LIFE BYVardellChildcare
Report

TheVardellReport

NHUMC Ministry Center Childcare

Licensed child care center

4306 Naco Pass
San Antonio, TX 78217

Report Date
Nov 1, 2026
Data Through
Oct 31, 2026
Report ID
VR-TX-1761271-2611
← NHUMC Ministry Center Childcare, free profile

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The Vardell Report.NHUMC Ministry Center Childcare

The deeper story, beautifully organized. Available records, historical context, and questions worth asking.

Provider Category
Childcare
Location
San Antonio, TX
Record Period
2023–2026
Source Documents
12
Read the report

This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.

01

The Essentials

Summary

Across 11 licensing visits from January 2023 to May 2026, HHSC cited 19 deficiencies at NHUMC Ministry Center Childcare; 19 have a recorded correction.

Visits
11
2023–2026, inspections, investigations and assessments
Deficiencies
19
Standards cited by HHSC inspectors
Corrected
19
Of 19 deficiencies, with a recorded correction date
Investigations
1
Licensing investigations, whatever prompted them

Deficiencies by Year

  • Deficiencies
  • Of which, high risk
2021: 0 deficiencies across 0 visits020210 visits2022: 0 deficiencies across 0 visits020220 visits2023: 8 deficiencies across 5 visits; of which, high risk: 1820235 visits2024: 1 deficiency across 1 visit120241 visit2025: 4 deficiencies across 3 visits420253 visits2026: 6 deficiencies across 2 visits; of which, high risk: 162026*2 visits2021: 0 deficiencies across 0 visits020210 visits2022: 0 deficiencies across 0 visits020220 visits2023: 8 deficiencies across 5 visits; of which, high risk: 1820235 visits2024: 1 deficiency across 1 visit120241 visit2025: 4 deficiencies across 3 visits420253 visits2026: 6 deficiencies across 2 visits; of which, high risk: 162026*2 visits

* Partial year, through October 31, 2026.

Deficiencies by year
YearVisitsDeficienciesOf which, high risk
2021000
2022000
2023581
2024110
2025340
2026261

What the Record Shows

  • 19 of 19 deficiencies have a recorded correction date.
  • HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.
  • 1 visit in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
  • The latest inspection, May 6, 2026, recorded 2 deficiencies (most serious: Medium risk).
02

Chronology

Inspection History

Every visit in the record window, newest first. A deficiency is a licensing standard Texas inspectors found was not met. HHSC publishes what an investigation cited, not what the report to it alleged.

  1. 2026

    Inspection

    2 deficiencies

    • 746.603(a)(3)Children's Records - Health StatementMedium riskCorrected May 22, 2026
    • 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected May 22, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159275

  2. 2026

    Inspection

    4 deficiencies

    • 746.603(a)(3)Children's Records - Health StatementMedium riskCorrected May 5, 2026
    • 746.2421(b)Written Feeding Instructions - Review and Update Every 30 DaysMedium riskCorrected Apr 28, 2026
    • 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected May 5, 2026
    • 746.2426(a)(1)Infant May Not Sleep in a Restrictive DeviceHigh riskCorrected Apr 21, 2026

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159274

  3. 2025

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159273

  4. 2025

    Investigation

    No deficiencies

    Opened on a report the operation made itself.

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905241234

  5. 2025

    Inspection

    4 deficiencies

    • 746.1309(e)Documented Annual Training- Required ContentMedium riskCorrected Jun 4, 2025
    • 746.1309(d)Documented Annual Training - Caregivers of Children Under 24 Months RequiredMedium-high riskCorrected May 28, 2025
    • 746.3701(1)Safety - Electrical Outlets CoveredMedium-high riskCorrected May 21, 2025
    • 746.1311(e)Director Annual Training - Additional required topicsMedium riskCorrected Jun 4, 2025

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159272

  6. 2024

    Inspection

    1 deficiency

    • 746.5205(3)Sheltering Drills for Lock-Down-4 times in a calendar yearMedium-high riskCorrected Jun 4, 2024

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159271

  7. 2023

    Inspection

    2 deficiencies

    • 746.2409(a)(10)Safety Requirements for Cribs - Label for Each InfantMedium riskCorrected Dec 14, 2023
    • 746.2421(b)Written Feeding Instructions - Review and Update Every 30 DaysMedium riskCorrected Dec 21, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159270

