Nhumc Ministry Center Childcare

4306 NACO PASS, San Antonio, TX 78217 · Bexar County

38cited violations

4serious

22inspections & investigations

0enforcement actions

Program

Type: Licensed center
Licensed capacity: 27
Ages: Infant, Toddler, Pre-Kindergarten
Hours: 07:00 AM-05:00 PM
Director / administrator: April Smith
Phone: (210) 236-6825
Regulated since: Jun 21, 2023
HHSC IDs: Operation 1430509 · number 1761271
Official record: HHSC Child Care Search

Violations by category

Illness & medication 4
Supervision & ratios 4
Safety & premises 6
Food & allergies 2
Staff background & training 8
Records & paperwork 8
Other 6

Year by year

Year	Violations	Serious	Main categories
2026	12	2	Illness & medication (4), Safety & premises (2), Food & allergies (2), Records & paperwork (4)
2025	8	0	Staff background & training (6), Other (2)
2024	2	0	Supervision & ratios (2)
2023	16	2	Supervision & ratios (2), Safety & premises (4), Staff background & training (2), Records & paperwork (4), Other (4)

Inspections, investigations & assessments

May 6, 2026 Inspection · Deficiencies cited
- Records & paperwork
  The two children with expired health statements did not get them updated.
  
  HHSC 746.603(a)(3) — Children's Records - Health Statement
  
  HHSC risk weight: Medium. Corrected 2026-05-22. Correction verified 2026-05-14.
- Illness & medication
  The child with an outdated immunization record has not returned and updated record.
  
  HHSC 746.603(a)(4) — Children's Records - Immunizations
  
  HHSC risk weight: Medium. Corrected 2026-05-22. Correction verified 2026-05-13.
HHSC inspection history
May 6, 2026 Inspection · Deficiencies cited
- Records & paperwork
  The two children with expired health statements did not get them updated.
  
  HHSC 746.603(a)(3) — Children's Records - Health Statement
  
  HHSC risk weight: Medium. Corrected 2026-05-22. Correction verified 2026-05-14.
- Illness & medication
  The child with an outdated immunization record has not returned and updated record.
  
  HHSC 746.603(a)(4) — Children's Records - Immunizations
  
  HHSC risk weight: Medium. Corrected 2026-05-22. Correction verified 2026-05-13.
HHSC inspection history · no longer published by HHSC; kept here
Apr 21, 2026 Inspection · Deficiencies cited
- Food & allergies
  One infant who is not on table food did not have updated feeding instructions.
  
  HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
  
  HHSC risk weight: Medium. Corrected 2026-04-28. Correction verified 2026-04-28.
- Safety & premises Serious
  An infant was sleeping in a restrictive device. This was corrected at inspection when the caregiver moved the child to a crib.
  
  HHSC 746.2426(a)(1) — Infant May Not Sleep in a Restrictive Device
  
  HHSC risk weight: High. Corrected 2026-04-21. Correction verified 2026-05-06.
- Records & paperwork
  Two of four children's records audited did not have updated health statements.
  
  HHSC 746.603(a)(3) — Children's Records - Health Statement
  
  HHSC risk weight: Medium. Corrected 2026-05-05. Correction verified 2026-05-06.
- Illness & medication
  One of four children's records audited did not have current immunizations on file.
  
  HHSC 746.603(a)(4) — Children's Records - Immunizations
  
  HHSC risk weight: Medium. Corrected 2026-05-05. Correction verified 2026-05-06.
HHSC inspection history · no longer published by HHSC; kept here
Apr 21, 2026 Inspection · Deficiencies cited
- Food & allergies
  One infant who is not on table food did not have updated feeding instructions.
  
  HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
  
  HHSC risk weight: Medium. Corrected 2026-04-28. Correction verified 2026-04-28.
- Safety & premises Serious
  An infant was sleeping in a restrictive device. This was corrected at inspection when the caregiver moved the child to a crib.
  
  HHSC 746.2426(a)(1) — Infant May Not Sleep in a Restrictive Device
  
  HHSC risk weight: High. Corrected 2026-04-21. Correction verified 2026-05-06.
- Records & paperwork
  Two of four children's records audited did not have updated health statements.
  
  HHSC 746.603(a)(3) — Children's Records - Health Statement
  
  HHSC risk weight: Medium. Corrected 2026-05-05. Correction verified 2026-05-06.
- Illness & medication
  One of four children's records audited did not have current immunizations on file.
  
