15 were rated high or medium-high risk. All were marked corrected. Texas HHSC inspections since 2021.
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: During the investigation, it was determined that a child who swallowed a quarter was kept in care, even though they were vomiting repeatedly.
Documented Annual Training- Required Content: There were 2 out of 10 staff's files audited that were missing annual trainings for Communicable Diseases. There were 1 out of 10 staff's files audited that was missing the annual training for Building Safety.
Administering Medication - Original Container with Child's Name, Date: There were two children's medication that were not labeled with the date brought into the operation.
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| Date | Inspection | Result | Findings | Open | Evidence |
|---|---|---|---|---|---|
| Aug 5, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jul 20, 2026 | Investigation of a report (self-reported) | Deficiencies cited | 1 | 0 | Verified |
| Apr 27, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Apr 23, 2026 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Apr 9, 2026 | Inspection | Deficiencies cited | 4 | 0 | Verified |
| Jan 2, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Nov 13, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Oct 29, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Oct 24, 2025 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Sep 2, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| May 19, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| May 1, 2025 | Inspection | Deficiencies cited | 2 | 0 | Verified |
| Apr 22, 2025 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Mar 17, 2025 | Investigation of a report (self-reported) | Deficiencies cited | 1 | 0 | Verified |
| Mar 12, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Feb 11, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jan 13, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Nov 7, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Oct 28, 2024 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Aug 15, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 27, 2024 | Investigation of a report | Deficiencies cited | 3 | 0 | Verified |
| Jun 12, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 10, 2024 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Jun 3, 2024 | Inspection | Deficiencies cited | 2 | 0 | Verified |
| Jan 30, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jan 22, 2024 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Sep 27, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Sep 11, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Aug 8, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jul 28, 2023 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Jul 10, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 22, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 6, 2023 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| May 31, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| May 22, 2023 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| May 18, 2023 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Mar 1, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jan 9, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jan 2, 2023 | Investigation of a report | Deficiencies cited | 1 | 0 | Verified |
| Sep 28, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Sep 19, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Sep 15, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Sep 2, 2022 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Aug 2, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jul 20, 2022 | Inspection | Deficiencies cited | 3 | 0 | Verified |
| Jun 22, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 3, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| May 24, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| May 24, 2022 | Investigation of a report (self-reported) | Deficiencies cited | 1 | 0 | Verified |
| May 23, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| May 16, 2022 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Mar 31, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Dec 13, 2021 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Dec 2, 2021 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Nov 29, 2021 | Investigation of a report | Deficiencies cited | 4 | 0 | Verified |
Each finding links to its normalized violation type (all facilities with the same finding) and to the exact inspection.
| Date | Code | Severity | Status | Finding (source text) |
|---|---|---|---|---|
| Jul 20, 2026 | §746.1201(1) Staff qualifications & clearances | High risk | Corrected | Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: During the investigation, it was determined that a child who swallowed a quarter was kept in care, even though they were vomiting repeatedly. |
| Apr 9, 2026 | §746.1309(e) Staff qualifications & clearances | Medium risk | Corrected | Documented Annual Training- Required Content: There were 2 out of 10 staff's files audited that were missing annual trainings for Communicable Diseases. There were 1 out of 10 staff's files audited that was missing the annual training for Building Safety. |
| Apr 9, 2026 | §746.3805(b)(1) Supervision & ratios | Medium-high risk | Corrected | Administering Medication - Original Container with Child's Name, Date: There were two children's medication that were not labeled with the date brought into the operation. |
| Apr 9, 2026 | §746.3401(a) Sanitation & hygiene | Medium-high risk | Corrected | Annual Sanitation Inspection: There was no updated annual sanitation inspection. Last health/sanitation conducted 04/01/2025. |
| Apr 9, 2026 | §746.3809 Health records & medication | Medium risk | Corrected | Medication No Longer Used: There were two medications that were expired. |
| May 1, 2025 | §746.603(a)(3) Safety hazards | Medium risk | Corrected | Children's Records - Health Statement: Ten files were audited, 2 are missing current health stamens available for review during an inspection. |
| May 1, 2025 | §746.3407(8) Safety hazards | Medium-high risk | Corrected | Garbage Inaccessible to Children; Maintained in Sanitary Manner: The playground was observed with a wasp nest, multiple ant piles, and garbage on all three playgrounds while children were present. |
| Mar 17, 2025 | §746.1315(a) Staff qualifications & clearances | Medium-high risk | Corrected | Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.: At time of incindet a caregiver did not have a current CPR/First Aid certification. |
| Oct 28, 2024 | §746.1205(a)(2) Other | High risk | Corrected | Responsibilities of Caregivers - Know number of children responsible for: At time of inspection a PreK caregiver stated the class had ten children when their were eleven. This was corrected at inspection. |
