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The Nest School San Antonio

Child care center · 7900 OLD TEZEL RD, San Antonio, TX 78250-3016 · License 1757310

0Compliance score
Poor

Capacity 266. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (160)

SeverityDateStandard / narrativeCorrected
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.
5 746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
At time of inspection, operation did not have a carbon monoxide detector.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, a childs medication was observed to not be in original container.
3 746.605(10) - Required Admission Information - Water Activity Permission
At time of inspection six out of six children files did not have if children can swim without assistance, need a life jacket or if child has a condition that would put them at risk while swimming.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.
4 746.3701(1) - Safety - Electrical Outlets Covered
At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.
Yes
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
At time of inspection the loose fill under the swing area was not adequate as ground was visible.
4 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
A child was served a food item that is identified on the child's food allergy plan.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined during the course of the investigation that the director demonstrated poor judgement when she documented that she had conducted fire drills that were never conducted, thereby falsifying documentation at the operation.
4 746.3701 - Safety - Areas Free From Hazards
At time of inspection childrens restroom was observed to be used as storage.
4 746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
At time of inspection, emergency preparedness plan did not include how they would evacuate children with limited mobility. At time of inspection, emergency preparedness plan did not state alternative relocation. This was corrected at inspection.
Yes
2 746.901(1) - Required Personnel Records - Dates of Employment
5 out of 8 files reviewed were missing employment start date.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection last fire inspection was conducted on 9/27/22.
4 746.605(6) - Required Admission Information - Emergency Contact
4 out of 8 children files did not have complete emergency contact information.
3 746.1309(e) - Documented Annual Training- Required Content
A caregiver did not have current training in required topics (Medication administration and Preventing and responding to emergencies due to food or an allergic reaction).
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
On 6/19/2023, the operation reported to child care regulation that an assistant caregiver was working directly with children without having received a determination of eligibility to be present at the operation.
4 746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection last fire inspection was conducted on 9/27/22.
4 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
A child was served a food item that is identified on the child's food allergy plan.
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
4 746.3701(1) - Safety - Electrical Outlets Covered
At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.
Yes
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
At time of inspection the loose fill under the swing area was not adequate as ground was visible.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.
4 746.3701 - Safety - Areas Free From Hazards
At time of inspection childrens restroom was observed to be used as storage.
2 746.901(1) - Required Personnel Records - Dates of Employment
5 out of 8 files reviewed were missing employment start date.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined during the course of the investigation that the director demonstrated poor judgement when she documented that she had conducted fire drills that were never conducted, thereby falsifying documentation at the operation.
3 746.1309(e) - Documented Annual Training- Required Content
A caregiver did not have current training in required topics (Medication administration and Preventing and responding to emergencies due to food or an allergic reaction).
5 746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
At time of inspection, operation did not have a carbon monoxide detector.
4 746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
At time of inspection, emergency preparedness plan did not include how they would evacuate children with limited mobility. At time of inspection, emergency preparedness plan did not state alternative relocation. This was corrected at inspection.
Yes
4 746.605(6) - Required Admission Information - Emergency Contact
4 out of 8 children files did not have complete emergency contact information.
4 746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, a childs medication was observed to not be in original container.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
On 6/19/2023, the operation reported to child care regulation that an assistant caregiver was working directly with children without having received a determination of eligibility to be present at the operation.
3 746.605(10) - Required Admission Information - Water Activity Permission
At time of inspection six out of six children files did not have if children can swim without assistance, need a life jacket or if child has a condition that would put them at risk while swimming.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.
4 746.3701 - Safety - Areas Free From Hazards
At time of inspection childrens restroom was observed to be used as storage.
3 746.1309(e) - Documented Annual Training- Required Content
A caregiver did not have current training in required topics (Medication administration and Preventing and responding to emergencies due to food or an allergic reaction).
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
At time of inspection the loose fill under the swing area was not adequate as ground was visible.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, a childs medication was observed to not be in original container.
3 746.605(10) - Required Admission Information - Water Activity Permission
At time of inspection six out of six children files did not have if children can swim without assistance, need a life jacket or if child has a condition that would put them at risk while swimming.
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.
4 746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
At time of inspection, emergency preparedness plan did not include how they would evacuate children with limited mobility. At time of inspection, emergency preparedness plan did not state alternative relocation. This was corrected at inspection.
Yes
2 746.901(1) - Required Personnel Records - Dates of Employment
5 out of 8 files reviewed were missing employment start date.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.
4 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
A child was served a food item that is identified on the child's food allergy plan.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined during the course of the investigation that the director demonstrated poor judgement when she documented that she had conducted fire drills that were never conducted, thereby falsifying documentation at the operation.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection last fire inspection was conducted on 9/27/22.
