Crossroads Christian Academy
5834 RAY ELLISON BLVD, San Antonio, TX 78242 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 141
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:30 PM
- Director / administrator
- Sarah Ramirez
- Phone
- (726) 200-3032
- Regulated since
- Apr 2, 1987
- HHSC IDs
- Operation 97125 · number 141936
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Illness & medication (1), Records & paperwork (1) |
| 2024 | 2 | 0 | Staff background & training (2) |
| 2023 | 5 | 1 | Discipline & child guidance (1), Safety & premises (1), Records & paperwork (2), Other (1) |
| 2022 | 7 | 2 | Illness & medication (1), Supervision & ratios (3), Food & allergies (1), Staff background & training (1), Other (1) |
| 2021 | 7 | 1 | Supervision & ratios (2), Safety & premises (2), Staff background & training (2), Records & paperwork (1) |
Inspections, investigations & assessments
-
May 7, 2026 Inspection · Deficiencies cited
-
Illness & medication
There were five out of ten children's files that did not have updated immunization records.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-05-28. Correction verified 2026-05-27.
-
Records & paperwork
Five staff did not have the Pre-Affidavit form on file.
HHSC 746.901(5) — Required Personnel Records - Required Affidavit (Form 2912)
HHSC risk weight: Medium Low. Corrected 2026-05-28. Correction verified 2026-05-27.
-
Illness & medication
-
Oct 1, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 30, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 13, 2024 Inspection · Deficiencies cited
-
Staff background & training
Two employees were observed in a classroom alone with children before completing at least 8 hours of pre-service training.
HHSC 746.1301(a)(2)(A) — Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
HHSC risk weight: Medium High. Corrected 2024-06-20. Correction verified 2024-07-01.
-
Staff background & training
A caregiver who transports children did not have current transportation training on file.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2024-06-20. Correction verified 2024-07-18.
-
Staff background & training
-
Dec 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 30, 2023 Inspection · Deficiencies cited
-
Records & paperwork
Three caregivers did not have proof of education requirements on file or available for review.
HHSC 746.901(2) — Required Personnel Records- Meets Requirements
HHSC risk weight: Medium. Corrected 2023-07-07. Correction verified 2023-07-05.
-
Records & paperwork
Two employees did not have a notarized employment affidavit on file.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected 2023-07-07. Correction verified 2023-07-05.
-
Records & paperwork
-
Apr 20, 2023 Report · Deficiencies cited
-
Other
Based on the evidence gathered throughout the DFPS investigation, an infant was put in front of a television and allowed screen time.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2023-06-16. Correction verified 2023-06-30.
-
Discipline & child guidance Serious
Based on the evidence gathered throughout the DFPS investigation, a caregiver used inappropriate discipline towards an infant. The caregiver pulled the infant's hair and hit their head.
HHSC 746.2805 — Prohibited Punishments - No Harsh, Cruel or Unusual
HHSC risk weight: High. Corrected 2023-06-16. Correction verified 2023-06-30.
-
Safety & premises
Based on the evidence gathered throughout the DFPS investigation, the classroom where a mixed age group of children were being cared for was not free from hazards. Scissors were accessible to children and an infant tried to grab a pair of scissors twice.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2023-06-16. Correction verified 2023-06-30.
-
Other
-
Feb 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 19, 2022 Inspection · Deficiencies cited
-
Staff background & training
The director and the caregiver who will be providing transportation had not completed the two required annual training hours on transportation safety.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2023-01-19. Correction verified 2022-12-21.
-
Supervision & ratios Serious
The fire extenguisher in the operations transportation van was not secured.
HHSC 746.5617(a)(5) — Required Equipment in Vehicles - Fire Extinguisher
HHSC risk weight: High. Corrected 2023-01-19. Correction verified 2023-02-02.
-
Supervision & ratios Serious
The operations transportation van was not equipped with a child safety alarm.
HHSC 746.5625(a) — Electronic Child Safety Alarm - is equipped in each vehicle
HHSC risk weight: High. Corrected 2023-01-19. Correction verified 2023-02-02.
-
Staff background & training
-
Oct 3, 2022 Inspection · Deficiencies cited
-
Other
The Consumer Product Safety Form was not verified within the past annually.
HHSC 746.4135(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2022-10-03. Correction verified 2022-10-07.
-
Supervision & ratios
The operation did not have an emergency preparedness plan for review.
HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
HHSC risk weight: Medium High. Corrected 2022-10-17. Correction verified 2022-10-17.
-
Food & allergies
The food allergy plan was not included in the file of a child with a diagnosed food allergy.
HHSC 746.605(16) — Required Admission Information-Completed Food Allergy Plan
HHSC risk weight: Medium High. Corrected 2022-10-31. Correction verified 2022-10-07.
-
Illness & medication
One of the three children's record reviewed during inspection did not include an immunization record.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2022-10-31. Correction verified 2022-10-07.
-
Other
-
Oct 28, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 6, 2021 Inspection · Deficiencies cited
-
Staff background & training
The director is missing 29 hours of annual training.
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2021-11-06. Correction verified 2021-11-08.
-
Supervision & ratios
The child/caregiver ratio was reduced in a classroom with an infant younger than 17 months present.
HHSC 746.1613(a) — 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
HHSC risk weight: Medium. Corrected 2021-10-07. Correction verified 2021-10-28.
-
Supervision & ratios
During naptime one caregiver was assigned to supervise two separate classrooms resulting in not being physically present in each classroom at all times.
HHSC 746.1613(a)(6) — Naptime Child/Caregiver Ratio - Caregivers Physically Present
HHSC risk weight: Medium High. Corrected 2021-10-07. Correction verified 2021-10-28.
-
Safety & premises
A wood panel inside the outdoor toddler playhouse is broken and is accessible to children.
HHSC 746.3701(5) — Safety - Play Materials and Equipment Safe
HHSC risk weight: Medium High. Corrected 2021-10-20. Correction verified 2021-10-22.
-
Safety & premises Serious
Two children are missing authorization for emergency care on file.
HHSC 746.605(12) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2021-10-13. Correction verified 2021-10-07.
-
Staff background & training
Three employees are missing proof of education qualifications.
HHSC 746.901(2) — Required Personnel Records- Meets Requirements
HHSC risk weight: Medium. Corrected 2021-10-13. Correction verified 2021-10-28.
-
Records & paperwork
One employee is missing a notarized employment affidavit on file.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected 2021-10-13. Correction verified 2021-10-18.
-
Staff background & training
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.