Rachel Gehrer
4938 ORCHID STAR, San Antonio, TX 78218 · Bexar County
Program
- Type
- Registered child-care home
- Licensed capacity
- 12
- Ages
- Toddler, Pre-Kindergarten, School
- Hours
- 07:30 AM-05:00 PM
- Phone
- (442) 264-9742
- Regulated since
- Nov 10, 2022
- HHSC IDs
- Operation 1418845 · number 1751701
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Supervision & ratios (1), Records & paperwork (1) |
| 2025 | 4 | 1 | Supervision & ratios (2), Staff background & training (2) |
| 2024 | 3 | 0 | Safety & premises (1), Records & paperwork (2) |
| 2023 | 6 | 0 | Supervision & ratios (1), Safety & premises (1), Records & paperwork (3), Other (1) |
| 2022 | 2 | 1 | Supervision & ratios (1), Other (1) |
Inspections, investigations & assessments
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Jun 9, 2026 Assessment · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2026 Inspection · Deficiencies cited
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Supervision & ratios
During the inspection a playground checklist was not available. This was emailed to the operation.
HHSC 747.4407(b) — Maintenance Procedures for Active Play Space - Hazards Removed or Repaired
HHSC risk weight: Medium High. Corrected 2026-05-01. Correction verified 2026-06-09.
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Records & paperwork
One enrolled child was missing the physician health statement.
HHSC 747.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2026-05-17. Correction verified 2026-06-09.
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Supervision & ratios
-
May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 28, 2025 Inspection · Deficiencies cited
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Staff background & training
At time of inspection, primary caregiver had nineteen hours of the thirty required annual training hours.
HHSC 747.1309(a) — Primary Caregiver Annual Training -30 Hours Required
HHSC risk weight: Medium. Corrected 2025-05-28. Correction verified 2025-05-19.
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Staff background & training
At time of inspection primary caregiver did not have the two-hour transportation training.
HHSC 747.1314 — Transportation Safety Training-Primary Caregiver and Employee Transporting
HHSC risk weight: Medium High. Corrected 2025-05-09. Correction verified 2025-05-02.
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Supervision & ratios
At time of inspection, operation backyard was observed with dog feces. At time of inspeciton operation backyard grass was about five inches tall.
HHSC 747.3203 — Sanitation of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2025-05-16. Correction verified 2025-05-19.
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Supervision & ratios Serious
During the inspection, it was noted that the operation had an above-ground pool filled with water, which lacked a surrounding gate or fence.
HHSC 747.4805 — Above Ground Swimming Pools
HHSC risk weight: High. Corrected 2025-05-12. Correction verified 2025-05-19.
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Staff background & training
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Apr 30, 2024 Inspection · Deficiencies cited
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Records & paperwork
Two of the six files reviewed did not include a signed physician's statement.
HHSC 747.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2024-05-19. Correction verified 2024-06-11.
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Records & paperwork
Two of the four pet dogs in the home were missing up-to-date vaccination records.
HHSC 747.801(6) — Records Maintained and Made Available - Pet Vaccinations
HHSC risk weight: Medium. Corrected 2024-05-19. Correction verified 2024-06-11.
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Safety & premises
The permit holder did not have her up-to-date emergency practices log. She stated they are conducted monthly, but she does not know where the checklist is.
HHSC 747.801(7) — Records Maintained and Made Available - Safety Drills Documentation
HHSC risk weight: Medium. Corrected 2024-05-07. Correction verified 2024-06-03.
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Records & paperwork
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Jun 5, 2023 Inspection · Deficiencies cited
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Safety & premises
Permit holder did not document that she did her fire drills monthly. Last drill documented was in January/2023. A fire drill was conducted and documented during inspection.
HHSC 747.5005(1) — Fire Drill Monthly - Exit in 3 Minutes
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-05.
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Safety & premises
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May 1, 2023 Inspection · Deficiencies cited
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Other
The permit holder did not have a plan for activities for children while in care.
HHSC 747.2101 — Planned Activities - Designed to meet individual needs and developmental levels of children in the group
HHSC risk weight: Medium. Corrected 2023-05-31. Correction verified 2023-06-05.
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Supervision & ratios
The operational policies did not include: the safe sleep policy for infants under 12 months of age. the promotion of indoor/outdoor physical activities, weather permitting procedures for parents to review a copy of the most recent licensing inspection report. There is no statement advising that the permit holder does not carry liability insurance.
HHSC 747.501(6) — Written Operational Policies - Safe Sleep for Infants
HHSC risk weight: Medium High. Corrected 2023-05-31. Correction verified 2023-06-05.
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Records & paperwork
Permit holder did not have all children's files available for review.
HHSC 747.603(b) — Children's Records- Kept at home and available for review
HHSC risk weight: Medium Low. Corrected 2023-05-31. Correction verified 2023-06-05.
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Records & paperwork
Permit holder did not have record of safety drills conducted for the year.
HHSC 747.801(7) — Records Maintained and Made Available - Safety Drills Documentation
HHSC risk weight: Medium. Corrected 2023-05-31. Correction verified 2023-06-05.
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Records & paperwork
Permit holder did not have personnel records for neither herself nor her assistant.
HHSC 747.901 — Personnel Records
HHSC risk weight: Medium. Corrected 2023-06-16. Correction verified 2023-06-23.
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Other
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Oct 6, 2022 Inspection · Deficiencies cited
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Other
There was no first aid kit available at the time of inspection.
HHSC 747.3803(a) — First Aid Kit - Complete Kit
HHSC risk weight: Medium. Corrected 2022-10-12. Correction verified 2022-10-21.
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Other
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Aug 15, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
Provider was caring for children without a permit. * Provider applied for permit once they found out they needed one to operate*
HHSC HRC42.052(d) - Illegal Operation - Not Registered — HRC42.052(d) - Illegal Operation - Not Registered
HHSC risk weight: High. Corrected 2022-08-23. Correction verified 2022-08-23.
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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
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.