Alamo Heights Presbyterian Church
A licensed child care center in San Antonio, Texas 78209
6201 Broadway St, San Antonio, Texas 78209. (210) 822-3213.
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The short answer
Record last released by Texas HHSC on Nov 5, 2026.
- 17 deficiencies cited in the last three years Middle in Bexar County: 5
- 6 rated High by Texas, its most serious level (needs attention)
- 26 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?
17 deficiencies cited in the last three years
The middle of the 768 child care providers in Bexar County had 5.
26 inspections on record. The latest, on Jul 9, 2026: 1 deficiency cited.
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 Jul 25, 2025
Rated High by Texas: AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions, at the inspection on Jan 23, 2025
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 Jan 23, 2025
3 more rated High; all are listed below.
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
17 deficiencies in 8 months of the last 36. Last cited Jul 2026. 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.
Jul 9, 2026: inspection1 deficiency
-
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
“At time of inspection, two prekinder children were seen sleeping in front of entrance/exit of class. This was corrected at inspection.”
Dec 15, 2025: inspection2 deficiencies
-
Safety - Air Conditioners, Fans, Heaters Safeguarded
“Two fans in the Pre-K room were accessible to children. One was placed on the floor, and the other was placed on top of a shelf, not mounted. This was corrected when one fan was moved to a secure storage area and the other was stored up away from children’s reach.”
-
Immunization Records, Exceptions, and Exemptions Current
“Three out of the ten children’s files reviewed did not have current immunizations.”
Jul 25, 2025: 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
“During the course of the investigation, it was determined that a caregiver left the children alone in the classroom by stepping into the hallway and closing the door, resulting in an injury to a child.”
May 12, 2025: inspection2 deficiencies
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Written Feeding Instructions - Review and Update Every 30 Days
“The infant room did not have feeding forms for seven out of the ten children to review in the last thirty days.”
-
Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation’s child-care program
“Four out of ten files reviewed did not have a health statement on file.”
Apr 7, 2025: report to the state1 deficiency
-
Child/ Caregiver Ratio - 13 or More Children
“The infant room was found out of ratio. There was 1 staff member and five children in care.”
Jan 23, 2025: inspection3 deficiencies
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AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
“A staff member was caring for children, unsupervised during nap time with provisional conditions in place. Note: This was corrected at inspection when another caregiver arrived to the classroom to supervise.”
-
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
“A staff member who had direct access to children in care did not have a background check from the CBCU regarding the persons eligibility. Note: This was corrected at inspection when staff member was sent home during inspection.”
-
Use Zones - Licensed Before September 1, 2003 - Climbing Structures
“A climbing structure on the playground did not have the required use zone.”
Sep 26, 2024: inspection6 deficiencies
-
No Blocked or Locked Doors as Exits
“Cribs stored in the walkway were blocking an exit door.”
-
Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions
“The electronic child safety alarm was not functioning in one of the operation’s vans used to transport children.”
-
Infant Care Area - Space to Walk Between Cribs, Cots or Mats
“Cribs were not spaced far enough apart to allow space for caregivers to walk and work between the cribs in two infant classrooms.”
-
Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
“Cribs were not available inside one of two infant classrooms. Cribs were stored in the walkway outside of the infant classroom.”
-
Caring for Children Above or Below Ground Level-Written Approval
“The operation moved a two year old classroom to the second floor and was unable to provide written approval from the local fire authority approving care of the two year old children on the second floor.”
-
Notification of Change in Space
“The operation did not notify Child Care Regulation when a two year old classroom was moved upstairs and two infant classrooms were moved from one building to another. Note: This was corrected at inspection when the director notified licensing representative of the change at monitoring inspection.”
Dec 22, 2023: inspection1 deficiency
-
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
“A staff member who had direct access to children in care did not have a background check. Note: Staff member was sent home during inspection.”
12 deficiencies older than three years
Nov 3, 2023: report to the state3 deficiencies
-
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
“During a DFPS investigation it was determined that although the operation had a procedure in place to properly account for all children in care, it was not followed by two caregivers resulting in a child being left in an attached breezeway outside the day care for approximately eight minutes.”
-
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
“During the course of a DFPS investigation, it was determined that neglectful supervision occurred when a child was left outside, in a breezeway that is attached to the daycare for approximately eight minutes without the caregiver’s realizing the child was missing. The caregiver’s were alerted by two passerby’s, when the passerby knocked on the classroom window that child was left alone.”
-
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
“During a DFPS investigation, it was determined that caregivers failed to properly supervise a child in their care, and did not account for child when returning indoors resulting in child being left outside in a breezeway that is attached to the daycare for approximately eight minutes.”
Jan 25, 2023: inspection7 deficiencies
-
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
“A childs food allergy emergency plan was not signed or dated by the child’s parents.”
-
Documentation of Fire Inspection
“There wasn’t a copy of the most recent fire inspection report on file at the operation.”
