Little Miracles Child Development Center
3751 COMMERCIAL AVE, San Antonio, TX 78221 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 100
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:00 PM
- Director / administrator
- Monica Gonzalez
- Phone
- (210) 977-9978
- Regulated since
- Dec 22, 2004
- HHSC IDs
- Operation 250709 · number 839265
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 4 | 0 | Records & paperwork (2), Other (2) |
| 2025 | 12 | 0 | Illness & medication (2), Supervision & ratios (2), Staff background & training (2), Records & paperwork (2), Other (4) |
| 2024 | 4 | 2 | Cleanliness & sanitation (2), Other (2) |
| 2023 | 10 | 0 | Safety & premises (4), Staff background & training (4), Other (2) |
| 2022 | 8 | 2 | Cleanliness & sanitation (2), Safety & premises (4), Other (2) |
Inspections, investigations & assessments
-
Apr 20, 2026 Inspection · Deficiencies cited
-
Other
The last health inspection available for review was dated 10.4.24.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2026-05-20. Correction verified 2026-05-01.
-
Records & paperwork
Two of the seven staff are missing the required Affidavit Form 2985 at the time of inspection
HHSC 746.901(4) — Required Personnel Records - Required Affidavit (Form 2985)
HHSC risk weight: Medium Low. Corrected 2026-04-30. Correction verified 2026-04-22.
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Other
-
Apr 20, 2026 Inspection · Deficiencies cited
-
Other
The last health inspection available for review was dated 10.4.24.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2026-05-20. Correction verified 2026-05-01.
-
Records & paperwork
Two of the seven staff are missing the required Affidavit Form 2985 at the time of inspection
HHSC 746.901(4) — Required Personnel Records - Required Affidavit (Form 2985)
HHSC risk weight: Medium Low. Corrected 2026-04-30. Correction verified 2026-04-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 8, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 15, 2025 Report · Deficiencies cited
-
Staff background & training
Seven of the eight staff members have CPR/First aid certificates from an exclusively online source. There was no hands-on training for the CPR portion of these courses.
HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
HHSC risk weight: Medium High. Corrected 2026-01-13. Correction verified 2026-01-08.
-
Other
It was determined that positive methods of discipline were not utilized when a caregiver was observed swatting a child's hand because she took a book away from another child.
HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance
HHSC risk weight: Medium High. Corrected 2025-12-30. Correction verified 2026-01-08.
-
Records & paperwork
It was determined that retaliatory action was taken against a family, by stating that an enrolled child would no longer be welcomed into care, after the family exercised their parental rights and made a report to CCR.
HHSC 746.521(11) — Parent right to be free from retaliatory action
HHSC risk weight: Medium High. Corrected 2025-12-30. Correction verified 2026-01-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Dec 15, 2025 Report · Deficiencies cited
-
Staff background & training
Seven of the eight staff members have CPR/First aid certificates from an exclusively online source. There was no hands-on training for the CPR portion of these courses.
HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
HHSC risk weight: Medium High. Corrected 2026-01-13. Correction verified 2026-01-08.
-
Other
It was determined that positive methods of discipline were not utilized when a caregiver was observed swatting a child's hand because she took a book away from another child.
HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance
HHSC risk weight: Medium High. Corrected 2025-12-30. Correction verified 2026-01-08.
-
Records & paperwork
It was determined that retaliatory action was taken against a family, by stating that an enrolled child would no longer be welcomed into care, after the family exercised their parental rights and made a report to CCR.
HHSC 746.521(11) — Parent right to be free from retaliatory action
HHSC risk weight: Medium High. Corrected 2025-12-30. Correction verified 2026-01-08.
-
Staff background & training
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 26, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
The operational policies and procedures handbook was missing required information regarding promotion of indoor and outdoor physical activity.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2025-03-05. Correction verified 2025-03-05.
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Other
3 out of the 10 children's files reviewed did not have a signed healthcare provider statement on file.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2025-03-26. Correction verified 2025-04-25.
-
Illness & medication
2 out of the 10 children's files reviewed did not have updated immunization records.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2025-03-12. Correction verified 2025-03-04.
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Supervision & ratios
-
Feb 26, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
The operational policies and procedures handbook was missing required information regarding promotion of indoor and outdoor physical activity.
HHSC 746.501(a)(18) — Written Operational Policies - Promotion of Physical Activity
HHSC risk weight: Medium. Corrected 2025-03-05. Correction verified 2025-03-05.
-
Other
3 out of the 10 children's files reviewed did not have a signed healthcare provider statement on file.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2025-03-26. Correction verified 2025-04-25.
-
Illness & medication
2 out of the 10 children's files reviewed did not have updated immunization records.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2025-03-12. Correction verified 2025-03-04.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 27, 2024 Inspection · Deficiencies cited
-
Other
A caregiver did not know or have information showing the age of a child they were responsible for.
HHSC 746.1205(a)(3) — Responsibilities of Caregivers - Know children's names and ages
HHSC risk weight: Medium High. Corrected 2024-02-27. Correction verified 2024-03-12.
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Cleanliness & sanitation Serious
Cleaning solutions were observed in a cabinet underneath a sink that children use for handwashing. The cabinet did not have a child safety lock making solutions accessible to children. This was corrected when the director removed all solutions and chemicals from underneath the sink.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected 2024-02-27. Correction verified 2024-03-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Feb 27, 2024 Inspection · Deficiencies cited
-
Other
A caregiver did not know or have information showing the age of a child they were responsible for.
