2026-08-07 · 746.1205(a)(1) · High
Responsibilities of Caregivers - Know children responsible for
A caregiver did not know the number of children in their care when asked.
Correction date recorded: 2026-08-07
Spirit's Heart Childcare Center
Licensed Center
View the official HHSC recordOfficial HHSC provider profile
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Provider details
- City / County / ZIP
- San Antonio / Bexar / 78219
- Street address
- 3155 Ackerman Rd Ste 113
- Phone
- (210) 451-9553
- Capacity
- 60
- Ages served
- Infant, Toddler, Pre-Kindergarten, School
- Hours / Days
- 06:00 AM-06:00 AM / Mon,Tue,Wed,Thu,Fri,Sat,Sun
- Permit type
- Full Permit
- Permit issued
- September 1, 2020
- 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.
Plain-English summary of cited deficiencies
State records list 14 cited deficiencies dated May 20, 2024 to August 7, 2026 (7 High, 5 Medium High, 2 Medium risk). Correction status: 1 corrected at inspection, 13 with a correction date recorded, 0 with no correction date recorded.
- High risk · Responsibilities of Caregivers - Know children responsible for (746.1205(a)(1))
Cited August 7, 2026 (correction date recorded: August 7, 2026; correction verified August 11, 2026; technical assistance given).
What the record describes: A caregiver did not know how many children were in their care when asked. - High risk · Prohibited Punishments - Humiliating, Rejecting, Yelling (746.2805(5))
Cited August 6, 2026 (correction date recorded: September 4, 2026; correction verified September 17, 2026; technical assistance given).
What the record describes: An investigation determined that staff yelled at children when they misbehaved. - High risk · AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age (746.2415(b))
Cited August 3, 2026 (correction date recorded: August 3, 2026; correction verified August 11, 2026; technical assistance given).
What the record describes: An infant was observed sitting in a swing placed inside a crib. - High risk · Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity (746.1205(a)(4))
Cited August 3, 2026 (correction date recorded: August 3, 2026; correction verified August 11, 2026; technical assistance given); July 14, 2026 (correction date recorded: July 28, 2026; correction verified August 3, 2026; technical assistance given); October 14, 2024 (correction date recorded: October 14, 2024; correction verified October 29, 2024; technical assistance given).
What the record describes: Narratives describe children outside caregiver supervision, a child stabbing others with a pencil, and an unfamiliar person accessing a child left alone. A ten-year-old supervised a two-year-old using the restroom while the caregiver took other children away, without caregiver supervision for less than one minute. - High risk · Food Service and Preparation Requirement - No Foods That Present Choking Risk (746.3317(7))
Cited April 29, 2025 (correction date recorded: April 29, 2025; correction verified May 12, 2025; technical assistance given).
What the record describes: Whole grapes were served to children ages 2–4. - Medium High risk · Responsibilities of Caregivers - Know children's names and ages (746.1205(a)(3))
Cited August 3, 2026 (correction date recorded: August 3, 2026; correction verified August 11, 2026; technical assistance given).
What the record describes: A caregiver in the toddler room could not provide the ages of the children in their care. - Medium High risk · Food Service and Preparation Requirement - Use Sanitary Holders (746.3317(6))
Cited April 29, 2025 (corrected at inspection; technical assistance given).
What the record describes: Children were observed eating a snack on the floor. - Medium High risk · Child/Caregiver Ratio - 18 Months Difference in Age (746.1605(1))
Cited October 14, 2024 (correction date recorded: October 14, 2024; correction verified October 29, 2024; technical assistance given).
What the record describes: A fourteen-month-old infant was in the transition classroom, where the oldest child was ten years old. - Medium High risk · Annual Sanitation Inspection (746.3401(a))
Cited May 20, 2024 (correction date recorded: June 24, 2024; correction verified May 27, 2024; technical assistance given).
What the record describes: The health inspection had not been conducted. The last report was dated 5/12/23. - Medium High risk · Children Handwashing After Toileting or Diapering (746.3417(3))
Cited May 20, 2024 (correction date recorded: May 20, 2024; correction verified June 5, 2024; technical assistance given).
What the record describes: A caregiver did not wash a child's hands after a diaper change or their own hands after changing a diaper while wearing gloves. Toddlers returned from the outdoor playground and resumed classroom activities without washing their hands. - Medium risk · Screen Time Activities - Not Used for Under Two (746.2207(a))
Cited August 3, 2026 (correction date recorded: August 3, 2026; correction verified August 11, 2026; technical assistance given); May 20, 2024 (correction date recorded: May 20, 2024; correction verified June 5, 2024; technical assistance given).
