Hearth Record

Mi Casa Child Center

A licensed child care center in San Antonio, Texas 78229

4331 Medical Dr Bldg 1, San Antonio, Texas 78229. (210) 874-4337.

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 15 deficiencies in 8 months of the last 36. Last cited Oct 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?

15 deficiencies cited in the last three years

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

21 inspections on record. The latest, on Nov 4, 2026: no violation found.

Rated High by Texas: No Swaddling of Infant Unless Completed Sleep Exception Form on File, at the inspection on Oct 19, 2026

Rated High by Texas: AP Initial background checks submitted - At the time you hire someone, at the report to the state on Apr 28, 2026

Rated High by Texas: Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control, at the report to the state on Jan 29, 2026

2 more rated High; all are listed below.

Source:

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

When those deficiencies happened

15 deficiencies in 8 months of the last 36. Last cited Oct 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

15 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.

Oct 19, 2026: inspection1 deficiency
  • No Swaddling of Infant Unless Completed Sleep Exception Form on File

    “An infant was observed being swaddled in a restrictive swaddling sleep sack. This was corrected at inspection when the child was removed from the sack and their arms were freed.”

    Rule 746.2428. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2026. Correction verified: Oct 26, 2026.

Apr 28, 2026: report to the state1 deficiency
  • AP Initial background checks submitted - At the time you hire someone

    “During the course of the investigation, it was determined that a staff member was inactivated from the people list of a separate location with the same governing body while still pending at the new location.”

    Rule 745.621(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2026. Correction verified: May 29, 2026.

Jan 29, 2026: report to the state4 deficiencies
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “Based on the information gathered, the person in charge did not exercise proper judgment by failing to notify the authorities immediately when a weapon was found and by not informing the parent at pickup.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 29, 2026. Correction verified: Feb 12, 2026.

  • Parental Communication - Situation that Placed a Child at Risk

    “Based on the information gathered, the parent was not notified of the incident.”

    Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 29, 2026. Correction verified: Feb 12, 2026.

  • Director’s Absence - Qualified Caregiver in Charge

    “Based on the information gathered, the person in charge was not qualified to make the decisions necessary in the event of an emergency.”

    Rule 746.1013(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2026. Correction verified: Mar 25, 2026.

  • Licensing Incident/Illness Report Form - Situations Placing Children at Risk

    “Based on the information gathered, the parent was not provided with an incident report.”

    Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2026. Correction verified: Mar 25, 2026.

Dec 9, 2025: inspection3 deficiencies
  • Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

    “One staff member had an expired CPR/First Aid certification. One staff member had only the online portion of the CPR certification.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 19, 2025. Correction verified: Dec 16, 2025.

  • Report Change in Controlling Person

    “At the time of the inspection, the operation’s controlling person’s list was noted to be incomplete.”

    Rule 746.305(a)(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2025. Correction verified: Dec 15, 2025.

  • Required Personnel Records - Required Affidavit (Form 2985)

    “Two out of ten employee files did not have a notarized affidavit on file for review at the time of the inspection.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 12, 2025. Correction verified: Dec 12, 2025.

Sep 26, 2025: inspection1 deficiency
  • Responsibilities of Caregivers - Know number of children responsible for

    “At the time of inspection the caregiver stated there were 10 children in care when there were 11.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 26, 2025. Correction verified: Oct 3, 2025.

Jan 13, 2025: inspection1 deficiency
  • Immunization Records, Exceptions, and Exemptions Current

    “Two of the ten children files didn’t have an updated immunization record available for review.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 13, 2025. Correction verified: Jan 14, 2025.

Feb 14, 2024: inspection3 deficiencies
  • Required Admission Information - Special Needs Statement

    “Three of the ten children files did not fill out the special care statement.”

    Rule 746.605(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 23, 2024. Correction verified: Feb 23, 2024.

  • Documentation of Drills

    “The last fire drill was conducted on November 6, 2023.”

    Rule 746.5205(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 23, 2024. Correction verified: Feb 23, 2024.

  • Required Personnel Records- Training Hours

    “Four out of the ten staff files didn’t have trainings available for review. Two of the ten staff files had blank affidavit forms on file. Two of the ten staff files didn’t have hired dates to determine trainings.”

    Rule 746.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 14, 2024. Correction verified: Mar 1, 2024.

Jan 19, 2024: assessment1 deficiency
  • Report Number of Employees

    “The operation did not report the number of employees who ceased employment in 2023 by the required date 1.15.24.”

    Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2024. Correction verified: Jan 23, 2024.

2 deficiencies older than three years
Aug 2, 2023: inspection1 deficiency
  • Cots, Beds, Mats Labeled With Child’s Name

    “Although the cots were numbered, two of the PreK classrooms did not a list of the children’s cots assigned on the chart. NOTE: This was corrected at inspection.”

    Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 2, 2023.

Nov 28, 2022: inspection1 deficiency
  • Infant Care Area - Space to Walk Between Cribs, Cots or Mats

    “Infant cribs were observed not far apart to walk through as a teacher was observed pulling out the crib to pick up the infant. NOTE: This was corrected as two infant cribs were removed.”

    Rule 746.2403(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 28, 2022.

All 27 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Nov 4, 2026InspectionNo violation found
Oct 26, 2026InspectionNo violation found
Oct 19, 2026Inspection1 deficiency cited
Jun 2, 2026Report to the stateNo violation found
Jun 2, 2026InspectionNo violation found
May 29, 2026InspectionNo violation found
Apr 29, 2026InspectionNo violation found
Apr 28, 2026Report to the state1 deficiency cited
Feb 12, 2026InspectionNo violation found
Jan 29, 2026InspectionNo violation found
Jan 29, 2026Report to the state4 deficiencies cited
Dec 9, 2025Inspection3 deficiencies cited
Oct 3, 2025InspectionNo violation found
Sep 26, 2025Inspection1 deficiency cited
Sep 19, 2025Report to the stateNo violation found
Aug 20, 2025InspectionNo violation found
Aug 16, 2025Report to the stateNo violation found
Apr 8, 2025InspectionNo violation found
Jan 13, 2025Inspection1 deficiency cited
Feb 14, 2024Inspection3 deficiencies cited
Jan 19, 2024Assessment1 deficiency cited
Aug 2, 2023Inspection1 deficiency cited
May 8, 2023InspectionNo violation found
Feb 8, 2023InspectionNo violation found
Dec 12, 2022InspectionNo violation found
Nov 28, 2022Inspection1 deficiency cited
Sep 29, 2022InspectionNo violation found

Is it licensed?

  • Licensed Center, permit issued Feb 22, 2023.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 134 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.
  • 5 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 star-rated in Texas Rising Star (TWC’s code: SUSI).
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 15.
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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