2206(1)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 19, 2024. Correction verified: Feb 1, 2024.

7 deficiencies older than three years
May 31, 2023: inspection1 deficiency
  • Child/Caregiver Ratio - 18 Months Difference in Age

    “A 4 month old infant was observed to be in care with a 23 month old and a 4 year old.”

    Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 13, 2023.

Oct 13, 2022: inspection1 deficiency
  • Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

    “Fire extinguisher, carbon monoxide detector, and smoke detector were last inspected on August 11, 2022.”

    Rule 746.5537(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 14, 2022. Correction verified: Oct 14, 2022.

Aug 10, 2022: inspection5 deficiencies
  • Policies Comply with Rules

    “Operational policies were not available at the time of inspection.”

    Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2022. Correction verified: Aug 15, 2022.

  • Annual Sanitation Inspection

    “The Environmental Health Inspection has not been conducted.”

    Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 15, 2022.

  • Children’s Products- Annual Certification

    “The required Consumer Product Safety Commission form has not been renewed within the last year.”

    Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 15, 2022.

  • Coordination of Implementation of Emergency Preparedness Plan

    “Emergency preparedness plan was not available at the time of inspection.”

    Rule 746.5204. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2022. Correction verified: Aug 15, 2022.

  • Required Personnel Records-signed dated statement that employee received child care center’s operational policies

    “One record evaluated was missing the orientation statement for personnel policies, operational policies, and abuse and neglect.”

    Rule 746.901(6)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2022. Correction verified: Aug 17, 2022.

All 13 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Aug 25, 2026Inspection2 deficiencies cited
Aug 18, 2026Report to the stateNo violation found
Dec 16, 2025InspectionNo violation found
Nov 21, 2025Inspection5 deficiencies cited
Jan 10, 2025InspectionNo violation found
Dec 19, 2024Inspection7 deficiencies cited
Jan 12, 2024Inspection3 deficiencies cited
Jun 13, 2023InspectionNo violation found
May 31, 2023Inspection1 deficiency cited
Jan 17, 2023InspectionNo violation found
Nov 16, 2022InspectionNo violation found
Oct 13, 2022Inspection1 deficiency cited
Aug 10, 2022Inspection5 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Jan 20, 2023.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 43 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.
  • 1 report 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: 3-Star (the middle 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 128 child care providers in Webb County, the middle value for deficiencies cited in the last three years was 4; this one had 17.
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.

Sign in

A free account keeps your watch list, shortlists, comparisons and saved searches on every device, and can email you when something you watch changes. Browsing never needs one.