Irma Diaz Ramos
5003 TIMBER WIND, San Antonio, TX 78250 · Bexar County
Program
- Type
- Registered child-care home
- Licensed capacity
- 12
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:00 PM
- Phone
- (210) 860-6159
- Regulated since
- Aug 21, 1998
- HHSC IDs
- Operation 156841 · number 538098
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 7 | 0 | Cleanliness & sanitation (2), Supervision & ratios (2), Food & allergies (2), Staff background & training (1) |
| 2023 | 9 | 0 | Cleanliness & sanitation (1), Supervision & ratios (3), Safety & premises (4), Staff background & training (1) |
Inspections, investigations & assessments
-
Aug 13, 2025 Inspection · Deficiencies cited
-
Food & allergies
A feeding schedule was not available for review for a child bottle feeding.
HHSC 747.2321(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2025-08-20. Correction verified 2025-08-20.
-
Cleanliness & sanitation
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
HHSC 747.3307(d) — Diapering Procedures- Sanitizing the Diapering Area
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-08-13.
-
Supervision & ratios
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2025-08-20. Correction verified 2025-08-26.
-
Food & allergies
-
Aug 13, 2025 Inspection · Deficiencies cited
-
Staff background & training
Annual training for 2023-2024 was missing one hour of management, emergency preparedness plan, the spread of communicable diseases.
HHSC 747.1309(e)(2) — Primary Caregiver Annual Training - More Than 5 Years Experience
HHSC risk weight: Low. Corrected 2025-08-27. Correction verified 2025-08-25.
-
Food & allergies
A feeding schedule was not available for review for a child bottle feeding.
HHSC 747.2321(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2025-08-20. Correction verified 2025-08-20.
-
Cleanliness & sanitation
After changing a child on the changing table it wasn't sanitized before placing another child on the changing table. NOTE: This was corrected at inspection when the changing table was sanitized.
HHSC 747.3307(d) — Diapering Procedures- Sanitizing the Diapering Area
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-08-13.
-
Supervision & ratios
The operational policy was missing a written statement regards to promoting indoor/outdoor activities with the duration, clothing/footwear and a plan if weather permits.
HHSC 747.501(8) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2025-08-20. Correction verified 2025-08-26.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Sep 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 28, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
At time of inspection operation had seven children, One child was under seventeen months and the other six children were under five years old. Ratio requires five children under five years old with one child seventeen months or younger.
HHSC 747.1701 — Child/ Caregiver Ratio - Registered Child Care Home
HHSC risk weight: Medium High. Corrected 2023-08-28. Correction verified 2023-09-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Aug 28, 2023 Inspection · Deficiencies cited
No violations cited on this visit.
-
Aug 15, 2023 Inspection · Deficiencies cited
-
Staff background & training
At time of inspection primary caregivers CPR/First Aid certification was not current.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2023-08-31. Correction verified 2023-08-17.
-
Safety & premises
At time of inspection, an outdoor play house was observed to have a hole in its floor.
HHSC 747.3203 — Sanitation of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2023-08-31. Correction verified 2023-08-28.
-
Cleanliness & sanitation
At time of inspection an outdoor mosquito spray was observed at children's reach. This was corrected at inspection.
HHSC 747.3203(13) — Mark Cleaning Supplies, Toxic Materials; Separate from Food and Inaccessible
HHSC risk weight: Medium High. Corrected 2023-08-15. Correction verified 2023-08-28.
-
Supervision & ratios
During inspection parent handbook did not have safe sleep policies included.
HHSC 747.501(6) — Written Operational Policies - Safe Sleep for Infants
HHSC risk weight: Medium High. Corrected 2023-08-18. Correction verified 2023-08-16.
-
Safety & premises
A child file stated child had food allergy, no emergency plan was available during inspection.
HHSC 747.605(16) — Required Admission Information-Completed Food Allergy Emergency Plan
HHSC risk weight: Medium High. Corrected 2023-08-18. Correction verified 2023-08-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Aug 15, 2023 Inspection · Deficiencies cited
-
Safety & premises
At time of inspection, an outdoor play house was observed to have a hole in its floor.
HHSC 747.3203 — Sanitation of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2023-08-31. Correction verified 2023-08-28.
-
Supervision & ratios
During inspection parent handbook did not have safe sleep policies included.
HHSC 747.501(6) — Written Operational Policies - Safe Sleep for Infants
HHSC risk weight: Medium High. Corrected 2023-08-18. Correction verified 2023-08-16.
-
Safety & premises
A child file stated child had food allergy, no emergency plan was available during inspection.
HHSC 747.605(16) — Required Admission Information-Completed Food Allergy Emergency Plan
HHSC risk weight: Medium High. Corrected 2023-08-18. Correction verified 2023-08-28.
-
Safety & premises
-
Oct 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 15, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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.