Shepherd of the Hills Lutheran
6914 Wurzbach Rd, San Antonio, TX 78240
Infant, Toddler, Pre-Kindergarten, School · Monday–Friday
The inspection record is incomplete or awaiting details. Review the published findings and outstanding gaps below.
72 inspections · 24 investigations in 36 months · source checked Sep 16, 2026
The everyday details
State facts · provider details pendingSubsidies not accepted in state listing
See fees & availability →Meet Shepherd of the Hills Lutheran
Provider profileThis provider has not supplied a description yet. Ask about their teaching approach, classroom routines, and what makes their program a fit for your child.
Photo not provided
Photo not provided
Photo not provided
No provider photos have been supplied. These are labeled placeholders, not images of the facility.
What care includes
- Meals providedNot listed
- Snacks providedNot listed
- Before-school careListed
- After-school careListed
- Transportation to/from schoolListed
- Drop-in careListed
- Part-time careListed
- Field tripsListed
- Skill classesNot listed
- Weekend careNot listed
- Night careNot listed
- AccreditedNot listed
- Accepts child care subsidiesNot accepted
“Not listed” means unknown, not unavailable.
See all programs, services & policies →Ask about the program.
Ask about the record.
Bring questions about tuition and fit alongside the findings, correction evidence, and gaps in this record.
Build my tour questions →Tuition, without the guesswork
Choose your needs to prepare a quote request. Rates have not been supplied by this provider.
Rate not provided
Care and schedule availability must be confirmed. Missing pricing does not mean care is free.
- Tuition & billing schedule
- Not provided
- Registration · refund terms
- Not provided
- Deposit · whether credited to tuition
- Not provided
- Meals & snacks
- Not provided
- Annual materials fee
- Not provided
- Late pickup fee
- Not provided
Understand your first month’s cost
Request tuition, required fees, deposit credit, and refund terms in writing. A deposit credited to tuition should not be counted twice. We cannot calculate a total without confirmed amounts.
Help with costs
The state lists subsidies as not accepted. Confirm current payment options. Sibling discounts have not been provided.
Openings & waitlists
No provider-confirmed availability has been supplied. An opening is not a reservation.
Infant: availability not confirmed
Ask about your start date, classroom availability, waitlist fees, and when offers are made.
Licensed capacity: 219 children. This is not the number of open places.
Programs & learning
Infant,Toddler,Pre-Kindergarten,School
School Age Care,Before School Care,After School Care,Drop-In Care,Part Time Care,Transportation to/from School ,Field Trips
Curriculum and teaching philosophy not provided.
Accreditation information not provided. Licensing does not establish accreditation.
State-sourced · checked Sep 16, 2026. Confirm current details with the provider.
A typical day
The daily schedule has not been supplied. Ask about arrival, meals, outdoor play, rest, learning activities, and pickup.
06:30 AM-06:30 PM
Mon,Tue,Wed,Thu,Fri
Services & accommodations
- Meals providedNot listed
- Snacks providedNot listed
- Before-school careListed
- After-school careListed
- Transportation to/from schoolListed
- Drop-in careListed
- Part-time careListed
- Field tripsListed
- Skill classesNot listed
- Weekend careNot listed
- Night careNot listed
- AccreditedNot listed
- Accepts child care subsidiesNot accepted
Languages spoken and interpreter availability not provided.
Care plans, dietary substitutions, and medication training need confirmation.
Entrance, restroom, and classroom accessibility details not provided.
Individual accommodations, specialist access, and staff training not provided.
People, policies & environment
Not listed
Not listed
Individual qualifications, CPR, and first-aid training not provided.
Current classroom staffing and ratios not provided. Ask on your visit.
Parent updates and conference policies not provided.
Authorized pickup and visitor procedures not provided.
Exclusion and return criteria not provided.
Holiday and staff-development calendar not provided.
Evidence, with the follow-through.
Provider descriptions, prices, and photos never change this record. Every finding below comes from published state evidence.
The inspection record is incomplete or awaiting details. Review the published findings and outstanding gaps below.
Last 36 months · window starts Sep 15, 2023
29 standard(s) appear on multiple visits: 746.1315(b)(1) (8 visits); 746.605(6) (12 visits); 746.901 (4 visits); 746.1309(a) (12 visits); 746.5401 (4 visits); 746.5101(a) (4 visits); 746.401(7) (4 visits); 746.401(8) (4 visits); 746.4135(b) (8 visits); 746.605(12) (8 visits); 746.1309(e) (4 visits); 746.1311(d) (4 visits); 746.1311(e) (4 visits); 746.5603(c) (4 visits); 746.1301(a)(7)(A) (4 visits); 746.5625(a) (4 visits); 746.5627 (4 visits); 746.1301(a)(4)(A) (4 visits); 746.3701 (4 visits); 746.2805(5) (4 visits); 746.3301(h) (4 visits); 746.3701(10) (4 visits); 746.3701(1) (4 visits); 746.613(b) (4 visits); 746.605(3) (4 visits); 746.503 (4 visits); 746.901(4) (4 visits); 746.501(a)(24) (4 visits); 746.901(1) (4 visits). This is a match of standard identifiers, not a judgment about identical circumstances.
State verification published Sep 14, 2026.
Conditions between visits, current staffing, and day-to-day quality. A correction plan is not verification.
192 visits in our data; 0 unmatched findings. Publication and processing can lag events.
Check the latest finding’s evidence
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
On two of the playgrounds the loose-fill was not installed to the required depth of six inches.
State verification published Sep 14, 2026.
Some outcomes or report details are missing. These counts may be incomplete.
Inspection record
Visits available in our Texas data, newest first. Visits with findings are shown in full; runs of clean visits are folded into one line. Findings are quoted from the inspector's report with the Texas risk level beside our severity.
Coverage is incomplete. Pending outcomes, unclassified citations, or missing report details must not be read as no findings. Check the state record.
Inspection history is one input into your decision, not a guarantee of safety or a rating of care quality. How to read this record.
- 2026
- Sep 2, 2026Inspection2 findings · serious
- SeriousTexas: Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
On two of the playgrounds the loose-fill was not installed to the required depth of six inches.
Correction verified Sep 14, 2026. Technical assistance given. Standard 746.4907(a)(1).
- SeriousTexas: Medium High
Installation and Maintenance of Loose-fill Surfacing - Nine Inches if Equipment Greater Than 5 Ft.
The loose-fill under and around the swings is not installed to the required depth of nine inches within the use zone.
Correction verified Sep 14, 2026. Technical assistance given. Standard 746.4907(a)(2).
- Sep 2, 2026InspectionOutcome pending
- Sep 2, 2026InspectionOutcome pending
- Sep 2, 2026InspectionOutcome pending
- May 13, 2026 to May 29, 20268 inspections and 4 investigationsNo findingsShow
- May 29, 2026 inspection
- May 29, 2026 inspection
- May 29, 2026 inspection
- May 29, 2026 inspection
- May 22, 2026 inspection
- May 22, 2026 inspection
- May 22, 2026 inspection
- May 22, 2026 inspection
- May 13, 2026 complaint investigation
- May 13, 2026 complaint investigation
- May 13, 2026 complaint investigation
- May 13, 2026 complaint investigation
- Apr 20, 2026Assessment1 finding · serious
- SeriousTexas: Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Recite: Ten of the staff files reviewed had a CPR certification that was completed through an online source, which did not include hands-on training. Noted: seven updated CPR certifications were submitted.
Correction verified May 26, 2026. Standard 746.1315(b)(1).
- Apr 20, 2026Assessment1 finding · serious
- SeriousTexas: Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Recite: Ten of the staff files reviewed had a CPR certification that was completed through an online source, which did not include hands-on training. Noted: seven updated CPR certifications were submitted.
