The Nest School San Antonio
7900 OLD TEZEL RD, San Antonio, TX 78250 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 266
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:30 PM
- Director / administrator
- Sarah Zimmerman
- Phone
- (210) 521-6677
- Regulated since
- May 18, 2023
- HHSC IDs
- Operation 1425971 · number 1757310
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 16 | 4 | Illness & medication (4), Supervision & ratios (4), Safety & premises (4), Staff background & training (2), Other (2) |
| 2024 | 18 | 8 | Supervision & ratios (4), Safety & premises (2), Food & allergies (2), Staff background & training (2), Other (8) |
| 2023 | 2 | 2 | Staff background & training (2) |
| 2022 | 4 | 0 | Safety & premises (2), Records & paperwork (2) |
Inspections, investigations & assessments
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jun 15, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 18, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
-
Aug 14, 2025 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jul 15, 2025 Inspection · Deficiencies cited
-
Staff background & training
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2025-08-15. Correction verified 2025-08-29.
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Staff background & training
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Jul 15, 2025 Inspection · Deficiencies cited
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Staff background & training
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2025-08-15. Correction verified 2025-08-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jul 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 21, 2025 Inspection · Deficiencies cited
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Other Serious
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2025-02-21. Correction verified 2025-03-05.
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Other Serious
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Feb 21, 2025 Inspection · Deficiencies cited
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Other Serious
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2025-02-21. Correction verified 2025-03-05.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Feb 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 6, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
It was determined during the course of the investigation that the director demonstrated poor judgement when she documented that she had conducted fire drills that were never conducted, thereby falsifying documentation at the operation.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2025-03-26. Correction verified 2025-04-09.
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Illness & medication
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2025-02-19. Correction verified 2025-02-21.
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Supervision & ratios
During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.
HHSC 746.5205(1) — Fire Drill Monthly - Exit in 3 Minutes
HHSC risk weight: Medium High. Corrected 2025-03-26. Correction verified 2025-04-09.
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Supervision & ratios Serious
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Feb 6, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
It was determined during the course of the investigation that the director demonstrated poor judgement when she documented that she had conducted fire drills that were never conducted, thereby falsifying documentation at the operation.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2025-03-26. Correction verified 2025-04-09.
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Illness & medication
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2025-02-19. Correction verified 2025-02-21.
-
Supervision & ratios
During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.
HHSC 746.5205(1) — Fire Drill Monthly - Exit in 3 Minutes
HHSC risk weight: Medium High. Corrected 2025-03-26. Correction verified 2025-04-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jan 30, 2025 Inspection · Deficiencies cited
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Safety & premises
At time of inspection childrens restroom was observed to be used as storage.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2025-02-14. Correction verified 2025-02-19.
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Illness & medication
At time of inspection, a childs medication was observed to not be in original container.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2025-02-14. Correction verified 2025-02-19.
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Safety & premises
At time of inspection, emergency preparedness plan did not include how they would evacuate children with limited mobility. At time of inspection, emergency preparedness plan did not state alternative relocation. This was corrected at inspection.
HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-01-30.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
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Jan 30, 2025 Inspection · Deficiencies cited
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Safety & premises
At time of inspection childrens restroom was observed to be used as storage.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2025-02-14. Correction verified 2025-02-19.
-
Illness & medication
At time of inspection, a childs medication was observed to not be in original container.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2025-02-14. Correction verified 2025-02-19.
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Safety & premises
At time of inspection, emergency preparedness plan did not include how they would evacuate children with limited mobility. At time of inspection, emergency preparedness plan did not state alternative relocation. This was corrected at inspection.
HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-01-30.
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Safety & premises
-
Jan 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 15, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 11, 2024 Inspection · Deficiencies cited
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Other
At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-09-11.
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Other
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Sep 11, 2024 Inspection · Deficiencies cited
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Other
At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.
HHSC 746.3701(1) — Safety - Electrical Outlets Covered
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-09-11.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 21, 2024 Report · Deficiencies cited
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Other Serious
It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2024-06-10. Correction verified 2024-06-18.
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Staff background & training
A caregiver did not have current training in required topics (Medication administration and 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 2024-06-10. Correction verified 2024-06-18.
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Supervision & ratios Serious
The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-06-10. Correction verified 2024-06-18.
