First Heaven Child Care LLC
120 S HWY 83, Laredo, TX 78043 · Webb County
Program
- Type
- Licensed center
- Licensed capacity
- 43
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-07:30 PM
- Director / administrator
- Carolina Gamboa
- Phone
- (956) 602-0156
- Regulated since
- Jan 20, 2023
- HHSC IDs
- Operation 1416374 · number 1749844
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Illness & medication (1), Staff background & training (1) |
| 2025 | 5 | 1 | Illness & medication (1), Supervision & ratios (1), Staff background & training (3) |
| 2024 | 10 | 1 | Supervision & ratios (1), Safety & premises (3), Staff background & training (5), Other (1) |
| 2023 | 1 | 0 | Supervision & ratios (1) |
| 2022 | 6 | 1 | Supervision & ratios (1), Safety & premises (2), Staff background & training (1), Other (2) |
Inspections, investigations & assessments
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Aug 25, 2026 Inspection · Deficiencies cited
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Staff background & training
Four employee's files were evaluated. One file had an expired First aid/CPR certificate.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2026-09-08. Correction verified 2026-09-08.
-
Illness & medication
Four children's files were evaluated. One file was pending an updated immuinzation record.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-09-01. Correction verified 2026-09-08.
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Staff background & training
-
Dec 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 21, 2025 Inspection · Deficiencies cited
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Staff background & training
Four employee files were reviewed. One employee was pending pre-service training in the following topics: developmental stages of children, age-appropriate activities for children, positive guidance and discipline of children, fostering children's self-esteem, supervision and safety practices in the careof children, postiive interaction with children, and preventing and controlling the spread of communicable diseases.
HHSC 746.1305(a)(1) — Pre-service Training- Developmental Stages
HHSC risk weight: Medium. Corrected 2025-12-08. Correction verified 2025-12-04.
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Staff background & training
Four employee files were evaluated. One employee was pending training in topics in emergency preparedness; preventing and controlling the spread of communicable diseases; administering medication; preventing and responding to emergencies due to food or an allergic reaction; understanding building and physical premises; and handling, storing and disposing of hazardous materials.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2025-12-01. Correction verified 2025-12-04.
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Staff background & training
Four employee files were reviewed. One employee completed the CPR training 100 % online. The training did not include hands on practice.
HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
HHSC risk weight: Medium High. Corrected 2025-12-08. Correction verified 2025-12-04.
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Supervision & ratios
Sixteen month old child was in a group of 15 children. Oldest child in the group was 13 years of age. There was an age gap of more than 18 months between infant child and oldest child in the classroom. Infant teacher was observed supervisng five children. Based on specified age group of 11 months, the maximum number of children in the group with one caregiver could be four.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2025-11-21. Correction verified 2025-12-16.
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Illness & medication Serious
Four children's files were reviewed. One file did not have the immunization record. Two files were pending updated immunization records.
HHSC 746.613(a) — Required Immunizations
HHSC risk weight: High. Corrected 2025-12-01. Correction verified 2025-12-04.
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Staff background & training
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Jan 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 19, 2024 Inspection · Deficiencies cited
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Staff background & training
Two caregivers were missing pre-service training on age appropriate activities, and supervision and safety practices in the care of children. One employee was missing training in the developmental stages of children.
HHSC 746.1305(a)(2) — Pre-service Training- Age Appropriate Activities
HHSC risk weight: Medium. Corrected 2025-01-08. Correction verified 2025-01-06.
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Staff background & training
Director was missing training on the following topics: Preventing and responding to emergencies due to food or an allergic reaction and preventing and responding to emergencies due to food or an allergic reaction.
HHSC 746.1311(e) — Director Annual Training - Additional required topics
HHSC risk weight: Medium. Corrected 2025-01-09. Correction verified 2025-01-13.
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Staff background & training
Directors have not completed required transportation training.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected 2025-01-09. Correction verified 2025-01-08.
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Supervision & ratios
One caregiver was observed supervising 6 children in the infant classroom. Specified age group was 12 17 months. The maximum number of children one caregiver can supervise is 5 children.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-01-09. Correction verified 2025-01-10.
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Other
Sheets in play yards did not fit snugly. Sheets were loose on the mattress.
HHSC 746.2411(2)(B) — Safety Requirements for Play Yards - Snug Fitting Sheets
HHSC risk weight: Medium High. Corrected 2025-01-09. Correction verified 2025-01-10.
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Safety & premises
Driniking water was not available during outdoor play.
HHSC 746.3301(f)(1) — Nutrition and Food Service - Drinking water available at every snack, mealtime, and during and after active play
HHSC risk weight: Medium High. Corrected 2025-01-09. Correction verified 2025-01-10.
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Safety & premises Serious
Transportation binder did not have the following information:Mediical authorization, list of children and emergency contacts.
HHSC 746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information
HHSC risk weight: High. Corrected 2024-12-23. Correction verified 2025-01-23.
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Staff background & training
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Jan 12, 2024 Inspection · Deficiencies cited
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Staff background & training
The director was missing the 30 hours of annual training.
HHSC 746.1311(a) — Director Annual Training 30 Hours Required
HHSC risk weight: Medium. Corrected 2024-02-02. Correction verified 2024-02-20.
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Staff background & training
One out of four employees had an expired CPR/First Aid Certificate.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2024-01-26. Correction verified 2024-02-06.
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Safety & premises
The infant daily schedule did not have the opportunity for outdoor play twice a day.
HHSC 746.2206(1)(A) — Written Activity Plan - Outdoor Play - Infant Birth to 12 Months
HHSC risk weight: Medium. Corrected 2024-01-19. Correction verified 2024-02-01.
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Staff background & training
-
Jun 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
A 4 month old infant was observed to be in care with a 23 month old and a 4 year old.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2023-05-31. Correction verified 2023-06-13.
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Supervision & ratios
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Jan 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 13, 2022 Inspection · Deficiencies cited
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Safety & premises
Fire extinguisher, carbon monoxide detector, and smoke detector were last inspected on August 11, 2022.
HHSC 746.5537(a)(2) — Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
HHSC risk weight: Medium High. Corrected 2022-10-14. Correction verified 2022-10-14.
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Safety & premises
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Aug 10, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
Operational policies were not available at the time of inspection.
HHSC 746.201(1) — Policies Comply with Rules
HHSC risk weight: High. Corrected 2022-08-17. Correction verified 2022-08-15.
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Other
The Environmental Health Inspection has not been conducted.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2022-08-12. Correction verified 2022-08-15.
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Other
The required Consumer Product Safety Commission form has not been renewed within the last year.
HHSC 746.4135(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2022-08-12. Correction verified 2022-08-15.
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Safety & premises
Emergency preparedness plan was not available at the time of inspection.
HHSC 746.5204 — Coordination of Implementation of Emergency Preparedness Plan
HHSC risk weight: Medium. Corrected 2022-08-17. Correction verified 2022-08-15.
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Staff background & training
One record evaluated was missing the orientation statement for personnel policies, operational policies, and abuse and neglect.
HHSC 746.901(6)(A) — Required Personnel Records-signed dated statement that employee received child care center's operational policies
HHSC risk weight: Medium. Corrected 2022-08-17. Correction verified 2022-08-17.
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Supervision & ratios 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
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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.