Hearth Record

Rachel Gehrer

A registered child care home in San Antonio, Texas 78218

4938 Orchid Star, San Antonio, Texas 78218. (442) 264-9742.

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 9 deficiencies in 3 months of the last 36. Last cited Apr 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?

9 deficiencies cited in the last three years

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

7 inspections on record. The latest, on Jun 9, 2026: no violation found.

Rated High by Texas: Above Ground Swimming Pools, at the inspection on Apr 28, 2025

Source:

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

When those deficiencies happened

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

9 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.

Apr 17, 2026: inspection2 deficiencies

  • Maintenance Procedures for Active Play Space - Hazards Removed or Repaired

    “During the inspection a playground checklist was not available. This was emailed to the operation.”

    Rule 747.4407(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2026. Correction verified: Jun 9, 2026.

  • Children’s Records - Health Statement

    “One enrolled child was missing the physician health statement.”

    Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 17, 2026. Correction verified: Jun 9, 2026.

Apr 28, 2025: inspection4 deficiencies

  • Above Ground Swimming Pools

    “During the inspection, it was noted that the operation had an above-ground pool filled with water, which lacked a surrounding gate or fence.”

    Rule 747.4805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 12, 2025. Correction verified: May 19, 2025.

  • Transportation Safety Training-Primary Caregiver and Employee Transporting

    “At time of inspection primary caregiver did not have the two-hour transportation training.”

    Rule 747.1314. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: May 2, 2025.

  • Sanitation of Building, Grounds and Equipment

    “At time of inspection, operation backyard was observed with dog feces. At time of inspeciton operation backyard grass was about five inches tall.”

    Rule 747.3203. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: May 19, 2025.

  • Primary Caregiver Annual Training -30 Hours Required

    “At time of inspection, primary caregiver had nineteen hours of the thirty required annual training hours.”

    Rule 747.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 28, 2025. Correction verified: May 19, 2025.

Apr 30, 2024: inspection3 deficiencies

  • Children’s Records - Health Statement

    “Two of the six files reviewed did not include a signed physician’s statement.”

    Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2024. Correction verified: Jun 11, 2024.

  • Records Maintained and Made Available - Pet Vaccinations

    “Two of the four pet dogs in the home were missing up-to-date vaccination records.”

    Rule 747.801(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 19, 2024. Correction verified: Jun 11, 2024.

  • Records Maintained and Made Available - Safety Drills Documentation

    “The permit holder did not have her up-to-date emergency practices log. She stated they are conducted monthly, but she does not know where the checklist is.”

    Rule 747.801(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 7, 2024. Correction verified: Jun 3, 2024.

8 deficiencies older than three years
Jun 5, 2023: inspection1 deficiency

  • Fire Drill Monthly - Exit in 3 Minutes

    “Permit holder did not document that she did her fire drills monthly. Last drill documented was in January/2023. A fire drill was conducted and documented during inspection.”

    Rule 747.5005(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 5, 2023.

May 1, 2023: inspection5 deficiencies

  • Written Operational Policies - Safe Sleep for Infants

    “The operational policies did not include: the safe sleep policy for infants under 12 months of age. the promotion of indoor/outdoor physical activities, weather permitting procedures for parents to review a copy of the most recent licensing inspection report. There is no statement advising that the permit holder does not carry liability insurance.”

    Rule 747.501(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 5, 2023.

  • Planned Activities - Designed to meet individual needs and developmental levels of children in the group

    “The permit holder did not have a plan for activities for children while in care.”

    Rule 747.2101. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 5, 2023.

  • Records Maintained and Made Available - Safety Drills Documentation

    “Permit holder did not have record of safety drills conducted for the year.”

    Rule 747.801(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 5, 2023.

  • Personnel Records

    “Permit holder did not have personnel records for neither herself nor her assistant.”

    Rule 747.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 16, 2023. Correction verified: Jun 23, 2023.

  • Children’s Records- Kept at home and available for review

    “Permit holder did not have all children’s files available for review.”

    Rule 747.603(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2023. Correction verified: Jun 5, 2023.

Oct 6, 2022: inspection1 deficiency

  • First Aid Kit - Complete Kit

    “There was no first aid kit available at the time of inspection.”

    Rule 747.3803(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2022. Correction verified: Oct 21, 2022.

Aug 15, 2022: report to the state1 deficiency

  • Illegal Operation - Not Registered

    “Provider was caring for children without a permit. * Provider applied for permit once they found out they needed one to operate*”

    Rule HRC42.052(d). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 23, 2022. Correction verified: Aug 23, 2022.

All 9 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jun 9, 2026AssessmentNo violation found
Apr 17, 2026Inspection2 deficiencies cited
May 19, 2025InspectionNo violation found
Apr 28, 2025Inspection4 deficiencies cited
Apr 30, 2024Inspection3 deficiencies cited
Jun 5, 2023Inspection1 deficiency cited
May 1, 2023Inspection5 deficiencies cited
Oct 6, 2022Inspection1 deficiency cited
Aug 15, 2022Report to the state1 deficiency cited

Is it licensed?

  • Registered Child-Care Home, permit issued Nov 10, 2022.
  • Accepts state child care subsidies.
  • Licensed for ages: 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.
  • 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?

  • 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 9.
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 Elc5
Rachel Gehrer This child care provider9
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.

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.