Holy Trinity Presbyterian Day
16245 NACOGDOCHES RD, San Antonio, TX 78247 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 80
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:00 PM
- Director / administrator
- Amy Collum
- Phone
- (210) 599-7640
- Regulated since
- Mar 10, 1989
- HHSC IDs
- Operation 105888 · number 240705
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 2 | Staff background & training (3), Other (3) |
| 2025 | 2 | 0 | Records & paperwork (1), Other (1) |
| 2024 | 4 | 1 | Supervision & ratios (2), Safety & premises (1), Staff background & training (1) |
| 2022 | 9 | 3 | Cleanliness & sanitation (1), Supervision & ratios (1), Safety & premises (1), Staff background & training (1), Records & paperwork (4), Other (1) |
Inspections, investigations & assessments
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Sep 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 24, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2026 Inspection · Deficiencies cited
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Other Serious
Caregiver was providing care to children in the infant classroom without another person supervising the caregiver. Note: This was corrected at inspection when another caregiver was placed in the classroom.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2026-02-13. Correction verified 2026-02-26.
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Staff background & training
Five of eight staff files reviewed during inspection did not include the following annual trainings for the last full year of employment: Administering medication, handling and disposing of hazardous materials, preventing and responding to emergencies due to food or an allergic reaction.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2026-02-20. Correction verified 2026-02-23.
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Staff background & training
Caregiver did not have a current first aid certification for review.
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 2026-02-20. Correction verified 2026-02-23.
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Staff background & training
Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2026-02-20. Correction verified 2026-02-23.
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Other
Two portable fans were stored on top of two shelves in the PreK classroom. Note: This was corrected at inspection when fans were removed from the shelves.
HHSC 746.3701(3) — Safety - Air Conditioners, Fans, Heaters Safeguarded
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-02-13.
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Other Serious
A mop bucket with water was accessible to children in an adjacent classroom through an opened door. Note: This was corrected at inspection when mop bucket was removed.
HHSC 746.3701(9) — Safety - Bodies of Water Inaccessible to Children
HHSC risk weight: High. Corrected 2026-02-13. Correction verified 2026-02-26.
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Other Serious
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Mar 10, 2025 Inspection · Deficiencies cited
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Other
There were two infants that did not have updated feeding schedules at time of inspection.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2025-03-17. Correction verified 2025-03-13.
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Records & paperwork
Two staff did not have an affidavit on file at time of review.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit (Form 2985)
HHSC risk weight: Medium Low. Corrected 2025-03-24. Correction verified 2025-03-13.
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Other
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May 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 23, 2024 Inspection · Deficiencies cited
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Safety & premises Serious
2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.
HHSC 746.2426(a)(1) — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2024-04-23. Correction verified 2024-04-30.
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Safety & premises Serious
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Apr 2, 2024 Inspection · Deficiencies cited
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Staff background & training
5 of the 10 files audtited are missing all of the required trainings for health and safety topics in section e of annual training hours for caregivers.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2024-04-16. Correction verified 2024-04-23.
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Supervision & ratios
The operation has 3 playgrounds with mulch that is not adequate depth.
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2024-04-16. Correction verified 2024-04-23.
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Supervision & ratios
the operation does not have the proper documentation of the gas inspection available for review during a CCR inspection.
HHSC 746.5405 — Documentation of Gas Leak Inspection
HHSC risk weight: Medium High. Corrected 2024-04-16. Correction verified 2024-04-05.
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Staff background & training
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Sep 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 28, 2022 Inspection · Deficiencies cited
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Staff background & training
Six out of ten staff files evaluated were missing CPR and First aid training. Note: Operation had a schedule training for all staff on the following day.
HHSC 746.1301(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
HHSC risk weight: Medium High. Corrected 2022-07-08. Correction verified 2022-07-14.
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Safety & premises
A staff member's purse in the five-year-old classroom was sitting on the children's low open shelve accessible to the children in care. Note: This was corrected at the inspection.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-06-28. Correction verified 2022-07-19.
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Supervision & ratios Serious
Operational policies were missing safe sleep for infants from birth through 12 months.
HHSC 746.501(a)(9) — Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
HHSC risk weight: High. Corrected 2022-07-15. Correction verified 2022-07-14.
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Records & paperwork
Two out of ten children files were found missing a health-care statement.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-07-15. Correction verified 2022-07-14.
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Records & paperwork Serious
One out of ten children's records reviewed was found missing authorized persons for pick-up.
HHSC 746.605(7) — Required Admission Information - Release Information
HHSC risk weight: High. Corrected 2022-07-08. Correction verified 2022-07-08.
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Records & paperwork
One out 10 staff files was found missing education documentation.
HHSC 746.901(2) — Required Personnel Records- Meets Requirements
HHSC risk weight: Medium. Corrected 2022-07-08. Correction verified 2022-07-08.
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Records & paperwork
One out of 10 staff files evaluated was found missing a notarized license affidavit.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected 2022-07-08. Correction verified 2022-07-08.
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Staff background & training
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Apr 6, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 18, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 11, 2022 Report · Deficiencies cited
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Cleanliness & sanitation
A caregiver had documented inappropriate discipline measures as a child colored the floor. The caregiver made a report stating that the child will clean the floor first thing the next morning. It was documented that the child was put to clean floors at arrival time.
HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance
HHSC risk weight: Medium High. Corrected 2022-03-23. Correction verified 2022-04-06.
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Other Serious
A caregiver was found prohibiting a child to play with toys or in centers due to the child's daily behavior.
HHSC 746.2805(9) — Prohibited Punishments - Withholding Active Play
HHSC risk weight: High. Corrected 2022-03-23. Correction verified 2022-04-05.
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Cleanliness & sanitation
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.