Kathleen Doege

3085 KUSMIERZ RD, Saint Hedwig, TX 78152 · Bexar County

42cited violations

4serious

22inspections & investigations

0enforcement actions

Program

Type: Registered child-care home
Licensed capacity: 12
Ages: Infant, Toddler, Pre-Kindergarten, School
Hours: 07:00 AM-05:30 PM
Phone: (210) 324-5112
Regulated since: Jan 28, 2013
HHSC IDs: Operation 1095696 · number 1501404
Official record: HHSC Child Care Search

Violations by category

Cleanliness & sanitation 2
Illness & medication 2
Supervision & ratios 4
Staff background & training 20
Records & paperwork 4
Other 10

Year by year

Year	Violations	Serious	Main categories
2026	2	0	Other (2)
2025	10	0	Cleanliness & sanitation (2), Staff background & training (8)
2024	14	4	Supervision & ratios (4), Staff background & training (4), Records & paperwork (2), Other (4)
2022	16	0	Illness & medication (2), Staff background & training (8), Records & paperwork (2), Other (4)

Inspections, investigations & assessments

Jun 26, 2026 Inspection · Deficiencies cited
- Other
  During the inspection the primary caregivers last sign in/out was 1/27/26.
  
  HHSC 747.635(a) — Sign-in and Sign-out Logs Maintained
  
  HHSC risk weight: Medium High. Corrected 2026-07-10. Correction verified 2026-07-14.
HHSC inspection history · no longer published by HHSC; kept here
Jun 26, 2026 Inspection · Deficiencies cited
- Other
  During the inspection the primary caregivers last sign in/out was 1/27/26.
  
  HHSC 747.635(a) — Sign-in and Sign-out Logs Maintained
  
  HHSC risk weight: Medium High. Corrected 2026-07-10. Correction verified 2026-07-14.
HHSC inspection history
Jan 27, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Jan 27, 2026 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Dec 3, 2025 Assessment · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Dec 3, 2025 Assessment · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Dec 1, 2025 Assessment · Deficiencies cited
- Staff background & training
  This is a recite for the primary caregiver first aid/cpr not being renewed by the compliance date.
  
  HHSC 747.1007(5) — Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2025-12-08. Correction verified 2025-12-03.
HHSC inspection history · no longer published by HHSC; kept here
Dec 1, 2025 Assessment · Deficiencies cited
- Staff background & training
  This is a recite for the primary caregiver first aid/cpr not being renewed by the compliance date.
  
  HHSC 747.1007(5) — Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2025-12-08. Correction verified 2025-12-03.
HHSC inspection history
Oct 23, 2025 Inspection · Deficiencies cited
- Staff background & training
  First Aid/CPR expired 11/2024.
  
  HHSC 747.1007(5) — Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2025-11-30. Correction verified 2025-12-03.
- Staff background & training
  The annual training courses for the primary caregiver are not complete. The primary caregiver had 12 training hours in classroom related items.
  
  HHSC 747.1007(7) — Primary Caregiver in a Registered Home Qualifications-Proof of Training in Required Topics (A-L)
  
  HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2026-01-27.
- Cleanliness & sanitation
  Children did not wash their hands before sitting down for snack.
  
  HHSC 747.3213(3) — Children Handwashing After Toileting or Diapering
  
  HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2026-01-27.
HHSC inspection history · no longer published by HHSC; kept here
Oct 23, 2025 Inspection · Deficiencies cited
- Staff background & training
  First Aid/CPR expired 11/2024.
  
  HHSC 747.1007(5) — Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2025-11-30. Correction verified 2025-12-03.
- Staff background & training
  The annual training courses for the primary caregiver are not complete. The primary caregiver had 12 training hours in classroom related items.
  
  HHSC 747.1007(7) — Primary Caregiver in a Registered Home Qualifications-Proof of Training in Required Topics (A-L)
  
  HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2026-01-27.
- Cleanliness & sanitation
  Children did not wash their hands before sitting down for snack.
  
  HHSC 747.3213(3) — Children Handwashing After Toileting or Diapering
  
  HHSC risk weight: Medium High. Corrected 2025-12-31. Correction verified 2026-01-27.
HHSC inspection history
Jan 9, 2025 Assessment · Deficiencies cited
- Staff background & training
  Primary caregiver is missing 12 out of the 30 annual trainings hours required.
  
  HHSC 747.1303(5)(A) — Training Requirements for Primary Caregiver -30 Hours Annual Training
  
  HHSC risk weight: Medium High. Corrected 2025-01-31. Correction verified 2025-02-03.
HHSC inspection history
Jan 9, 2025 Assessment · Deficiencies cited
- Staff background & training
  Primary caregiver is missing 12 out of the 30 annual trainings hours required.
  
