Toepperwein Road Kindercare
11501 TOEPPERWEIN RD, Live Oak, TX 78233 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 124
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:30 PM
- Director / administrator
- Natasha Walker
- Phone
- (210) 653-8255
- Regulated since
- Jun 26, 1987
- HHSC IDs
- Operation 103241 · number 225804
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 22 | 8 | Cleanliness & sanitation (2), Illness & medication (4), Safety & premises (4), Food & allergies (2), Staff background & training (8), Other (2) |
| 2025 | 6 | 2 | Illness & medication (2), Supervision & ratios (2), Staff background & training (2) |
| 2024 | 6 | 0 | Illness & medication (2), Staff background & training (2), Records & paperwork (2) |
| 2023 | 8 | 8 | Illness & medication (4), Discipline & child guidance (2), Other (2) |
Inspections, investigations & assessments
-
Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 22, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 10, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 27, 2026 Inspection · Deficiencies cited
-
Other Serious
In the Pre-K/Multi-age classroom there were 12 children counted and the caregiver stated there were 11 children at first.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected at inspection. Corrected 2026-08-27.
-
Staff background & training
Seven staff were delinquent in training records from the previous calendar year.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2026-09-27. Correction verified 2026-09-10.
-
Staff background & training
One staff member had a First Aid card that expired on 8/15/2026.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2026-09-10. Correction verified 2026-09-10.
-
Staff background & training
One caregiver did not have current CPR training. Her CPR card expired on 8/15/26.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2026-09-10. Correction verified 2026-09-10.
-
Food & allergies
The menus posted were from June 2026. The cook had menus dating from January 2026 to June 2026. There were no menus printed and posted for July and August 2026. The cook was using the week and the day to determine what food was going to be served. Today is Thursday, the items on the menu for today were listed on a Tuesday.
HHSC 746.3313(2) — Daily Menus - May Rotate if Keep Record of Dates Menus Used
HHSC risk weight: Medium. Corrected 2026-09-03. Correction verified 2026-09-10.
-
Cleanliness & sanitation Serious
A piece of banana that was over two inches long was lying on the floor near the door of the Infant A classroom. It was observed not to be cut into slices, and the caregiver threw the piece of banana in the garbage can.
HHSC 746.3317(7) — Food Service and Preparation Requirement - No Foods That Present Choking Risk
HHSC risk weight: High. Corrected at inspection. Corrected 2026-08-27.
-
Safety & premises Serious
Two of the children's files did not have the emergency medical authorization completed.
HHSC 746.605(11) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2026-08-28. Correction verified 2026-09-10.
-
Safety & premises
In two children's files there was no addresses provided for the emergency contact person.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2026-08-28. Correction verified 2026-09-10.
-
Illness & medication
Two children's files did not have immunization records in them.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-09-24. Correction verified 2026-09-10.
-
Other Serious
-
Aug 27, 2026 Inspection · Deficiencies cited
-
Other Serious
In the Pre-K/Multi-age classroom there were 12 children counted and the caregiver stated there were 11 children at first.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected at inspection. Corrected 2026-08-27.
-
Staff background & training
Seven staff were delinquent in training records from the previous calendar year.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2026-09-27. Correction verified 2026-09-10.
-
Staff background & training
One staff member had a First Aid card that expired on 8/15/2026.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2026-09-10. Correction verified 2026-09-10.
-
Staff background & training
One caregiver did not have current CPR training. Her CPR card expired on 8/15/26.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2026-09-10. Correction verified 2026-09-10.
-
Food & allergies
The menus posted were from June 2026. The cook had menus dating from January 2026 to June 2026. There were no menus printed and posted for July and August 2026. The cook was using the week and the day to determine what food was going to be served. Today is Thursday, the items on the menu for today were listed on a Tuesday.
HHSC 746.3313(2) — Daily Menus - May Rotate if Keep Record of Dates Menus Used
HHSC risk weight: Medium. Corrected 2026-09-03. Correction verified 2026-09-10.
-
Cleanliness & sanitation Serious
A piece of banana that was over two inches long was lying on the floor near the door of the Infant A classroom. It was observed not to be cut into slices, and the caregiver threw the piece of banana in the garbage can.
HHSC 746.3317(7) — Food Service and Preparation Requirement - No Foods That Present Choking Risk
HHSC risk weight: High. Corrected at inspection. Corrected 2026-08-27.
-
Safety & premises Serious
Two of the children's files did not have the emergency medical authorization completed.
HHSC 746.605(11) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2026-08-28. Correction verified 2026-09-10.
-
Safety & premises
In two children's files there was no addresses provided for the emergency contact person.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2026-08-28. Correction verified 2026-09-10.
-
Illness & medication
Two children's files did not have immunization records in them.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-09-24. Correction verified 2026-09-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Aug 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 7, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 21, 2026 Report · Deficiencies cited
-
Illness & medication
During the investigation, it was determined that the operation failed to comply with minimum standards by not providing immunization records to the health department within the requested time frame.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2026-06-16. Correction verified 2026-07-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
May 21, 2026 Report · Deficiencies cited
-
Illness & medication
During the investigation, it was determined that the operation failed to comply with minimum standards by not providing immunization records to the health department within the requested time frame.
HHSC 746.201(9) — Complying with Laws and Rules
HHSC risk weight: Medium High. Corrected 2026-06-16. Correction verified 2026-07-08.
