King Of Kings Child Care Center
13888 DREAMWOOD DR, San Antonio, TX 78233 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 140
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:00 PM
- Director / administrator
- Lisa Avila
- Phone
- (210) 656-6509
- Regulated since
- Dec 22, 1986
- HHSC IDs
- Operation 95077 · number 53871
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 10 | 0 | Supervision & ratios (2), Staff background & training (4), Other (4) |
| 2025 | 8 | 2 | Supervision & ratios (2), Safety & premises (2), Other (4) |
| 2024 | 8 | 2 | Cleanliness & sanitation (2), Food & allergies (2), Staff background & training (4) |
| 2022 | 18 | 6 | Illness & medication (6), Supervision & ratios (10), Other (2) |
Inspections, investigations & assessments
-
Aug 31, 2026 Inspection · Deficiencies cited
-
Staff background & training
Out of the four staff who transport, two of the staff were delinquent in training as of 8/20/26 and 8/28/26.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-31.
-
Other
One of the tunnels on the large play structure had water and mulch inside of it. The staff did not inspect the play structure while conducting their morning playground check.
HHSC 746.4751(a) — Maintenance Procedures for Active Play - Inspect Daily
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-31.
-
Other
There were three booster safety seats that were expired. The seats had the following years posted: 2010, 2013, and 2014.
HHSC 746.5607(b) — Child Passenger Safety Seat System - Not expired or damaged in accident
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-31.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Aug 31, 2026 Inspection · Deficiencies cited
-
Staff background & training
Out of the four staff who transport, two of the staff were delinquent in training as of 8/20/26 and 8/28/26.
HHSC 746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-31.
-
Other
One of the tunnels on the large play structure had water and mulch inside of it. The staff did not inspect the play structure while conducting their morning playground check.
HHSC 746.4751(a) — Maintenance Procedures for Active Play - Inspect Daily
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-31.
-
Other
There were three booster safety seats that were expired. The seats had the following years posted: 2010, 2013, and 2014.
HHSC 746.5607(b) — Child Passenger Safety Seat System - Not expired or damaged in accident
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-31.
-
Staff background & training
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 7, 2026 Inspection · Deficiencies cited
-
Staff background & training
Four of the eight staff files reviewed did not contain training topics on Emergency Practices for their annual year.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2026-01-13. Correction verified 2026-01-13.
-
Supervision & ratios
There was one caregiver with six infants. The ages of the infants were 6 months, 10 months, 2;15 months, and 2;18 months old. The operation was over ratio by 1 infant.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2026-01-07. Correction verified 2026-01-20.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jan 7, 2026 Inspection · Deficiencies cited
-
Staff background & training
Four of the eight staff files reviewed did not contain training topics on Emergency Practices for their annual year.
HHSC 746.1309(e) — Documented Annual Training- Required Content
HHSC risk weight: Medium. Corrected 2026-01-13. Correction verified 2026-01-13.
-
Supervision & ratios
There was one caregiver with six infants. The ages of the infants were 6 months, 10 months, 2;15 months, and 2;18 months old. The operation was over ratio by 1 infant.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2026-01-07. Correction verified 2026-01-20.
-
Staff background & training
-
Aug 11, 2025 Inspection · Deficiencies cited
-
Other
The infant rooms were located in the cafeteria due to classroom maintenance. The space was not pre-approved by licensing for use in that room for infants or any other classroom in the center. **This was corrected at inspection when the infant rooms were relocated from the cafeteria to other unused classrooms that were adapted to meet the infants' needs.
HHSC 746.301(2) — Notification of Change in Space
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-08-11.
-
Other
-
Aug 11, 2025 Inspection · Deficiencies cited
-
Other
The infant rooms were located in the cafeteria due to classroom maintenance. The space was not pre-approved by licensing for use in that room for infants or any other classroom in the center. **This was corrected at inspection when the infant rooms were relocated from the cafeteria to other unused classrooms that were adapted to meet the infants' needs.
HHSC 746.301(2) — Notification of Change in Space
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-08-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jun 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 16, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
During the investigation, it was found that the caregiver did not practice proper supervision of all the children in her care after leaving the room with the injured child, resulting in a child being left unattended.
