Hearth Record

Respite Care of San Antonio Incorported

A licensed child care center in San Antonio, Texas 78212

303 W French Pl, San Antonio, Texas 78212. (210) 737-1212.

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 8 deficiencies in 3 months of the last 36. Last cited Jun 2025. 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?

8 deficiencies cited in the last three years

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

14 inspections on record. The latest, on Aug 19, 2026: no violation found.

Rated High by Texas: Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months, at the inspection on Jul 17, 2024

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the report to the state on Feb 9, 2024

Source:

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

When those deficiencies happened

8 deficiencies in 3 months of the last 36. Last cited Jun 2025. Most serious: High. The last 3 years, to Nov 5, 2026.

8 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.

Jun 13, 2025: inspection1 deficiency

  • Maintenance of Building, Grounds and Equipment

    “During the inspection, the diaper changing station was noted to have debris present.”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 11, 2025. Correction verified: Jul 11, 2025.

Jul 17, 2024: inspection5 deficiencies

  • Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

    “The fire inspection at the time of inspection was last conducted on 1.4.23.”

    Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 17, 2024. Correction verified: Jul 31, 2024.

  • Responsibilities of Caregivers - Know children’s names and ages

    “At the time of inspection, the caregiver in room 101 stated the youngest child present was 12 months when it was verified that the child was 18 months.”

    Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2024. Correction verified: Jul 25, 2024.

  • Medication Authorization Expires on First Anniversary

    “One of the ten children files with a medication authorization form was reviewed to have expired. Dated on 6.15.23. NOTE: This was corrected at inspection.”

    Rule 746.3803(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 17, 2024.

  • Medication No Longer Used

    “At the time of inspection two medications was inspected to have expired on 7.6.2023 and 9.21.23.”

    Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2024. Correction verified: Jul 25, 2024.

  • Documentation of Drills

    “At the time of inspection there was no June documentation for fire drills, smoke detector, carbon monoxide or fire extinguishers. NOTE: This was corrected at inspection.”

    Rule 746.5205(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 17, 2024.

Feb 28, 2024: inspection1 deficiency

  • Children Handwashing After Outdoor Activities

    “In the mobile infant classroom, the children and staff were observed not washing hands after coming in from the playground.”

    Rule 746.3417(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2024. Correction verified: Mar 4, 2024.

Feb 9, 2024: report to the state1 deficiency

  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “It was determined during the investigation that a caregiver was witnessed standing at the other end of the Jack and Jill restroom into classroom 109 while leaving the children unsupervised in classroom 110.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 26, 2024. Correction verified: Feb 28, 2024.

1 deficiency older than three years
Sep 20, 2022: inspection1 deficiency

  • Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

    “One of the eight staff did not have a current CPR/First Aid available for review.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2022. Correction verified: Oct 14, 2022.

All 21 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Aug 19, 2026InspectionNo violation found
Jul 31, 2026Report to the stateNo violation found
Jun 12, 2026InspectionNo violation found
May 16, 2026Report to the stateNo violation found
Jul 11, 2025InspectionNo violation found
Jun 13, 2025Inspection1 deficiency cited
Sep 30, 2024Report to the stateNo violation found
Jul 25, 2024InspectionNo violation found
Jul 17, 2024Inspection5 deficiencies cited
Mar 4, 2024InspectionNo violation found
Feb 28, 2024Inspection1 deficiency cited
Feb 12, 2024InspectionNo violation found
Feb 9, 2024Report to the state1 deficiency cited
Oct 6, 2023Report to the stateNo violation found
Aug 17, 2023InspectionNo violation found
May 31, 2023InspectionNo violation found
May 22, 2023Report to the stateNo violation found
Mar 14, 2023InspectionNo violation found
Mar 6, 2023Report to the stateNo violation found
Sep 20, 2022Inspection1 deficiency cited
Apr 6, 2022InspectionNo violation found

Is it licensed?

  • Licensed Center, permit issued Jan 31, 2001.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 114 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.
  • 7 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?

  • Texas Rising Star: 4-Star (the highest 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 768 child care providers in Bexar County, the middle value for deficiencies cited in the last three years was 5; this one had 8.
Source:

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
PlaceDeficiencies, 3 years
Respite Care of San Antonio Incorported This child care provider8
San Antonio College Early Childhood Ctr5
Brighton Center5
San Antonio Zoo School14
Y School Age @ Sunshine Cottage1
Lil’ Munchkins Child Care Center23
Y School Age @ Twain1
Katherine Ryan Program4
Tia’s Child Care Academy8
Upbring Head Start (San Antonio College)2
Y School Age @ Rogers0
Baby Boss Learning Center17
Ties-N-Bows14

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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