Correction verified May 26, 2026. Standard 746.1315(b)(1).
- Apr 20, 2026Assessment1 finding · serious
- SeriousTexas: Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Recite: Ten of the staff files reviewed had a CPR certification that was completed through an online source, which did not include hands-on training. Noted: seven updated CPR certifications were submitted.
Correction verified May 26, 2026. Standard 746.1315(b)(1).
- Apr 20, 2026Assessment1 finding · serious
- SeriousTexas: Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Recite: Ten of the staff files reviewed had a CPR certification that was completed through an online source, which did not include hands-on training. Noted: seven updated CPR certifications were submitted.
Correction verified May 26, 2026. Standard 746.1315(b)(1).
- Mar 17, 2026Inspection3 findings · serious
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
Several of the children's files were missing required information for their emergency contacts; physical addresses. This was corrected during inspection when parents were contacted via phone to update information verbally.
Corrected during the inspection. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium
Required Personnel Records
Ten staff files reviewed were found to be missing the following information; showing he has received a copy of the child-care center s: Operational policies and Personnel policies, A copy of a photo identification/ A copy of the person's current driver's license if the person transports a child in care, and A statement signed and dated by the employee verifying the date the employee attended training during orientation that includes an overview of your policy on the prevention, recognition, and reporting of child maltreatment.
Correction verified Mar 31, 2026. Technical assistance given. Standard 746.901.
- SeriousTexas: Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Ten of the staff files reviewed had a CPR certification that was completed through an online source, that did not include hands-on training.
Correction verified Apr 20, 2026. Technical assistance given. Standard 746.1315(b)(1).
- Mar 17, 2026Inspection3 findings · serious
- SeriousTexas: Medium
Required Personnel Records
Ten staff files reviewed were found to be missing the following information; showing he has received a copy of the child-care center s: Operational policies and Personnel policies, A copy of a photo identification/ A copy of the person's current driver's license if the person transports a child in care, and A statement signed and dated by the employee verifying the date the employee attended training during orientation that includes an overview of your policy on the prevention, recognition, and reporting of child maltreatment.
Correction verified Mar 31, 2026. Technical assistance given. Standard 746.901.
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
Several of the children's files were missing required information for their emergency contacts; physical addresses. This was corrected during inspection when parents were contacted via phone to update information verbally.
Corrected during the inspection. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Ten of the staff files reviewed had a CPR certification that was completed through an online source, that did not include hands-on training.
Correction verified Apr 20, 2026. Technical assistance given. Standard 746.1315(b)(1).
- Mar 17, 2026Inspection3 findings · serious
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
Several of the children's files were missing required information for their emergency contacts; physical addresses. This was corrected during inspection when parents were contacted via phone to update information verbally.
Corrected during the inspection. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Ten of the staff files reviewed had a CPR certification that was completed through an online source, that did not include hands-on training.
Correction verified Apr 20, 2026. Technical assistance given. Standard 746.1315(b)(1).
- SeriousTexas: Medium
Required Personnel Records
Ten staff files reviewed were found to be missing the following information; showing he has received a copy of the child-care center s: Operational policies and Personnel policies, A copy of a photo identification/ A copy of the person's current driver's license if the person transports a child in care, and A statement signed and dated by the employee verifying the date the employee attended training during orientation that includes an overview of your policy on the prevention, recognition, and reporting of child maltreatment.
Correction verified Mar 31, 2026. Technical assistance given. Standard 746.901.
- Mar 17, 2026Inspection3 findings · serious
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
Several of the children's files were missing required information for their emergency contacts; physical addresses. This was corrected during inspection when parents were contacted via phone to update information verbally.
Corrected during the inspection. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium
Required Personnel Records
Ten staff files reviewed were found to be missing the following information; showing he has received a copy of the child-care center s: Operational policies and Personnel policies, A copy of a photo identification/ A copy of the person's current driver's license if the person transports a child in care, and A statement signed and dated by the employee verifying the date the employee attended training during orientation that includes an overview of your policy on the prevention, recognition, and reporting of child maltreatment.
Correction verified Mar 31, 2026. Technical assistance given. Standard 746.901.
- SeriousTexas: Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Ten of the staff files reviewed had a CPR certification that was completed through an online source, that did not include hands-on training.
Correction verified Apr 20, 2026. Technical assistance given. Standard 746.1315(b)(1).
- 2025
- Nov 12, 2025 to Nov 13, 20254 inspections and 4 investigationsNo findingsShow
- Nov 13, 2025 inspection
- Nov 13, 2025 inspection
- Nov 13, 2025 inspection
- Nov 13, 2025 inspection
- Nov 12, 2025 complaint investigation
- Nov 12, 2025 complaint investigation
- Nov 12, 2025 complaint investigation
- Nov 12, 2025 complaint investigation
- Sep 18, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Recite: Five of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
Correction verified Sep 25, 2025. Standard 746.1309(a).
- Sep 18, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Recite: Five of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
Correction verified Sep 25, 2025. Standard 746.1309(a).
- Sep 18, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Recite: Five of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
Correction verified Sep 25, 2025. Standard 746.1309(a).
- Sep 18, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Recite: Five of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
Correction verified Sep 25, 2025. Standard 746.1309(a).
- Sep 3, 2025Inspection5 findings · critical
- CriticalTexas: High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation's most recent fire inspection was completed on July 2, 2024.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.5101(a).
- SeriousTexas: Medium High
Requirement of Gas Leak Inspection
The operation did not have a current gas inspection.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.5401.
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Seven of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.1309(a).
- MinorTexas: Medium Low
Posting Requirements - Licensing Parent Notification Poster
The Parent Notifiation Poster was not visably posted.
Correction verified Sep 18, 2025. Standard 746.401(7).
- MinorTexas: Medium Low
Posting Requirements - Telephone Numbers
Required telephone numbers were not visibly posted.
Correction verified Sep 18, 2025. Standard 746.401(8).
- Sep 3, 2025Inspection5 findings · critical
- CriticalTexas: High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation's most recent fire inspection was completed on July 2, 2024.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.5101(a).
- SeriousTexas: Medium High
Requirement of Gas Leak Inspection
The operation did not have a current gas inspection.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.5401.
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Seven of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.1309(a).
- MinorTexas: Medium Low
Posting Requirements - Licensing Parent Notification Poster
The Parent Notifiation Poster was not visably posted.
Correction verified Sep 18, 2025. Standard 746.401(7).
- MinorTexas: Medium Low
Posting Requirements - Telephone Numbers
Required telephone numbers were not visibly posted.
Correction verified Sep 18, 2025. Standard 746.401(8).
- Sep 3, 2025Inspection5 findings · critical
- CriticalTexas: High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation's most recent fire inspection was completed on July 2, 2024.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.5101(a).
- SeriousTexas: Medium High
Requirement of Gas Leak Inspection
The operation did not have a current gas inspection.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.5401.
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Seven of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.1309(a).
- MinorTexas: Medium Low
Posting Requirements - Telephone Numbers
Required telephone numbers were not visibly posted.
Correction verified Sep 18, 2025. Standard 746.401(8).
- MinorTexas: Medium Low
Posting Requirements - Licensing Parent Notification Poster
The Parent Notifiation Poster was not visably posted.
Correction verified Sep 18, 2025. Standard 746.401(7).
- Sep 3, 2025Inspection5 findings · critical
- CriticalTexas: High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation's most recent fire inspection was completed on July 2, 2024.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.5101(a).
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Seven of the nine caregiver files reviewed lacked documentation of training certificates demonstrating the required 24 hours of annual training.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.1309(a).
- SeriousTexas: Medium High
Requirement of Gas Leak Inspection
The operation did not have a current gas inspection.
Correction verified Sep 18, 2025. Technical assistance given. Standard 746.5401.
