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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.
Texas HHSC records list 20 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated July 9, 2026.
The same records list 20 cited deficiencies dated November 3, 2023 to July 9, 2026 (HHSC risk levels: 9 High, 7 Medium High, 2 Medium, 1 Medium Low, 1 Low).
Correction status recorded by HHSC: 3 corrected at inspection, 17 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 17 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.
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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 20 cited deficiencies for Alamo Heights Presbyterian Church in the 3 years before October 10, 2026 (9 High, 7 Medium High, 2 Medium, 1 Medium Low, 1 Low).
Records list 20 inspections in this window. Most recent inspection: 2026-07-09.
| Risk weight | Citations |
|---|---|
| High | 9 |
| Medium High | 7 |
| Medium | 2 |
| Medium Low | 1 |
| 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.
2026-07-09 · 746.2909(1) · Medium High
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
At time of inspection, two prekinder children were seen sleeping in front of entrance/exit of class. This was corrected at inspection.
Corrected at inspection
2025-12-15 · 746.3701(3) · Medium High
Safety - Air Conditioners, Fans, Heaters Safeguarded
Two fans in the Pre-K room were accessible to children. One was placed on the floor, and the other was placed on top of a shelf, not mounted. This was corrected when one fan was moved to a secure storage area and the other was stored up away from children's reach.
Corrected at inspection
2025-12-15 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Three out of the ten children's files reviewed did not have current immunizations.
Correction date recorded: 2025-12-29
2026-07-09 · 746.2909(1) · Medium High
Arrangement of Napping Equipment - Not Blocking Entrances or Exits
Corrected at inspection: Yes. Correction date: 2026-07-09. Correction verified: Not recorded.
At time of inspection, two prekinder children were seen sleeping in front of entrance/exit of class. This was corrected at inspection.
2025-12-15 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2025-12-29. Correction verified: 2026-01-15.
Three out of the ten children's files reviewed did not have current immunizations.
2025-12-15 · 746.3701(3) · Medium High
Safety - Air Conditioners, Fans, Heaters Safeguarded
Corrected at inspection: Yes. Correction date: 2025-12-15. Correction verified: Not recorded.
Two fans in the Pre-K room were accessible to children. One was placed on the floor, and the other was placed on top of a shelf, not mounted. This was corrected when one fan was moved to a secure storage area and the other was stored up away from children's reach.
2025-07-25 · 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: 2025-09-10. Correction verified: 2025-09-22.
During the course of the investigation, it was determined that a caregiver left the children alone in the classroom by stepping into the hallway and closing the door, resulting in an injury to a child.
2025-05-12 · 746.611(a)(1) · Low
Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Corrected at inspection: No. Correction date: 2025-05-30. Correction verified: 2025-05-16.
Four out of ten files reviewed did not have a health statement on file.
2025-05-12 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-05-16. Correction verified: 2025-05-16.
The infant room did not have feeding forms for seven out of the ten children to review in the last thirty days.
2025-04-07 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-05-02. Correction verified: 2025-05-12.
The infant room was found out of ratio. There was 1 staff member and five children in care.
2025-01-23 · 746.4815(a)(1) · Medium Low
Use Zones - Licensed Before September 1, 2003 - Climbing Structures
Corrected at inspection: No. Correction date: 2025-02-14. Correction verified: 2025-02-12.
A climbing structure on the playground did not have the required use zone.
2025-01-23 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2025-01-23. Correction verified: 2025-02-07.
A staff member was caring for children, unsupervised during nap time with provisional conditions in place. Note: This was corrected at inspection when another caregiver arrived to the classroom to supervise.
2025-01-23 · 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: 2025-01-23. Correction verified: 2025-02-07.
A staff member who had direct access to children in care did not have a background check from the CBCU regarding the persons eligibility. Note: This was corrected at inspection when staff member was sent home during inspection.
2024-09-26 · 746.301(2) · Medium
Notification of Change in Space
Corrected at inspection: Yes. Correction date: 2024-09-26. Correction verified: Not recorded.
The operation did not notify Child Care Regulation when a two year old classroom was moved upstairs and two infant classrooms were moved from one building to another. Note: This was corrected at inspection when the director notified licensing representative of the change at monitoring inspection.
2024-09-26 · 746.2405(2) · Medium High
Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
Corrected at inspection: No. Correction date: 2024-09-30. Correction verified: 2024-10-15.
Cribs were not available inside one of two infant classrooms. Cribs were stored in the walkway outside of the infant classroom.
2024-09-26 · 746.5209(c) · High
No Blocked or Locked Doors as Exits
Corrected at inspection: No. Correction date: 2024-10-03. Correction verified: 2024-10-15.
Cribs stored in the walkway were blocking an exit door.
2024-09-26 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2024-10-03. Correction verified: 2024-10-15.
