Find a program / Texas / San Antonio / Alamo Heights Presbyterian Church
Childcare center · San Antonio, TX
Alamo Heights Presbyterian Church
A licensed child care center in San Antonio, Texas, with its state inspection history from Texas Health and Human Services (HHSC).
Program details
Program type: Licensed child care center
Address: 6201 BROADWAY ST, San Antonio, TX 78209
County: Bexar County
Phone: (210) 822-3213
Licensed to serve: Infant, Toddler, Pre-Kindergarten, School
Licensed capacity: 156 children
State ID (HHSC operation number): 152565
Permit: Full Permit, issued March 20, 1986
On corrective action (HHSC): No
On adverse action (HHSC): No
Corrective action and adverse action are formal steps Texas HHSC can take on a permit. The official record explains any that apply.
View the official record on Texas HHSC's child care search (or search operation number 152565 on the search page).
Inspection history
From November 12, 2023 to November 12, 2026
- 19 inspections
- 6 investigations
- 17 citations from these visits (risk level: High 6, Medium High 7, Medium 2, Medium Low 1, Low 1)
A citation means an inspector found a rule wasn't met at the time of the visit; many are corrected the same day. Read the official record for details.
Below is every visit in the state's files from February 14, 2022 to July 9, 2026, newest first: 36 visits and 29 citations in all, so the totals can be higher than the 3-year counts above. An investigation is a visit to look into a report or complaint; many find no citations. Risk level is the level Texas HHSC assigns to each rule, from low to high, as published. Technical assistance means the inspector gave guidance on the rule. The state's file does not say whether the "correct-by" date is a deadline or the day the problem was fixed, so it can fall after the verified date or in the future.
July 9, 2026 · Inspection · 1 citation
746.2909(1) - Arrangement of Napping Equipment - Not Blocking Entrances or Exits
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
At time of inspection, two prekinder children were seen sleeping in front of entrance/exit of class. This was corrected at inspection.
July 9, 2026 · Inspection · No citations
July 8, 2026 · Investigation · No citations
April 23, 2026 · Inspection · No citations
April 22, 2026 · Investigation · No citations
March 17, 2026 · Inspection · No citations
December 15, 2025 · Inspection · 2 citations
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Risk level: Medium High · Correct-by date in the state file: December 29, 2025 · Correction verified: January 15, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Three out of the ten children's files reviewed did not have current immunizations.
746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
October 3, 2025 · Inspection · No citations
October 2, 2025 · Investigation · No citations
September 22, 2025 · Inspection · No citations
August 12, 2025 · Inspection · No citations
July 25, 2025 · Investigation (the program reported it to the state) · 1 citation
746.1205(a)(4) - Supervision ensures each child's safety, well-being, including physical proximity and auditory or visual awareness of each child's on going activity
Risk level: High · Correct-by date in the state file: September 10, 2025 · Correction verified: September 22, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
July 15, 2025 · Inspection · No citations
July 8, 2025 · Investigation · No citations
May 12, 2025 · Inspection · 2 citations
746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Risk level: Low · Correct-by date in the state file: May 30, 2025 · Correction verified: May 16, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Four out of ten files reviewed did not have a health statement on file.
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Risk level: Medium · Correct-by date in the state file: May 16, 2025 · Correction verified: May 16, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The infant room did not have feeding forms for seven out of the ten children to review in the last thirty days.
April 8, 2025 · Inspection · No citations
April 7, 2025 · Investigation · 1 citation
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Risk level: Medium High · Correct-by date in the state file: May 2, 2025 · Correction verified: May 12, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The infant room was found out of ratio. There was 1 staff member and five children in care.
February 7, 2025 · Inspection · No citations
January 23, 2025 · Inspection · 3 citations
746.4815(a)(1) - Use Zones - Licensed Before September 1, 2003 - Climbing Structures
Risk level: Medium Low · Correct-by date in the state file: February 14, 2025 · Correction verified: February 12, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A climbing structure on the playground did not have the required use zone.
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Risk level: High · Correct-by date in the state file: January 23, 2025 · Correction verified: February 7, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Risk level: High · Correct-by date in the state file: January 23, 2025 · Correction verified: February 7, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
December 19, 2024 · Inspection · No citations
October 15, 2024 · Inspection · No citations
September 26, 2024 · Inspection · 6 citations
746.2403(5) - Infant Care Area - Space to Walk Between Cribs, Cots or Mats
Risk level: Medium High · Correct-by date in the state file: October 3, 2024 · Correction verified: October 15, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Cribs were not spaced far enough apart to allow space for caregivers to walk and work between the cribs in two infant classrooms.