| Jun 27, 2024 | §746.1201(4) Staff qualifications & clearances | High risk | Corrected | AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited: This standard was found deficient as part of a DFPS Investigation. |
| Jun 27, 2024 | §746.1205(a)(4) Supervision & ratios | High risk | Corrected | Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity: Operation staff failed to ensure adequate supervision of all children in their care when a child exited the building and was on the playground unattended for at least one and a half hours. |
| Jun 27, 2024 | §746.1203(10) Supervision & ratios | Medium-high risk | Corrected | Responsibilities of Caregivers - Share Information with Incoming Caregivers: During a DFPS investigation, it was determined that operation staff failed to ensure that staff were informed of the number of children that should be present in a classroom when they came to assist during naptime, resulting in the operation failing to identify that a child was missing for over an hour and a half. |
| Jun 3, 2024 | §746.1613(a) Supervision & ratios | Medium risk | Corrected | Reduction of child/caregiver naptime ratio by 50% allowed, If 13 or more children in care, children are 18 mo. or older and other standards met: During naptime in the Infant C classroom one caregiver was supervising seven children with the youngest being 16 months and the oldest being 19 months old. NOTED: This was corrected when the 16-month-old was moved to the mobile infant classroom. |
| Jun 3, 2024 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: One of the ten children files didn't have an updated immunization record. |
| Jun 6, 2023 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: During inspection, two out of ten children files needed updated immunization records. |
| May 22, 2023 | §745.641 Supervision & ratios | High risk | Corrected | AP Background check results - Must receive notification prior to allowing subject to be present at your operation: On 5/22/2023, there were two people present at the operation pending background checks and in care of children. One person was in the infant classroom and the other was in the 2 & 3 year old classroom. |
| Jan 2, 2023 | §746.1203(3)(C) Supervision & ratios | Medium-high risk | Corrected | Janitorial duties: Based on the information gathered and interviews conducted at the time of the incident the caregiver was wiping down shelves, cleaning and sweeping not directly involved with teaching, care and supervision of the children. |
| Jul 20, 2022 | §746.4907(d) Facilities & equipment | Medium-high risk | Corrected | Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained: The Pre school and toddler playground were inspected to have less than 6 inches of mulch and rubber tile pieces. |
| Jul 20, 2022 | §746.4135(b) Staff qualifications & clearances | Medium risk | Corrected | Children's Products- Annual Certification: The Consumer Product Safety was last certified on 1.1.21. NOTE: This was corrected when the website was reviewed a CPS form was posted. |
| Jul 20, 2022 | §746.1203(5) Sanitation & hygiene | Medium-high risk | Corrected | Responsibilities of Caregivers - Children in Control: The PreK 4 classroom children were observed out of control as children were running, hitting/throwing pillows at friends, not keeping hands to themselves, child flipping on the carpet, stuffing the sink with paper towels as the caregiver was getting ready to pass out snack. In addition to the caregiver passing out skittles for showing good behavior, and cleaning up the classroom. |
| May 24, 2022 | §746.701(5) Health records & medication | Medium risk | Corrected | Licensing Incident/Illness Report Form - Situations Placing Children at Risk: An incident report was not used to document this prohibit item that was left in a child's bag and brought into the center to be unsafe. |
| Nov 29, 2021 | §746.707 Supervision & ratios | Medium risk | Corrected | Incident/Illness Report Form Shared with Parent: Based upon information gathered as a result of this investigation and interviews conducted it was determined that the operation failed to share an incident report for a parent signature of the incident. |
| Nov 29, 2021 | §746.701(5) Health records & medication | Medium risk | Corrected | Licensing Incident/Illness Report Form - Situations Placing Children at Risk: Based upon information gathered as a result of this investigation and interviews conducted it was determined a Licensing Incident/Illness Report Form 7239 was not available for review. |
| Nov 29, 2021 | §746.1203(4) Supervision & ratios | High risk | Corrected | Responsibilities of Caregivers- Supervision of Children: Based upon information gathered and interviews conducted supervision was determined to have occurred after a three-year child was found in the kitchen unsupervised. |
| Nov 29, 2021 | §746.307(b)(4) Supervision & ratios | Medium-high risk | Corrected | Parental Communication - Situation that Placed a Child at Risk: Based upon information gathered as a result of this investigation and interviews conducted it was determined that the operation failed to immediately notify the parent on the situation that placed the child at risk. |
| Facility | Type | Operator | Capacity | Inspection findings | Last insp. | Dist. |
|---|---|---|---|---|---|---|
| The Nest School San Antonio San Antonio, 78250 | Child care center | — | 266 | No records | — | 0.4 km |
| The Kid's Garden Learning Center San Antonio, 78250 | Child care center | — | 147 | No records | — | 0.6 km |
| La Petite Guilbeau San Antonio, 78250 | Child care center | — | 144 | No records | — | 0.7 km |
| Northwest Hills Gmc Mother's Day Out Preschool San Antonio, 78250 | Child care center | — | 70 | No records | — | 1.1 km |
| The Kindness Academy San Antonio, 78254 | Child care center | — | 120 | No records | — | 1.6 km |
| Smart Ducklings Daycare #3 San Antonio, 78250 | Child care center | — | 85 | No records | — | 2.1 km |
| Source | Record | Facts | Evidence | Effective | Retrieved |
|---|---|---|---|---|---|
| Texas HHSC Operations TX | 99619 | name, type, status, capacity, ages, hours, address, phone, subsidies | Verified | — | Nov 5, 2026 |
| us_census_geocoder US | 8980 GUILBEAU RD|SAN ANTONIO… | location Census Geocoder Exact match: 8980 GUILBEAU RD, SAN ANTONIO, TX, 78250 | Verified | — | Nov 5, 2026 |
| Texas HHSC Inspections | 905747934 | Verified | Aug 5, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905902106 | Verified | Jul 20, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905747933 | Verified | Apr 27, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905902105 | Verified | Apr 23, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905747932 | Verified | Apr 9, 2026 | Nov 5, 2026 |
Sources: Texas HHSC Operations, us_census_geocoder. Missing data never means no issue exists. Report a correction.