2025-04-17 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
It was observed of a caregiver in the two year old classroom, not washing hands after a diaper change.
Correction date recorded: 2025-04-17
Country Home Learning Center #5, LTD
Licensed Center
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Provider details
- City / County / ZIP
- Live Oak / Bexar / 78233
- Street address
- 11909 Toepperwein Rd
- Phone
- (210) 650-3115
- Capacity
- 465
- 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
- January 26, 1990
- 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 22 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated October 9, 2026.
The same records list 8 cited deficiencies dated February 1, 2024 to April 17, 2025 (HHSC risk levels: 4 High, 3 Medium High, 1 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 8 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 8 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 8 cited deficiencies for Country Home Learning Center #5, LTD in the 3 years before October 10, 2026 (4 High, 3 Medium High, 1 Medium).
Records list 22 inspections in this window. Most recent inspection: 2026-10-09.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 3 |
| Medium | 1 |
| Medium Low | 0 |
| Low | 0 |
| 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
2025-04-17 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
It was observed a child not washing hands in the two year old classroom after getting diaper changed.
Correction date recorded: 2025-04-17
2025-01-06 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
The operation did not provide parents a copy of Incident Report Form 7239 and did not obtain a signature from parents within 48 hours after a child was injured in care, that required medical treatment.
Correction date recorded: 2025-01-28
Full citation history from HHSC (12)
2025-04-17 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2025-04-17. Correction verified: 2025-05-02.
It was observed a child not washing hands in the two year old classroom after getting diaper changed.
2025-04-17 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2025-04-17. Correction verified: 2025-05-02.
It was observed of a caregiver in the two year old classroom, not washing hands after a diaper change.
2025-01-06 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2025-01-28. Correction verified: 2025-01-30.
The operation did not provide parents a copy of Incident Report Form 7239 and did not obtain a signature from parents within 48 hours after a child was injured in care, that required medical treatment.
2024-08-12 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2024-08-12. Correction verified: 2024-08-26.
A caregiver did not wash a child's hands after changing the child's diaper. Note: this was corrected at inspection when the inspector informed the caregiver the child's hands needed to be washed.
2024-08-12 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-08-12. Correction verified: 2024-08-26.
The caregivers in the two year old classroom and four year old classroom gave incorrect number of children in the classrooms. Note: this was corrected at inspection when caregivers counted the children and provided the correct number of children in the classrooms.
2024-05-21 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-06-04.
The caregiver in the Pre-K classroom gave incorrect number of children in the classroom. Caregiver stated there were 19 children when there were 20 children in the classroom during naptime. Note: This was corrected at inspection when a count was conducted by the director and caregiver was informed 20 children were present.
2024-04-04 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-04-04. Correction verified: 2024-04-10.
A caregiver gave the incorrect number of children in classroom.
2024-02-01 · 746.2805(9) · High
Prohibited Punishments - Withholding Active Play
Corrected at inspection: No. Correction date: 2024-03-29. Correction verified: 2024-04-04.
During an investigation, it has been determined that caregivers for school aged children withheld active play outdoors for children as discipline for behavior that they exhibit indoors during class time.
2023-08-31 · 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: 2023-09-08. Correction verified: 2023-09-08.
One of eleven caregivers CPR/First Aid certification had just lapsed without a renewal class scheduled.
2022-08-04 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2022-09-01. Correction verified: 2022-09-07.
A child received an injury while in care that required medical attention and licensing was not made aware by the operation within 48 hours after the incident.
2022-08-04 · 746.701(1) · Medium
Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
Corrected at inspection: No. Correction date: 2022-09-01. Correction verified: 2022-09-07.
A child received an injury that required medical attention and the Licensing Incident/Illness Report Form was not utilized to document the injury.
2022-08-04 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2022-09-01. Correction verified: 2022-09-07.
The operation failed to share an Incident/Illness report form with the parent of a child that received an injury in care requiring medical attention.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=108010
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.