Ernestine Ramirez
815 KENTUCKY AVE, San Antonio, TX 78201 · Bexar County
Program
- Type
- Registered child-care home
- Licensed capacity
- 12
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-05:30 PM
- Phone
- (210) 977-0421
- Regulated since
- Jun 28, 1993
- HHSC IDs
- Operation 131243 · number 501315
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 1 | Supervision & ratios (1), Safety & premises (2), Records & paperwork (1) |
| 2025 | 2 | 0 | Supervision & ratios (1), Other (1) |
| 2024 | 4 | 2 | Supervision & ratios (2), Safety & premises (1), Other (1) |
| 2022 | 1 | 0 | Supervision & ratios (1) |
| 2021 | 3 | 1 | Illness & medication (1), Supervision & ratios (1), Safety & premises (1) |
Inspections, investigations & assessments
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Aug 4, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 28, 2026 Inspection · Deficiencies cited
-
Supervision & ratios
Operation did not submit proof of liability insurance annually by anniversary date of issuance.
HHSC 747.209(2) — Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
HHSC risk weight: Medium. Corrected 2026-07-30. Correction verified 2026-08-03.
-
Safety & premises Serious
Two classrooms did not have a smoke detector.
HHSC 747.5111 — Smoke-Detection System
HHSC risk weight: High. Corrected 2026-07-30. Correction verified 2026-08-04.
-
Safety & premises
Two of four children's records reviewed were missing admission information of: child's and parents address, admission date, parent telephone number, emergency contact, release information, emergency care authorization, and special care statement.
HHSC 747.603(a)(2) — Children's Records - Admission Information
HHSC risk weight: Medium. Corrected 2026-07-30. Correction verified 2026-08-04.
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Records & paperwork
One of four children's records reviewed did not have a health statement on file.
HHSC 747.611(b) — Health Statement on File
HHSC risk weight: Medium. Corrected 2026-08-03. Correction verified 2026-08-04.
-
Supervision & ratios
-
Aug 22, 2025 Inspection · Deficiencies cited
-
Other
At time of inspection, three pet vaccinations were past due.
HHSC 747.3703(a) — Animals at Center - Documentation of Vaccinations
HHSC risk weight: Medium High. Corrected 2025-09-12. Correction verified 2025-09-08.
-
Supervision & ratios
At time of inspection, operations fire extinguisher was last serviced July 2024.
HHSC 747.5107(b) — Fire Extinguishers Serviced
HHSC risk weight: Medium High. Corrected 2025-09-12. Correction verified 2025-09-08.
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Other
-
Dec 27, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2024 Inspection · Deficiencies cited
-
Other Serious
At time of inspection an infnat was observed inside the play yard wearing a bib.
HHSC 747.2301(5) — Basic Requirements for Infants - Free from Choking Objects
HHSC risk weight: High. Corrected 2024-09-09. Correction verified 2024-09-20.
-
Safety & premises Serious
At time of inspection an infant younger than twelve months was observed inside the play yard with a blanket. Corrected at inspection.
HHSC 747.2315(b) — AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
HHSC risk weight: High. Corrected 2024-09-09. Correction verified 2024-09-20.
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Other Serious
-
Jul 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2024 Inspection · Deficiencies cited
-
Supervision & ratios
At time of inspection, operation could not provide childrens files for review.
HHSC 747.601(c) — Children's Records Accessible - to Licensing
HHSC risk weight: Medium. Corrected 2024-06-21. Correction verified 2024-06-27.
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Supervision & ratios
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Jun 3, 2024 Report · Deficiencies cited
-
Supervision & ratios
During the investigation, it was made aware the operation has "at-door policy" that has parents drop off and pick up at the door.
HHSC 747.207(5) — Allow Parents to Visit Child-care Home Anytime During Hours of Operation
HHSC risk weight: Medium. Corrected 2024-06-25. Correction verified 2024-07-15.
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Supervision & ratios
-
Sep 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 12, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 5, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Operation was out of ratio by one child, having one child under 18 months and six children over 18 months.
HHSC 747.1701 — Child/ Caregiver Ratio - Registered Child Care Home
HHSC risk weight: Medium High. Corrected 2022-10-05. Correction verified 2022-10-12.
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Supervision & ratios
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Jan 31, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 27, 2021 Report · Deficiencies cited
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Supervision & ratios
Based on documentation and interviews with provider and parents. The provider was out of ratio by have two infants under age of seventeen months.
HHSC 747.1701 — Child/ Caregiver Ratio - Registered Child Care Home
HHSC risk weight: Medium High. Corrected 2022-01-28. Correction verified 2022-01-31.
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Supervision & ratios
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Nov 2, 2021 Inspection · Deficiencies cited
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Safety & premises Serious
Duriing the test of fire alrams it found no batteries were in the smoke detector. This was corrected at inspection when provider replaced the batteries and smoke detector was operating successfully.
HHSC 747.5115 — Smoke Detectors Testing
HHSC risk weight: High. Corrected at inspection. Corrected 2021-11-02.
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Illness & medication
One of the six files reviewed was missing a copy the immunizaiton records. This was corrected at inspection when provider was recieved a copy of the child's immunizaiton and placed it int the file.
HHSC 747.613(c) — Immunization Record Upon Admission
HHSC risk weight: Medium High. Corrected 2021-11-02. Correction verified 2021-12-01.
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Safety & premises Serious
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
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.