Pre-k 4 Sa East Education Center
5230 EISENHAUER RD, San Antonio, TX 78218 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 550
- Ages
- Pre-Kindergarten
- Hours
- 07:15 AM-06:00 PM
- Director / administrator
- Gina Apostolou
- Phone
- (210) 206-2850
- Regulated since
- Feb 13, 2015
- HHSC IDs
- Operation 1152532 · number 1544886
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 1 | Staff background & training (1) |
| 2024 | 3 | 1 | Illness & medication (1), Supervision & ratios (1), Staff background & training (1) |
| 2023 | 8 | 7 | Supervision & ratios (4), Safety & premises (1), Staff background & training (3) |
| 2022 | 5 | 4 | Discipline & child guidance (1), Staff background & training (4) |
| 2021 | 2 | 2 | Other (2) |
Inspections, investigations & assessments
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Sep 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 15, 2026 Inspection
No violations cited on this visit.
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Aug 28, 2026 Report · Deficiencies cited
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Staff background & training Serious
During the inspection, it was found that two staff members did not have first aid training.
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 2026-09-08. Correction verified 2026-09-08.
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Staff background & training Serious
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May 29, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 27, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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May 13, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 27, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 21, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Oct 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
During an investigation, it was determined that a caregiver failed to ensure an exterior door to an empty classroom was securely locked behind her which resulted in children entering an empty classroom with no supervision. Caregivers outdoors failed to provide adequate supervision to become aware that children had entered the building unsupervised.
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 2024-10-15. Correction verified 2024-10-24.
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Supervision & ratios Serious
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Sep 9, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 4, 2024 Inspection · Deficiencies cited
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Illness & medication
One of ten records did not have an up to date immunization record.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2024-09-25. Correction verified 2024-10-15.
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Illness & medication
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Aug 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 8, 2024 Report · Deficiencies cited
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Staff background & training
During a DFPS investigation, it was discovered that the operation failed to inactivate an employee that has not been associated/employed with the operation for over seven days.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected 2024-10-31. Correction verified 2024-10-31.
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Staff background & training
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May 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 17, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 3, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 13, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 5, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 1, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 23, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 5, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 4, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
During this investigation, it was determined that caregivers left a child unsupervised while the classroom of children went outdoors to the playground.
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 2024-01-02. Correction verified 2024-01-12.
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Supervision & ratios Serious
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Nov 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 15, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 15, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
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 2024-01-02. Correction verified 2024-01-02.
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Supervision & ratios Serious
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Sep 29, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
A new employee that began employment as a caregiver in a classroom did not have First Aid certification.
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 2023-10-13. Correction verified 2023-10-11.
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Safety & premises Serious
The emergency practices log for last school year 2022-2023 had documentation for only two drills conducted all year.
HHSC 746.5205(2) — Sheltering Drill For Severe Weather-Four times a calendar year
HHSC risk weight: Medium High. Corrected 2023-10-27. Correction verified 2023-10-16.
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Staff background & training
Seven of eleven personnel files did not have their annual training records available for review. Seven of eleven records did not have an employment start date.
HHSC 746.901(5) — Required Personnel Records- Training Hours
HHSC risk weight: Medium. Corrected 2023-10-31. Correction verified 2023-11-01.
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Staff background & training Serious
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Sep 22, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 19, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
A caregiver was present in a classroom without an active 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 2023-09-19. Correction verified 2023-10-09.
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Staff background & training Serious
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Sep 15, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
During this investigation, it was determined that a caregiver left a child unsupervised, allowing the child to wander to another classroom.
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 2023-10-03. Correction verified 2023-10-11.
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Supervision & ratios Serious
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Aug 22, 2023 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
During the investigation, it was discovered that CCR was not notified within the required timeframe of 48 hours. Operation was made aware that child would be taken for medical treatment.
HHSC 746.305(a)(2) — AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2023-09-07. Correction verified 2023-09-15.
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Supervision & ratios Serious
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May 26, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 24, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Apr 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Nov 17, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
The director is missing 24.5 annual training hours from 2021 to include child development, discipline and guidance, curriculum, teacher-child interactions, serving children with special needs, abuse and neglect, emergency preparedness, preventing the spread of communicable diseases, administering medication, preventing and responding to food or allergic reactions, physical safety and hazards, handling hazardous materials, and three hours management.
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-12-31. Correction verified 2022-11-29.
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Staff background & training Serious
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Nov 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 26, 2022 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
A caregiver grabbed a child by the forearm when the child refused to nap, resulting in two fingernail abrasions that broke the skin.
HHSC 746.2805(1) — Prohibited Punishments - Corporal Punishment
HHSC risk weight: High. Corrected 2022-11-07. Correction verified 2022-11-09.
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Discipline & child guidance Serious
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Oct 26, 2022 Inspection · Deficiencies cited
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Staff background & training
Four of four staff files reviewed did not have training for handling hazardous materials or administering medications.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2022-11-03. Correction verified 2022-11-08.
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Staff background & training Serious
Three of four staff files audited did not have current first aid training.
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 2022-11-03. Correction verified 2022-11-08.
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Staff background & training Serious
Three of four staff files audited did not have current CPR training.
HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
HHSC risk weight: Medium High. Corrected 2022-11-03. Correction verified 2022-11-08.
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Staff background & training
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Oct 21, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Sep 23, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 30, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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May 17, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Nov 10, 2021 Inspection · Deficiencies cited
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Other Serious
One preshool classroom had missing electrical safety outlets. This was corrected at inspection when director added to the safety plugs to the electrical outlet.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2021-11-10.
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Other Serious
In one of the preschool classroom an electrical fan was unmounted and in easy access to the children. This was corrected at inspection when caregiver removed the fan and placed it in the closet.
HHSC 746.3701(3) — Safety - Air Conditioners, Fans, Heaters Safeguarded
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2021-11-10.
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Other 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 2, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.