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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.
State records list 17 cited deficiencies dated February 22, 2024 to July 15, 2025 (6 High, 9 Medium High, 2 Medium risk). Correction status: 2 corrected at inspection, 15 with a correction date recorded, 0 with no correction date recorded.
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.
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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 The Nest School San Antonio in the 3 years before October 10, 2026 (6 High, 9 Medium High, 2 Medium).
Records list 16 inspections in this window. Most recent inspection: 2026-06-15.
| Risk weight | Citations |
|---|---|
| High | 6 |
| Medium High | 9 |
| 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.
2025-07-15 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
Correction date recorded: 2025-08-15
2025-02-21 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
Correction date recorded: 2025-02-21
2025-02-06 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.
Correction date recorded: 2025-02-19
2025-07-15 · 746.1301(a)(5)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Corrected at inspection: No. Correction date: 2025-08-15. Correction verified: 2025-08-29.
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
2025-02-21 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2025-02-21. Correction verified: 2025-03-05.
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
2025-02-06 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-03-26. Correction verified: 2025-04-09.
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.
2025-02-06 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2025-03-26. Correction verified: 2025-04-09.
During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.
2025-02-06 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2025-02-19. Correction verified: 2025-02-21.
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.
2025-01-30 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: Yes. Correction date: 2025-01-30. Correction verified: Not recorded.
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.
2025-01-30 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2025-02-14. Correction verified: 2025-02-19.
At time of inspection childrens restroom was observed to be used as storage.
2025-01-30 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2025-02-14. Correction verified: 2025-02-19.
At time of inspection, a childs medication was observed to not be in original container.
2024-09-11 · 746.3701(1) · Medium High
Safety - Electrical Outlets Covered
Corrected at inspection: Yes. Correction date: 2024-09-11. Correction verified: Not recorded.
At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.
2024-05-21 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-06-10. Correction verified: 2024-06-18.
It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.
2024-05-21 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2024-06-10. Correction verified: 2024-06-18.
A child was served a food item that is identified on the child's food allergy plan.
2024-05-21 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-06-10. Correction verified: 2024-06-18.
The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.
2024-05-21 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2024-06-10. Correction verified: 2024-06-18.
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).
2024-02-22 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2024-03-08. Correction verified: 2024-02-27.
At time of inspection, operation did not have a carbon monoxide detector.
2024-02-22 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-02-29.
At time of inspection the loose fill under the swing area was not adequate as ground was visible.
2024-02-22 · 746.605(10) · Medium
Required Admission Information - Water Activity Permission
Corrected at inspection: No. Correction date: 2024-03-08. Correction verified: 2024-03-08.
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.
2024-02-22 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-03-08. Correction verified: 2024-02-27.
At time of inspection last fire inspection was conducted on 9/27/22.
2023-06-19 · 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: 2023-06-19. Correction verified: 2023-06-22.
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.
2022-11-09 · 746.901(1) · Medium Low
Required Personnel Records - Dates of Employment
Corrected at inspection: No. Correction date: 2022-11-30. Correction verified: 2022-11-11.
5 out of 8 files reviewed were missing employment start date.
2022-11-09 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2022-11-30. Correction verified: 2022-11-18.
4 out of 8 children files did not have complete emergency contact information.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1425971
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.