Nanie Care - Sheba R. Fuller

6719 WALNUT LAKE DR, San Antonio, TX 78244 · Bexar County

17cited violations

9serious

10inspections & investigations

0enforcement actions

Program

Type: Licensed child-care home
Licensed capacity: 12
Ages: Infant, Toddler, Pre-Kindergarten, School
Hours: 07:00 AM-06:00 PM
Director / administrator: Sheba Fuller
Phone: (210) 449-4662
Regulated since: Oct 16, 2018
HHSC IDs: Operation 1300830 · number 1670111
Official record: HHSC Child Care Search

Violations by category

Illness & medication 2
Supervision & ratios 6
Safety & premises 6
Staff background & training 3

Year by year

Year	Violations	Serious	Main categories
2026	1	0	Safety & premises (1)
2025	1	1	Safety & premises (1)
2024	5	2	Illness & medication (1), Supervision & ratios (1), Safety & premises (2), Staff background & training (1)
2023	2	2	Supervision & ratios (1), Staff background & training (1)
2022	8	4	Illness & medication (1), Supervision & ratios (4), Safety & premises (2), Staff background & training (1)

Inspections, investigations & assessments

Jun 15, 2026 Assessment · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Jun 5, 2026 Inspection · Deficiencies cited
- Safety & premises
  During the inspection documentation of fire drills was not completed.
  
  HHSC 747.801(7) — Records Maintained and Made Available - Safety Drills Documentation
  
  HHSC risk weight: Medium. Corrected 2026-07-03. Correction verified 2026-06-15.
HHSC inspection history
Jul 15, 2025 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Jun 24, 2025 Inspection · Deficiencies cited
- Safety & premises Serious
  Trampolines pose a safety risk to children when over 4 feet in diameter are not permitted.
  
  HHSC 747.4403(3) — Prohibited Equipment - Trampolines
  
  HHSC risk weight: High. Corrected 2025-07-07. Correction verified 2025-07-15.
HHSC inspection history
Jul 18, 2024 Inspection · Deficiencies cited
- Staff background & training
  The primary caregiver's CPR/FA certification expired in Mar/2024 and has not been renewed.
  
  HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
  
  HHSC risk weight: Medium High. Corrected 2024-08-08. Correction verified 2024-08-04.
- Safety & premises
  There was no verification that a fire drill was conducted during the months of January through June of this year. Note this was corrected during inspection, when a fire drill was conducted and documented as completed.
  
  HHSC 747.5005(1) — Fire Drill Monthly - Exit in 3 Minutes
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-07-18.
- Supervision & ratios Serious
  Other than the procedure for handling medical emergencies located in the operational policies, there is no written emergency preparedness plan,
  
  HHSC 747.501(12) — Written Operational Policies - Emergency Preparedness Plan
  
  HHSC risk weight: High. Corrected 2024-07-25. Correction verified 2024-07-25.
- Illness & medication
  While reviewing children's files: Four of eight files did not include a signed physician's statement for the child. One of eight files did not have a current immunization record. Two school aged children did not have the required school name/phone # listed nor any information for permission to ride bus/walk/get ride from school. Seven of eight files did not have information of any special care needs.
  
  HHSC 747.603(a)(2) — Children's Records - Admission Information
  
  HHSC risk weight: Medium. Corrected 2024-08-08. Correction verified 2024-08-13.
- Safety & premises Serious
  While reviewing children's files, two of eight files did not have an address for the emergency contact.
  
  HHSC 747.605(12) — Required Admission Information - Emergency Medical Authorization
  
  HHSC risk weight: High. Corrected 2024-07-25. Correction verified 2024-07-25.
HHSC inspection history
Aug 14, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Aug 1, 2023 Inspection · Deficiencies cited
- Staff background & training Serious
  Sixteen year old godson was present in the home without a cleared background check. NOTE: This was corrected when he was picked up and will remain out of the home while children are in care.
  