The electronic child safety alarm was not functioning in one of the operation's vans used to transport children.
2024-09-26 · 746.2403(5) · Medium High
Infant Care Area - Space to Walk Between Cribs, Cots or Mats
Corrected at inspection: No. Correction date: 2024-10-03. Correction verified: 2024-10-15.
Cribs were not spaced far enough apart to allow space for caregivers to walk and work between the cribs in two infant classrooms.
2024-09-26 · 746.4217(1) · Medium High
Caring for Children Above or Below Ground Level-Written Approval
Corrected at inspection: No. Correction date: 2024-10-03. Correction verified: 2024-10-15.
The operation moved a two year old classroom to the second floor and was unable to provide written approval from the local fire authority approving care of the two year old children on the second floor.
2023-12-22 · 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: 2023-12-23. Correction verified: 2024-01-08.
A staff member who had direct access to children in care did not have a background check. Note: Staff member was sent home during inspection.
2023-11-03 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2023-12-11. Correction verified: 2023-12-22.
During the course of a DFPS investigation, it was determined that neglectful supervision occurred when a child was left outside, in a breezeway that is attached to the daycare for approximately eight minutes without the caregiver's realizing the child was missing. The caregiver's were alerted by two passerby's, when the passerby knocked on the classroom window that child was left alone.
2023-11-03 · 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: 2023-12-11. Correction verified: 2023-12-22.
During a DFPS investigation, it was determined that caregivers failed to properly supervise a child in their care, and did not account for child when returning indoors resulting in child being left outside in a breezeway that is attached to the daycare for approximately eight minutes.
2023-11-03 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-12-11. Correction verified: 2023-12-22.
During a DFPS investigation it was determined that although the operation had a procedure in place to properly account for all children in care, it was not followed by two caregivers resulting in a child being left in an attached breezeway outside the day care for approximately eight minutes.
2023-01-25 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: Yes. Correction date: 2023-01-25. Correction verified: Not recorded.
There were no monthly inspections of the active play space and equipment, utilizing a general maintenance checklist or safety checklist documented for the last calender year. Note: This was corrected during the inspection when the director conducted an inspection utilizing From 1100 - Daily Building and Grounds Checklist.
2023-01-25 · 746.5202(2) · Medium High
Emergency Preparedness Plan - Communication Procedures
Corrected at inspection: No. Correction date: 2023-02-24. Correction verified: 2023-02-03.
The operations emergency preparedness plan was missing specific procedures for how they will communicate with local authorities (such as fire, law enforcement, emergency medical services, health department), parents and licensing.
2023-01-25 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2023-02-24. Correction verified: 2023-02-27.
A childs food allergy emergency plan was not signed or dated by the child's parents.
2023-01-25 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2023-02-24. Correction verified: 2023-02-03.
The operations emergency preparedness plan was missing specific procedures on the following topics: (1) How children will be evacuated or relocated to the designated safe area or alternate shelter, including specific procedures for evacuating and relocating children who are under 24 months of age, who have limited mobility, or who otherwise may need assistance in an emergency, such as children who have mental, visual, or hearing impairments, (2) An emergency evacuation and relocation diagram & (3) How children in attendance at the time of the emergency will be accounted for at the designated safe area or alternate shelter.
2023-01-25 · 746.5202(3) · Medium High
Emergency Preparedness Plan - Essential Documentation
Corrected at inspection: No. Correction date: 2023-02-24. Correction verified: 2023-02-03.
The operations emergency preparedness plan was missing specific procedures on the following topics: How staff will evacuate and relocate with the essential documentation including (A)Parent and emergency contact telephone numbers for each child in care, (B) Authorization for emergency care for each child in care & (C) The child tracking system information for children in care
2023-01-25 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2023-02-24. Correction verified: 2023-02-16.
10 out of the 10 staff records reviewed were missing annual training in the required following topics: (1) Emergency preparedness, (2) Preventing and controlling the spread of communicable diseases, including immunizations, (3) Administering medication, if applicable,(4) Preventing and responding to emergencies due to food or an allergic reaction, (5) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic & (6) Handling, storing, and disposing of hazardous materials
2023-01-25 · 746.5103 · Medium High
Documentation of Fire Inspection
Corrected at inspection: No. Correction date: 2023-02-24. Correction verified: 2023-02-24.
There wasn't a copy of the most recent fire inspection report on file at the operation.
2022-11-17 · 746.2423 · Medium
Naptime for Infants
Corrected at inspection: No. Correction date: 2023-01-12. Correction verified: 2023-01-25.
Based on information gathered throughout the investigation, it was determined that a caregiver was not allowing infants to maintain his or her own pattern of sleeping and waking periods.
2022-02-14 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-02-14. Correction verified: 2022-02-22.
Carpet in the toddler classroom had stains and not been cleaned.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=97569
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.