- MinorTexas: Medium Low
Posting Requirements - Licensing Parent Notification Poster
The Parent Notifiation Poster was not visably posted.
Correction verified Sep 18, 2025. Standard 746.401(7).
- MinorTexas: Medium Low
Posting Requirements - Telephone Numbers
Required telephone numbers were not visibly posted.
Correction verified Sep 18, 2025. Standard 746.401(8).
- Mar 12, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Children's Products- Annual Certification
Form 2885, Children Product Certification form was observed to be signed January 4th, 2024. Noted: this was corrected at inspection when the CPSC recalls were reviewed and the form was signed and dated.
Corrected during the inspection. Standard 746.4135(b).
- Mar 12, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Children's Products- Annual Certification
Form 2885, Children Product Certification form was observed to be signed January 4th, 2024. Noted: this was corrected at inspection when the CPSC recalls were reviewed and the form was signed and dated.
Corrected during the inspection. Standard 746.4135(b).
- Mar 12, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Children's Products- Annual Certification
Form 2885, Children Product Certification form was observed to be signed January 4th, 2024. Noted: this was corrected at inspection when the CPSC recalls were reviewed and the form was signed and dated.
Corrected during the inspection. Standard 746.4135(b).
- Mar 12, 2025Inspection1 finding · serious
- SeriousTexas: Medium
Children's Products- Annual Certification
Form 2885, Children Product Certification form was observed to be signed January 4th, 2024. Noted: this was corrected at inspection when the CPSC recalls were reviewed and the form was signed and dated.
Corrected during the inspection. Standard 746.4135(b).
- 2024
- Dec 5, 2024 to Dec 5, 20244 inspectionsNo findingsShow
- Dec 5, 2024 inspection
- Dec 5, 2024 inspection
- Dec 5, 2024 inspection
- Dec 5, 2024 inspection
- Oct 10, 2024Inspection12 findings · critical
- CriticalTexas: High
Electronic Child Safety Alarm - is equipped in each vehicle
Vehicles used to transport vehicles were purchased 7/2024 and did not have child safety alarms installed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.5625(a).
- SeriousTexas: Medium High
Required Admission Information - Special Needs Statement
When reviewing children's files the information on special care needs for children was not available for review. In ten out of ten children's files reviewed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.605(12).
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
Reviewing children's files, the information for the emergency contact person's address was not available for review. In ten out of ten children's files reviewed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium
Documented Annual Training- Required Content
One of the ten staff files reviewed did not include training in required topics, such as; emergency preparedness, communicable diseases, medication administration, food allergies, physical premises, and hazardous materials.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1309(e).
- SeriousTexas: Medium High
Director Annual Training - Caring for children under 24 months
A person required who is required to have training in topics related to caring for children 24 months and under did not have certificates for review.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1311(d).
- SeriousTexas: Medium
Director Annual Training - Additional required topics
When reviewing directors file the following were not available for review: Emergency Prep., Communicable Disease, Administering medication, Food allergies, Building and physical premises, Hazardous Materials.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1311(e).
- SeriousTexas: Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
There was a seatbelt in the last seat in the back on the right side behind the diver that is broken.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.5603(c).
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation training
An individual required to have two hours of transportation did not have certificates available for review.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1301(a)(7)(A).
- SeriousTexas: Medium
Required Vehicle Documentation - date of lease or purchase for each vehicle
Proof of one of the vehicles purchases was not available for review.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.5627.
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Six of the ten staff files were reviewed did not have current CPR/First aid certification.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.1301(a)(4)(A).
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Two of the ten staff files did not have training certificates available for review for the most recently completed training year.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1309(a).
- SeriousTexas: Medium High
Safety - Areas Free From Hazards
There were several metal railroad ties sticking up out of the base of the black lining of the playground that could cause injury to children. *Corrected at inspection.
Corrected during the inspection. Technical assistance given. Standard 746.3701.
- Oct 10, 2024Inspection12 findings · critical
- CriticalTexas: High
Electronic Child Safety Alarm - is equipped in each vehicle
Vehicles used to transport vehicles were purchased 7/2024 and did not have child safety alarms installed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.5625(a).
- SeriousTexas: Medium
Required Vehicle Documentation - date of lease or purchase for each vehicle
Proof of one of the vehicles purchases was not available for review.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.5627.
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation training
An individual required to have two hours of transportation did not have certificates available for review.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1301(a)(7)(A).
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Six of the ten staff files were reviewed did not have current CPR/First aid certification.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.1301(a)(4)(A).
- SeriousTexas: Medium High
Safety - Areas Free From Hazards
There were several metal railroad ties sticking up out of the base of the black lining of the playground that could cause injury to children. *Corrected at inspection.
Corrected during the inspection. Technical assistance given. Standard 746.3701.
- SeriousTexas: Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
There was a seatbelt in the last seat in the back on the right side behind the diver that is broken.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.5603(c).
- SeriousTexas: Medium
Documented Annual Training- Required Content
One of the ten staff files reviewed did not include training in required topics, such as; emergency preparedness, communicable diseases, medication administration, food allergies, physical premises, and hazardous materials.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1309(e).
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Two of the ten staff files did not have training certificates available for review for the most recently completed training year.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1309(a).
- SeriousTexas: Medium
Director Annual Training - Additional required topics
When reviewing directors file the following were not available for review: Emergency Prep., Communicable Disease, Administering medication, Food allergies, Building and physical premises, Hazardous Materials.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1311(e).
- SeriousTexas: Medium High
Required Admission Information - Special Needs Statement
When reviewing children's files the information on special care needs for children was not available for review. In ten out of ten children's files reviewed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.605(12).
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
Reviewing children's files, the information for the emergency contact person's address was not available for review. In ten out of ten children's files reviewed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium High
Director Annual Training - Caring for children under 24 months
A person required who is required to have training in topics related to caring for children 24 months and under did not have certificates for review.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1311(d).
- Oct 10, 2024Inspection12 findings · critical
- CriticalTexas: High
Electronic Child Safety Alarm - is equipped in each vehicle
Vehicles used to transport vehicles were purchased 7/2024 and did not have child safety alarms installed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.5625(a).
- SeriousTexas: Medium High
Required Admission Information - Special Needs Statement
When reviewing children's files the information on special care needs for children was not available for review. In ten out of ten children's files reviewed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.605(12).
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Six of the ten staff files were reviewed did not have current CPR/First aid certification.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.1301(a)(4)(A).
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Two of the ten staff files did not have training certificates available for review for the most recently completed training year.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1309(a).
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
Reviewing children's files, the information for the emergency contact person's address was not available for review. In ten out of ten children's files reviewed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation training
An individual required to have two hours of transportation did not have certificates available for review.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1301(a)(7)(A).
- SeriousTexas: Medium
Documented Annual Training- Required Content
One of the ten staff files reviewed did not include training in required topics, such as; emergency preparedness, communicable diseases, medication administration, food allergies, physical premises, and hazardous materials.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1309(e).
- SeriousTexas: Medium High
Director Annual Training - Caring for children under 24 months
A person required who is required to have training in topics related to caring for children 24 months and under did not have certificates for review.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1311(d).
- SeriousTexas: Medium High
Safety - Areas Free From Hazards
There were several metal railroad ties sticking up out of the base of the black lining of the playground that could cause injury to children. *Corrected at inspection.
Corrected during the inspection. Technical assistance given. Standard 746.3701.
- SeriousTexas: Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
There was a seatbelt in the last seat in the back on the right side behind the diver that is broken.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.5603(c).
- SeriousTexas: Medium
Director Annual Training - Additional required topics
When reviewing directors file the following were not available for review: Emergency Prep., Communicable Disease, Administering medication, Food allergies, Building and physical premises, Hazardous Materials.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1311(e).
