Spirit's Heart Childcare Center
3155 ACKERMAN RD STE 113, San Antonio, TX 78219 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 60
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:00 AM
- Phone
- (210) 451-9553
- Regulated since
- Sep 1, 2020
- HHSC IDs
- Operation 1340408 · number 1697951
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 5 | Supervision & ratios (2), Safety & premises (1), Other (3) |
| 2025 | 2 | 2 | Cleanliness & sanitation (1), Supervision & ratios (1) |
| 2024 | 5 | 4 | Cleanliness & sanitation (2), Supervision & ratios (2), Records & paperwork (1) |
| 2023 | 2 | 2 | Safety & premises (1), Staff background & training (1) |
| 2022 | 5 | 3 | Illness & medication (2), Food & allergies (1), Other (2) |
| 2021 | 1 | 1 | Safety & premises (1) |
Inspections, investigations & assessments
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Sep 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 7, 2026 Inspection · Deficiencies cited
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Other Serious
A caregiver did not know the number of children in their care when asked.
HHSC 746.1205(a)(1) — Responsibilities of Caregivers - Know children responsible for
HHSC risk weight: High. Corrected 2026-08-07. Correction verified 2026-08-11.
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Other Serious
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Aug 6, 2026 Report
No violations cited on this visit.
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Aug 3, 2026 Inspection · Deficiencies cited
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Other Serious
The caregiver in the toddler room was unable to provide the ages of the children in her care.
HHSC 746.1205(a)(3) — Responsibilities of Caregivers - Know children's names and ages
HHSC risk weight: Medium High. Corrected 2026-08-03. Correction verified 2026-08-11.
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Supervision & ratios Serious
Recite: Active supervision was not practiced when a child left his assigned group to attempt to open the operation door to let the CCR inspector in, when the caregiver left the group to open the door to let the CCR inspector in, and when a child was observed to be stabbing other children with a pencil.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2026-08-03. Correction verified 2026-08-11.
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Other
A child, identified as 18 months, was observed to be watching cartoons on the tablet.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2026-08-03. Correction verified 2026-08-11.
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Safety & premises Serious
A infant was observed to be seated in a swing that was placed in a crib.
HHSC 746.2415(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 2026-08-03. Correction verified 2026-08-11.
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Other Serious
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Jul 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
It was determined in an investigation that proper supervision was not utilized when a child was left alone and an unfamiliar person was able to enter the building and classroom spaces and access a child.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2026-07-28. Correction verified 2026-08-03.
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Supervision & ratios Serious
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Mar 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 12, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2025 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
Children were observed eating snack on the floor.
HHSC 746.3317(6) — Food Service and Preparation Requirement - Use Sanitary Holders
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-04-29.
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Supervision & ratios Serious
Whole grapes were served to children 2-4 years of age.
HHSC 746.3317(7) — Food Service and Preparation Requirement - No Foods That Present Choking Risk
HHSC risk weight: High. Corrected 2025-04-29. Correction verified 2025-05-12.
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Cleanliness & sanitation Serious
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Oct 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 14, 2024 Inspection · Deficiencies cited
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Supervision & ratios Serious
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2024-10-14. Correction verified 2024-10-29.
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Supervision & ratios Serious
A fourteen month old infant was in the transition classroom where the oldest child was ten years old.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2024-10-14. Correction verified 2024-10-29.
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Supervision & ratios Serious
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Oct 3, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 20, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected 2024-05-20. Correction verified 2024-06-05.
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Records & paperwork Serious
The health inspection had not been conducted. The last report is dated 5/12/23.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2024-06-24. Correction verified 2024-05-27.
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Cleanliness & sanitation Serious
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected 2024-05-20. Correction verified 2024-06-05.
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Cleanliness & sanitation
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May 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 21, 2023 Report · Deficiencies cited
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Safety & premises Serious
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2023-11-01. Correction verified 2023-11-13.
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Safety & premises Serious
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Aug 11, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.
HHSC 746.1301(a)(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
HHSC risk weight: Medium High. Corrected 2023-08-31. Correction verified 2023-08-16.
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Staff background & training Serious
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Jan 19, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 19, 2022 Inspection · Deficiencies cited
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Illness & medication
Two of six files did not have an updated immunization record in the file.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-09-02. Correction verified 2022-08-26.
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Illness & medication
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Jul 25, 2022 Report · Deficiencies cited (self-report)
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Illness & medication Serious
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
HHSC 746.305(a)(4) — Report Outbreak of Communicable Illness
HHSC risk weight: Medium High. Corrected 2022-08-05. Correction verified 2022-08-29.
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Illness & medication Serious
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Jun 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 23, 2022 Report · Deficiencies cited
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Food & allergies Serious
Observed caregiver in toddler class viewing her cell phone during snack time.
HHSC 746.1203(6) — Responsibilities of Caregivers - Free of other activities
HHSC risk weight: Medium High. Corrected 2022-03-29. Correction verified 2022-04-07.
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Other Serious
During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.
HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance
HHSC risk weight: Medium High. Corrected 2022-05-20. Correction verified 2022-06-08.
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Food & allergies Serious
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Jan 28, 2022 Inspection · Deficiencies cited
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Other
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
HHSC 746.4135(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-01-28.
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Other
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Dec 22, 2021 Inspection · Deficiencies cited
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Safety & premises Serious
The new center van is not equipped with an electric child safety alarm.
HHSC 746.5625(a) — Electronic Child Safety Alarm - is equipped in each vehicle
HHSC risk weight: High. Corrected 2022-01-12. Correction verified 2022-01-28.
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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, via 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.