Pre-k 4 Sa - North Education Center
3635 MEDICAL DR, San Antonio, TX 78229 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 520
- Ages
- Pre-Kindergarten, School
- Hours
- 07:00 AM-06:00 PM
- Director / administrator
- Cashelle Johnson
- Phone
- (210) 206-2800
- Regulated since
- Feb 21, 2014
- HHSC IDs
- Operation 1118305 · number 1520783
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 10 | 0 | Illness & medication (2), Supervision & ratios (2), Staff background & training (4), Records & paperwork (2) |
| 2025 | 2 | 0 | Supervision & ratios (2) |
| 2024 | 2 | 0 | Other (2) |
| 2022 | 2 | 0 | Records & paperwork (2) |
| 2021 | 2 | 0 | Safety & premises (2) |
Inspections, investigations & assessments
-
Mar 25, 2026 Inspection · Deficiencies cited
-
Staff background & training
At the time of the inspection, eight out of the eight staff training files did not have training certificates in all required topics from the last full school year for review.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2026-05-25. Correction verified 2026-04-15.
-
Staff background & training
At the time of the inspection, two out of the two director training files did not have training certificates in all required topics from the last full school year for review.
HHSC 746.1301(a)(6)(A) — Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
HHSC risk weight: Medium High. Corrected 2026-05-25. Correction verified 2026-04-15.
-
Illness & medication
There were multiple expired medications observed in the nurse's office.
HHSC 746.3809 — Medication No Longer Used
HHSC risk weight: Medium. Corrected 2026-04-01. Correction verified 2026-04-17.
-
Records & paperwork
During the inspection, one out of ten staff files reviewed did not have a notarized Affidavit for Employment.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit (Form 2985)
HHSC risk weight: Medium Low. Corrected 2026-04-01. Correction verified 2026-04-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Mar 25, 2026 Inspection · Deficiencies cited
-
Staff background & training
At the time of the inspection, eight out of the eight staff training files did not have training certificates in all required topics from the last full school year for review.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2026-05-25. Correction verified 2026-04-15.
-
Staff background & training
At the time of the inspection, two out of the two director training files did not have training certificates in all required topics from the last full school year for review.
HHSC 746.1301(a)(6)(A) — Training Requirements for Employees, Caregivers, and Directors - 30 Annual Training
HHSC risk weight: Medium High. Corrected 2026-05-25. Correction verified 2026-04-15.
-
Illness & medication
There were multiple expired medications observed in the nurse's office.
HHSC 746.3809 — Medication No Longer Used
HHSC risk weight: Medium. Corrected 2026-04-01. Correction verified 2026-04-17.
-
Records & paperwork
During the inspection, one out of ten staff files reviewed did not have a notarized Affidavit for Employment.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit (Form 2985)
HHSC risk weight: Medium Low. Corrected 2026-04-01. Correction verified 2026-04-15.
-
Staff background & training
-
Jan 16, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
The operation failed to report the number of employees who left in 2025.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2026-01-21. Correction verified 2026-01-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jan 16, 2026 Assessment · Deficiencies cited
-
Supervision & ratios
The operation failed to report the number of employees who left in 2025.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2026-01-21. Correction verified 2026-01-21.
-
Supervision & ratios
-
Nov 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 3, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 17, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 30, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
The operation has not provided proof of liability insurance coverage by anniversary date, which was 8/22/25.
HHSC 746.203(2) — Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
HHSC risk weight: Medium. Corrected 2025-10-02. Correction verified 2025-10-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 30, 2025 Assessment · Deficiencies cited
-
Supervision & ratios
The operation has not provided proof of liability insurance coverage by anniversary date, which was 8/22/25.
HHSC 746.203(2) — Liability Insurance Requirements - Provide Proof of Coverage Annually by Anniversary Date of Issuance
HHSC risk weight: Medium. Corrected 2025-10-02. Correction verified 2025-10-01.
-
Supervision & ratios
-
May 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 17, 2024 Inspection · Deficiencies cited
-
Other
No documentation of sheltering for severe weather or lockdowns at the time of the inspection.
HHSC 746.5205(3) — Sheltering Drills for Lock-Down-4 times in a calendar year
HHSC risk weight: Medium High. Corrected 2024-05-17. Correction verified 2024-05-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
May 17, 2024 Inspection · Deficiencies cited
-
Other
No documentation of sheltering for severe weather or lockdowns at the time of the inspection.
HHSC 746.5205(3) — Sheltering Drills for Lock-Down-4 times in a calendar year
HHSC risk weight: Medium High. Corrected 2024-05-17. Correction verified 2024-05-18.
-
Other
-
Aug 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Nov 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 29, 2022 Inspection · Deficiencies cited
-
Records & paperwork
One of the ten staff files did not have a notarized affidavit available for review.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected 2022-09-05. Correction verified 2022-08-30.
-
Records & paperwork
-
Aug 29, 2022 Inspection · Deficiencies cited
-
Records & paperwork
One of the ten staff files did not have a notarized affidavit available for review.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected 2022-09-05. Correction verified 2022-08-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Records & paperwork
-
Nov 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 5, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 8, 2021 Report · Deficiencies cited (self-report)
-
Safety & premises
A slide on the playground was not being used according to manufacturer instructions as children were using the slide to climb up which resulted in a child being injured.
HHSC 746.4601(2) — Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
HHSC risk weight: Medium High. Corrected 2021-11-02. Correction verified 2021-11-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Sep 8, 2021 Report · Deficiencies cited (self-report)
-
Safety & premises
A slide on the playground was not being used according to manufacturer instructions as children were using the slide to climb up which resulted in a child being injured.
HHSC 746.4601(2) — Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
HHSC risk weight: Medium High. Corrected 2021-11-02. Correction verified 2021-11-05.
-
Safety & premises
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.