  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 2023-08-01. Correction verified 2023-08-14.
- Supervision & ratios Serious
  The permit holder had 8 children in care, when her permit allows only 6 children. Note: This was corrected when two children were picked up early by their parent.
  
  HHSC 747.207(10) — AP Never exceed capacity of the home
  
  HHSC risk weight: High. Corrected 2023-08-01. Correction verified 2023-08-14.
HHSC inspection history
Sep 7, 2022 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Aug 24, 2022 Inspection · Deficiencies cited
- Supervision & ratios
  Permit holder was over ratio by one based on ages of children.
  
  HHSC 747.1801 — Child/Caregiver Ratio - Licensed Child Care Home
  
  HHSC risk weight: Medium High. Corrected 2022-08-24. Correction verified 2022-09-07.
- Supervision & ratios Serious
  Permit holder was caring for 7 children at time of inspection when licensed for 6 children.
  
  HHSC 747.207(10) — AP Never exceed capacity of the home
  
  HHSC risk weight: High. Corrected 2022-08-24. Correction verified 2022-09-07.
HHSC inspection history
Aug 16, 2022 Inspection · Deficiencies cited
- Staff background & training Serious
  Permit holder has a 21 year old god daughter and a 16 year old god son staying with her at this time. Note: This was corrected during inspection when the left the operation and made arrangements to stay elsewhere.
  
  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 2022-08-16. Correction verified 2022-08-24.
- Supervision & ratios
  Permit holder was over ratio based on ages of children.
  
  HHSC 747.1801 — Child/Caregiver Ratio - Licensed Child Care Home
  
  HHSC risk weight: Medium High. Corrected 2022-08-16. Correction verified 2022-08-24.
- Supervision & ratios Serious
  Permit holder was caring for 11 children at time of inspection. One child, her god son was visiting. Note: This was corrected when permit holder's Godson was picked up. Permit holder had another 4 toddlers picked up by parents as well.
  
  HHSC 747.207(10) — AP Never exceed capacity of the home
  
  HHSC risk weight: High. Corrected 2022-08-16. Correction verified 2022-08-24.
- Illness & medication
  Three of nine files did not have current immunization records. Four of nine files did not have a healthcare statement signed by physician.
  
  HHSC 747.603(a)(4) — Children's Records - Immunizations
  
  HHSC risk weight: Medium. Corrected 2022-09-02. Correction verified 2022-08-20.
- Safety & premises Serious
  One of nine files reviewed does not have an emergency medical authorization in file.
  
  HHSC 747.605(12) — Required Admission Information - Emergency Medical Authorization
  
  HHSC risk weight: High. Corrected 2022-08-20. Correction verified 2022-08-19.
- Safety & premises
  Six of nine children's files did not have addresses listed for their emergency contacts.
  
  HHSC 747.605(6) — Required Admission Information - Emergency Contact
  
  HHSC risk weight: Medium High. Corrected 2022-08-19. Correction verified 2022-08-19.
HHSC inspection history

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

Letter text

Dear Open Records Coordinator,

Under the Texas Public Information Act, Texas Government Code Chapter 552, I request copies of the following Child Care Regulation records for Nanie Care - Sheba R. Fuller, 6719 WALNUT LAKE DR, San Antonio, TX 78244-1652 (operation ID 1300830, operation number 1670111), for January 1, 2019 to the present:

1. Every inspection, assessment and investigation report, including the deficiencies cited and the operation's corrective actions.
2. Every complaint and self-report intake and its finding.
3. Every corrective or adverse action (evaluation, probation, suspension, revocation, denial, administrative penalty) with related correspondence.
4. Every plan of action or correction the operation submitted, and HHSC's response.

I understand that information made confidential by law (for example the identities of children, families and reporters) may be redacted; please release the remainder. Please provide the records electronically by email. If the cost will exceed $40, please send me an itemized estimate first.

Thank you,

[Your name]
[Email] · [Phone]

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.