  HHSC 746.603(a)(4) — Children's Records - Immunizations
  
  HHSC risk weight: Medium. Corrected 2026-05-05. Correction verified 2026-05-06.
HHSC inspection history
Jun 26, 2025 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Jun 26, 2025 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Jun 24, 2025 Report · No deficiencies cited (self-report)

No violations cited on this visit.

HHSC inspection history
Jun 24, 2025 Report · No deficiencies cited (self-report)

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
May 21, 2025 Inspection · Deficiencies cited
- Staff background & training
  A caregiver in the infant room did not have current infant trainings.
  
  HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
  
  HHSC risk weight: Medium High. Corrected 2025-05-28. Correction verified 2025-05-30.
- Staff background & training
  One staff member was missing training in food allergies.
  
  HHSC 746.1309(e) — Documented Annual Training- Required Content
  
  HHSC risk weight: Medium. Corrected 2025-06-04. Correction verified 2025-06-03.
- Staff background & training
  The director was missing training in emergency preparedness, preventing communicable diseases, administering medication, responding to emergencies, building safety, and handling hazardous materials.
  
  HHSC 746.1311(e) — Director Annual Training - Additional required topics
  
  HHSC risk weight: Medium. Corrected 2025-06-04. Correction verified 2025-06-03.
- Other
  An outlet in the two-year-old classroom was observed without a safety cover. This was corrected at inspection when a safety cover was placed over the outlet.
  
  HHSC 746.3701(1) — Safety - Electrical Outlets Covered
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-05-21.
HHSC inspection history · no longer published by HHSC; kept here
May 21, 2025 Inspection · Deficiencies cited
- Staff background & training
  A caregiver in the infant room did not have current infant trainings.
  
  HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
  
  HHSC risk weight: Medium High. Corrected 2025-05-28. Correction verified 2025-05-30.
- Staff background & training
  One staff member was missing training in food allergies.
  
  HHSC 746.1309(e) — Documented Annual Training- Required Content
  
  HHSC risk weight: Medium. Corrected 2025-06-04. Correction verified 2025-06-03.
- Staff background & training
  The director was missing training in emergency preparedness, preventing communicable diseases, administering medication, responding to emergencies, building safety, and handling hazardous materials.
  
  HHSC 746.1311(e) — Director Annual Training - Additional required topics
  
  HHSC risk weight: Medium. Corrected 2025-06-04. Correction verified 2025-06-03.
- Other
  An outlet in the two-year-old classroom was observed without a safety cover. This was corrected at inspection when a safety cover was placed over the outlet.
  
  HHSC 746.3701(1) — Safety - Electrical Outlets Covered
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-05-21.
HHSC inspection history
Jun 4, 2024 Inspection · Deficiencies cited
- Supervision & ratios
  The operation has not conducted a lock down drill this year. This was corrected at inspection when a drill was conducted.
  
  HHSC 746.5205(3) — Sheltering Drills for Lock-Down-4 times in a calendar year
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-06-04.
HHSC inspection history · no longer published by HHSC; kept here
Jun 4, 2024 Inspection · Deficiencies cited
- Supervision & ratios
  The operation has not conducted a lock down drill this year. This was corrected at inspection when a drill was conducted.
  
  HHSC 746.5205(3) — Sheltering Drills for Lock-Down-4 times in a calendar year
  
  HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-06-04.
HHSC inspection history
Dec 14, 2023 Inspection · Deficiencies cited
- Safety & premises
  Three of eight cribs were not labeled. This was corrected at inspection when labels were added.
  
  HHSC 746.2409(a)(10) — Safety Requirements for Cribs - Label for Each Infant
  
  HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-12-14.
- Other
  Four of seven infants did not have up to date feeding instructions.
  
  HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
  
  HHSC risk weight: Medium. Corrected 2023-12-21. Correction verified 2023-12-18.
HHSC inspection history
Dec 14, 2023 Inspection · Deficiencies cited
- Safety & premises
  Three of eight cribs were not labeled. This was corrected at inspection when labels were added.
  
  HHSC 746.2409(a)(10) — Safety Requirements for Cribs - Label for Each Infant
  
  HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-12-14.
- Other
  Four of seven infants did not have up to date feeding instructions.
  
  HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
  
  HHSC risk weight: Medium. Corrected 2023-12-21. Correction verified 2023-12-18.
HHSC inspection history · no longer published by HHSC; kept here
Jun 13, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Jun 13, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Apr 27, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history
Apr 27, 2023 Inspection · No deficiencies cited

No violations cited on this visit.

HHSC inspection history · no longer published by HHSC; kept here
Mar 23, 2023 Inspection · Deficiencies cited
- Other
  One of four children's files did not have the physician's information listed.
  
  HHSC 746.605(11) — Required Admission Information - Physician Information
  
  HHSC risk weight: Medium. Corrected 2023-04-04. Correction verified 2023-04-03.
- Records & paperwork
  Three of four staff files did not have proof of education requirements.
  
  HHSC 746.901(2) — Required Personnel Records- Meets Requirements
  
  HHSC risk weight: Medium. Corrected 2023-04-04. Correction verified 2023-04-03.
HHSC inspection history
Mar 23, 2023 Inspection · Deficiencies cited
- Other
  One of four children's files did not have the physician's information listed.
  
  HHSC 746.605(11) — Required Admission Information - Physician Information
  
  HHSC risk weight: Medium. Corrected 2023-04-04. Correction verified 2023-04-03.
- Records & paperwork
  Three of four staff files did not have proof of education requirements.
  
  HHSC 746.901(2) — Required Personnel Records- Meets Requirements
  
  HHSC risk weight: Medium. Corrected 2023-04-04. Correction verified 2023-04-03.
HHSC inspection history · no longer published by HHSC; kept here
Jan 20, 2023 Inspection · Deficiencies cited
- Staff background & training
  Two caregivers had completed online CPR training.
  
  HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2023-02-17. Correction verified 2023-02-24.
- Supervision & ratios Serious
  The operational policies were missing the following items: policy for infant safe sleep, hearing and vision screening requirements, enrollment procedures and notifications of policy changes, procedures for parent and director meetings, procedures parent participation, promotion of physical play, providing and applying insect repelleant and sunscreen, child health checks, information on gang free zones, provisions for a comfortable spot for nursing mothers, and vaccine preventable diseases for the staff.
  
  HHSC 746.201(1) — Policies Comply with Rules
  
  HHSC risk weight: High. Corrected 2023-01-27. Correction verified 2023-01-25.
- Safety & premises
  The emergency preparedness plan did not include information on evacuating children younger than 24 months old or children with limited mobility.
  
  HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
  
  HHSC risk weight: Medium High. Corrected 2023-01-27. Correction verified 2023-01-23.
- Records & paperwork
  Staff files did not have the nortarized affadavit.
  
  HHSC 746.901(4) — Required Personnel Records - Required Affidavit
  
  HHSC risk weight: Medium Low. Corrected 2023-01-27. Correction verified 2023-01-23.
HHSC inspection history · no longer published by HHSC; kept here
Jan 20, 2023 Inspection · Deficiencies cited
- Staff background & training
  Two caregivers had completed online CPR training.
  
  HHSC 746.1315(b) — Each Caregiver and the Director Must Have Current Training in pediatric CPR
  
  HHSC risk weight: Medium High. Corrected 2023-02-17. Correction verified 2023-02-24.
- Supervision & ratios Serious
  The operational policies were missing the following items: policy for infant safe sleep, hearing and vision screening requirements, enrollment procedures and notifications of policy changes, procedures for parent and director meetings, procedures parent participation, promotion of physical play, providing and applying insect repelleant and sunscreen, child health checks, information on gang free zones, provisions for a comfortable spot for nursing mothers, and vaccine preventable diseases for the staff.
  
  HHSC 746.201(1) — Policies Comply with Rules
  
  HHSC risk weight: High. Corrected 2023-01-27. Correction verified 2023-01-25.
- Safety & premises
  The emergency preparedness plan did not include information on evacuating children younger than 24 months old or children with limited mobility.
  
  HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
  
  HHSC risk weight: Medium High. Corrected 2023-01-27. Correction verified 2023-01-23.
- Records & paperwork
  Staff files did not have the nortarized affadavit.
  
  HHSC 746.901(4) — Required Personnel Records - Required Affidavit
  
  HHSC risk weight: Medium Low. Corrected 2023-01-27. Correction verified 2023-01-23.
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 NHUMC Ministry Center Childcare, 4306 NACO PASS, San Antonio, TX 78217-2100 (operation ID 1430509, operation number 1761271), 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.