Live Oak’s Bright Beginnings

A licensed child care center in San Antonio, Texas 78233

13134 Independence Ave, San Antonio, Texas 78233. (210) 654-5500.

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

7 deficiencies cited in the last three years Middle in Bexar County: 5
0 rated High by Texas, its most serious level
4 inspections on record
4-Star Texas Rising Star rating

The last 24 months 7 deficiencies in 2 months of the last 36. Last cited Jul 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?

7 deficiencies cited in the last three years

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

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

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

When those deficiencies happened

7 deficiencies in 2 months of the last 36. Last cited Jul 2026. Most serious: Medium High. The last 3 years, to Nov 5, 2026.

7 deficiencies by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023												Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov

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

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.

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

Jul 14, 2026: inspection1 deficiency

Maintenance of Building, Grounds and Equipment

“One of the four toilets in a restroom had no lid on the tank, and there was tape covering half of it. It was reported a school-age child had broke the lid last week.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2026. Correction verified: Jul 28, 2026.

Apr 22, 2026: inspection6 deficiencies

Infant Handwashing - Raised to Sink

“At the time of the inspection, two children were given bottles without washing their hands. NOTE: This was corrected at inspection.”

Rule 746.3421(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 22, 2026.
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“At the time of reviewing the Emergency preparedness plan, there was no written statement on how children under 24 months who have limited mobility would be evacuated or relocated to the designated safe area or alternate shelter. NOTE: This was corrected at inspection.”

Rule 746.5202(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 22, 2026.
Plan to Handle Transportation Emergencies

“At the time of reviewing transportation, there were no instructions to handle transportation emergencies, when it comes to accidents and breakdowns. NOTE: This was corrected at inspection.”

Rule 746.5619. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 22, 2026.
Required Admission Information - Special Needs Statement

“Three of the five children were missing information for the special needs statement. Two of the five children were missing food allergy information. NOTE: This was corrected at inspection.”

Rule 746.605(12). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 22, 2026.
Written Feeding Instructions - Review and Update Every 30 Days

“At the time of the inspection, two infant feeding schedules were not updated.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 22, 2026. Correction verified: Apr 23, 2026.
Written Operational Policies - Setting

“At the time of reviewing the Operational Policy, it was missing a plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play, and the criteria you will use to determine when extreme weather conditions occur. In addition, methods and strategies for preventing and responding to abuse and neglect of children NOTE: This was corrected at inspection as it was added to the handbook.”

Rule 746.501(a)(18)(D). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 22, 2026.

All 4 visits on record

Inspections, investigations and reports to the state
Date	Visit	What the record says
Oct 21, 2026	Inspection	No violation found
Jul 28, 2026	Inspection	No violation found
Jul 14, 2026	Inspection	1 deficiency cited
Apr 22, 2026	Inspection	6 deficiencies cited

Is it licensed?

Licensed Center, permit issued Apr 29, 2026.
Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
Capacity: 127 children.

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 .

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).

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 7.

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

12 of the 768 in Bexar County, as the source lists them, same ZIP code first
Place	Deficiencies, 3 years
Live Oak’s Bright Beginnings This child care provider	7
Toepperwein Road Kindercare	18
Country Home Learning Center #5, Ltd	8
Live Oak Head Start	13
Graciela Morgan	10
The Little Engine Learning Center	16
Leticia Alvarado	5
Bright Kids Daycare & Learning Center #3	22
Kids-R-Delightful, LLC	11
Forest Angel’s Child Daycare	3
Ilia Williams	Not given
Ivonne A Kunz	9
Little Treehouse Early Learning Center #6	12

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

Texas Health and Human Services Commission, Child care operations (bc5r-88dy).

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Inspections and investigations (m5q4-3y3d).

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Deficiencies (non-compliance data) (tqgd-mf4x).

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Workforce Commission, Subsidy providers and Texas Rising Star.

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. No licence stated.

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.

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.