Madison Square Child Development Center
319 CAMDEN ST, San Antonio, TX 78215 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 85
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-08:00 PM
- Director / administrator
- Gloria Flores
- Phone
- (210) 226-1920
- Regulated since
- Nov 4, 1985
- HHSC IDs
- Operation 94723 · number 40911
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 10 | 8 | Cleanliness & sanitation (2), Illness & medication (2), Safety & premises (2), Other (4) |
| 2025 | 6 | 0 | Cleanliness & sanitation (4), Supervision & ratios (2) |
| 2024 | 4 | 4 | Supervision & ratios (2), Discipline & child guidance (2) |
| 2023 | 8 | 0 | Illness & medication (2), Supervision & ratios (2), Safety & premises (2), Records & paperwork (2) |
| 2022 | 6 | 0 | Cleanliness & sanitation (2), Supervision & ratios (2), Safety & premises (2) |
Inspections, investigations & assessments
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Aug 20, 2026 Report · Deficiencies cited (self-report)
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Other Serious
During the investigation, it was determined that staff used improper techniques when responding to a medical incident.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2026-08-25. Correction verified 2026-08-25.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Aug 20, 2026 Report · Deficiencies cited (self-report)
-
Other Serious
During the investigation, it was determined that staff used improper techniques when responding to a medical incident.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2026-08-25. Correction verified 2026-08-25.
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Other Serious
-
Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 7, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 16, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 9, 2026 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2026-07-08. Correction verified 2026-08-07.
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Cleanliness & sanitation Serious
-
Jun 9, 2026 Report · Deficiencies cited
-
Cleanliness & sanitation Serious
Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2026-07-08. Correction verified 2026-08-07.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation Serious
-
Feb 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 17, 2026 Inspection · Deficiencies cited
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Other Serious
The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2026-02-17. Correction verified 2026-02-23.
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Safety & premises Serious
At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground.
HHSC 746.4601(7) — Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
HHSC risk weight: High. Corrected at inspection. Corrected 2026-02-17.
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Other Serious
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Feb 17, 2026 Inspection · Deficiencies cited
-
Other Serious
The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2026-02-17. Correction verified 2026-02-23.
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Safety & premises Serious
At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground.
HHSC 746.4601(7) — Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
HHSC risk weight: High. Corrected at inspection. Corrected 2026-02-17.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Feb 9, 2026 Inspection · Deficiencies cited
-
Illness & medication
One of the four children files was missing an updated immunization record.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-03-09. Correction verified 2026-02-10.
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Illness & medication
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Feb 9, 2026 Inspection · Deficiencies cited
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Illness & medication
One of the four children files was missing an updated immunization record.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2026-03-09. Correction verified 2026-02-10.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 21, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2025 Inspection · Deficiencies cited
-
Supervision & ratios
1 child's file is missing a health statement for review during the inspection.
HHSC 746.611(a)(1) — Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
HHSC risk weight: Low. Corrected 2025-05-09. Correction verified 2025-04-08.
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Supervision & ratios
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Apr 1, 2025 Inspection · Deficiencies cited
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Supervision & ratios
1 child's file is missing a health statement for review during the inspection.
HHSC 746.611(a)(1) — Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
HHSC risk weight: Low. Corrected 2025-05-09. Correction verified 2025-04-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2025 Report · Deficiencies cited (self-report)
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Cleanliness & sanitation
When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-04-01.
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Cleanliness & sanitation
When reviewing the video it was observed of a child not washing hands after getting diaper changed.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-04-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Feb 26, 2025 Report · Deficiencies cited (self-report)
-
Cleanliness & sanitation
When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-04-01.
-
Cleanliness & sanitation
When reviewing the video it was observed of a child not washing hands after getting diaper changed.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-04-01.
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Cleanliness & sanitation
-
Dec 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 12, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Sep 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 1, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 30, 2024 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child.
HHSC 746.2805(1) — Prohibited Punishments - Corporal Punishment
HHSC risk weight: High. Corrected 2024-08-26. Correction verified 2024-09-06.
