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Spirit's Heart Childcare Center

Child care center · 3155 ACKERMAN RD STE 113, San Antonio, TX 78219-1529 · License 1697951

0Compliance score
Poor

Capacity 60. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (120)

SeverityDateStandard / narrativeCorrected
5 746.1205(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
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
4 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Children were observed eating snack on the floor.
Yes
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection had not been conducted. The last report is dated 5/12/23.
3 746.4135(b) - Children's Products- Annual Certification
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
Yes
3 746.603(a)(4) - Children's Records - Immunizations
Two of six files did not have an updated immunization record in the file.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.
5 746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
The new center van is not equipped with an electric child safety alarm.
5 746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk
Whole grapes were served to children 2-4 years of age.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
A fourteen month old infant was in the transition classroom where the oldest child was ten years old.
4 746.1203(6) - Responsibilities of Caregivers - Free of other activities
Observed caregiver in toddler class viewing her cell phone during snack time.
4 746.305(a)(4) - Report Outbreak of Communicable Illness
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
4 746.3701 - Safety - Areas Free From Hazards
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
4 746.1203(6) - Responsibilities of Caregivers - Free of other activities
Observed caregiver in toddler class viewing her cell phone during snack time.
4 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Children were observed eating snack on the floor.
Yes
5 746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk
Whole grapes were served to children 2-4 years of age.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
A fourteen month old infant was in the transition classroom where the oldest child was ten years old.
3 746.4135(b) - Children's Products- Annual Certification
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
Yes
5 746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
The new center van is not equipped with an electric child safety alarm.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.
4 746.305(a)(4) - Report Outbreak of Communicable Illness
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.
4 746.3701 - Safety - Areas Free From Hazards
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
5 746.1205(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
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection had not been conducted. The last report is dated 5/12/23.
3 746.603(a)(4) - Children's Records - Immunizations
Two of six files did not have an updated immunization record in the file.
3 746.603(a)(4) - Children's Records - Immunizations
Two of six files did not have an updated immunization record in the file.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.
4 746.1203(6) - Responsibilities of Caregivers - Free of other activities
Observed caregiver in toddler class viewing her cell phone during snack time.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
4 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Children were observed eating snack on the floor.
Yes
4 746.3401(a) - Annual Sanitation Inspection
The health inspection had not been conducted. The last report is dated 5/12/23.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.
4 746.3701 - Safety - Areas Free From Hazards
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
3 746.4135(b) - Children's Products- Annual Certification
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
Yes
4 746.305(a)(4) - Report Outbreak of Communicable Illness
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
5 746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
The new center van is not equipped with an electric child safety alarm.
5 746.1205(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
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
A fourteen month old infant was in the transition classroom where the oldest child was ten years old.
5 746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk
Whole grapes were served to children 2-4 years of age.
5 746.1205(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
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
5 746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
The new center van is not equipped with an electric child safety alarm.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.
3 746.603(a)(4) - Children's Records - Immunizations
Two of six files did not have an updated immunization record in the file.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection had not been conducted. The last report is dated 5/12/23.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
A fourteen month old infant was in the transition classroom where the oldest child was ten years old.
4 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Children were observed eating snack on the floor.
Yes
4 746.3701 - Safety - Areas Free From Hazards
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
3 746.4135(b) - Children's Products- Annual Certification
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
Yes
5 746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk
Whole grapes were served to children 2-4 years of age.
4 746.305(a)(4) - Report Outbreak of Communicable Illness
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
4 746.1203(6) - Responsibilities of Caregivers - Free of other activities
Observed caregiver in toddler class viewing her cell phone during snack time.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
5 746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk
Whole grapes were served to children 2-4 years of age.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
4 746.3701 - Safety - Areas Free From Hazards
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
4 746.305(a)(4) - Report Outbreak of Communicable Illness
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
4 746.1203(6) - Responsibilities of Caregivers - Free of other activities
Observed caregiver in toddler class viewing her cell phone during snack time.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.
5 746.1205(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
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
A fourteen month old infant was in the transition classroom where the oldest child was ten years old.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection had not been conducted. The last report is dated 5/12/23.
3 746.4135(b) - Children's Products- Annual Certification
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
Yes
4 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Children were observed eating snack on the floor.
Yes
5 746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
The new center van is not equipped with an electric child safety alarm.
3 746.603(a)(4) - Children's Records - Immunizations
Two of six files did not have an updated immunization record in the file.
4 746.305(a)(4) - Report Outbreak of Communicable Illness
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
4 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Children were observed eating snack on the floor.
Yes
3 746.4135(b) - Children's Products- Annual Certification
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
Yes
5 746.1205(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
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
5 746.3317(7) - Food Service and Preparation Requirement - No Foods That Present Choking Risk
Whole grapes were served to children 2-4 years of age.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.
3 746.603(a)(4) - Children's Records - Immunizations
Two of six files did not have an updated immunization record in the file.
4 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
A fourteen month old infant was in the transition classroom where the oldest child was ten years old.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
4 746.3701 - Safety - Areas Free From Hazards
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
4 746.1203(6) - Responsibilities of Caregivers - Free of other activities
Observed caregiver in toddler class viewing her cell phone during snack time.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection had not been conducted. The last report is dated 5/12/23.
4 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
During investigation it was determined that the caregiver involved in allegation admittedly used threats of write ups instead of alternate positive methods of discipline. Caregiver also admitted to grabbing and holding onto child by the arm and not releasing when child pulled away, instead grip became tighter causing pain.
5 746.5625(a) - Electronic Child Safety Alarm - is equipped in each vehicle
The new center van is not equipped with an electric child safety alarm.
4 746.3317(6) - Food Service and Preparation Requirement - Use Sanitary Holders
Children were observed eating snack on the floor.
Yes
3 746.4135(b) - Children's Products- Annual Certification
The children's product form has not been re-certified. Note: Corrected at Inspection; when person in charge re-certified the form, and the form was posted.
Yes
4 746.3701 - Safety - Areas Free From Hazards
During a DFPS investigation, a folding table and two loose wooden panels that were leaning on wall fell over and blocked the door to the mens restroom from opening, thus trapping the investigator inside.
4 746.305(a)(4) - Report Outbreak of Communicable Illness
Operation failed to report COVID cases within 48 hours after receiving notification. Operation was notified on 7/21 and 7/22 but reported to CCR on 7/25/22.
5 746.1205(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
During an investigation inspection, a ten year old was left supervising a two year old child using the restroom while the caregiver took the remaining children to the school age classroom to lay down for naptime. The children were alone with no supervision for less than one minute.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection had not been conducted. The last report is dated 5/12/23.
3 746.603(a)(4) - Children's Records - Immunizations
Two of six files did not have an updated immunization record in the file.
4 746.3417(3) - Children Handwashing After Toileting or Diapering
A caregiver was observed not washing a child's hands after changing a diaper. The caregiver did not wash her own hands after diapering a child while wearing gloves. Toddlers resumed class activities without washing their hands after returning to class from the outdoor playground.
3 746.2207(a) - Screen Time Activities - Not Used for Under Two
A screen time device that was playing a video was placed in front of an infant who was sitting in a restrictive device while caregiver changed another infants diaper.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
One of seven caregivers did not have First Aid certification. Her start date was 7/31/23, she has provided unsupervised care to children.

Severity 5 = most serious. Source: official state record.

Inspections (80)

80 inspection record(s) on file from TX-HHSC.

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