RecordWell Data

Lil Tikes Day Care Center

2710 TORTUGA ST, San Antonio, TX 78224 · Bexar County

48cited violations
10serious
40inspections & investigations
0enforcement actions

Program

Type
Licensed center
Licensed capacity
49
Ages
Infant, Toddler, Pre-Kindergarten, School
Hours
06:30 AM-06:00 PM
Director / administrator
Elizabeth Almaguer
Phone
(210) 924-8453
Regulated since
Mar 8, 2001
HHSC IDs
Operation 165274 · number 548969
Official record
HHSC Child Care Search

Violations by category

Year by year

YearViolationsSeriousMain categories
2026142 Cleanliness & sanitation (4), Supervision & ratios (4), Food & allergies (2), Other (4)
2025102 Cleanliness & sanitation (2), Supervision & ratios (2), Food & allergies (2), Records & paperwork (2), Other (2)
2024142 Supervision & ratios (4), Safety & premises (2), Staff background & training (4), Records & paperwork (2), Other (2)
202362 Cleanliness & sanitation (2), Safety & premises (2), Other (2)
202242 Staff background & training (2), Other (2)

Inspections, investigations & assessments

  1. Aug 26, 2026 Inspection · Deficiencies cited
    • Supervision & ratios

      There were 15 children combined in the front room. The age of the youngest child was five months and the age of the oldest child was three years. This was corrected at inspection when the infants went to their room.

      HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-26.

    • Other

      Infants and children were observed having screen time. This was corrected at inspection when the television was turned off.

      HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-08-26.

    HHSC inspection history

  2. Aug 26, 2026 Inspection · Deficiencies cited
    • Supervision & ratios

      There were 15 children combined in the front room. The age of the youngest child was five months and the age of the oldest child was three years. This was corrected at inspection when the infants went to their room.

      HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-26.

    • Other

      Infants and children were observed having screen time. This was corrected at inspection when the television was turned off.

      HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-08-26.

    HHSC inspection history · no longer published by HHSC; kept here

  3. Aug 14, 2026 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Disenfectant spray was accessible to children waiting in line for the bathroom. This was corrected at inspection when spray can was removed.

      HHSC 746.3407(13) — Using, Storing and Disposing of Hazardous Materials

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-14.

    • Cleanliness & sanitation Serious

      A mop bucket full of water was accessible to children waiting in line for the bathroom. This was corrected at inspection when the mop bucket was removed.

      HHSC 746.3701(9) — Safety - Bodies of Water Inaccessible to Children

      HHSC risk weight: High. Corrected at inspection. Corrected 2026-08-14.

    HHSC inspection history · no longer published by HHSC; kept here

  4. Aug 14, 2026 Inspection · Deficiencies cited
    • Cleanliness & sanitation

      Disenfectant spray was accessible to children waiting in line for the bathroom. This was corrected at inspection when spray can was removed.

      HHSC 746.3407(13) — Using, Storing and Disposing of Hazardous Materials

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-08-14.

    • Cleanliness & sanitation Serious

      A mop bucket full of water was accessible to children waiting in line for the bathroom. This was corrected at inspection when the mop bucket was removed.

      HHSC 746.3701(9) — Safety - Bodies of Water Inaccessible to Children

      HHSC risk weight: High. Corrected at inspection. Corrected 2026-08-14.

    HHSC inspection history

  5. Aug 10, 2026 Report · Deficiencies cited
    • Supervision & ratios

      There were five infants with one caregiver in Infant room. The ages of the infants were five months, seven months, eight months, 11 months, and 19 months, The specified age group was 0 to 11 months. This was corrected at inspection when a child wa moved to another room.

      HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

      HHSC risk weight: Medium High. Corrected 2026-08-14. Correction verified 2026-08-26.

    HHSC inspection history

  6. Aug 10, 2026 Report · Deficiencies cited
    • Supervision & ratios

      There were five infants with one caregiver in Infant room. The ages of the infants were five months, seven months, eight months, 11 months, and 19 months, The specified age group was 0 to 11 months. This was corrected at inspection when a child wa moved to another room.

      HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

      HHSC risk weight: Medium High. Corrected 2026-08-14. Correction verified 2026-08-26.

    HHSC inspection history · no longer published by HHSC; kept here

  7. Feb 26, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  8. Feb 26, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  9. Feb 19, 2026 Inspection · Deficiencies cited
    • Food & allergies

      During snack time the children were provided one component (pudding) instead of two components.

      HHSC 746.3301(b) — Nutrition and Food Service - Follow Meal Patterns

      HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-02-26.

    • Other

      One of the three children files was missing school age information. NOTE: Corrected at inspection.

      HHSC 746.605(13) — Required Admission Information - School Information for School-age Child

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-02-19.

    HHSC inspection history · no longer published by HHSC; kept here

  10. Feb 19, 2026 Inspection · Deficiencies cited
    • Food & allergies

      During snack time the children were provided one component (pudding) instead of two components.

      HHSC 746.3301(b) — Nutrition and Food Service - Follow Meal Patterns

      HHSC risk weight: Medium High. Corrected 2026-02-19. Correction verified 2026-02-26.

    • Other

      One of the three children files was missing school age information. NOTE: Corrected at inspection.

      HHSC 746.605(13) — Required Admission Information - School Information for School-age Child

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-02-19.

    HHSC inspection history

  11. Feb 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  12. Feb 11, 2026 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  13. Feb 10, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  14. Feb 10, 2026 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  15. Jul 14, 2025 Inspection · Deficiencies cited
    • Food & allergies

      One of the feeding schedules for a bottle-feeding infant was unavailable at the time of inspection.

      HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days

      HHSC risk weight: Medium. Corrected 2025-07-21. Correction verified 2025-07-21.