- SeriousTexas: Medium
Required Vehicle Documentation - date of lease or purchase for each vehicle
Proof of one of the vehicles purchases was not available for review.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.5627.
- Oct 10, 2024Inspection12 findings · critical
- CriticalTexas: High
Electronic Child Safety Alarm - is equipped in each vehicle
Vehicles used to transport vehicles were purchased 7/2024 and did not have child safety alarms installed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.5625(a).
- SeriousTexas: Medium
Documented Annual Training Area - 24 Hours Required
Two of the ten staff files did not have training certificates available for review for the most recently completed training year.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1309(a).
- SeriousTexas: Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
There was a seatbelt in the last seat in the back on the right side behind the diver that is broken.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.5603(c).
- SeriousTexas: Medium
Required Vehicle Documentation - date of lease or purchase for each vehicle
Proof of one of the vehicles purchases was not available for review.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.5627.
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
Reviewing children's files, the information for the emergency contact person's address was not available for review. In ten out of ten children's files reviewed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium High
Director Annual Training - Caring for children under 24 months
A person required who is required to have training in topics related to caring for children 24 months and under did not have certificates for review.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1311(d).
- SeriousTexas: Medium High
Safety - Areas Free From Hazards
There were several metal railroad ties sticking up out of the base of the black lining of the playground that could cause injury to children. *Corrected at inspection.
Corrected during the inspection. Technical assistance given. Standard 746.3701.
- SeriousTexas: Medium
Documented Annual Training- Required Content
One of the ten staff files reviewed did not include training in required topics, such as; emergency preparedness, communicable diseases, medication administration, food allergies, physical premises, and hazardous materials.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1309(e).
- SeriousTexas: Medium
Director Annual Training - Additional required topics
When reviewing directors file the following were not available for review: Emergency Prep., Communicable Disease, Administering medication, Food allergies, Building and physical premises, Hazardous Materials.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1311(e).
- SeriousTexas: Medium High
Required Admission Information - Special Needs Statement
When reviewing children's files the information on special care needs for children was not available for review. In ten out of ten children's files reviewed.
Correction verified Dec 5, 2024. Technical assistance given. Standard 746.605(12).
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Six of the ten staff files were reviewed did not have current CPR/First aid certification.
Correction verified Nov 7, 2024. Technical assistance given. Standard 746.1301(a)(4)(A).
- SeriousTexas: Medium High
Training Requirements for Employees, Caregivers, and Directors - Transportation training
An individual required to have two hours of transportation did not have certificates available for review.
Correction verified Nov 5, 2024. Technical assistance given. Standard 746.1301(a)(7)(A).
- Jun 12, 2024 to Jul 10, 20248 inspectionsNo findingsShow
- Jul 10, 2024 inspection
- Jul 10, 2024 inspection
- Jul 10, 2024 inspection
- Jul 10, 2024 inspection
- Jun 12, 2024 inspection
- Jun 12, 2024 inspection
- Jun 12, 2024 inspection
- Jun 12, 2024 inspection
- May 30, 2024Complaint investigation2 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
It was determined in the investigation that a caregiver was using prohibited punishment when she was yelling at the children in her care.
Correction verified Jul 10, 2024. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium High
Nutrition and Food Service - Food not a reward
It was determined through an investigation that caregivers were using food items as a reward for good behavior.
Correction verified Jul 10, 2024. Technical assistance given. Standard 746.3301(h).
- May 30, 2024Complaint investigation2 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
It was determined in the investigation that a caregiver was using prohibited punishment when she was yelling at the children in her care.
Correction verified Jul 10, 2024. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium High
Nutrition and Food Service - Food not a reward
It was determined through an investigation that caregivers were using food items as a reward for good behavior.
Correction verified Jul 10, 2024. Technical assistance given. Standard 746.3301(h).
- May 30, 2024Complaint investigation2 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
It was determined in the investigation that a caregiver was using prohibited punishment when she was yelling at the children in her care.
Correction verified Jul 10, 2024. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium High
Nutrition and Food Service - Food not a reward
It was determined through an investigation that caregivers were using food items as a reward for good behavior.
Correction verified Jul 10, 2024. Technical assistance given. Standard 746.3301(h).
- May 30, 2024Complaint investigation2 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
It was determined in the investigation that a caregiver was using prohibited punishment when she was yelling at the children in her care.
Correction verified Jul 10, 2024. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium High
Nutrition and Food Service - Food not a reward
It was determined through an investigation that caregivers were using food items as a reward for good behavior.
Correction verified Jul 10, 2024. Technical assistance given. Standard 746.3301(h).
- May 28, 2024Inspection2 findings · serious
- SeriousTexas: Medium High
Safety - Televisions Anchored to Prevent Tip Over
A television was observed to be sat on top of crate on a shelf and was not anchored.
Correction verified May 29, 2024. Technical assistance given. Standard 746.3701(10).
- SeriousTexas: Medium High
Safety - Electrical Outlets Covered
Outlets in Pre-K rooms were observed to be uncovered.
Correction verified May 28, 2024. Technical assistance given. Standard 746.3701(1).
- May 28, 2024Inspection2 findings · serious
- SeriousTexas: Medium High
Safety - Televisions Anchored to Prevent Tip Over
A television was observed to be sat on top of crate on a shelf and was not anchored.
Correction verified May 29, 2024. Technical assistance given. Standard 746.3701(10).
- SeriousTexas: Medium High
Safety - Electrical Outlets Covered
Outlets in Pre-K rooms were observed to be uncovered.
Correction verified May 28, 2024. Technical assistance given. Standard 746.3701(1).
- May 28, 2024Inspection2 findings · serious
- SeriousTexas: Medium High
Safety - Electrical Outlets Covered
Outlets in Pre-K rooms were observed to be uncovered.
Correction verified May 28, 2024. Technical assistance given. Standard 746.3701(1).
- SeriousTexas: Medium High
Safety - Televisions Anchored to Prevent Tip Over
A television was observed to be sat on top of crate on a shelf and was not anchored.
Correction verified May 29, 2024. Technical assistance given. Standard 746.3701(10).
- May 28, 2024Inspection2 findings · serious
- SeriousTexas: Medium High
Safety - Televisions Anchored to Prevent Tip Over
A television was observed to be sat on top of crate on a shelf and was not anchored.
Correction verified May 29, 2024. Technical assistance given. Standard 746.3701(10).
- SeriousTexas: Medium High
Safety - Electrical Outlets Covered
Outlets in Pre-K rooms were observed to be uncovered.
Correction verified May 28, 2024. Technical assistance given. Standard 746.3701(1).
- Apr 3, 2024 to Apr 15, 20244 inspections and 4 investigationsNo findingsShow
- Apr 15, 2024 inspection
- Apr 15, 2024 inspection
- Apr 15, 2024 inspection
- Apr 15, 2024 inspection
- Apr 3, 2024 complaint investigation
- Apr 3, 2024 complaint investigation
- Apr 3, 2024 complaint investigation
- Apr 3, 2024 complaint investigation
- 2023
- Nov 27, 2023 to Nov 29, 20234 inspections and 4 investigationsNo findingsShow
- Nov 29, 2023 inspection
- Nov 29, 2023 inspection
- Nov 29, 2023 inspection
- Nov 29, 2023 inspection
- Nov 27, 2023 self-reported incident
- Nov 27, 2023 self-reported incident
- Nov 27, 2023 self-reported incident
- Nov 27, 2023 self-reported incident
- Oct 23, 2023Inspection9 findings · critical
- CriticalTexas: High
Required Admission Information - Emergency Medical Authorization
Ten of the children's files did not include emerceny care authorization.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.605(12).
- CriticalTexas: High
Written Operational Policies - Emergency Preparedness Plans
The operational polcies/Parent handbook did not include the emergency prepardness plan.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.501(a)(24).
