State child care records for San Antonio show 751 child care operations, including 496 licensed centers and 255 home-based operations, across 56 ZIP codes, with most operations located in Bexar, Comal County. During the window from 2023-10-10 to 2026-10-10, records list 5,628 citations, including 1,347 at High risk, 2,463 at Medium High risk, 1,566 at Medium risk, 189 at Medium Low risk, and 63 at Low risk. Among licensed centers, 449 had at least one citation in the window, while 47 had none.
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Provider totals and citation counts include all providers, including providers omitted from listings for personal-name privacy or suppression requests.
Citations dated October 10, 2023 to October 10, 2026.
| Provider type | Providers |
|---|---|
| Licensed Centers | 496 |
| Licensed Child-Care Homes | 69 |
| Listed Family Homes | 68 |
| Registered Child-Care Homes | 118 |
| Risk weight | Citations |
|---|---|
| High | 1,347 |
| Medium High | 2,463 |
| Medium | 1,566 |
| Medium Low | 189 |
| Low | 63 |
| Unknown | 0 |
| Standard | Title | Citations | Providers |
|---|---|---|---|
| 746.1205 | Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity | 198 | 133 |
| 746.1205 | Responsibilities of Caregivers - Know number of children responsible for | 118 | 97 |
| 746.613 | Immunization Records, Exceptions, and Exemptions Current | 105 | 92 |
| 746.3407 | Maintenance of Building, Grounds and Equipment | 102 | 70 |
| 746.1309 | Documented Annual Training- Required Content | 100 | 84 |
| 746.603 | Children's Records - Immunizations | 98 | 78 |
| 745.641 | AP Background check results - Must receive notification prior to allowing subject to be present at your operation | 91 | 72 |
| 746.3701 | Safety - Areas Free From Hazards | 80 | 63 |
| 746.5101 | Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months | 80 | 63 |
| 746.1201 | Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control | 77 | 62 |
| ZIP | Providers |
|---|---|
| 78253 | 43 |
| 78245 | 41 |
| 78254 | 32 |
| 78251 | 28 |
| 78240 | 27 |
| 78250 | 27 |
| 78227 | 24 |
| 78228 | 23 |
| 78249 | 23 |
| 78258 | 22 |
This standard requires caregivers to keep every child nearby and within sight or hearing. Records in San Antonio describe a caregiver leaving a classroom unattended to open the front door, children entering the building and walking to their classrooms on their own, and a child running away from the group without a caregiver stopping her.
This standard requires caregivers to know how many children they are responsible for at any given time. Records in San Antonio describe caregivers stating a number of children in care that did not match the count verified during the inspection, with one instance corrected when the caregiver recounted the children.
This standard requires each child to have a current immunization record on file, along with any allowed exception or exemption. Records in San Antonio describe children whose files were missing a current immunization record at the time of the inspection.
This standard covers keeping the building, grounds, and equipment maintained, in repair, and clean. Records in San Antonio describe overgrown grass on a playground, a classroom toilet with hard water rings, urine stains, and residue, and a fence and gate in a toddler playground needing repair.
This standard requires staff to complete and document annual training on required health and safety topics. Records in San Antonio describe staff files missing training on topics such as emergency preparedness, controlling communicable diseases, administering medication, food allergies, building safety, and handling and storing hazardous materials.
This standard requires each child's records to include a current immunization record. Records in San Antonio describe children's files that did not have a current immunization record on file when reviewed.
This standard requires a person to have background check results before being allowed at the operation. Records in San Antonio describe adults counted in ratio or working in classrooms before background check results were on file, with some instances corrected during the inspection when the individual left.
This standard requires areas used by children to be kept free from hazards. Records in San Antonio describe electrical outlets without safety covers, a playground with broken toys, a broken slide, and trash accessible to children, and cleaning chemicals left within reach during an activity.
This guide's text was drafted automatically, checked against the state records by a second automated reviewer, and spot-checked by hand; all counts are computed directly from the state data. It may contain errors. The official state record is authoritative. Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers.
Data as of October 10, 2026. Corrections and removal requests