Rosa R. Santellana
A registered child care home in Live Oak, Texas 78233
7702 Forest Dream, Live Oak, Texas 78233. (210) 618-8490.
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.
- 16 deficiencies cited in the last three years Middle in Bexar County: 5
- 1 rated High by Texas, its most serious level (needs attention)
- 5 inspections on record
- Not rated Texas Rising Star rating
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?
16 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 19, 2025: 3 deficiencies cited.
Rated High by Texas: AP Renewal background checks submitted -No later than 5 yrs from date last submitted subjects initial or renewal fingerprint-based criminal hist check, at the inspection on Nov 13, 2024
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
16 deficiencies in 2 months of the last 36. Last cited May 2025. Most serious: High. The last 3 years, to Nov 5, 2026.
| 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.
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.
May 19, 2025: inspection3 deficiencies
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Caregivers Annual Training-counted in ratio more than 10 times in a training year
“When reviewing caregiver files, the annual training was not available for review, and the previous training was last completed in July 2023.”
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Animals at Center - Statement of Health from Veterinarian
“When looking at files 1 dog did not have a health statement to review.”
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Written Operational Policies - Promotion of Physical Activity
“Promotion of indoor and outdoor physical activity was not available for review in the operational policy.”
Nov 26, 2024: inspection3 deficiencies
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Training Requirements for Caregivers- Pediatric First-Aid and Pediatric CPR
“The primary caregiver did not have a current CPR certification for review.”
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Children’s Records - Health Statement
“Three of three children’s records reviewed did not have health statements on file.”
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Children’s Records - Immunizations
“One of two children’s records reviewed did not have immunizations on file.”
Nov 13, 2024: inspection10 deficiencies
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AP Renewal background checks submitted -No later than 5 yrs from date last submitted subjects initial or renewal fingerprint-based criminal hist check
“Primary caregiver and household member who had direct access to children in care did not have a background check completed in the last five years from the CBCU regarding the persons eligibility. Note: This was corrected at inspection when all children were sent home.”
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Training Requirements for Caregivers- Pediatric First-Aid and Pediatric CPR
“Primary caregiver did not have a current CPR/First aid certification for review.”
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Prohibited Equipment for Infants - Baby Walkers
“An infant was using a walker at the operation. Note: This was corrected at inspection when infant was removed by caregiver from the walker.”
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Safety - Air Conditioners, Fans, Heaters Safeguarded
“Outside air conditioner unit was accessible to children in the play area.”
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Lock-down drill 4 times in a calendar year
“There was no documentation of lock-down drills being conducted.”
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Mounting of Fire Extinguishers
“Fire extinguisher was stored on the pantry floor, not mounted.”
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Background Check Validation - Once a year listed family homes, licensed, and registered child care homes must validate list of subjects
“The operation did not validate the list of persons associated with the operation annually. Last validation was completed on 5/30/23.”
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Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
“Verification of liability insurance was not updated annually. Annual verification was last summited 5/30/23.”
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Children’s Records - Health Statement
“Three of three children’s records reviewed did not have health statements on file.”
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Children’s Records - Immunizations
“Two of three children’s records reviewed did not have immunizations on file.”
3 deficiencies older than three years
Jul 21, 2023: inspection3 deficiencies
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Training Requirements for Primary Caregiver -30 Hours Annual Training
“Required 30 training hours for the last full year were not ready for review.”
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Fire Extinguishers Serviced
“Fire extinguisher was last serviced in 2020.”
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Children’s Records Accessible - to Licensing
“Two out of three records reviewed were not available for review.”
All 5 visits on record
| Date | Visit | What the record says |
|---|---|---|
| May 19, 2025 | Inspection | 3 deficiencies cited |
| Apr 14, 2025 | Inspection | No violation found |
| Nov 26, 2024 | Inspection | 3 deficiencies cited |
| Nov 13, 2024 | Inspection | 10 deficiencies cited |
| Jul 21, 2023 | Inspection | 3 deficiencies cited |
Is it licensed?
- Registered Child-Care Home, permit issued Apr 29, 2005.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 12 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 A complaint allegation the state investigated and found true: the evidence showed it more likely than not happened. Inconclusive means the evidence couldn’t show it either way. Neither inconclusive nor unsubstantiated proves it didn’t happen. Source: California Department of Social Services, complaint findings; each state’s licensing agency..
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.
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 16.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Rosa R. Santellana This child care provider | 16 |
| 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
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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).
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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).
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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).
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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
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Paid listing
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