- SeriousTexas: Medium High
Immunization Records, Exceptions, and Exemptions Current
One file did not include current immunization records.
Correction verified Nov 17, 2023. Standard 746.613(b).
- SeriousTexas: Medium
Children's Products- Annual Certification
The operation did not have a current Form 2885 Child Product Certification. Noted: The CPSC recall list was reviewed during the inspection and the Form 2885 was signed and posted.
Corrected during the inspection. Technical assistance given. Standard 746.4135(b).
- SeriousTexas: Medium
Provide Parents With Copy of Policies
Nine of the ten children's files reviewed did not include verification of receipt of the operational policies.
Correction verified Nov 17, 2023. Standard 746.503.
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
The ten files reviewed did not include necessary information for the listed emergency contact.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.605(6).
- MinorTexas: Medium Low
Required Admission Information - Date of Admission
The ten files reviewed did not include the date of admission.
Correction verified Nov 17, 2023. Standard 746.605(3).
- MinorTexas: Medium Low
Required Personnel Records - Required Affidavit
Two of the ten staff files did not include the employment affidavit.
Correction verified Nov 10, 2023. Standard 746.901(4).
- MinorTexas: Medium Low
Required Personnel Records - Dates of Employment
Seven of the ten staff files did not include employment begin dates.
Correction verified Nov 17, 2023. Standard 746.901(1).
- Oct 23, 2023Inspection9 findings · critical
- CriticalTexas: High
Required Admission Information - Emergency Medical Authorization
Ten of the children's files did not include emerceny care authorization.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.605(12).
- CriticalTexas: High
Written Operational Policies - Emergency Preparedness Plans
The operational polcies/Parent handbook did not include the emergency prepardness plan.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.501(a)(24).
- SeriousTexas: Medium High
Immunization Records, Exceptions, and Exemptions Current
One file did not include current immunization records.
Correction verified Nov 17, 2023. Standard 746.613(b).
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
The ten files reviewed did not include necessary information for the listed emergency contact.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium
Children's Products- Annual Certification
The operation did not have a current Form 2885 Child Product Certification. Noted: The CPSC recall list was reviewed during the inspection and the Form 2885 was signed and posted.
Corrected during the inspection. Technical assistance given. Standard 746.4135(b).
- SeriousTexas: Medium
Provide Parents With Copy of Policies
Nine of the ten children's files reviewed did not include verification of receipt of the operational policies.
Correction verified Nov 17, 2023. Standard 746.503.
- MinorTexas: Medium Low
Required Admission Information - Date of Admission
The ten files reviewed did not include the date of admission.
Correction verified Nov 17, 2023. Standard 746.605(3).
- MinorTexas: Medium Low
Required Personnel Records - Required Affidavit
Two of the ten staff files did not include the employment affidavit.
Correction verified Nov 10, 2023. Standard 746.901(4).
- MinorTexas: Medium Low
Required Personnel Records - Dates of Employment
Seven of the ten staff files did not include employment begin dates.
Correction verified Nov 17, 2023. Standard 746.901(1).
- Oct 23, 2023Inspection9 findings · critical
- CriticalTexas: High
Required Admission Information - Emergency Medical Authorization
Ten of the children's files did not include emerceny care authorization.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.605(12).
- CriticalTexas: High
Written Operational Policies - Emergency Preparedness Plans
The operational polcies/Parent handbook did not include the emergency prepardness plan.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.501(a)(24).
- SeriousTexas: Medium High
Immunization Records, Exceptions, and Exemptions Current
One file did not include current immunization records.
Correction verified Nov 17, 2023. Standard 746.613(b).
- SeriousTexas: Medium
Children's Products- Annual Certification
The operation did not have a current Form 2885 Child Product Certification. Noted: The CPSC recall list was reviewed during the inspection and the Form 2885 was signed and posted.
Corrected during the inspection. Technical assistance given. Standard 746.4135(b).
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
The ten files reviewed did not include necessary information for the listed emergency contact.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.605(6).
- SeriousTexas: Medium
Provide Parents With Copy of Policies
Nine of the ten children's files reviewed did not include verification of receipt of the operational policies.
Correction verified Nov 17, 2023. Standard 746.503.
- MinorTexas: Medium Low
Required Personnel Records - Dates of Employment
Seven of the ten staff files did not include employment begin dates.
Correction verified Nov 17, 2023. Standard 746.901(1).
- MinorTexas: Medium Low
Required Admission Information - Date of Admission
The ten files reviewed did not include the date of admission.
Correction verified Nov 17, 2023. Standard 746.605(3).
- MinorTexas: Medium Low
Required Personnel Records - Required Affidavit
Two of the ten staff files did not include the employment affidavit.
Correction verified Nov 10, 2023. Standard 746.901(4).
- Oct 23, 2023Inspection9 findings · critical
- CriticalTexas: High
Required Admission Information - Emergency Medical Authorization
Ten of the children's files did not include emerceny care authorization.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.605(12).
- CriticalTexas: High
Written Operational Policies - Emergency Preparedness Plans
The operational polcies/Parent handbook did not include the emergency prepardness plan.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.501(a)(24).
- SeriousTexas: Medium
Provide Parents With Copy of Policies
Nine of the ten children's files reviewed did not include verification of receipt of the operational policies.
Correction verified Nov 17, 2023. Standard 746.503.
- SeriousTexas: Medium
Children's Products- Annual Certification
The operation did not have a current Form 2885 Child Product Certification. Noted: The CPSC recall list was reviewed during the inspection and the Form 2885 was signed and posted.
Corrected during the inspection. Technical assistance given. Standard 746.4135(b).
- SeriousTexas: Medium High
Immunization Records, Exceptions, and Exemptions Current
One file did not include current immunization records.
Correction verified Nov 17, 2023. Standard 746.613(b).
- SeriousTexas: Medium High
Required Admission Information - Emergency Contact
The ten files reviewed did not include necessary information for the listed emergency contact.
Correction verified Nov 17, 2023. Technical assistance given. Standard 746.605(6).
- MinorTexas: Medium Low
Required Personnel Records - Dates of Employment
Seven of the ten staff files did not include employment begin dates.
Correction verified Nov 17, 2023. Standard 746.901(1).
- MinorTexas: Medium Low
Required Personnel Records - Required Affidavit
Two of the ten staff files did not include the employment affidavit.
Correction verified Nov 10, 2023. Standard 746.901(4).
- MinorTexas: Medium Low
Required Admission Information - Date of Admission
The ten files reviewed did not include the date of admission.
Correction verified Nov 17, 2023. Standard 746.605(3).
- Sep 26, 2023 to Oct 9, 20238 inspectionsNo findingsShow
- Oct 9, 2023 inspection
- Oct 9, 2023 inspection
- Oct 9, 2023 inspection
- Oct 9, 2023 inspection
- Sep 26, 2023 inspection
- Sep 26, 2023 inspection
- Sep 26, 2023 inspection
- Sep 26, 2023 inspection
Show 96 older visits, not counted aboveHide older visits
- Aug 29, 2023 to Aug 29, 20234 inspectionsNo findingsShow
- Aug 29, 2023 inspection
- Aug 29, 2023 inspection
- Aug 29, 2023 inspection
- Aug 29, 2023 inspection
- Aug 18, 2023Complaint investigation1 finding · serious
- SeriousTexas: Medium High
Diaper Changing Steps- Prompt
Children who are toilet learning, were sent home in soiled diapers.
Correction verified Oct 23, 2023. Technical assistance given. Standard 746.3501(1).
- Aug 18, 2023Complaint investigation1 finding · serious
- SeriousTexas: Medium High
Diaper Changing Steps- Prompt
Children who are toilet learning, were sent home in soiled diapers.
