Toepperwein Road KinderCare

Licensed Center

Provider details

City / County / ZIP: Live Oak / Bexar / 78233
Street address: 11501 Toepperwein Rd
Phone: (210) 653-8255
Capacity: 124
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 06:30 AM-06:30 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: June 26, 1987
Operation status:: Active
Corrective action: HHSC lists: No
Adverse action: HHSC lists: No
Temporarily closed: HHSC lists: No

Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.

Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.

Summary of state inspection records

Texas HHSC records list 21 inspections dated between October 10, 2023 and October 10, 2026.

The most recent inspection in these records is dated October 1, 2026.

The same records list 17 cited deficiencies dated March 25, 2024 to August 27, 2026 (HHSC risk levels: 5 High, 9 Medium High, 2 Medium, 1 Low).

Correction status recorded by HHSC: 2 corrected at inspection, 15 with a correction date recorded, 0 with no correction date recorded.

HHSC lists a verified correction date for 15 of these citations.

The official HHSC record has the full inspection history and the latest information.

Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.

View the official state record · Report an issue with this page

Summary of the record

This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.

Texas Health and Human Services records list 17 cited deficiencies for Toepperwein Road KinderCare in the 3 years before October 10, 2026 (5 High, 9 Medium High, 2 Medium, 1 Low).

Records list 21 inspections in this window. Most recent inspection: 2026-10-01.

HHSC risk weights of citations
Risk weight	Citations
High	5
Medium High	9
Medium	2
Medium Low	0
Low	1
Unknown	0

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

2026-08-27 · 746.1315(b) · Medium High

Each Caregiver and the Director Must Have Current Training in pediatric CPR

One caregiver did not have current CPR training. Her CPR card expired on 8/15/26.

Correction date recorded: 2026-09-10

2026-08-27 · 746.605(11) · High

Required Admission Information - Emergency Medical Authorization

Two of the children's files did not have the emergency medical authorization completed.

Correction date recorded: 2026-08-28

2026-08-27 · 746.1315(a) · Medium High

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

One staff member had a First Aid card that expired on 8/15/2026.

Correction date recorded: 2026-09-10

Full citation history from HHSC (21)

2026-08-27 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2026-09-27. Correction verified: 2026-09-10.
Seven staff were delinquent in training records from the previous calendar year.
2026-08-27 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: Yes. Correction date: 2026-08-27. Correction verified: Not recorded.
In the Pre-K/Multi-age classroom there were 12 children counted and the caregiver stated there were 11 children at first.
2026-08-27 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2026-09-24. Correction verified: 2026-09-10.
Two children's files did not have immunization records in them.
2026-08-27 · 746.3313(2) · Medium
Daily Menus - May Rotate if Keep Record of Dates Menus Used
Corrected at inspection: No. Correction date: 2026-09-03. Correction verified: 2026-09-10.
The menus posted were from June 2026. The cook had menus dating from January 2026 to June 2026. There were no menus printed and posted for July and August 2026. The cook was using the week and the day to determine what food was going to be served. Today is Thursday, the items on the menu for today were listed on a Tuesday.
2026-08-27 · 746.3317(7) · High
Food Service and Preparation Requirement - No Foods That Present Choking Risk
Corrected at inspection: Yes. Correction date: 2026-08-27. Correction verified: Not recorded.
A piece of banana that was over two inches long was lying on the floor near the door of the Infant A classroom. It was observed not to be cut into slices, and the caregiver threw the piece of banana in the garbage can.
2026-08-27 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2026-08-28. Correction verified: 2026-09-10.
In two children's files there was no addresses provided for the emergency contact person.
2026-08-27 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2026-09-10. Correction verified: 2026-09-10.
One staff member had a First Aid card that expired on 8/15/2026.
2026-08-27 · 746.605(11) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2026-08-28. Correction verified: 2026-09-10.
Two of the children's files did not have the emergency medical authorization completed.
2026-08-27 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2026-09-10. Correction verified: 2026-09-10.
One caregiver did not have current CPR training. Her CPR card expired on 8/15/26.
2026-05-21 · 746.201(9) · Medium High
Complying with Laws and Rules
Corrected at inspection: No. Correction date: 2026-06-16. Correction verified: 2026-07-08.
During the investigation, it was determined that the operation failed to comply with minimum standards by not providing immunization records to the health department within the requested time frame.
2026-04-13 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2026-04-13. Correction verified: 2026-04-21.
An employee in the toddler room was in direct care of children prior to having an eligible background check.
2025-10-15 · 746.1105(4) · Low
Minimum Qualifications Employees and Caregivers - Affidavit (Form 2912)
Corrected at inspection: No. Correction date: 2025-10-21. Correction verified: 2025-10-17.
One out of ten staff files was missing the pre-affidavit form signed by a caregiver.
2025-03-10 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2025-03-21. Correction verified: 2025-03-24.
Two of ten children's records reviewed did not have updated immunization records on file.
2025-03-10 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-03-24. Correction verified: 2025-03-27.
The operation's fire inspection was past due. The last fire inspection was conducted on 3/4/2024 and was due 3/4/2025.
2024-03-25 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-15.
Seven of ten children's records reviewed did not have updated immunization records.
2024-03-25 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-15.
One of ten caregivers reviewed for CPR training did not have hands on skills training completed for CPR.
2024-03-25 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-04-15.
Two of ten children's records did not have a health care provider statement on file.
2023-09-27 · 746.3807(1) · High
Storage of Medication - Inaccessible to Children
Corrected at inspection: No. Correction date: 2023-10-30. Correction verified: 2023-11-08.
A child's nebulizer was stored in the child's cubby and later placed in the closet in the room and not stored with the other medications that are located in the office of the assistant director.
2023-09-27 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-10-30. Correction verified: 2023-11-08.
A child's nebulizer was stored in the child's cubby and then moved into the closet causing the operation to lose its whereabouts. Due to the medication not being stored properly, the operation is being cited for judgment.
2023-09-12 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2023-09-26. Correction verified: 2023-10-10.
An employee spanked a child to prevent the child from biting another child. The employee provided the operation with a written statement and there was a witness to the incident.
2023-09-12 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2023-09-26. Correction verified: 2023-10-10.
A written statement written by the employee was received stating that she "grabbed and patted" the child on the bottom.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=103241

Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.

Provider data fetched: October 10, 2026.