HHSC inspection history · no longer published by HHSC; kept here
-
Discipline & child guidance Serious
-
Jul 30, 2024 Report · Deficiencies cited (self-report)
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Discipline & child guidance Serious
It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child.
HHSC 746.2805(1) — Prohibited Punishments - Corporal Punishment
HHSC risk weight: High. Corrected 2024-08-26. Correction verified 2024-09-06.
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Discipline & child guidance Serious
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May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 6, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 14, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 7, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
It was found that a child was left unsupervised on the playground.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2024-02-09. Correction verified 2024-02-14.
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Supervision & ratios Serious
-
Feb 7, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
It was found that a child was left unsupervised on the playground.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2024-02-09. Correction verified 2024-02-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
May 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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May 31, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 16, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
The operation does not have a current monthly maintenance checklists available for review during an inspection.
HHSC 746.4751(b) — Maintenance Procedures for Active Play - Monthly Maintenance Checklist
HHSC risk weight: Medium. Corrected 2023-05-26. Correction verified 2023-05-19.
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Illness & medication
8 files were reviewed, 1 was found to be missing immunization records.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2023-05-26. Correction verified 2023-05-19.
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Safety & premises
8 files were reviewed, 3 were found to be missing addresses for emergency contacts listed.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2023-05-26. Correction verified 2023-05-19.
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Records & paperwork
8 files were reviewed, 1 file was found to be missing an employee affidavit. This was corrected during the inspection when the Director, who is a notary added the form to the employees file.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2023-05-16.
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Supervision & ratios
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May 16, 2023 Inspection · Deficiencies cited
-
Supervision & ratios
The operation does not have a current monthly maintenance checklists available for review during an inspection.
HHSC 746.4751(b) — Maintenance Procedures for Active Play - Monthly Maintenance Checklist
HHSC risk weight: Medium. Corrected 2023-05-26. Correction verified 2023-05-19.
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Illness & medication
8 files were reviewed, 1 was found to be missing immunization records.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2023-05-26. Correction verified 2023-05-19.
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Safety & premises
8 files were reviewed, 3 were found to be missing addresses for emergency contacts listed.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2023-05-26. Correction verified 2023-05-19.
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Records & paperwork
8 files were reviewed, 1 file was found to be missing an employee affidavit. This was corrected during the inspection when the Director, who is a notary added the form to the employees file.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2023-05-16.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Sep 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Sep 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 2, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 20, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 18, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 14, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Operation insurance notification in CLASS was due on 11/04/2021. Corrected during inspection, liability information was updated in CLASS during this inspection.
HHSC 746.201(8) — Liability Insurance Maintained
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-07-14.
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Cleanliness & sanitation
Infant caregiver confirmed the handwashing sink is used to rinse infant bottles, plates, and spoons. Corrected during inspection. Plates and spoons were removed from sink area and infant caregivers were inform the sink is only for hand washing purposes.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-14.
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Safety & premises
There were two children identified with a food allergy, one child's food allergy plan was missing physician's authorization signature. Second child in care had a note from physician indicating child was allergic to lactose, but a food allergy plan was not created.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2022-07-28. Correction verified 2022-07-28.
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Supervision & ratios
-
Jul 14, 2022 Inspection · Deficiencies cited
-
Supervision & ratios
Operation insurance notification in CLASS was due on 11/04/2021. Corrected during inspection, liability information was updated in CLASS during this inspection.
HHSC 746.201(8) — Liability Insurance Maintained
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-07-14.
-
Cleanliness & sanitation
Infant caregiver confirmed the handwashing sink is used to rinse infant bottles, plates, and spoons. Corrected during inspection. Plates and spoons were removed from sink area and infant caregivers were inform the sink is only for hand washing purposes.
HHSC 746.2419(8) — Requirements for Feeding Infants - Other Use of Handwashing Sink
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-14.
-
Safety & premises
There were two children identified with a food allergy, one child's food allergy plan was missing physician's authorization signature. Second child in care had a note from physician indicating child was allergic to lactose, but a food allergy plan was not created.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2022-07-28. Correction verified 2022-07-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Jul 14, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 24, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
Nov 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 7, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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.