HHSC 746.1205(a)(3) — Responsibilities of Caregivers - Know children's names and ages
HHSC risk weight: Medium High. Corrected 2024-02-27. Correction verified 2024-03-12.
-
Cleanliness & sanitation Serious
Cleaning solutions were observed in a cabinet underneath a sink that children use for handwashing. The cabinet did not have a child safety lock making solutions accessible to children. This was corrected when the director removed all solutions and chemicals from underneath the sink.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected 2024-02-27. Correction verified 2024-03-12.
-
Other
-
Jun 7, 2023 Inspection · Deficiencies cited
-
Staff background & training
5 out of the 9 staff files reviewed were missing annual training hours for last 12 months.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2023-07-07. Correction verified 2023-07-11.
-
Safety & premises
The emergency preparedness plan was missing the Name and address of the alternate shelter away from the center that children will be relocated to in an emergency.
HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
HHSC risk weight: Medium High. Corrected 2023-06-08. Correction verified 2023-06-08.
-
Safety & premises
An emergency evacuation and relocation diagram was not posted in the school age classroom. This was corrected at inspection when the caregiver posted the diagram near the classroom entrance/exit.
HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-07.
-
Other
7 out of the 10 children's files evaluated were missing a signed healthcare provider statement after being enrolled for 12 months.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2023-06-28. Correction verified 2023-07-11.
-
Staff background & training
Several staff were missing the following documents from their personnel files: -Proof of education -Notarized Employment Affidavit -Signed employee statement off operational and employee policies and orientation
HHSC 746.901 — Required Personnel Records
HHSC risk weight: Medium. Corrected 2023-06-21. Correction verified 2023-07-11.
-
Staff background & training
-
Jun 7, 2023 Inspection · Deficiencies cited
-
Staff background & training
5 out of the 9 staff files reviewed were missing annual training hours for last 12 months.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2023-07-07. Correction verified 2023-07-11.
-
Safety & premises
The emergency preparedness plan was missing the Name and address of the alternate shelter away from the center that children will be relocated to in an emergency.
HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
HHSC risk weight: Medium High. Corrected 2023-06-08. Correction verified 2023-06-08.
-
Safety & premises
An emergency evacuation and relocation diagram was not posted in the school age classroom. This was corrected at inspection when the caregiver posted the diagram near the classroom entrance/exit.
HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-07.
-
Other
7 out of the 10 children's files evaluated were missing a signed healthcare provider statement after being enrolled for 12 months.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2023-06-28. Correction verified 2023-07-11.
-
Staff background & training
Several staff were missing the following documents from their personnel files: -Proof of education -Notarized Employment Affidavit -Signed employee statement off operational and employee policies and orientation
HHSC 746.901 — Required Personnel Records
HHSC risk weight: Medium. Corrected 2023-06-21. Correction verified 2023-07-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jun 13, 2022 Inspection · Deficiencies cited
-
Other
The school age children and infant classrooms were missing activity plans. The activity plan in the two-year-old classroom was incomplete missing dates, times, and some activities.
HHSC 746.2203(a) — Written Activity Plans
HHSC risk weight: Medium. Corrected 2022-06-20. Correction verified 2022-06-27.
-
Cleanliness & sanitation
The sinks in the infant room and the toddler room designated only for hand washing were been utilized to wash bottles and other children's items. Corrected during inspection all items not related to hand washing only were removed from the sinks. Photos taken and uploaded to digital storage.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-13.
-
Safety & premises
An under layer plastic cover was observed exposed in proximity of a playground bicycle merry-go-round. Children running around near the playground structure are at risk of tripping and falling. A permanent plastic cover on a cemented surface where children play was also noted as a possible tripping hazard. Photos were taken and uploaded to digital storage.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-06-20. Correction verified 2022-06-27.
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Safety & premises Serious
A yellow bus playground structure was not properly anchored. Four bolts were exposed above the ground. The bolts present a high tripping hazard to children. Photos were taken and uploaded to digital storage.
HHSC 746.4601(6) — Safety Requirements for Active Play Equipment - Anchoring devices Below Level of Playing Surface
HHSC risk weight: High. Corrected 2022-06-20. Correction verified 2022-06-27.
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Other
-
Jun 13, 2022 Inspection · Deficiencies cited
-
Other
The school age children and infant classrooms were missing activity plans. The activity plan in the two-year-old classroom was incomplete missing dates, times, and some activities.
HHSC 746.2203(a) — Written Activity Plans
HHSC risk weight: Medium. Corrected 2022-06-20. Correction verified 2022-06-27.
-
Cleanliness & sanitation
The sinks in the infant room and the toddler room designated only for hand washing were been utilized to wash bottles and other children's items. Corrected during inspection all items not related to hand washing only were removed from the sinks. Photos taken and uploaded to digital storage.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-06-13.
-
Safety & premises
An under layer plastic cover was observed exposed in proximity of a playground bicycle merry-go-round. Children running around near the playground structure are at risk of tripping and falling. A permanent plastic cover on a cemented surface where children play was also noted as a possible tripping hazard. Photos were taken and uploaded to digital storage.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-06-20. Correction verified 2022-06-27.
-
Safety & premises Serious
A yellow bus playground structure was not properly anchored. Four bolts were exposed above the ground. The bolts present a high tripping hazard to children. Photos were taken and uploaded to digital storage.
HHSC 746.4601(6) — Safety Requirements for Active Play Equipment - Anchoring devices Below Level of Playing Surface
HHSC risk weight: High. Corrected 2022-06-20. Correction verified 2022-06-27.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.