What the record describes: An 18-month-old child was observed watching cartoons on a tablet. A device playing a video was placed in front of an infant sitting in a restrictive device while a caregiver changed another infant’s diaper.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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 14 cited deficiencies for Spirit's Heart Childcare Center in the 3 years before October 10, 2026 (7 High, 5 Medium High, 2 Medium).
Records list 15 inspections in this window. Most recent inspection: 2026-09-17.
| Risk weight | Citations |
|---|---|
| High | 7 |
| Medium High | 5 |
| Medium | 2 |
| 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
2026-08-06 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
During the investigation process, it was determined that daycare staff yell at the children when they are misbehaving.
Correction date recorded: 2026-09-04
2026-08-03 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Recite: Active supervision was not practiced when a child left his assigned group to attempt to open the operation door to let the CCR inspector in, when the caregiver left the group to open the door to let the CCR inspector in, and when a child was observed to be stabbing other…
Correction date recorded: 2026-08-03
Full citation history from HHSC (22)
2026-08-07 · 746.1205(a)(1) · High
Responsibilities of Caregivers - Know children responsible for
Corrected at inspection: No. Correction date: 2026-08-07. Correction verified: 2026-08-11.
A caregiver did not know the number of children in their care when asked.
2026-08-06 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2026-09-04. Correction verified: 2026-09-17.
During the investigation process, it was determined that daycare staff yell at the children when they are misbehaving.
2026-08-03 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-11.
The caregiver in the toddler room was unable to provide the ages of the children in her care.
2026-08-03 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-11.
A infant was observed to be seated in a swing that was placed in a crib.
2026-08-03 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-11.
A child, identified as 18 months, was observed to be watching cartoons on the tablet.
2026-08-03 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-08-03. Correction verified: 2026-08-11.
Recite: Active supervision was not practiced when a child left his assigned group to attempt to open the operation door to let the CCR inspector in, when the caregiver left the group to open the door to let the CCR inspector in, and when a child was observed to be stabbing other children with a pencil.
2026-07-14 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2026-07-28. Correction verified: 2026-08-03.
It was determined in an investigation that proper supervision was not utilized when a child was left alone and an unfamiliar person was able to enter the building and classroom spaces and access a child.
2025-04-29 · 746.3317(6) · Medium High
Food Service and Preparation Requirement - Use Sanitary Holders
Corrected at inspection: Yes. Correction date: 2025-04-29. Correction verified: Not recorded.
Children were observed eating snack on the floor.
2025-04-29 · 746.3317(7) · High
Food Service and Preparation Requirement - No Foods That Present Choking Risk
Corrected at inspection: No. Correction date: 2025-04-29. Correction verified: 2025-05-12.
Whole grapes were served to children 2-4 years of age.
2024-10-14 · 746.1605(1) · Medium High
Child/Caregiver Ratio - 18 Months Difference in Age
Corrected at inspection: No. Correction date: 2024-10-14. Correction verified: 2024-10-29.
A fourteen month old infant was in the transition classroom where the oldest child was ten years old.
2024-10-14 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2024-10-14. Correction verified: 2024-10-29.
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
2024-05-20 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2024-06-24. Correction verified: 2024-05-27.
The health inspection had not been conducted. The last report is dated 5/12/23.
2024-05-20 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2024-05-20. Correction verified: 2024-06-05.
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
2024-05-20 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2024-05-20. Correction verified: 2024-06-05.
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
2023-09-21 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2023-11-01. Correction verified: 2023-11-13.
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
2023-08-11 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2023-08-31. Correction verified: 2023-08-16.
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.
2022-08-19 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2022-09-02. Correction verified: 2022-08-26.
Two of six files did not have an updated immunization record in the file.
2022-07-25 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-29.
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
2022-03-23 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Corrected at inspection: No. Correction date: 2022-05-20. Correction verified: 2022-06-08.
During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.
2022-03-23 · 746.1203(6) · Medium High
Responsibilities of Caregivers - Free of other activities
Corrected at inspection: No. Correction date: 2022-03-29. Correction verified: 2022-04-07.
Observed caregiver in toddler class viewing her cell phone during snack time.
2022-01-28 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2022-01-28. Correction verified: Not recorded.
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
2021-12-22 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Corrected at inspection: No. Correction date: 2022-01-12. Correction verified: 2022-01-28.
The new center van is not equipped with an electric child safety alarm.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1340408
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.