-
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The inspectors’ words, 98 words
“The operations emergency preparedness plan was missing specific procedures on the following topics: (1) How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments, (2) An emergency evacuation and relocation diagram & (3) How children in attendance at the time of the emergency will be accounted for at the designated safe area or alternate shelter.”
-
Emergency Preparedness Plan - Communication Procedures
“The operations emergency preparedness plan was missing specific procedures for how they will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents and licensing.”
-
Emergency Preparedness Plan - Essential Documentation
“The operations emergency preparedness plan was missing specific procedures on the following topics: How staff will evacuate and relocate with the essential documentation including (A)Parent and emergency contact telephone numbers for each child in care, (B) Authorization for emergency care for each child in care & (C) The child tracking system information for children in care”
-
Documented Annual Training- Required Content
“10 out of the 10 staff records reviewed were missing annual training in the required following topics: (1) Emergency preparedness, (2) Preventing and controlling the spread of communicable diseases, including immunizations, (3) Administering medication, if applicable,(4) Preventing and responding to emergencies due to food or an allergic reaction, (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic & (6) Handling, storing, and disposing of hazardous materials”
-
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
“There were no monthly inspections of the active play space and equipment, utilizing a general maintenance checklist or safety checklist documented for the last calender year. Note: This was corrected during the inspection when the director conducted an inspection utilizing From 1100 - Daily Building and Grounds Checklist.”
Nov 17, 2022: report to the state1 deficiency
-
Naptime for Infants
“Based on information gathered throughout the investigation, it was determined that a caregiver was not allowing infants to maintain his or her own pattern of sleeping and waking periods.”
Feb 14, 2022: inspection1 deficiency
-
Maintenance of Building, Grounds and Equipment
“Carpet in the toddler classroom had stains and not been cleaned.”
All 36 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Jul 9, 2026 | Inspection | 1 deficiency cited |
| Jul 9, 2026 | Inspection | No violation found |
| Jul 8, 2026 | Report to the state | No violation found |
| Apr 23, 2026 | Inspection | No violation found |
| Apr 22, 2026 | Report to the state | No violation found |
| Mar 17, 2026 | Inspection | No violation found |
| Dec 15, 2025 | Inspection | 2 deficiencies cited |
| Oct 3, 2025 | Inspection | No violation found |
| Oct 2, 2025 | Report to the state | No violation found |
| Sep 22, 2025 | Inspection | No violation found |
| Aug 12, 2025 | Inspection | No violation found |
| Jul 25, 2025 | Report to the state | 1 deficiency cited |
| Jul 15, 2025 | Inspection | No violation found |
| Jul 8, 2025 | Report to the state | No violation found |
| May 12, 2025 | Inspection | 2 deficiencies cited |
| Apr 8, 2025 | Inspection | No violation found |
| Apr 7, 2025 | Report to the state | 1 deficiency cited |
| Feb 7, 2025 | Inspection | No violation found |
| Jan 23, 2025 | Inspection | 3 deficiencies cited |
| Dec 19, 2024 | Inspection | No violation found |
| Oct 15, 2024 | Inspection | No violation found |
| Sep 26, 2024 | Inspection | 6 deficiencies cited |
| May 14, 2024 | Inspection | No violation found |
| Jan 19, 2024 | Inspection | No violation found |
| Dec 22, 2023 | Inspection | 1 deficiency cited |
| Nov 3, 2023 | Report to the state | 3 deficiencies cited |
| Nov 3, 2023 | Inspection | No violation found |
| Nov 2, 2023 | Report to the state | No violation found |
| Sep 22, 2023 | Inspection | No violation found |
| Jun 28, 2023 | Inspection | No violation found |
| Jun 5, 2023 | Inspection | No violation found |
| May 24, 2023 | Report to the state | No violation found |
| Jan 25, 2023 | Inspection | 7 deficiencies cited |
| Nov 22, 2022 | Inspection | No violation found |
| Nov 17, 2022 | Report to the state | 1 deficiency cited |
| Feb 14, 2022 | Inspection | 1 deficiency cited |
Is it licensed?
- Licensed Center, permit issued Mar 20, 1986.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 156 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.
- 10 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 17.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Alamo Heights Presbyterian Church This child care provider | 17 |
| Alamo Heights United Methodist Weekday School | 12 |
| The Little Doers | 8 |
| St. David’s Episcopal Church and School Bright Beginnings | 1 |
| The Mustard Seed | 6 |
| Sprouts School | 7 |
| St. Pius X Child Development Center | 17 |
| Immersion Montessori Academy | 8 |
| Circle School | 14 |
| La Petite Academy West Sunset | 17 |
| Christ Lutheran Day School | 5 |
| St. David’s Episcopal School | 1 |
| St. Andrew’s Church and School | 5 |
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
-
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).
-
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).
-
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
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.