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Food & allergies
A child was served a food item that is identified on the child's food allergy plan.
HHSC 746.3301(i) — Nutrition and Food Service - Must not serve identified foods to allergic child
HHSC risk weight: Medium High. Corrected 2024-06-10. Correction verified 2024-06-18.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
May 21, 2024 Report · Deficiencies cited
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Other Serious
It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2024-06-10. Correction verified 2024-06-18.
-
Staff background & training
A caregiver did not have current training in required topics (Medication administration and 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 2024-06-10. Correction verified 2024-06-18.
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Supervision & ratios Serious
The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-06-10. Correction verified 2024-06-18.
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Food & allergies
A child was served a food item that is identified on the child's food allergy plan.
HHSC 746.3301(i) — Nutrition and Food Service - Must not serve identified foods to allergic child
HHSC risk weight: Medium High. Corrected 2024-06-10. Correction verified 2024-06-18.
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Other Serious
-
Apr 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 22, 2024 Inspection · Deficiencies cited
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Other
At time of inspection the loose fill under the swing area was not adequate as ground was visible.
HHSC 746.4907(d) — Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-02-29.
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Safety & premises Serious
At time of inspection last fire inspection was conducted on 9/27/22.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2024-03-08. Correction verified 2024-02-27.
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Supervision & ratios Serious
At time of inspection, operation did not have a carbon monoxide detector.
HHSC 746.5531 — Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
HHSC risk weight: High. Corrected 2024-03-08. Correction verified 2024-02-27.
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Other
At time of inspection six out of six children files did not have if children can swim without assistance, need a life jacket or if child has a condition that would put them at risk while swimming.
HHSC 746.605(10) — Required Admission Information - Water Activity Permission
HHSC risk weight: Medium. Corrected 2024-03-08. Correction verified 2024-03-08.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Feb 22, 2024 Inspection · Deficiencies cited
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Other
At time of inspection the loose fill under the swing area was not adequate as ground was visible.
HHSC 746.4907(d) — Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
HHSC risk weight: Medium High. Corrected 2024-03-15. Correction verified 2024-02-29.
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Safety & premises Serious
At time of inspection last fire inspection was conducted on 9/27/22.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2024-03-08. Correction verified 2024-02-27.
-
Supervision & ratios Serious
At time of inspection, operation did not have a carbon monoxide detector.
HHSC 746.5531 — Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
HHSC risk weight: High. Corrected 2024-03-08. Correction verified 2024-02-27.
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Other
At time of inspection six out of six children files did not have if children can swim without assistance, need a life jacket or if child has a condition that would put them at risk while swimming.
HHSC 746.605(10) — Required Admission Information - Water Activity Permission
HHSC risk weight: Medium. Corrected 2024-03-08. Correction verified 2024-03-08.
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Other
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Oct 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 20, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 22, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 19, 2023 Assessment · Deficiencies cited
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Staff background & training Serious
On 6/19/2023, the operation reported to child care regulation that an assistant caregiver was working directly with children without having received a determination of eligibility to be present at the operation.
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 2023-06-19. Correction verified 2023-06-22.
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Staff background & training Serious
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Jun 19, 2023 Assessment · Deficiencies cited
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Staff background & training Serious
On 6/19/2023, the operation reported to child care regulation that an assistant caregiver was working directly with children without having received a determination of eligibility to be present at the operation.
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 2023-06-19. Correction verified 2023-06-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 9, 2022 Inspection · Deficiencies cited
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Safety & premises
4 out of 8 children files did not have complete emergency contact information.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2022-11-30. Correction verified 2022-11-18.
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Records & paperwork
5 out of 8 files reviewed were missing employment start date.
HHSC 746.901(1) — Required Personnel Records - Dates of Employment
HHSC risk weight: Medium Low. Corrected 2022-11-30. Correction verified 2022-11-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Nov 9, 2022 Inspection · Deficiencies cited
-
Safety & premises
4 out of 8 children files did not have complete emergency contact information.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2022-11-30. Correction verified 2022-11-18.
-
Records & paperwork
5 out of 8 files reviewed were missing employment start date.
HHSC 746.901(1) — Required Personnel Records - Dates of Employment
HHSC risk weight: Medium Low. Corrected 2022-11-30. Correction verified 2022-11-11.
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Safety & premises
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.