Little Smiles Day Care
508 CUPPLES RD # 5, San Antonio, TX 78237 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 57
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-06:00 PM
- Director / administrator
- Jasmine Gutierrez
- Phone
- (210) 434-7135
- Regulated since
- May 26, 1998
- HHSC IDs
- Operation 153422 · number 533650
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 0 | Other (1) |
| 2024 | 8 | 7 | Cleanliness & sanitation (2), Illness & medication (1), Safety & premises (1), Staff background & training (1), Other (3) |
| 2023 | 8 | 7 | Cleanliness & sanitation (2), Illness & medication (1), Supervision & ratios (1), Safety & premises (3), Staff background & training (1) |
| 2022 | 4 | 3 | Supervision & ratios (1), Safety & premises (1), Records & paperwork (1), Other (1) |
Inspections, investigations & assessments
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Feb 18, 2026 Inspection · Deficiencies cited
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Other
Four of the infants did not have updated infant feeding instructions available for review.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2026-02-25. Correction verified 2026-02-19.
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Other
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Jun 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 9, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 4, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 1, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Sep 11, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2024 Inspection · Deficiencies cited
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Other Serious
The caregiver in the toddler classroom stated the children in the classroom were 2-3 years old when verifying the children were 18-24 months.
HHSC 746.1205(a)(3) — Responsibilities of Caregivers - Know children's names and ages
HHSC risk weight: Medium High. Corrected 2024-06-18. Correction verified 2024-06-24.
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Staff background & training Serious
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection.
HHSC 746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
HHSC risk weight: Medium High. Corrected 2024-07-18. Correction verified 2024-06-18.
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Other
No feeding schedule for the one infant was unavailable at inspection.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2024-06-18. Correction verified 2024-06-19.
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Safety & premises Serious
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-06-18.
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Illness & medication Serious
Two of the six children records didn't have updated immunization record on file.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2024-07-18. Correction verified 2024-06-18.
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Other Serious
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Feb 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 24, 2024 Inspection · Deficiencies cited
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Other Serious
The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2024-01-24. Correction verified 2024-02-01.
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Cleanliness & sanitation Serious
In the toddler classroom the children were observed not washing hands after a diaper change. In the infant classroom a teacher was observed placing a child in the highchair for a cookie without washing the child's hands.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected 2024-01-24. Correction verified 2024-02-01.
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Cleanliness & sanitation Serious
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change.
HHSC 746.3505(c) — Diapering Procedures - Use Disposable Gloves
HHSC risk weight: Medium High. Corrected 2024-01-24. Correction verified 2024-02-01.
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Other Serious
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Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 26, 2023 Inspection · Deficiencies cited
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Supervision & ratios Serious
The infant classroom was observed out of ratio with eight children (4months-13 months) to one caregiver at the time of the walkthrough. This resulted in the caregiver being out of ratio by four children. NOTE: This was corrected at inspection when the caregiver returned back into the classroom.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2023-06-26. Correction verified 2023-07-05.
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Supervision & ratios Serious
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Jun 20, 2023 Inspection · Deficiencies cited
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Safety & premises Serious
A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held.
HHSC 746.2415(b) — AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
HHSC risk weight: High. Corrected 2023-06-20. Correction verified 2023-06-26.
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Cleanliness & sanitation Serious
Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys.
HHSC 746.2505(2) — Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-20.
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Staff background & training
A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection.
HHSC 746.2505(4)(C) — Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
HHSC risk weight: Medium. Corrected at inspection. Corrected 2023-06-20.
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Cleanliness & sanitation Serious
A trashcan in the toddler classroom was observed without a lid that contained dirty diapers that was accessible to children. NOTE: This was corrected at inspection when the trashcan was replaced.
HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-20.
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Safety & premises Serious
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection.
HHSC 746.5617(a)(1) — Required Equipment in Vehicles - List of Children
HHSC risk weight: High. Corrected at inspection. Corrected 2023-06-20.
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Safety & premises Serious
A written plan to handle transportation emergencies was not available at the time.
HHSC 746.5619 — Plan to Handle Transportation Emergencies
HHSC risk weight: Medium High. Corrected 2023-06-20. Correction verified 2023-06-26.
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Illness & medication Serious
One of the six children files was missing immunization records.
HHSC 746.613(a) — Required Immunizations
HHSC risk weight: High. Corrected 2023-07-04. Correction verified 2023-06-21.
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Safety & premises Serious
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Aug 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2022 Inspection · Deficiencies cited
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Supervision & ratios Serious
The operation did not have a plan set up. Operation is currently in process of gathering all required information.
HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
HHSC risk weight: Medium High. Corrected 2022-07-31. Correction verified 2022-07-23.
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Safety & premises Serious
Monthly fire drills are not being conducted and documented as required. Carbon monoxide/smoke detectors and fire extinguishers are not checked monthly and documented as required.
HHSC 746.5205(1) — Fire Drill Monthly - Exit in 3 Minutes
HHSC risk weight: Medium High. Corrected 2022-07-31. Correction verified 2022-07-13.
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Other Serious
Gas inspection is overdue as of 7/1/22.
HHSC 746.5401 — Requirement of Gas Leak Inspection
HHSC risk weight: Medium High. Corrected 2022-07-31. Correction verified 2022-07-19.
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Records & paperwork
Two of four children's files did not have a healthcare statement included in their file.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-07-31. Correction verified 2022-08-01.
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Supervision & ratios Serious
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, via 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.