746.2405(2) - Infant Care Area Furnishings and Equipment - Crib for Each Non-walking Infant Younger Than 12 Months of Age
Risk level: Medium High · Correct-by date in the state file: September 30, 2024 · Correction verified: October 15, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Cribs were not available inside one of two infant classrooms. Cribs were stored in the walkway outside of the infant classroom.
746.4217(1) - Caring for Children Above or Below Ground Level-Written Approval
Risk level: Medium High · Correct-by date in the state file: October 3, 2024 · Correction verified: October 15, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.301(2) - Notification of Change in Space
Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.
746.5209(c) - No Blocked or Locked Doors as Exits
Risk level: High · Correct-by date in the state file: October 3, 2024 · Correction verified: October 15, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Cribs stored in the walkway were blocking an exit door.
746.5625(b) - Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Risk level: High · Correct-by date in the state file: October 3, 2024 · Correction verified: October 15, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The electronic child safety alarm was not functioning in one of the operation's vans used to transport children.
May 14, 2024 · Inspection · No citations
January 19, 2024 · Inspection · No citations
December 22, 2023 · Inspection · 1 citation
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Risk level: High · Correct-by date in the state file: December 23, 2023 · Correction verified: January 8, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
November 3, 2023 · Investigation · 3 citations
746.1201(4) - AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Risk level: High · Correct-by date in the state file: December 11, 2023 · Correction verified: December 22, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1205(a)(4) - Supervision ensures each child's safety, well-being, including physical proximity and auditory or visual awareness of each child's on going activity
Risk level: High · Correct-by date in the state file: December 11, 2023 · Correction verified: December 22, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Risk level: High · Correct-by date in the state file: December 11, 2023 · Correction verified: December 22, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
November 3, 2023 · Inspection · No citations
November 2, 2023 · Investigation · No citations
September 22, 2023 · Inspection · No citations
June 28, 2023 · Inspection · No citations
June 5, 2023 · Inspection · No citations
May 24, 2023 · Investigation · No citations
January 25, 2023 · Inspection · 7 citations
746.5202(2) - Emergency Preparedness Plan - Communication Procedures
Risk level: Medium High · Correct-by date in the state file: February 24, 2023 · Correction verified: February 3, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1309(e) - Documented Annual Training- Required Content
Risk level: Medium · Correct-by date in the state file: February 24, 2023 · Correction verified: February 16, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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
746.5103 - Documentation of Fire Inspection
Risk level: Medium High · Correct-by date in the state file: February 24, 2023 · Correction verified: February 24, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
There wasn't a copy of the most recent fire inspection report on file at the operation.
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): No
The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Risk level: Medium High · Correct-by date in the state file: February 24, 2023 · Correction verified: February 27, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A childs food allergy emergency plan was not signed or dated by the child's parents.
746.5202(3) - Emergency Preparedness Plan - Essential Documentation
Risk level: Medium High · Correct-by date in the state file: February 24, 2023 · Correction verified: February 3, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Risk level: Medium High · Correct-by date in the state file: February 24, 2023 · Correction verified: February 3, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
November 22, 2022 · Inspection · No citations
November 17, 2022 · Investigation · 1 citation
746.2423 - Naptime for Infants
Risk level: Medium · Correct-by date in the state file: January 12, 2023 · Correction verified: January 25, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
February 14, 2022 · Inspection · 1 citation
746.3407 - Maintenance of Building, Grounds and Equipment
Risk level: Medium High · Correct-by date in the state file: February 14, 2022 · Correction verified: February 22, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Carpet in the toddler classroom had stains and not been cleaned.
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More programs in San Antonio · Texas child care rules
Sources
- HHSC CCL Daycare and Residential Operations Data: program details.
- HHSC CCL Inspection Investigation Assessment Data: visit dates and types.
- HHSC CCL Non-Compliance Data: citations, risk levels, corrections and inspector's notes.
All three are published by the Texas Health and Human Services Commission, Child Care Licensing, on data.texas.gov under CC0 1.0. State files updated November 12, 2026. We show the state's text as published, except that we restore apostrophes the files print as "?". Program details last checked October 21, 2026.