Northwood Presbyterian Day School
A licensed child care center in San Antonio, Texas 78209
518 Pike Rd, San Antonio, Texas 78209. (210) 826-5601.
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.
- 5 deficiencies cited in the last three years Middle in Bexar County: 5
- 3 rated High by Texas, its most serious level (needs attention)
- 17 inspections on record
- 4-Star 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?
5 deficiencies cited in the last three years
The middle of the 768 child care providers in Bexar County had 5.
17 inspections on record. The latest, on Jun 5, 2026: no violation found.
Rated High by Texas: Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control, at the report to the state on Dec 8, 2025
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 Jan 11, 2024
Rated High by Texas: Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings, at the inspection on Jan 4, 2024
Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.
When those deficiencies happened
5 deficiencies in 2 months of the last 36. Last cited Dec 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.
Dec 8, 2025: report to the state1 deficiency
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Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
“During the course of an investigation, it was determined that good judgement was not demonstrated when a caregiver fed an infant breast milk designated for another child.”
Jan 11, 2024: report to the state1 deficiency
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Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
“There was a child left on the playground unsupervised, the child was found by a parent and teachers were notified and then returned the child to the class. The caregiver in charge of the class was terminated.”
Jan 4, 2024: inspection3 deficiencies
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Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
“Two exit gates on the Pre-K playground had a gap at the bottom of each gate that was larger than three and a half inches. Note: This was corrected at inspection when the gaps on the gates were adjusted.”
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Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
“The surfacing material located around play equipment was damaged revealing a hole about 6 inches wide.”
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Measurement of Use Zone for Stationary Equipment
“The use zone around the tire swing was overlapping the use zone of another play equipment’s use zone. Note: This was corrected at inspection when the play equipment next to the tire swing was moved so the use zones were not overlapping.”
1 deficiency older than three years
Feb 3, 2023: inspection1 deficiency
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Medication No Longer Used
“There was a child enrolled with expired medication on file at the operation. Note: This was corrected at the inspection when the parent arrived and replaced the medication.”
All 22 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Jun 5, 2026 | Inspection | No violation found |
| Jan 29, 2026 | Inspection | No violation found |
| Jan 12, 2026 | Inspection | No violation found |
| Dec 22, 2025 | Inspection | No violation found |
| Dec 19, 2025 | Report to the state | No violation found |
| Dec 11, 2025 | Inspection | No violation found |
| Dec 10, 2025 | Inspection | No violation found |
| Dec 8, 2025 | Report to the state | 1 deficiency cited |
| Dec 17, 2024 | Inspection | No violation found |
| Sep 13, 2024 | Inspection | No violation found |
| Aug 13, 2024 | Inspection | No violation found |
| Jul 19, 2024 | Report to the state | No violation found |
| Feb 12, 2024 | Inspection | No violation found |
| Feb 8, 2024 | Inspection | No violation found |
| Jan 17, 2024 | Inspection | No violation found |
| Jan 12, 2024 | Inspection | No violation found |
| Jan 11, 2024 | Report to the state | 1 deficiency cited |
| Jan 4, 2024 | Inspection | 3 deficiencies cited |
| Apr 18, 2023 | Inspection | No violation found |
| Feb 3, 2023 | Inspection | 1 deficiency cited |
| Feb 17, 2022 | Inspection | No violation found |
| May 22, 2021 | Report to the state | No violation found |
Is it licensed?
- Licensed Center, permit issued Jan 27, 1986.
- Accepts state child care subsidies.
- Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
- Capacity: 138 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.
- 5 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?
- Texas Rising Star: 4-Star (the highest of three levels).
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.
Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.
| Place | Deficiencies, 3 years |
|---|---|
| Northwood Presbyterian Day School This child care provider | 5 |
| 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
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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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