Hearth Record

Great Beginnings Child Development Center Inc.

A licensed child care center in San Antonio, Texas 78238

4630 Timco W, San Antonio, Texas 78238. (210) 680-1766.

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 3 deficiencies in 1 month of the last 36. Last cited Jul 2026. 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?

3 deficiencies cited in the last three years

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

13 inspections on record. The latest, on Jul 24, 2026: no violation found.

Rated High by Texas: AP Background check results - Must receive notification prior to allowing subject to be present at your operation, at the inspection on Jul 1, 2026

Rated High by Texas: Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children, at the inspection on Jul 1, 2026

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 Jul 2026. Most serious: High. 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.

Jul 1, 2026: inspection3 deficiencies
  • AP Background check results - Must receive notification prior to allowing subject to be present at your operation

    “At time of inspection, a caregiver in the school aged class did not have an active background. Note: This was corrected at inspection when caregiver was asked to leave.”

    Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jul 10, 2026.

  • Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

    “During the inspection, it was noted that cleaning solutions were accessible to children in the restroom. Note: This was corrected at inspection.”

    Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jul 24, 2026.

  • Documented Annual Training- Required Content

    “At time of inspection, two out of five staff members did not have the required Health and Safety training requirements.”

    Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 30, 2026. Correction verified: Aug 2, 2026.

19 deficiencies older than three years
Aug 12, 2022: inspection2 deficiencies
  • Responsibilities of Caregivers - Supervision of Children

    “Caregiver in the toddler classroom with combined age group of children was observed to leave children unsupervised when opening the front door to children arriving at the operation. Recite”

    Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 22, 2022.

  • Infant Handwashing - Individual Cloth

    “The caregiver in the infant classroom did not wash the infant’s hands after diaper change. Recite”

    Rule 746.3421(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 22, 2022.

Aug 5, 2022: inspection17 deficiencies
  • Director Responsibilities - Operate in Compliance

    “Director has failed to comply with the required trainings that staff must obtained throughout the year.”

    Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2022. Correction verified: Aug 12, 2022.

  • Responsibilities of Caregivers - Supervision of Children

    “Caregiver in the toddler classroom with combined age group of children was observed to leave children unsupervised when opening the front door to children arriving at the operation.”

    Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 12, 2022.

  • AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

    “A plastic mirror was observed to be clipped on one crib during inspection.”

    Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 12, 2022.

  • Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

    “There was a bleach bottle spray underneath the changing table in the children’s restroom at hands reach. There was a clorax wipe container on top of a shelf that was at hands reach of children in the school aged classroom.”

    Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 12, 2022.

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

    “Last fire inspection was conducted on 11/17/2020.”

    Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 9, 2022.

  • Documented Annual Training - Caregivers of Children Under 24 Months Required

    “The caregiver in the infant room did not have current training in SIDS, shaken baby syndrome and early child brain development.”

    Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 12, 2022.

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

    “All staff have expired CPR/First Aid certification.”

    Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 16, 2022.

  • Transportation Safety Training -Director and Employee Complete 2 Hours Annually

    “Staff who transport children did not have current trasnportation training.”

    Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 12, 2022.

  • Annual Sanitation Inspection

    “Last health inspection was conducted on 11/20/2020.”

    Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 22, 2022.

  • Maintenance of Building, Grounds and Equipment

    “There was a 2 inch hole in the infant changing table platform.”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 9, 2022.

  • Infant Handwashing - Individual Cloth

    “The caregiver in the infant classroom did not wash the infant’s hands after diaper change.”

    Rule 746.3421(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2022. Correction verified: Aug 12, 2022.

  • Safety - Televisions Anchored to Prevent Tip Over

    “The television on a table in the school aged classroom was not anchored.”

    Rule 746.3701(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 12, 2022.

  • Fire Extinguishers Serviced

    “All fire extinguishers inside the operation and in transportation vans were last serviced on 11/2020.”

    Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 9, 2022.

  • Required Admission Information - Emergency Contact

    “3 out of the 6 children’s files had incomplete emergency contact information; missing address.”

    Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 12, 2022.

  • Documented Annual Training Area - 24 Hours Required

    “All staff employed at the operation did not have any current annual training hours.”

    Rule 746.1309(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2022. Correction verified: Aug 16, 2022.

  • Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

    “There were no feeding logs available during inspection.”

    Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 12, 2022. Correction verified: Aug 12, 2022.

  • Children’s Records - Immunizations

    “3 out of 6 children’s files do not have updated immunization records.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2022. Correction verified: Aug 22, 2022.

All 13 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jul 24, 2026InspectionNo violation found
Jul 1, 2026Inspection3 deficiencies cited
Jul 22, 2025InspectionNo violation found
Jul 23, 2024InspectionNo violation found
Feb 29, 2024InspectionNo violation found
Aug 2, 2023InspectionNo violation found
May 26, 2023InspectionNo violation found
Mar 27, 2023InspectionNo violation found
Dec 20, 2022InspectionNo violation found
Aug 23, 2022InspectionNo violation found
Aug 12, 2022Inspection2 deficiencies cited
Aug 5, 2022Inspection17 deficiencies cited
Nov 5, 2021InspectionNo violation found

Is it licensed?

  • Licensed Center, permit issued Apr 25, 2007.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 50 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?

  • Texas Rising Star: 2-Star (the first 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 3.
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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