  HHSC 747.1303(5)(A) — Training Requirements for Primary Caregiver -30 Hours Annual Training
  
  HHSC risk weight: Medium High. Corrected 2025-01-31. Correction verified 2025-02-03.
HHSC inspection history · no longer published by HHSC; kept here
Nov 25, 2024 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Nov 25, 2024 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Oct 28, 2024 Inspection · Deficiencies cited
- Staff background & training
  Primary caregiver is missing 14 out of the 30 annual trainings hours required.
  
  HHSC 747.1303(5)(A) — Training Requirements for Primary Caregiver -30 Hours Annual Training
  
  HHSC risk weight: Medium High. Corrected 2024-12-20. Correction verified 2025-01-09.
- Supervision & ratios
  Screen time was used for the children present at the operation which included an 18-month-old.
  
  HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
  
  HHSC risk weight: Medium. Corrected 2024-10-28. Correction verified 2024-11-25.
- Other
  Feeding instructions have not been updated in 30 days.
  
  HHSC 747.2321(b) — Written Feeding Instructions - Review and Update Every 30 Days
  
  HHSC risk weight: Medium. Corrected 2024-10-28. Correction verified 2024-11-25.
- Other Serious
  A wadding pool observed filled with water was observed in the children's play area.
  
  HHSC 747.4813(a)(2) — Safety Requirements for Wading Pools - Drained Daily and Sanitized
  
  HHSC risk weight: High. Corrected 2024-10-28. Correction verified 2024-11-25.
- Supervision & ratios
  Parents rights were not included in the operational policies.
  
  HHSC 747.501(9) — Written Operational Policies - Parent Rights
  
  HHSC risk weight: Medium. Corrected 2024-10-28. Correction verified 2024-11-25.
- Records & paperwork
  Attendance records have not been kept. Note: This was corrected at inspection when the Primary Caregiver took attendance for the children present today.
  
  HHSC 747.635(a) — Sign-in and Sign-out Logs Maintained
  
  HHSC risk weight: Medium High. Corrected 2024-10-28. Correction verified 2024-11-25.
- Staff background & training Serious
  A background check fee has not been paid.
  
  HHSC HRC42.054 - Required Fees — HRC42.054 - Required Fees
  
  HHSC risk weight: High. Corrected 2024-10-28. Correction verified 2024-11-25.
HHSC inspection history
Oct 28, 2024 Inspection · Deficiencies cited
- Staff background & training
  Primary caregiver is missing 14 out of the 30 annual trainings hours required.
  
  HHSC 747.1303(5)(A) — Training Requirements for Primary Caregiver -30 Hours Annual Training
  
  HHSC risk weight: Medium High. Corrected 2024-12-20. Correction verified 2025-01-09.
- Supervision & ratios
  Screen time was used for the children present at the operation which included an 18-month-old.
  
  HHSC 747.2105(a) — Screen Time Activities - Not Used for Under Two
  
  HHSC risk weight: Medium. Corrected 2024-10-28. Correction verified 2024-11-25.
- Other
  Feeding instructions have not been updated in 30 days.
  
  HHSC 747.2321(b) — Written Feeding Instructions - Review and Update Every 30 Days
  
  HHSC risk weight: Medium. Corrected 2024-10-28. Correction verified 2024-11-25.
- Other Serious
  A wadding pool observed filled with water was observed in the children's play area.
  
  HHSC 747.4813(a)(2) — Safety Requirements for Wading Pools - Drained Daily and Sanitized
  
  HHSC risk weight: High. Corrected 2024-10-28. Correction verified 2024-11-25.
- Supervision & ratios
  Parents rights were not included in the operational policies.
  
  HHSC 747.501(9) — Written Operational Policies - Parent Rights
  
  HHSC risk weight: Medium. Corrected 2024-10-28. Correction verified 2024-11-25.
- Records & paperwork
  Attendance records have not been kept. Note: This was corrected at inspection when the Primary Caregiver took attendance for the children present today.
  
  HHSC 747.635(a) — Sign-in and Sign-out Logs Maintained
  
  HHSC risk weight: Medium High. Corrected 2024-10-28. Correction verified 2024-11-25.
- Staff background & training Serious
  A background check fee has not been paid.
  
  HHSC HRC42.054 - Required Fees — HRC42.054 - Required Fees
  
  HHSC risk weight: High. Corrected 2024-10-28. Correction verified 2024-11-25.
HHSC inspection history · no longer published by HHSC; kept here
Oct 30, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Oct 30, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Dec 12, 2022 Inspection · Deficiencies cited
- Staff background & training
  The provider did not have 20 clock hours of training that is required annually.
  
  HHSC 747.1309(a) — Primary Caregiver Annual Training -30 Hours Required
  
  HHSC risk weight: Medium. Corrected 2023-01-06. Correction verified 2023-01-17.
HHSC inspection history
Dec 12, 2022 Inspection · Deficiencies cited
- Staff background & training
  The provider did not have 20 clock hours of training that is required annually.
  