Correction verified Oct 23, 2023. Technical assistance given. Standard 746.3501(1).
- Aug 18, 2023Complaint investigation1 finding · serious
- SeriousTexas: Medium High
Diaper Changing Steps- Prompt
Children who are toilet learning, were sent home in soiled diapers.
Correction verified Oct 23, 2023. Technical assistance given. Standard 746.3501(1).
- Aug 18, 2023Complaint investigation1 finding · serious
- SeriousTexas: Medium High
Diaper Changing Steps- Prompt
Children who are toilet learning, were sent home in soiled diapers.
Correction verified Oct 23, 2023. Technical assistance given. Standard 746.3501(1).
- Aug 10, 2023Inspection2 findings · serious
- SeriousTexas: Medium
Chairs - Safety Straps Used if Required by Manufacturer
Children were observed utilizing chairs that were manufactured with straps/bkuckles but children were not buckled into the seats. Noted: This was corrected at inspection when the children were removed from the seats.
Correction verified Aug 10, 2023. Technical assistance given. Standard 746.4501(b).
- SeriousTexas: Medium High
Children Handwashing After Toileting or Diapering
In two classrooms, two children were observed to not have their hands washed after diapering. Noted: This was correct during inspection when the teachers were advised to wash children's hands after diapering.
Corrected during the inspection. Technical assistance given. Standard 746.3417(3).
- Aug 10, 2023Inspection2 findings · serious
- SeriousTexas: Medium High
Children Handwashing After Toileting or Diapering
In two classrooms, two children were observed to not have their hands washed after diapering. Noted: This was correct during inspection when the teachers were advised to wash children's hands after diapering.
Corrected during the inspection. Technical assistance given. Standard 746.3417(3).
- SeriousTexas: Medium
Chairs - Safety Straps Used if Required by Manufacturer
Children were observed utilizing chairs that were manufactured with straps/bkuckles but children were not buckled into the seats. Noted: This was corrected at inspection when the children were removed from the seats.
Correction verified Aug 10, 2023. Technical assistance given. Standard 746.4501(b).
- Aug 10, 2023Inspection2 findings · serious
- SeriousTexas: Medium
Chairs - Safety Straps Used if Required by Manufacturer
Children were observed utilizing chairs that were manufactured with straps/bkuckles but children were not buckled into the seats. Noted: This was corrected at inspection when the children were removed from the seats.
Correction verified Aug 10, 2023. Technical assistance given. Standard 746.4501(b).
- SeriousTexas: Medium High
Children Handwashing After Toileting or Diapering
In two classrooms, two children were observed to not have their hands washed after diapering. Noted: This was correct during inspection when the teachers were advised to wash children's hands after diapering.
Corrected during the inspection. Technical assistance given. Standard 746.3417(3).
- Aug 10, 2023Inspection2 findings · serious
- SeriousTexas: Medium High
Children Handwashing After Toileting or Diapering
In two classrooms, two children were observed to not have their hands washed after diapering. Noted: This was correct during inspection when the teachers were advised to wash children's hands after diapering.
Corrected during the inspection. Technical assistance given. Standard 746.3417(3).
- SeriousTexas: Medium
Chairs - Safety Straps Used if Required by Manufacturer
Children were observed utilizing chairs that were manufactured with straps/bkuckles but children were not buckled into the seats. Noted: This was corrected at inspection when the children were removed from the seats.
Correction verified Aug 10, 2023. Technical assistance given. Standard 746.4501(b).
- Jul 6, 2023 to Jul 27, 202316 inspectionsNo findingsShow
- Jul 27, 2023 inspection
- Jul 27, 2023 inspection
- Jul 27, 2023 inspection
- Jul 27, 2023 inspection
- Jul 17, 2023 inspection
- Jul 17, 2023 inspection
- Jul 17, 2023 inspection
- Jul 17, 2023 inspection
- Jul 17, 2023 inspection
- Jul 17, 2023 inspection
- Jul 17, 2023 inspection
- Jul 17, 2023 inspection
- Jul 6, 2023 inspection
- Jul 6, 2023 inspection
- Jul 6, 2023 inspection
- Jul 6, 2023 inspection
- Jul 3, 2023Complaint investigation1 finding · critical
- CriticalTexas: High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based upon the information gathered through interviews the lack of supervision and knowledge of an incident that occurred on the PreK playground as teachers are sitting on the bench not supervising.
Correction verified Jul 27, 2023. Technical assistance given. Standard 746.1205(a)(4).
- Jul 3, 2023Complaint investigation1 finding · critical
- CriticalTexas: High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based upon the information gathered through interviews the lack of supervision and knowledge of an incident that occurred on the PreK playground as teachers are sitting on the bench not supervising.
Correction verified Jul 27, 2023. Technical assistance given. Standard 746.1205(a)(4).
- Jul 3, 2023Complaint investigation1 finding · critical
- CriticalTexas: High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based upon the information gathered through interviews the lack of supervision and knowledge of an incident that occurred on the PreK playground as teachers are sitting on the bench not supervising.
Correction verified Jul 27, 2023. Technical assistance given. Standard 746.1205(a)(4).
- Jul 3, 2023Complaint investigation1 finding · critical
- CriticalTexas: High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based upon the information gathered through interviews the lack of supervision and knowledge of an incident that occurred on the PreK playground as teachers are sitting on the bench not supervising.
Correction verified Jul 27, 2023. Technical assistance given. Standard 746.1205(a)(4).
- Jun 23, 2023Inspection1 finding · serious
- SeriousTexas: Medium High
Children Handwashing After Toileting or Diapering
A caregiver was observed changing a diaper and did not wash the hands of the child after diapering. Noted: this was corrected during inspection when the caregiver washed the child's hands.
Corrected during the inspection. Technical assistance given. Standard 746.3417(3).
- Jun 23, 2023Inspection1 finding · serious
- SeriousTexas: Medium High
Children Handwashing After Toileting or Diapering
A caregiver was observed changing a diaper and did not wash the hands of the child after diapering. Noted: this was corrected during inspection when the caregiver washed the child's hands.
Corrected during the inspection. Technical assistance given. Standard 746.3417(3).
- Jun 23, 2023Inspection1 finding · serious
- SeriousTexas: Medium High
Children Handwashing After Toileting or Diapering
A caregiver was observed changing a diaper and did not wash the hands of the child after diapering. Noted: this was corrected during inspection when the caregiver washed the child's hands.
Corrected during the inspection. Technical assistance given. Standard 746.3417(3).
- Jun 23, 2023Inspection1 finding · serious
- SeriousTexas: Medium High
Children Handwashing After Toileting or Diapering
A caregiver was observed changing a diaper and did not wash the hands of the child after diapering. Noted: this was corrected during inspection when the caregiver washed the child's hands.
Corrected during the inspection. Technical assistance given. Standard 746.3417(3).
- Jun 6, 2023 to Jun 14, 20234 inspections and 4 investigationsNo findingsShow
- Jun 14, 2023 complaint investigation
- Jun 14, 2023 complaint investigation
- Jun 14, 2023 complaint investigation
- Jun 14, 2023 complaint investigation
- Jun 6, 2023 inspection
- Jun 6, 2023 inspection
- Jun 6, 2023 inspection
- Jun 6, 2023 inspection
- Jun 5, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Caregivers have been using yelling as a form of discipline.
Correction verified Jul 17, 2023. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium High
Diaper Changing Steps- Prompt
Two children were reported to be sent home in soiled clothing after having a toileting accident.
Correction verified Jul 10, 2023. Technical assistance given. Standard 746.3501(1).
- SeriousTexas: Medium High
Child/ Caregiver Ratio - 13 or More Children
After conducting interviews, it was confirmed that during drop off times, classrooms were left out of ratio for extended periods of time after notifying administration.
