Alamo Heights Presbyterian Church

Medium-high risk Cots and mats at nap time must be arranged as the state requires (for example not blocking exits, with room to walk).

State rule 746.2909(1) (minimum standards for child-care centers): "Arrangement of Napping Equipment - Not Blocking Entrances or Exits"

Inspector's note: At time of inspection, two prekinder children were seen sleeping in front of entrance/exit of class. This was corrected at inspection.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Areas children use must be kept free of safety hazards, such as uncovered electrical outlets, unprotected heaters or fans, or reachable water.

State rule 746.3701(3) (minimum standards for child-care centers): "Safety - Air Conditioners, Fans, Heaters Safeguarded"

Inspector's note: Two fans in the Pre-K room were accessible to children. One was placed on the floor, and the other was placed on top of a shelf, not mounted. This was corrected when one fan was moved to a secure storage area and the other was stored up away from children's reach.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Immunization records, exceptions and exemptions must be current.

State rule 746.613(b) (minimum standards for child-care centers): "Immunization Records, Exceptions, and Exemptions Current"

Inspector's note: Three out of the ten children's files reviewed did not have current immunizations.

Corrected Dec 29, 2025, verified by the state Jan 15, 2026. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "Supervision ensures each child's safety, well-being, including physical proximity and auditory or visual awareness of each child's on going activity"

Inspector's note: During the course of the investigation, it was determined that a caregiver left the children alone in the classroom by stepping into the hallway and closing the door, resulting in an injury to a child.

Corrected Sep 10, 2025, verified by the state Sep 22, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Each infant's written feeding instructions must be reviewed and updated every 30 days.

State rule 746.2421(b) (minimum standards for child-care centers): "Written Feeding Instructions - Review and Update Every 30 Days"

Inspector's note: The infant room did not have feeding forms for seven out of the ten children to review in the last thirty days.

Corrected May 16, 2025, verified by the state May 16, 2025. The inspector gave technical assistance (advice on how to comply).

Low risk A child's health statement must be written, dated within the past year, and say the child can take part in the program.

State rule 746.611(a)(1) (minimum standards for child-care centers): "Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program"

Inspector's note: Four out of ten files reviewed did not have a health statement on file.

Corrected May 30, 2025, verified by the state May 16, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk There must be enough caregivers for the number and ages of children in the group (the state's child-to-caregiver ratio).

State rule 746.1601 (minimum standards for child-care centers): "Child/ Caregiver Ratio - 13 or More Children"

Inspector's note: The infant room was found out of ratio. There was 1 staff member and five children in care.

Corrected May 2, 2025, verified by the state May 12, 2025. The inspector gave technical assistance (advice on how to comply).

High risk If a person's background check came back with conditions, their duties must be restricted as the conditions say.

State rule 745.635(3) (licensing rules for every operation): "Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions"

Inspector's note: A staff member was caring for children, unsupervised during nap time with provisional conditions in place. Note: This was corrected at inspection when another caregiver arrived to the classroom to supervise.

Corrected Jan 23, 2025, verified by the state Feb 7, 2025. The inspector gave technical assistance (advice on how to comply).

High risk A person may not be at the operation until their background check result has come back and allows it.

State rule 745.641 (licensing rules for every operation): "Background check results - Must receive notification prior to allowing subject to be present at your operation"

Inspector's note: A staff member who had direct access to children in care did not have a background check from the CBCU regarding the persons eligibility. Note: This was corrected at inspection when staff member was sent home during inspection.

Corrected Jan 23, 2025, verified by the state Feb 7, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-low risk Use Zones - Licensed Before September 1, 2003 - Climbing Structures

State rule 746.4815(a)(1) (minimum standards for child-care centers): "Use Zones - Licensed Before September 1, 2003 - Climbing Structures"

Inspector's note: A climbing structure on the playground did not have the required use zone.

Corrected Feb 14, 2025, verified by the state Feb 12, 2025. The inspector gave technical assistance (advice on how to comply).