HHSC 746.3607(5) — Critical Injury - Ensure Supervision of All Children
HHSC risk weight: High. Corrected 2025-07-30. Correction verified 2025-08-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Jun 16, 2025 Report · Deficiencies cited (self-report)
-
Supervision & ratios Serious
During the investigation, it was found that the caregiver did not practice proper supervision of all the children in her care after leaving the room with the injured child, resulting in a child being left unattended.
HHSC 746.3607(5) — Critical Injury - Ensure Supervision of All Children
HHSC risk weight: High. Corrected 2025-07-30. Correction verified 2025-08-11.
-
Supervision & ratios Serious
-
Jun 13, 2025 Report · Deficiencies cited
-
Other
During the investigation, it was determined that the child was not released to the person on the pickup list, and no court order paperwork was on file.
HHSC 746.4101(b)(2) — Maintain copy of court order in child's file
HHSC risk weight: Medium High. Corrected 2025-07-30. Correction verified 2025-08-11.
-
Other
-
Jun 13, 2025 Report · Deficiencies cited
-
Other
During the investigation, it was determined that the child was not released to the person on the pickup list, and no court order paperwork was on file.
HHSC 746.4101(b)(2) — Maintain copy of court order in child's file
HHSC risk weight: Medium High. Corrected 2025-07-30. Correction verified 2025-08-11.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jun 4, 2025 Inspection · Deficiencies cited
-
Safety & premises
While reviewing the files, one child was missing an emergency contact person other than a parent.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2025-06-06. Correction verified 2025-06-05.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jun 4, 2025 Inspection · Deficiencies cited
-
Safety & premises
While reviewing the files, one child was missing an emergency contact person other than a parent.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2025-06-06. Correction verified 2025-06-05.
-
Safety & premises
-
Jul 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 12, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 28, 2024 Inspection · Deficiencies cited
-
Staff background & training
One of ten staff records reviewed were missing 24 hours of annual training for the previous training year.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2024-07-08. Correction verified 2024-07-10.
-
Staff background & training
Two of ten staff records reviewed were missing training for the previous training year in the required topics of; 1) Emergency preparedness 2) Preventing and controlling the spread of communicable diseases, including immunizations 3) Administering medication 4) Preventing and responding to emergencies due to food or an allergic reaction 5) Understanding building and physical premises safety and 6) Handling, storing, and disposing of hazardous materials.
HHSC 746.1311(e) — Director Annual Training - Additional required topics
HHSC risk weight: Medium. Corrected 2024-07-08. Correction verified 2024-07-10.
-
Food & allergies
Bottles stored in the infant refrigerator did not have child's name labeled on the bottles.
HHSC 746.2419(6) — Requirements for Feeding Infants - Label Bottles/Cups
HHSC risk weight: Medium High. Corrected 2024-06-28. Correction verified 2024-07-12.
-
Cleanliness & sanitation Serious
Two containers of liquid carpet cleaner were stored under the hand washing sink unsecured in the Pre-K classroom. Note: This was corrected at inspection when the director removed the cleaning products from the classroom.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected 2024-06-28. Correction verified 2024-07-12.
-
Staff background & training
-
Jun 28, 2024 Inspection · Deficiencies cited
-
Staff background & training
One of ten staff records reviewed were missing 24 hours of annual training for the previous training year.
HHSC 746.1301(a)(5)(A) — Training Requirements for Employees, Caregivers, and Directors - 24 Annual training
HHSC risk weight: Medium High. Corrected 2024-07-08. Correction verified 2024-07-10.
-
Staff background & training
Two of ten staff records reviewed were missing training for the previous training year in the required topics of; 1) Emergency preparedness 2) Preventing and controlling the spread of communicable diseases, including immunizations 3) Administering medication 4) Preventing and responding to emergencies due to food or an allergic reaction 5) Understanding building and physical premises safety and 6) Handling, storing, and disposing of hazardous materials.
HHSC 746.1311(e) — Director Annual Training - Additional required topics
HHSC risk weight: Medium. Corrected 2024-07-08. Correction verified 2024-07-10.
-
Food & allergies
Bottles stored in the infant refrigerator did not have child's name labeled on the bottles.
HHSC 746.2419(6) — Requirements for Feeding Infants - Label Bottles/Cups
HHSC risk weight: Medium High. Corrected 2024-06-28. Correction verified 2024-07-12.