Correction verified Jul 17, 2023. Technical assistance given. Standard 746.1601.
- Jun 5, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Caregivers have been using yelling as a form of discipline.
Correction verified Jul 17, 2023. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium High
Diaper Changing Steps- Prompt
Two children were reported to be sent home in soiled clothing after having a toileting accident.
Correction verified Jul 10, 2023. Technical assistance given. Standard 746.3501(1).
- SeriousTexas: Medium High
Child/ Caregiver Ratio - 13 or More Children
After conducting interviews, it was confirmed that during drop off times, classrooms were left out of ratio for extended periods of time after notifying administration.
Correction verified Jul 17, 2023. Technical assistance given. Standard 746.1601.
- Jun 5, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Caregivers have been using yelling as a form of discipline.
Correction verified Jul 17, 2023. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium High
Diaper Changing Steps- Prompt
Two children were reported to be sent home in soiled clothing after having a toileting accident.
Correction verified Jul 10, 2023. Technical assistance given. Standard 746.3501(1).
- SeriousTexas: Medium High
Child/ Caregiver Ratio - 13 or More Children
After conducting interviews, it was confirmed that during drop off times, classrooms were left out of ratio for extended periods of time after notifying administration.
Correction verified Jul 17, 2023. Technical assistance given. Standard 746.1601.
- Jun 5, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Caregivers have been using yelling as a form of discipline.
Correction verified Jul 17, 2023. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium High
Diaper Changing Steps- Prompt
Two children were reported to be sent home in soiled clothing after having a toileting accident.
Correction verified Jul 10, 2023. Technical assistance given. Standard 746.3501(1).
- SeriousTexas: Medium High
Child/ Caregiver Ratio - 13 or More Children
After conducting interviews, it was confirmed that during drop off times, classrooms were left out of ratio for extended periods of time after notifying administration.
Correction verified Jul 17, 2023. Technical assistance given. Standard 746.1601.
- Apr 5, 2023 to May 24, 202312 inspections and 4 investigationsNo findingsShow
- May 24, 2023 inspection
- May 24, 2023 inspection
- May 24, 2023 inspection
- May 24, 2023 inspection
- May 19, 2023 complaint investigation
- May 19, 2023 complaint investigation
- May 19, 2023 complaint investigation
- May 19, 2023 complaint investigation
- May 10, 2023 inspection
- May 10, 2023 inspection
- May 10, 2023 inspection
- May 10, 2023 inspection
- Apr 5, 2023 inspection
- Apr 5, 2023 inspection
- Apr 5, 2023 inspection
- Apr 5, 2023 inspection
- Mar 31, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Report Situation Placing Children at Risk
After being made aware of an incident of possible inappropriate discipline, the operation did not self-report to CCR staff.
Correction verified Jun 6, 2023. Technical assistance given. Standard 746.305(a)(6).
- SeriousTexas: Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
After interviews, three individuals confirmed caregivers using personal devices while caring for children.
Correction verified Jun 6, 2023. Standard 746.1203(3)(D).
- SeriousTexas: Medium High
Child/ Caregiver Ratio - 13 or More Children
After conducting interviews, it was confirmed by six individuals that during drop-off times classrooms were left out of ratio for extended periods of time after notifying administration.
Correction verified Jun 6, 2023. Standard 746.1601.
- Mar 31, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Report Situation Placing Children at Risk
After being made aware of an incident of possible inappropriate discipline, the operation did not self-report to CCR staff.
Correction verified Jun 6, 2023. Technical assistance given. Standard 746.305(a)(6).
- SeriousTexas: Medium High
Child/ Caregiver Ratio - 13 or More Children
After conducting interviews, it was confirmed by six individuals that during drop-off times classrooms were left out of ratio for extended periods of time after notifying administration.
Correction verified Jun 6, 2023. Standard 746.1601.
- SeriousTexas: Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
After interviews, three individuals confirmed caregivers using personal devices while caring for children.
Correction verified Jun 6, 2023. Standard 746.1203(3)(D).
- Mar 31, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Report Situation Placing Children at Risk
After being made aware of an incident of possible inappropriate discipline, the operation did not self-report to CCR staff.
Correction verified Jun 6, 2023. Technical assistance given. Standard 746.305(a)(6).
- SeriousTexas: Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
After interviews, three individuals confirmed caregivers using personal devices while caring for children.
Correction verified Jun 6, 2023. Standard 746.1203(3)(D).
- SeriousTexas: Medium High
Child/ Caregiver Ratio - 13 or More Children
After conducting interviews, it was confirmed by six individuals that during drop-off times classrooms were left out of ratio for extended periods of time after notifying administration.
Correction verified Jun 6, 2023. Standard 746.1601.
- Mar 31, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Report Situation Placing Children at Risk
After being made aware of an incident of possible inappropriate discipline, the operation did not self-report to CCR staff.
Correction verified Jun 6, 2023. Technical assistance given. Standard 746.305(a)(6).
- SeriousTexas: Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
After interviews, three individuals confirmed caregivers using personal devices while caring for children.
Correction verified Jun 6, 2023. Standard 746.1203(3)(D).
- SeriousTexas: Medium High
Child/ Caregiver Ratio - 13 or More Children
After conducting interviews, it was confirmed by six individuals that during drop-off times classrooms were left out of ratio for extended periods of time after notifying administration.
Correction verified Jun 6, 2023. Standard 746.1601.
- Mar 24, 2023 to Mar 24, 20234 inspectionsNo findingsShow
- Mar 24, 2023 inspection
- Mar 24, 2023 inspection
- Mar 24, 2023 inspection
- Mar 24, 2023 inspection
- Mar 16, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Prohibited Punishments - Corporal Punishment
A caregiver used corporal punishment with a child.
Correction verified May 10, 2023. Technical assistance given. Standard 746.2805(1).
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was heard yelling at children.
Correction verified May 10, 2023. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium
Director Responsibilities - Employees Comply with Standards
After being made aware of possible improper discipline, director did not follow up with making sure employees were complaint with standards.
Correction verified May 10, 2023. Technical assistance given. Standard 746.1003(2).
- Mar 16, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Prohibited Punishments - Corporal Punishment
A caregiver used corporal punishment with a child.
Correction verified May 10, 2023. Technical assistance given. Standard 746.2805(1).
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was heard yelling at children.
Correction verified May 10, 2023. Technical assistance given. Standard 746.2805(5).
- SeriousTexas: Medium
Director Responsibilities - Employees Comply with Standards
After being made aware of possible improper discipline, director did not follow up with making sure employees were complaint with standards.
Correction verified May 10, 2023. Technical assistance given. Standard 746.1003(2).
- Mar 16, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was heard yelling at children.
Correction verified May 10, 2023. Technical assistance given. Standard 746.2805(5).
- CriticalTexas: High
Prohibited Punishments - Corporal Punishment
A caregiver used corporal punishment with a child.
Correction verified May 10, 2023. Technical assistance given. Standard 746.2805(1).
- SeriousTexas: Medium
Director Responsibilities - Employees Comply with Standards
After being made aware of possible improper discipline, director did not follow up with making sure employees were complaint with standards.
Correction verified May 10, 2023. Technical assistance given. Standard 746.1003(2).
- Mar 16, 2023Complaint investigation3 findings · critical
- CriticalTexas: High
Prohibited Punishments - Humiliating, Rejecting, Yelling
A caregiver was heard yelling at children.
Correction verified May 10, 2023. Technical assistance given. Standard 746.2805(5).
- CriticalTexas: High
Prohibited Punishments - Corporal Punishment
A caregiver used corporal punishment with a child.
Correction verified May 10, 2023. Technical assistance given. Standard 746.2805(1).
- SeriousTexas: Medium
Director Responsibilities - Employees Comply with Standards
After being made aware of possible improper discipline, director did not follow up with making sure employees were complaint with standards.