  HHSC 747.1309(a) — Primary Caregiver Annual Training -30 Hours Required
  
  HHSC risk weight: Medium. Corrected 2023-01-06. Correction verified 2023-01-17.
HHSC inspection history · no longer published by HHSC; kept here
Oct 28, 2022 Inspection · Deficiencies cited
- Staff background & training
  The first aid and CPR was expired for the provider.
  
  HHSC 747.1007(5) — Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2022-12-02. Correction verified 2022-11-12.
- Staff background & training
  The provider did not have 25 clock hours of training that is required annually.
  
  HHSC 747.1309(a) — Primary Caregiver Annual Training -30 Hours Required
  
  HHSC risk weight: Medium. Corrected 2022-11-18. Correction verified 2022-12-12.
- Staff background & training
  The SIDS and Shaken Baby Training was expired for the provider.
  
  HHSC 747.1309(c) — Primary Caregiver Annual Training - Special topics for children under 24 months
  
  HHSC risk weight: Medium High. Corrected 2022-11-18. Correction verified 2022-12-12.
- Other
  At the time of inspection the children were not using the fenced back yard for outdoor time.
  
  HHSC 747.4105 — Fenced Outdoor Activity Space
  
  HHSC risk weight: Medium High. Corrected 2022-11-18. Correction verified 2022-12-12.
- Illness & medication
  Three children's files did not contain immunization records.
  
  HHSC 747.603(a)(4) — Children's Records - Immunizations
  
  HHSC risk weight: Medium. Corrected 2022-11-11. Correction verified 2022-11-27.
- Other
  One child's file did not contain a health statement.
  
  HHSC 747.611(a) — Required Health Statement
  
  HHSC risk weight: Low. Corrected 2022-11-11. Correction verified 2022-11-27.
- Records & paperwork
  Six dog vaccinations were expired.
  
  HHSC 747.801(6) — Records Maintained and Made Available - Pet Vaccinations
  
  HHSC risk weight: Medium. Corrected 2022-11-18. Correction verified 2022-11-27.
HHSC inspection history
Oct 28, 2022 Inspection · Deficiencies cited
- Staff background & training
  The first aid and CPR was expired for the provider.
  
  HHSC 747.1007(5) — Primary Caregiver in Registered Home Qualifications - pediatric first-aid and pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2022-12-02. Correction verified 2022-11-12.
- Staff background & training
  The provider did not have 25 clock hours of training that is required annually.
  
  HHSC 747.1309(a) — Primary Caregiver Annual Training -30 Hours Required
  
  HHSC risk weight: Medium. Corrected 2022-11-18. Correction verified 2022-12-12.
- Staff background & training
  The SIDS and Shaken Baby Training was expired for the provider.
  
  HHSC 747.1309(c) — Primary Caregiver Annual Training - Special topics for children under 24 months
  
  HHSC risk weight: Medium High. Corrected 2022-11-18. Correction verified 2022-12-12.
- Other
  At the time of inspection the children were not using the fenced back yard for outdoor time.
  
  HHSC 747.4105 — Fenced Outdoor Activity Space
  
  HHSC risk weight: Medium High. Corrected 2022-11-18. Correction verified 2022-12-12.
- Illness & medication
  Three children's files did not contain immunization records.
  
  HHSC 747.603(a)(4) — Children's Records - Immunizations
  
  HHSC risk weight: Medium. Corrected 2022-11-11. Correction verified 2022-11-27.
- Other
  One child's file did not contain a health statement.
  
  HHSC 747.611(a) — Required Health Statement
  
  HHSC risk weight: Low. Corrected 2022-11-11. Correction verified 2022-11-27.
- Records & paperwork
  Six dog vaccinations were expired.
  
  HHSC 747.801(6) — Records Maintained and Made Available - Pet Vaccinations
  
  HHSC risk weight: Medium. Corrected 2022-11-18. Correction verified 2022-11-27.
HHSC inspection history · no longer published by HHSC; kept here

Get the full file

HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.

Email the request Printable letter (fax or mail)

Send to: HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions

Show the letter text

Letter text

Dear Open Records Coordinator,

Under the Texas Public Information Act, Texas Government Code Chapter 552, I request copies of the following Child Care Regulation records for Kathleen Doege, 3085 KUSMIERZ RD, Saint Hedwig, TX 78152-9719 (operation ID 1095696, operation number 1501404), for January 1, 2019 to the present:

1. Every inspection, assessment and investigation report, including the deficiencies cited and the operation's corrective actions.
2. Every complaint and self-report intake and its finding.
3. Every corrective or adverse action (evaluation, probation, suspension, revocation, denial, administrative penalty) with related correspondence.
4. Every plan of action or correction the operation submitted, and HHSC's response.

I understand that information made confidential by law (for example the identities of children, families and reporters) may be redacted; please release the remainder. Please provide the records electronically by email. If the cost will exceed $40, please send me an itemized estimate first.

Thank you,

[Your name]
[Email] · [Phone]

If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.

Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.