Licensed child care center · public record
Holy Trinity Presbyterian Day
San Antonio, Texas. The state’s inspection record for this operation, from Texas Health and Human Services Child Care Regulation, in plain English.
The operation
- Type
- Licensed child care center
- State permit
- Full Permit, issued March 10, 1989
- Capacity
- 80 children
- Ages served
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- Mon, Tue, Wed, Thu, Fri · 06:30 AM-06:00 PM
- Accepts child care subsidies
- No
- Conditions on the permit
- No
- Corrective action listed
- No
- Adverse action listed
- No
- Temporarily closed
- No
- State operation number
- 240705
Where
16245 Nacogdoches Rd
San Antonio, TX 78247
Deficiencies by risk level
The state’s own summary counts for this operation, as published in the HHSC operations file.
Citations on the record
Each standard the state found not met, newest first, with its risk level and when it was corrected.
| Inspection | Risk | Standard |
|---|---|---|
| February 13, 2026 | Medium High | 746.1315(b) - Each Caregiver and the Director Must Have Current Training in pediatric CPR State’s note: “Caregiver did not have a current pediatric cardiopulmonary resuscitation (CPR) certification for review.” |
| February 13, 2026 | Medium High | 746.3701(3) - Safety - Air Conditioners, Fans, Heaters Safeguarded State’s note: “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.” |
| February 13, 2026 | High | 746.3701(9) - Safety - Bodies of Water Inaccessible to Children State’s note: “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.” |
| February 13, 2026 | High | 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions State’s note: “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.” |
| February 13, 2026 | Medium High | 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking. State’s note: “Caregiver did not have a current first aid certification for review.” |
| February 13, 2026 | Medium | 746.1309(e) - Documented Annual Training- Required Content State’s note: “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.” |
| March 10, 2025 | Medium | 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days State’s note: “There were two infants that did not have updated feeding schedules at time of inspection.” |
| March 10, 2025 | Medium Low | 746.901(4) - Required Personnel Records - Required Affidavit (Form 2985) State’s note: “Two staff did not have an affidavit on file at time of review.” |
| April 23, 2024 | High | 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device State’s note: “2 infants were seen sleeping in swings. This was corrected when the infants were moved to thier cribs.” |
| April 2, 2024 | Medium | 746.1309(e) - Documented Annual Training- Required Content State’s note: “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.” |
| April 2, 2024 | Medium High | 746.5405 - Documentation of Gas Leak Inspection State’s note: “the operation does not have the proper documentation of the gas inspection available for review during a CCR inspection.” |
| April 2, 2024 | Medium High | 746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less State’s note: “The operation has 3 playgrounds with mulch that is not adequate depth.” |
| June 28, 2022 | Medium | 746.901(2) - Required Personnel Records- Meets Requirements State’s note: “One out 10 staff files was found missing education documentation.” |
| June 28, 2022 | High | 746.605(7) - Required Admission Information - Release Information State’s note: “One out of ten children's records reviewed was found missing authorized persons for pick-up.” |
| June 28, 2022 | Medium High | 746.3701 - Safety - Areas Free From Hazards State’s note: “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.” |
| June 28, 2022 | Medium | 746.603(a)(3) - Children's Records - Health Statement State’s note: “Two out of ten children files were found missing a health-care statement.” |
| June 28, 2022 | Medium High | 746.1301(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing State’s note: “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.” |
| June 28, 2022 | Medium Low | 746.901(4) - Required Personnel Records - Required Affidavit State’s note: “One out of 10 staff files evaluated was found missing a notarized license affidavit.” |
| June 28, 2022 | High | 746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger State’s note: “Operational policies were missing safe sleep for infants from birth through 12 months.” |
| February 10, 2022 | Medium High | 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance State’s note: “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.” |
| February 10, 2022 | High | 746.2805(9) - Prohibited Punishments - Withholding Active Play State’s note: “A caregiver was found prohibiting a child to play with toys or in centers due to the child's daily behavior.” |
Recent inspections and visits
- September 24, 2026 Inspection · deficiency found: No
- March 24, 2026 Inspection · deficiency found: No
- March 16, 2026 Report · deficiency found: No
- February 26, 2026 Inspection · deficiency found: No
- February 13, 2026 Inspection · deficiency found: Yes
- March 10, 2025 Inspection · deficiency found: Yes
- May 2, 2024 Inspection · deficiency found: No
- April 23, 2024 Report · deficiency found: No
- April 23, 2024 Inspection · deficiency found: Yes
- April 2, 2024 Inspection · deficiency found: Yes
- September 1, 2023 Inspection · deficiency found: No
- August 25, 2023 Report · deficiency found: No
- August 22, 2023 Inspection · deficiency found: No
- August 9, 2023 Inspection · deficiency found: No
- August 4, 2023 Report · deficiency found: No
How many times has the state inspected Holy Trinity Presbyterian Day?
Texas HHSC's file lists 5 inspections in the last two years, the most recent on September 24, 2026. 2 of the inspections and other visits in that period are marked as having found a deficiency.
Does Holy Trinity Presbyterian Day have deficiencies on its record?
The state's summary for this operation lists 21: 6 high-risk, 8 medium-high-risk, 5 medium-risk, 2 medium-low-risk. Each one is listed below with its date and whether it was corrected.
Is this a rating?
No. This page shows the State of Texas's own public records, summarized. It is not a rating, a review or our opinion. Ask the operation or HHSC about anything here.
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