Correction verified May 10, 2023. Technical assistance given. Standard 746.1003(2).
- 2022
- Jul 22, 2022 to Dec 16, 202212 inspections and 4 investigationsNo findingsShow
- Dec 16, 2022 inspection
- Dec 16, 2022 inspection
- Dec 16, 2022 inspection
- Dec 16, 2022 inspection
- Aug 29, 2022 inspection
- Aug 29, 2022 inspection
- Aug 29, 2022 inspection
- Aug 29, 2022 inspection
- Aug 17, 2022 complaint investigation
- Aug 17, 2022 complaint investigation
- Aug 17, 2022 complaint investigation
- Aug 17, 2022 complaint investigation
- Jul 22, 2022 inspection
- Jul 22, 2022 inspection
- Jul 22, 2022 inspection
- Jul 22, 2022 inspection
- Jun 17, 2022Inspection5 findings · critical
- CriticalTexas: High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
There was not an electronic child safety alarm that was installed in the bus used to transport children.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.5625(b).
- SeriousTexas: Medium High
Fire Extinguishers Serviced
There was a fire extinguisher on the bus, meant to transport children, that had not been serviced since August 2013.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.5307(b).
- SeriousTexas: Medium
First Aid Kit - Incomplete Kit
There was a thermometer that was missing from the first aid kit located on the bus used to transport children.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.4003(a).
- SeriousTexas: Medium
Documentation of Drills
There was no documentation of drills that occurred in April, or May of this year 2022 available for review. Note: This was corrected at inspection when the director added in the date in which the fire dill was conducted.
Corrected during the inspection. Technical assistance given. Standard 746.5205(4).
- SeriousTexas: Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
There was less then 6 inches of loose fill material underneath the climbing bars, rock wall tee-pee, and where the slide exits were located, on the playground for the 2 year olds through 4 year olds.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.4907(d).
- Jun 17, 2022Inspection5 findings · critical
- CriticalTexas: High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
There was not an electronic child safety alarm that was installed in the bus used to transport children.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.5625(b).
- SeriousTexas: Medium
First Aid Kit - Incomplete Kit
There was a thermometer that was missing from the first aid kit located on the bus used to transport children.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.4003(a).
- SeriousTexas: Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
There was less then 6 inches of loose fill material underneath the climbing bars, rock wall tee-pee, and where the slide exits were located, on the playground for the 2 year olds through 4 year olds.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.4907(d).
- SeriousTexas: Medium
Documentation of Drills
There was no documentation of drills that occurred in April, or May of this year 2022 available for review. Note: This was corrected at inspection when the director added in the date in which the fire dill was conducted.
Corrected during the inspection. Technical assistance given. Standard 746.5205(4).
- SeriousTexas: Medium High
Fire Extinguishers Serviced
There was a fire extinguisher on the bus, meant to transport children, that had not been serviced since August 2013.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.5307(b).
- Jun 17, 2022Inspection5 findings · critical
- CriticalTexas: High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
There was not an electronic child safety alarm that was installed in the bus used to transport children.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.5625(b).
- SeriousTexas: Medium
Documentation of Drills
There was no documentation of drills that occurred in April, or May of this year 2022 available for review. Note: This was corrected at inspection when the director added in the date in which the fire dill was conducted.
Corrected during the inspection. Technical assistance given. Standard 746.5205(4).
- SeriousTexas: Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
There was less then 6 inches of loose fill material underneath the climbing bars, rock wall tee-pee, and where the slide exits were located, on the playground for the 2 year olds through 4 year olds.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.4907(d).
- SeriousTexas: Medium
First Aid Kit - Incomplete Kit
There was a thermometer that was missing from the first aid kit located on the bus used to transport children.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.4003(a).
- SeriousTexas: Medium High
Fire Extinguishers Serviced
There was a fire extinguisher on the bus, meant to transport children, that had not been serviced since August 2013.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.5307(b).
- Jun 17, 2022Inspection5 findings · critical
- CriticalTexas: High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
There was not an electronic child safety alarm that was installed in the bus used to transport children.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.5625(b).
- SeriousTexas: Medium
Documentation of Drills
There was no documentation of drills that occurred in April, or May of this year 2022 available for review. Note: This was corrected at inspection when the director added in the date in which the fire dill was conducted.
Corrected during the inspection. Technical assistance given. Standard 746.5205(4).
- SeriousTexas: Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
There was less then 6 inches of loose fill material underneath the climbing bars, rock wall tee-pee, and where the slide exits were located, on the playground for the 2 year olds through 4 year olds.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.4907(d).
- SeriousTexas: Medium
First Aid Kit - Incomplete Kit
There was a thermometer that was missing from the first aid kit located on the bus used to transport children.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.4003(a).
- SeriousTexas: Medium High
Fire Extinguishers Serviced
There was a fire extinguisher on the bus, meant to transport children, that had not been serviced since August 2013.
Correction verified Jul 22, 2022. Technical assistance given. Standard 746.5307(b).
Source. This facility on the Texas HHSC search. Data reloaded nightly.
Think something here is wrong? Texas corrects its own records; here is how to ask them, and how to tell us. We change nothing ourselves.
Facts from the license
- Permit
- Full Permit, issued Aug 4, 1986
- Capacity
- 219 children (licensed maximum, not openings)
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:30 PM · Mon,Tue,Wed,Thu,Fri
- Subsidies
- Not accepted
- County
- Bexar
Compare nearby
Same 36-month summary window. Different operating histories and coverage limit comparisons.
| Daycare | Ages | Licensed capacity | Hours | Findings, 36 mo |
|---|---|---|---|---|
| Shepherd of the Hills Lutheran this page | Infant–School | 219 | 6:30a–6:30p | 20 crit·106 ser·20 min |
| Aum School | Toddler–School | 85 | 8:30a–5p | 4 crit·32 ser·4 min |
| Bilingual Child Academy - Leon Valley | Infant–School | 159 | 6:30a–6p | 8 ser·4 min |
| Bright Ideas Childrens Enrichment | Infant–School | 241 | 6:15a–6:30p | 8 ser |
| Discovery World Learning Center | Infant–School | 108 | 7a–6p | 36 ser·8 min |
| Encourage Preschools | Infant–School | 99 | 7a–6p | No findings |
| Grace Point Day School | Infant–Pre-K | 54 | 7:30a–5:30p | 12 crit·56 ser |
- Shepherd of the Hills Lutheranthis pageInfant–School · 219 licensed capacity20 crit·106 ser·20 min
- Toddler–School · 85 licensed capacity4 crit·32 ser·4 min
- Infant–School · 159 licensed capacity8 ser·4 min
- Infant–School · 241 licensed capacity8 ser
- Infant–School · 108 licensed capacity36 ser·8 min
- Infant–School · 99 licensed capacityNo findings
- Infant–Pre-K · 54 licensed capacity12 crit·56 ser
Your tour, better prepared
- What will we pay in the first month, and what is refundable? Confirm how the deposit is credited.
- Is a place available for our age group and start date? Can you confirm that in writing?
- Who would be our child’s regular teacher, and how are absences covered? What are the current classroom ratios?
- What changed after the finding about “Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less”? Can you show the correction evidence and how the procedure is checked today?
- The same standard appears on more than one visit. What has changed to prevent recurrence?
- How do you handle allergies, medication, accessibility, and additional support needs?
- Some report details are missing here. Can you share the complete reports and their outcomes?
Enable JavaScript to save visit notes on this browser.
Contact & location
6914 Wurzbach Rd, San Antonio, TX 78240
State-sourced · checked Sep 16, 2026. Confirm current details with the provider.
State records and provider information have separate sources. Provider claims do not establish independently verified care quality. Missing data is not evidence of an issue-free record.