Find a program / Texas / San Antonio / Holy Trinity Presbyterian Day
Childcare center · San Antonio, TX
Holy Trinity Presbyterian Day
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: 16245 NACOGDOCHES RD, San Antonio, TX 78247
County: Bexar County
Phone: (210) 599-7640
Licensed to serve: Infant, Toddler, Pre-Kindergarten, School
Licensed capacity: 80 children
State ID (HHSC operation number): 240705
Permit: Full Permit, issued March 10, 1989
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 240705 on the search page).
Inspection history
From November 12, 2023 to November 12, 2026
- 8 inspections
- 2 investigations
- 12 citations from these visits (risk level: High 3, Medium High 5, Medium 3, Medium 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 10, 2022 to September 24, 2026, newest first: 21 visits and 21 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.
September 24, 2026 · Inspection · No citations
March 24, 2026 · Inspection · No citations
March 16, 2026 · Investigation · No citations
February 26, 2026 · Inspection · No citations
February 13, 2026 · Inspection · 6 citations
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Risk level: Medium High · Correct-by date in the state file: February 20, 2026 · Correction verified: February 23, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Caregiver did not have a current first aid certification for review.
746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR
Risk level: Medium High · Correct-by date in the state file: February 20, 2026 · Correction verified: February 23, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.
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: February 13, 2026 · Correction verified: February 26, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Caregiver was providing care to children in the infant classroom without another person supervising the caregiver. Note: This was corrected at inspection when another caregiver was placed in the classroom.
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 portable fans were stored on top of two shelves in the PreK classroom. Note: This was corrected at inspection when fans were removed from the shelves.
746.1309(e) - Documented Annual Training- Required Content
Risk level: Medium · Correct-by date in the state file: February 20, 2026 · Correction verified: February 23, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Five of eight staff files reviewed during inspection did not include the following annual trainings for the last full year of employment: Administering medication, handling and disposing of hazardous materials, preventing and responding to emergencies due to food or an allergic reaction.
746.3701(9) - Safety - Bodies of Water Inaccessible to Children
Risk level: High · Correct-by date in the state file: February 13, 2026 · Correction verified: February 26, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A mop bucket with water was accessible to children in an adjacent classroom through an opened door. Note: This was corrected at inspection when mop bucket was removed.
March 10, 2025 · Inspection · 2 citations
746.901(4) - Required Personnel Records - Required Affidavit (Form 2985)
Risk level: Medium Low · Correct-by date in the state file: March 24, 2025 · Correction verified: March 13, 2025 · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
Two staff did not have an affidavit on file at time of review.
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Risk level: Medium · Correct-by date in the state file: March 17, 2025 · Correction verified: March 13, 2025 · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
There were two infants that did not have updated feeding schedules at time of inspection.
May 2, 2024 · Inspection · No citations
April 23, 2024 · Investigation (the program reported it to the state) · No citations
April 23, 2024 · Inspection · 1 citation
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
Risk level: High · Correct-by date in the state file: April 23, 2024 · Correction verified: April 30, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.
April 2, 2024 · Inspection · 3 citations
746.5405 - Documentation of Gas Leak Inspection
Risk level: Medium High · Correct-by date in the state file: April 16, 2024 · Correction verified: April 5, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
the operation does not have the proper documentation of the gas inspection available for review during a CCR inspection.
746.1309(e) - Documented Annual Training- Required Content
Risk level: Medium · Correct-by date in the state file: April 16, 2024 · Correction verified: April 23, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
5 of the 10 files audtited are missing all of the required trainings for health and safety topics in section e of annual training hours for caregivers.
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Risk level: Medium High · Correct-by date in the state file: April 16, 2024 · Correction verified: April 23, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The operation has 3 playgrounds with mulch that is not adequate depth.
September 1, 2023 · Inspection · No citations
August 25, 2023 · Investigation (the program reported it to the state) · No citations
August 22, 2023 · Inspection · No citations
August 9, 2023 · Inspection · No citations
August 4, 2023 · Investigation (the program reported it to the state) · No citations
April 24, 2023 · Inspection · No citations
July 19, 2022 · Inspection · No citations
June 28, 2022 · Inspection · 7 citations
746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Risk level: High · Correct-by date in the state file: July 15, 2022 · Correction verified: July 14, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Operational policies were missing safe sleep for infants from birth through 12 months.
746.3701 - Safety - Areas Free From Hazards
Risk level: Medium High · Correct-by date in the state file: June 28, 2022 · Correction verified: July 19, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A staff member's purse in the five-year-old classroom was sitting on the children's low open shelve accessible to the children in care. Note: This was corrected at the inspection.
746.901(4) - Required Personnel Records - Required Affidavit
Risk level: Medium Low · Correct-by date in the state file: July 8, 2022 · Correction verified: July 8, 2022 · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
One out of 10 staff files evaluated was found missing a notarized license affidavit.
746.901(2) - Required Personnel Records- Meets Requirements
Risk level: Medium · Correct-by date in the state file: July 8, 2022 · Correction verified: July 8, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
One out 10 staff files was found missing education documentation.
746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Risk level: Medium High · Correct-by date in the state file: July 8, 2022 · Correction verified: July 14, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Six out of ten staff files evaluated were missing CPR and First aid training. Note: Operation had a schedule training for all staff on the following day.
746.605(7) - Required Admission Information - Release Information
Risk level: High · Correct-by date in the state file: July 8, 2022 · Correction verified: July 8, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
One out of ten children's records reviewed was found missing authorized persons for pick-up.
746.603(a)(3) - Children's Records - Health Statement
Risk level: Medium · Correct-by date in the state file: July 15, 2022 · Correction verified: July 14, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Two out of ten children files were found missing a health-care statement.
April 6, 2022 · Inspection · No citations
February 18, 2022 · Inspection · No citations
February 10, 2022 · Investigation · 2 citations
746.2805(9) - Prohibited Punishments - Withholding Active Play
Risk level: High · Correct-by date in the state file: March 23, 2022 · Correction verified: April 5, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A caregiver was found prohibiting a child to play with toys or in centers due to the child's daily behavior.
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
Risk level: Medium High · Correct-by date in the state file: March 23, 2022 · Correction verified: April 6, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A caregiver had documented inappropriate discipline measures as a child colored the floor. The caregiver made a report stating that the child will clean the floor first thing the next morning. It was documented that the child was put to clean floors at arrival time.
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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.