4 746.3701(1) - Safety - Electrical Outlets Covered
At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.
Yes
5 746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
At time of inspection, operation did not have a carbon monoxide detector.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
On 6/19/2023, the operation reported to child care regulation that an assistant caregiver was working directly with children without having received a determination of eligibility to be present at the operation.
4 746.605(6) - Required Admission Information - Emergency Contact
4 out of 8 children files did not have complete emergency contact information.
4 746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, a childs medication was observed to not be in original container.
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
4 746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
At time of inspection, emergency preparedness plan did not include how they would evacuate children with limited mobility. At time of inspection, emergency preparedness plan did not state alternative relocation. This was corrected at inspection.
Yes
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.
4 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
A child was served a food item that is identified on the child's food allergy plan.
4 746.605(6) - Required Admission Information - Emergency Contact
4 out of 8 children files did not have complete emergency contact information.
4 746.3701(1) - Safety - Electrical Outlets Covered
At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.
Yes
4 746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
On 6/19/2023, the operation reported to child care regulation that an assistant caregiver was working directly with children without having received a determination of eligibility to be present at the operation.
2 746.901(1) - Required Personnel Records - Dates of Employment
5 out of 8 files reviewed were missing employment start date.
3 746.1309(e) - Documented Annual Training- Required Content
A caregiver did not have current training in required topics (Medication administration and Preventing and responding to emergencies due to food or an allergic reaction).
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
At time of inspection the loose fill under the swing area was not adequate as ground was visible.
4 746.3701 - Safety - Areas Free From Hazards
At time of inspection childrens restroom was observed to be used as storage.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined during the course of the investigation that the director demonstrated poor judgement when she documented that she had conducted fire drills that were never conducted, thereby falsifying documentation at the operation.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.
5 746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
At time of inspection, operation did not have a carbon monoxide detector.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection last fire inspection was conducted on 9/27/22.
3 746.605(10) - Required Admission Information - Water Activity Permission
At time of inspection six out of six children files did not have if children can swim without assistance, need a life jacket or if child has a condition that would put them at risk while swimming.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.
4 746.3701 - Safety - Areas Free From Hazards
At time of inspection childrens restroom was observed to be used as storage.
5 746.5531 - Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
At time of inspection, operation did not have a carbon monoxide detector.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined during the course of the investigation that the director demonstrated poor judgement when she documented that she had conducted fire drills that were never conducted, thereby falsifying documentation at the operation.
4 746.3701(1) - Safety - Electrical Outlets Covered
At time of inspection electrical outlets in the new building were observed to not have protective covers. This was corrected at inspection.
Yes
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
At time of inspection a PreK caregiver stated they had 13 children when the class had 10.
4 746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
At time of inspection, emergency preparedness plan did not include how they would evacuate children with limited mobility. At time of inspection, emergency preparedness plan did not state alternative relocation. This was corrected at inspection.
Yes
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
On 6/19/2023, the operation reported to child care regulation that an assistant caregiver was working directly with children without having received a determination of eligibility to be present at the operation.
4 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
A child was served a food item that is identified on the child's food allergy plan.
3 746.605(10) - Required Admission Information - Water Activity Permission
At time of inspection six out of six children files did not have if children can swim without assistance, need a life jacket or if child has a condition that would put them at risk while swimming.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to report to CCR staff after a child was served a food item identified on his allergy plan.
2 746.901(1) - Required Personnel Records - Dates of Employment
5 out of 8 files reviewed were missing employment start date.
4 746.1301(a)(5)(A) - Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
Eight of the staff files were missing required 24 hours training. Two of the staff files were missing affidavit.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
It was determined that poor judgment was used when a parent was not given pertinent information regarding their child's health.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, a childs medication was observed to not be in original container.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
During the investigation, it was confirmed that the operation was not conducting monthly fire drills as required by minimum standards.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection last fire inspection was conducted on 9/27/22.
3 746.1309(e) - Documented Annual Training- Required Content
A caregiver did not have current training in required topics (Medication administration and Preventing and responding to emergencies due to food or an allergic reaction).
4 746.605(6) - Required Admission Information - Emergency Contact
4 out of 8 children files did not have complete emergency contact information.
4 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
At time of inspection the loose fill under the swing area was not adequate as ground was visible.
4 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
At time of inspection, two Epi-Pens were observed in a PreK restroom not stored in original contain and no labels.

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

Inspections (72)

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

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