Hearth Record

Nacogdoches Kindercare

A licensed child care center in San Antonio, Texas 78217

13030 Nacogdoches Rd, San Antonio, Texas 78217. (210) 653-5991.

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 6 deficiencies in 2 months of the last 36. Last cited Aug 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?

6 deficiencies cited in the last three years

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

16 inspections on record. The latest, on Aug 19, 2026: 1 deficiency cited.

Source:

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

When those deficiencies happened

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

6 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.

Aug 19, 2026: report to the state1 deficiency
  • Caregivers Must Wear Gloves When Handling Blood or Bodily Fluids

    “During the investigation, it was determined that staff did not initially wear gloves when dealing with an injury that involved blood.”

    Rule 746.3425(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Aug 24, 2026.

May 22, 2025: inspection5 deficiencies
  • Documented Annual Training - Caregivers of Children Under 24 Months Required

    “Two infant caregiver files that were audited did not have SIDS/Shaken Baby/Early Brain Development for the previous training year.”

    Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: May 27, 2025.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “Two infants not yet on table food did not have updated infant feeding instructions available for review.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: May 27, 2025.

  • Cots, Beds, Mats Labeled With Child’s Name

    “Name and number maps were not being followed in the Infant C and DPS classrooms.”

    Rule 746.4503(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: May 28, 2025.

  • Required Personnel Records- Meets Requirements

    “Two of ten staff files audited did not have proof of educational requirements.”

    Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: May 27, 2025.

  • Required Personnel Records - Required Affidavit (Form 2985)

    “One of ten staff files audited did not have an affidavit on file.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: May 27, 2025.

6 deficiencies older than three years
Jul 10, 2023: inspection5 deficiencies
  • Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

    “One of ten staff files audited did not have a current CPR/FIrst aid certificate.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2023. Correction verified: Jul 13, 2023.

  • Fire Drill Monthly - Exit in 3 Minutes

    “The June fire drill was not documented.”

    Rule 746.5205(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2023. Correction verified: Jul 13, 2023.

  • Children’s Records - Health Statement

    “One of ten children’s files did not contain a current health care provider statement.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2023. Correction verified: Jul 13, 2023.

  • Children’s Records - Immunizations

    “Two of ten children’s files audited did not have a current immunization record.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2023. Correction verified: Jul 19, 2023.

  • Required Personnel Records- Meets Requirements

    “Five of ten staff files audited did not have proof of educational qualifications.”

    Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2023. Correction verified: Jul 19, 2023.

Mar 1, 2022: assessment1 deficiency
  • Report Number of Employees

    “A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not report the number of employees who left employment in 2021 by February 22, 2022, as required.”

    Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 1, 2022.

All 30 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Aug 19, 2026Report to the state1 deficiency cited
Apr 28, 2026InspectionNo violation found
Jan 13, 2026InspectionNo violation found
Jan 7, 2026Report to the stateNo violation found
May 22, 2025Inspection5 deficiencies cited
Oct 25, 2024InspectionNo violation found
Oct 15, 2024Report to the stateNo violation found
Jun 14, 2024InspectionNo violation found
Oct 11, 2023InspectionNo violation found
Oct 4, 2023Report to the stateNo violation found
Jul 10, 2023Inspection5 deficiencies cited
Jul 6, 2023Report to the stateNo violation found
May 18, 2023InspectionNo violation found
May 12, 2023Report to the stateNo violation found
Dec 19, 2022InspectionNo violation found
Dec 8, 2022Report to the stateNo violation found
Oct 27, 2022InspectionNo violation found
Oct 21, 2022Report to the stateNo violation found
Aug 9, 2022InspectionNo violation found
Aug 3, 2022Report to the stateNo violation found
Jul 25, 2022Report to the stateNo violation found
Jul 13, 2022InspectionNo violation found
May 10, 2022InspectionNo violation found
Apr 28, 2022Report to the stateNo violation found
Mar 9, 2022InspectionNo violation found
Mar 1, 2022Assessment1 deficiency cited
Dec 29, 2021InspectionNo violation found
Dec 17, 2021Report to the stateNo violation found
Dec 14, 2021InspectionNo violation found
Dec 8, 2021Report to the stateNo violation found

Is it licensed?

  • Licensed Center, permit issued Feb 28, 2006.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 133 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.
  • 13 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 6.
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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