Hearth Record

Vestal Early Head Start

A licensed child care center in San Antonio, Texas 78221

1102 Cantrell Dr Bldg 3, San Antonio, Texas 78221. (210) 735-9155.

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 10 deficiencies in 5 months of the last 36. Last cited Sep 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?

10 deficiencies cited in the last three years

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

18 inspections on record. The latest, on Oct 29, 2026: no violation found.

Rated High by Texas: Prohibited Punishments - Grabbing and Pulling, at the report to the state on Sep 10, 2026

Rated High by Texas: Report Situation Placing Children at Risk, at the report to the state on Sep 10, 2026

Rated High by Texas: Prohibited Punishments - Humiliating, Rejecting, Yelling, at the report to the state on Aug 31, 2026

Source:

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

When those deficiencies happened

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

10 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.

Sep 10, 2026: report to the state3 deficiencies
  • Prohibited Punishments - Grabbing and Pulling

    “Based on information gathered during this investigation, a caregiver used inappropriate discipline by grabbing a child by the arm.”

    Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 9, 2026.

  • Report Situation Placing Children at Risk

    “Based on information gathered during this investigation, the operation failed to report to Child Care Regulation within 48 hours of becoming aware of an incident in which a caregiver was accused of using inappropriate discipline.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 9, 2026.

  • Discipline - Positive Methods of Discipline and Guidance

    “Based on the information gathered, the caregiver did not use positive discipline methods with a child. The video confirmed that the caregiver was standing over the child in a position of authority, directly in the child?s face. She did not redirect the child?s behavior positively.”

    Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2026. Correction verified: Oct 9, 2026.

Aug 31, 2026: report to the state2 deficiencies
  • Prohibited Punishments - Humiliating, Rejecting, Yelling

    “It was determined in an investigation that a caregiver was using a prohibited form of discipline when she was observed and heard yelling at children.”

    Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 21, 2026.

  • Discipline - Positive Methods of Discipline and Guidance

    “It was determined in an investigation that positive methods of discipline were not used by a caregiver. In a video, children appeared to be intimidated by the caregiver, as one child covered his eyes when the caregiver entered the room and put his head down after the caregiver talked to him.”

    Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 10, 2026. Correction verified: Sep 21, 2026.

Oct 1, 2025: inspection2 deficiencies
  • Documented Annual Training Area - 24 Hours Required

    “The total of required 24 hours for 2024-2025 was unavailable for review for one staff.”

    Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 22, 2025. Correction verified: Oct 15, 2025.

  • Director Annual Training 30 Hours Required

    “The total required 30 hours of training for 2023-2024 was unavailable for review.”

    Rule 746.1311(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 22, 2025. Correction verified: Oct 15, 2025.

Sep 13, 2024: inspection2 deficiencies
  • Each Caregiver and the Director Must Have Current Training in pediatric CPR

    “The director did not have current certification is CPR/First Aid on file.”

    Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2024. Correction verified: Sep 20, 2024.

  • Required Personnel Records - Required Affidavit (Form 2985)

    “One out of the six personnel files evaluated did not have a notarized employment affidavit on file.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2024. Correction verified: Sep 20, 2024.

May 22, 2024: inspection1 deficiency
  • Maintenance of Building, Grounds and Equipment

    “The landscaping around the outdoor playground is not fully complete therefore it is not ready for use by children.”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2024. Correction verified: May 31, 2024.

All 22 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Oct 29, 2026InspectionNo violation found
Oct 28, 2026InspectionNo violation found
Oct 23, 2026InspectionOutcome pending
Oct 15, 2026InspectionNo violation found
Oct 14, 2026Report to the stateNo violation found
Oct 8, 2026InspectionNo violation found
Sep 21, 2026InspectionNo violation found
Sep 11, 2026InspectionNo violation found
Sep 10, 2026Report to the state3 deficiencies cited
Sep 10, 2026InspectionNo violation found
Sep 9, 2026InspectionNo violation found
Sep 1, 2026InspectionNo violation found
Aug 31, 2026Report to the state2 deficiencies cited
Oct 1, 2025Inspection2 deficiencies cited
Apr 29, 2025InspectionNo violation found
Oct 21, 2024InspectionNo violation found
Sep 13, 2024Inspection2 deficiencies cited
Jul 29, 2024InspectionNo violation found
Jun 11, 2024InspectionNo violation found
Jun 6, 2024Report to the stateNo violation found
May 31, 2024InspectionNo violation found
May 22, 2024Inspection1 deficiency cited

Is it licensed?

  • Licensed Center, permit issued Oct 24, 2024.
  • Licensed for ages: Infant, Toddler.
  • Capacity: 47 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.
  • 4 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 10.
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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