-
Illness & medication
-
Apr 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 21, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 13, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
An employee in the toddler room was in direct care of children prior to having an eligible background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2026-04-13. Correction verified 2026-04-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Apr 13, 2026 Inspection · Deficiencies cited
-
Staff background & training Serious
An employee in the toddler room was in direct care of children prior to having an eligible background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2026-04-13. Correction verified 2026-04-21.
-
Staff background & training Serious
-
Apr 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Dec 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 24, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Oct 15, 2025 Inspection · Deficiencies cited
-
Staff background & training
One out of ten staff files was missing the pre-affidavit form signed by a caregiver.
HHSC 746.1105(4) — Minimum Qualifications Employees and Caregivers - Affidavit (Form 2912)
HHSC risk weight: Low. Corrected 2025-10-21. Correction verified 2025-10-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Oct 15, 2025 Inspection · Deficiencies cited
-
Staff background & training
One out of ten staff files was missing the pre-affidavit form signed by a caregiver.
HHSC 746.1105(4) — Minimum Qualifications Employees and Caregivers - Affidavit (Form 2912)
HHSC risk weight: Low. Corrected 2025-10-21. Correction verified 2025-10-17.
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Staff background & training
-
Mar 10, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation's fire inspection was past due. The last fire inspection was conducted on 3/4/2024 and was due 3/4/2025.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2025-03-24. Correction verified 2025-03-27.
-
Illness & medication
Two of ten children's records reviewed did not have updated immunization records on file.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-03-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Mar 10, 2025 Inspection · Deficiencies cited
-
Supervision & ratios Serious
The operation's fire inspection was past due. The last fire inspection was conducted on 3/4/2024 and was due 3/4/2025.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2025-03-24. Correction verified 2025-03-27.
-
Illness & medication
Two of ten children's records reviewed did not have updated immunization records on file.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-03-24.
-
Supervision & ratios Serious
-
Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 25, 2024 Inspection · Deficiencies cited
-
Staff background & training
One of ten caregivers reviewed for CPR training did not have hands on skills training completed for CPR.
HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-04-15.
-
Records & paperwork
Two of ten children's records did not have a health care provider statement on file.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2024-04-05. Correction verified 2024-04-15.
-
Illness & medication
Seven of ten children's records reviewed did not have updated immunization records.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-04-15.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Mar 25, 2024 Inspection · Deficiencies cited
-
Staff background & training
One of ten caregivers reviewed for CPR training did not have hands on skills training completed for CPR.
HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-04-15.
-
Records & paperwork
Two of ten children's records did not have a health care provider statement on file.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2024-04-05. Correction verified 2024-04-15.
-
Illness & medication
Seven of ten children's records reviewed did not have updated immunization records.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2024-04-05. Correction verified 2024-04-15.
-
Staff background & training
-
Nov 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 8, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 16, 2023 Report · No deficiencies cited
No violations cited on this visit.
-
Oct 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 10, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 29, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 27, 2023 Report · Deficiencies cited
-
Illness & medication Serious
A child's nebulizer was stored in the child's cubby and then moved into the closet causing the operation to lose its whereabouts. Due to the medication not being stored properly, the operation is being cited for judgment.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2023-10-30. Correction verified 2023-11-08.
-
Illness & medication Serious
A child's nebulizer was stored in the child's cubby and later placed in the closet in the room and not stored with the other medications that are located in the office of the assistant director.
HHSC 746.3807(1) — Storage of Medication - Inaccessible to Children
HHSC risk weight: High. Corrected 2023-10-30. Correction verified 2023-11-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication Serious
-
Sep 27, 2023 Report · Deficiencies cited
-
Illness & medication Serious
A child's nebulizer was stored in the child's cubby and then moved into the closet causing the operation to lose its whereabouts. Due to the medication not being stored properly, the operation is being cited for judgment.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2023-10-30. Correction verified 2023-11-08.
-
Illness & medication Serious
A child's nebulizer was stored in the child's cubby and later placed in the closet in the room and not stored with the other medications that are located in the office of the assistant director.
HHSC 746.3807(1) — Storage of Medication - Inaccessible to Children
HHSC risk weight: High. Corrected 2023-10-30. Correction verified 2023-11-08.
-
Illness & medication Serious
-
Sep 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 12, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
An employee spanked a child to prevent the child from biting another child. The employee provided the operation with a written statement and there was a witness to the incident.
HHSC 746.2805(1) — Prohibited Punishments - Corporal Punishment
HHSC risk weight: High. Corrected 2023-09-26. Correction verified 2023-10-10.
-
Other Serious
A written statement written by the employee was received stating that she "grabbed and patted" the child on the bottom.
HHSC 746.2805(3) — Prohibited Punishments - Grabbing and Pulling
HHSC risk weight: High. Corrected 2023-09-26. Correction verified 2023-10-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Sep 12, 2023 Report · Deficiencies cited
-
Discipline & child guidance Serious
An employee spanked a child to prevent the child from biting another child. The employee provided the operation with a written statement and there was a witness to the incident.
HHSC 746.2805(1) — Prohibited Punishments - Corporal Punishment
HHSC risk weight: High. Corrected 2023-09-26. Correction verified 2023-10-10.
-
Other Serious
A written statement written by the employee was received stating that she "grabbed and patted" the child on the bottom.
HHSC 746.2805(3) — Prohibited Punishments - Grabbing and Pulling
HHSC risk weight: High. Corrected 2023-09-26. Correction verified 2023-10-10.
-
Discipline & child guidance Serious
-
Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 12, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 5, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 6, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 13, 2022 Report · 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.