-
Cleanliness & sanitation Serious
Two containers of liquid carpet cleaner were stored under the hand washing sink unsecured in the Pre-K classroom. Note: This was corrected at inspection when the director removed the cleaning products from the classroom.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected 2024-06-28. Correction verified 2024-07-12.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jun 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
May 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
-
May 24, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 5, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 19, 2022 Inspection · Deficiencies cited
-
Illness & medication
Epi pen on file for a child was expired as of 12/2020.
HHSC 746.3809 — Medication No Longer Used
HHSC risk weight: Medium. Corrected 2022-07-22. Correction verified 2022-07-21.
-
Supervision & ratios
Diagnosed food allergies for one of the children enrolled were not posted at the operation. Note: This was corrected at inspection when the operation created an updated list showing all children with diagnosed food allergies.
HHSC 746.401(10) — Required Postings-Child's Food Allergies
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-19.
-
Supervision & ratios
There was no emergency evacuation and relocation diagram posted in either of the two school age rooms. Note: This was corrected at inspection when the operation posted the diagrams in each room.
HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-19.
-
Supervision & ratios
Gas inspection at the operation was past due. Current gas inspection was due 06/2022 and the last inspection was conducted 06/2020
HHSC 746.5401 — Requirement of Gas Leak Inspection
HHSC risk weight: Medium High. Corrected 2022-07-29. Correction verified 2022-07-26.
-
Illness & medication
2 out of the 10 children's files reviewed were missing updated immunization records. Note: Records were updated for 1 of the 2 children during the inspection.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-08-01. Correction verified 2022-08-01.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Jul 19, 2022 Inspection · Deficiencies cited
-
Illness & medication
Epi pen on file for a child was expired as of 12/2020.
HHSC 746.3809 — Medication No Longer Used
HHSC risk weight: Medium. Corrected 2022-07-22. Correction verified 2022-07-21.
-
Supervision & ratios
Diagnosed food allergies for one of the children enrolled were not posted at the operation. Note: This was corrected at inspection when the operation created an updated list showing all children with diagnosed food allergies.
HHSC 746.401(10) — Required Postings-Child's Food Allergies
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-19.
-
Supervision & ratios
There was no emergency evacuation and relocation diagram posted in either of the two school age rooms. Note: This was corrected at inspection when the operation posted the diagrams in each room.
HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-07-19.
-
Supervision & ratios
Gas inspection at the operation was past due. Current gas inspection was due 06/2022 and the last inspection was conducted 06/2020
HHSC 746.5401 — Requirement of Gas Leak Inspection
HHSC risk weight: Medium High. Corrected 2022-07-29. Correction verified 2022-07-26.
-
Illness & medication
2 out of the 10 children's files reviewed were missing updated immunization records. Note: Records were updated for 1 of the 2 children during the inspection.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2022-08-01. Correction verified 2022-08-01.
-
Illness & medication
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 3, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 24, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
Information gathered during investigation determine an incident occurred with three children on the playground structure. Note, there were two staff outside with the group, but not properly monitoring the children.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-03-31. Correction verified 2022-04-14.
-
Supervision & ratios Serious
The operation failed to report to Child Care Regulation an incident on the playground with three children.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2022-03-31. Correction verified 2022-04-14.
-
Illness & medication
Operation did not share an incident report with the parents of three children regarding a situation on the playground.
HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk
HHSC risk weight: Medium. Corrected 2022-03-31. Correction verified 2022-04-14.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios Serious
-
Feb 24, 2022 Report · Deficiencies cited
-
Supervision & ratios Serious
Information gathered during investigation determine an incident occurred with three children on the playground structure. Note, there were two staff outside with the group, but not properly monitoring the children.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-03-31. Correction verified 2022-04-14.
-
Supervision & ratios Serious
The operation failed to report to Child Care Regulation an incident on the playground with three children.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2022-03-31. Correction verified 2022-04-14.
-
Illness & medication
Operation did not share an incident report with the parents of three children regarding a situation on the playground.
HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk
HHSC risk weight: Medium. Corrected 2022-03-31. Correction verified 2022-04-14.
-
Supervision & ratios Serious
-
Feb 23, 2022 Inspection · Deficiencies cited
-
Other Serious
Two infants were observed sleeping on a baby bouncer.
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected at inspection. Corrected 2022-02-23.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Feb 23, 2022 Inspection · Deficiencies cited
-
Other Serious
Two infants were observed sleeping on a baby bouncer.
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected at inspection. Corrected 2022-02-23.
-
Other Serious
-
Feb 19, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Feb 19, 2022 Report · 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.