  8. 2023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159269

  9. 2023

    Inspection

    No deficiencies

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159268

  10. 2023

    Inspection

    2 deficiencies

    • 746.605(11)Required Admission Information - Physician InformationMedium riskCorrected Apr 4, 2023
    • 746.901(2)Required Personnel Records- Meets RequirementsMedium riskCorrected Apr 4, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159267

  11. 2023

    Inspection

    4 deficiencies

    • 746.201(1)Policies Comply with RulesHigh riskCorrected Jan 27, 2023
    • 746.901(4)Required Personnel Records - Required AffidavitMedium-low riskCorrected Jan 27, 2023
    • 746.1315(b)Each Caregiver and the Director Must Have Current Training in pediatric CPRMedium-high riskCorrected Feb 17, 2023
    • 746.5202(1)Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down proceduresMedium-high riskCorrected Jan 27, 2023

    Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905159266

Texas gives every licensing standard one of five risk levels, from low to high, by how likely a deficiency is to harm a child.

03

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

  1. 1

    Citation 746.2421(b), Cited in Two Visits

    HHSC inspectors cited 746.2421(b) in December 2023 and April 2026. The agency describes it this way: Written Feeding Instructions - Review and Update Every 30 Days. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2323232323242525252626746.2421(b) across all 11 visits, oldest to newest
  2. 2

    Children's Records - Health Statement, Cited in Two Visits

    HHSC inspectors cited 746.603(a)(3) in April 2026 and May 2026. The agency describes it this way: Children's Records - Health Statement. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2323232323242525252626746.603(a)(3) across all 11 visits, oldest to newest
  3. 3

    Children's Records - Immunizations, Cited in Two Visits

    HHSC inspectors cited 746.603(a)(4) in April 2026 and May 2026. The agency describes it this way: Children's Records - Immunizations. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    2323232323242525252626746.603(a)(4) across all 11 visits, oldest to newest
04

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

  1. 01

    What changed after 746.2421(b) was cited, and how do you check it now?

    Citation 746.2421(b): cited in two visits, most seriously at medium risk.

  2. 02

    What changed after 746.603(a)(3) was cited, and how do you check it now?

    Children's Records - Health Statement: cited in two visits, most seriously at medium risk.

  3. 03

    What changed after 746.603(a)(4) was cited, and how do you check it now?

    Children's Records - Immunizations: cited in two visits, most seriously at medium risk.

  4. 04

    What is the ratio in the room my child would join, and how is every child accounted for at nap time, pickup and on the playground?

    Ratios change through the day, so they are worth counting yourself on a visit.

  5. 05

    Has the center ever been under corrective or adverse action, and what changed afterward?

    HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.

05

The Evidence

Sources and Coverage

Program details, licensing visits and the deficiencies cited at each are published by the Texas Health and Human Services Commission's Child Care Regulation in its daily files on data.texas.gov.

  • Child Care Licensing operations (data.texas.gov)

    Texas Health and Human Services Commission, Child Care Regulation · 1761271

    Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159266

    Visit Jan 20, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159267

    Visit Mar 23, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159268

    Visit Apr 27, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159269

    Visit Jun 13, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159270

    Visit Dec 14, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159271

    Visit Jun 4, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159272

    Visit May 21, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905241234

    Visit Jun 24, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159273

    Visit Jun 26, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159274

    Visit Apr 21, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)

    Texas Health and Human Services Commission, Child Care Regulation · 905159275

    Visit May 6, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗

Coverage

Record windowNovember 1, 2021 – October 31, 2026

  • This record is HHSC's list of operations as of October 2026, with the inspections, investigations and assessments in HHSC's files, which run from November 2021.
  • Listed family homes (one caregiver with up to three unrelated children, listed with HHSC but not inspected on a schedule) are not in this record.
  • HHSC's narrative for each deficiency is left out because it can name children, parents and staff; the rule cited, its risk level and the correction dates are kept.

What This Report Cannot Tell You

Inspector narratives
Published by HHSC but left out of this record because they can name people.
Enforcement actions
HHSC's files say whether an operation is under corrective or adverse action, not what the action was.
Complaints not investigated
Reports HHSC screened out without an investigation are not published.
Staff qualifications and turnover
Not part of the published licensing record.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.