Hearth Record

Silvia Pineda

A registered child care home in San Antonio, Texas 78253

15335 Nesting Way, San Antonio, Texas 78253. (210) 509-8812.

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 3 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Medium. 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?

5 deficiencies cited in the last three years

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

5 inspections on record. The latest, on May 28, 2025: 3 deficiencies cited.

Source:

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

When those deficiencies happened

3 deficiencies in 1 month of the last 36. Last cited May 2025. Most serious: Medium. The last 3 years, to Nov 5, 2026.

3 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.

May 28, 2025: inspection3 deficiencies
  • Required Immunizations Records, Exceptions, and Exemptions Current

    “Dos ni?os no tenian inmunizaciones actuales. Two children did not have current immunizations.”

    Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 13, 2025.

  • Required Admission Information - Date of Admission

    “Dos ni?os no tenian la fecha de admision en el formulario de inscripcion. Two children were missing the date of admission on the enrollment form.”

    Rule 747.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 13, 2025.

  • Required Health Statement

    “Dos ni?os no tenian un examen fisico con la documentacion del medico. Dos ni?os no tenian la firma del padre en la declaracion de salud. Two children were missing a physical exam with physician’s documentation. Two children were missing the parent signature on the health statement.”

    Rule 747.611(a). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2025. Correction verified: Jun 13, 2025.

Nov 9, 2023: inspection2 deficiencies
  • Screen Time Activities - Not Used for Under Two

    “Children under two years of age were observed watch a children’s show on the primary caregivers laptop while in care. Note: This was corrected at inspection as the primary caregiver turned off the computer.”

    Rule 747.2105(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 9, 2023.

  • Records Maintained and Made Available - Infant Feeding Instructions

    “The feeding instructions were not available for review.”

    Rule 747.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Nov 15, 2023.

10 deficiencies older than three years
Nov 14, 2022: inspection4 deficiencies
  • Written Operational Policies - Safe Sleep for Infants

    “In reviewing the operational policies, there was no information regading infant safe sleep.”

    Rule 747.501(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2022. Correction verified: Nov 16, 2022.

  • Written Operational Policies - Promotion of Physical Activity

    “In reviewing the operational policies, there was no information provided on the promotion of indoor and outdoor physical activity.”

    Rule 747.501(8). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2022. Correction verified: Nov 16, 2022.

  • Written Operational Policies - Procedures for Parental Visits

    “In reviewing the operational policies, there was no information provided regarding the procedures for parents to visit the child-care home.”

    Rule 747.501(9). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 21, 2022. Correction verified: Nov 16, 2022.

  • Required Admission Information - Date of Admission

    “Three out of the four children’s records reviewed did not contain the child’s date of admission.”

    Rule 747.605(3). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 14, 2022. Correction verified: Nov 16, 2022.

Nov 16, 2021: inspection6 deficiencies
  • Training Requirements for Primary Caregiver -30 Hours Annual Training

    “The primary caregiver is missing 30 hours of annual training.”

    Rule 747.1303(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Dec 13, 2021.

  • Children’s Records - Health Statement

    “Three children are missing health statements.”

    Rule 747.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Nov 20, 2021.

  • Required Immunizations Records, Exceptions, and Exemptions Current

    “Two children are missing current immunization records.”

    Rule 747.613(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Nov 20, 2021.

  • Records Maintained and Made Available - Pet Vaccinations

    “One dog in the home does not have proof of vaccinations or health statement on file.”

    Rule 747.801(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Nov 20, 2021.

  • Personnel Records

    “The primary caregiver is missing the following documentation: -signed orientation statement -copy of photo ID -proof of education qualifications -record of annual training”

    Rule 747.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Dec 13, 2021.

  • Personnel Records for Household Members - Orientation

    “Three household members do not have signed orientation statements on file.”

    Rule 747.905(2). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Dec 5, 2021.

All 5 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
May 28, 2025Inspection3 deficiencies cited
Nov 9, 2023Inspection2 deficiencies cited
Nov 14, 2022Inspection4 deficiencies cited
Oct 14, 2022InspectionNo violation found
Nov 16, 2021Inspection6 deficiencies cited

Is it licensed?

  • Registered Child-Care Home, permit issued Oct 12, 2004.
  • Its permit has conditions.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 9 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.
  • 0 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 5.
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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