    • Records & paperwork

      The Consumer Report form was observed to have been last reviewed on 5.12.24. NOTE: This was corrected at inspection.

      HHSC 746.4135(b) — Children's Products- Annual Certification

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-07-14.

    • Other

      At the time of inspection, the gas inspection was unavailable for review.

      HHSC 746.5401 — Requirement of Gas Leak Inspection

      HHSC risk weight: Medium High. Corrected 2025-07-21. Correction verified 2025-07-21.

    HHSC inspection history · no longer published by HHSC; kept here

  16. Jul 14, 2025 Inspection · Deficiencies cited
    • Food & allergies

      One of the feeding schedules for a bottle-feeding infant was unavailable at the time of inspection.

      HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days

      HHSC risk weight: Medium. Corrected 2025-07-21. Correction verified 2025-07-21.

    • Records & paperwork

      The Consumer Report form was observed to have been last reviewed on 5.12.24. NOTE: This was corrected at inspection.

      HHSC 746.4135(b) — Children's Products- Annual Certification

      HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-07-14.

    • Other

      At the time of inspection, the gas inspection was unavailable for review.

      HHSC 746.5401 — Requirement of Gas Leak Inspection

      HHSC risk weight: Medium High. Corrected 2025-07-21. Correction verified 2025-07-21.

    HHSC inspection history

  17. Apr 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  18. Apr 7, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  19. Mar 21, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      The infant classroom was observed out of ratio when the second caregiver left the room several times to open the front door throughout drop off. The specifed age group was 0-11 months and there were 7 infants present. This was corrected when the second caregiver returned to the infant classroom and child/caregiver ratio was back in compliance.

      HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

      HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-04-07.

    HHSC inspection history · no longer published by HHSC; kept here

  20. Mar 21, 2025 Inspection · Deficiencies cited
    • Supervision & ratios

      The infant classroom was observed out of ratio when the second caregiver left the room several times to open the front door throughout drop off. The specifed age group was 0-11 months and there were 7 infants present. This was corrected when the second caregiver returned to the infant classroom and child/caregiver ratio was back in compliance.

      HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children

      HHSC risk weight: Medium High. Corrected 2025-03-21. Correction verified 2025-04-07.

    HHSC inspection history

  21. Mar 13, 2025 Report · Deficiencies cited
    • Cleanliness & sanitation Serious

      Based on the evidence gathered, the operation was enforcing a policy regarding toilet-trained children, but this policy was not written in the center's operational policies when provided to parents at enrollment.

      HHSC 746.201(1) — Policies Comply with Rules

      HHSC risk weight: High. Corrected 2025-05-09. Correction verified 2025-05-05.

    HHSC inspection history

  22. Mar 13, 2025 Report · Deficiencies cited
    • Cleanliness & sanitation Serious

      Based on the evidence gathered, the operation was enforcing a policy regarding toilet-trained children, but this policy was not written in the center's operational policies when provided to parents at enrollment.

      HHSC 746.201(1) — Policies Comply with Rules

      HHSC risk weight: High. Corrected 2025-05-09. Correction verified 2025-05-05.

    HHSC inspection history · no longer published by HHSC; kept here

  23. Jan 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  24. Jan 22, 2025 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  25. Nov 12, 2024 Inspection · Deficiencies cited
    • Safety & premises Serious

      An infant under 12 months was observed asleep in a crib propped up with a boppy pillow and a blanket. This was corrected when the items were removed from the crib.

      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 at inspection. Corrected 2024-11-12.

    HHSC inspection history · no longer published by HHSC; kept here

  26. Nov 12, 2024 Inspection · Deficiencies cited
    • Safety & premises Serious

      An infant under 12 months was observed asleep in a crib propped up with a boppy pillow and a blanket. This was corrected when the items were removed from the crib.

      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 at inspection. Corrected 2024-11-12.

    HHSC inspection history

  27. Nov 5, 2024 Report · Deficiencies cited
    • Supervision & ratios

      Based on the evidence gathered, parents were not allowed to visit their children at the daycare while their children participated in a holiday event.

      HHSC 746.201(7) — Operation Open to Parents At All Times

      HHSC risk weight: Medium. Corrected 2024-12-23. Correction verified 2025-01-22.

    • Staff background & training

      Based on the evidence gathered, a caregiver did not use positive methods of redirection with a child during potty training. The caregiver had the child hold their wet pull-up while they placed a clean pull-up on the child.

      HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance

      HHSC risk weight: Medium High. Corrected 2024-12-23. Correction verified 2025-01-22.

    • Staff background & training

      Based on the evidence gathered, a caregiver did not follow proper health and safety practices when they asked the child to hold their wet pull-up during potty training.

      HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner

      HHSC risk weight: Medium High. Corrected 2024-12-23. Correction verified 2025-01-22.

    HHSC inspection history

  28. Nov 5, 2024 Report · Deficiencies cited
    • Supervision & ratios

      Based on the evidence gathered, parents were not allowed to visit their children at the daycare while their children participated in a holiday event.

      HHSC 746.201(7) — Operation Open to Parents At All Times

      HHSC risk weight: Medium. Corrected 2024-12-23. Correction verified 2025-01-22.

    • Staff background & training

      Based on the evidence gathered, a caregiver did not use positive methods of redirection with a child during potty training. The caregiver had the child hold their wet pull-up while they placed a clean pull-up on the child.

      HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance

      HHSC risk weight: Medium High. Corrected 2024-12-23. Correction verified 2025-01-22.

    • Staff background & training

      Based on the evidence gathered, a caregiver did not follow proper health and safety practices when they asked the child to hold their wet pull-up during potty training.

      HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner

      HHSC risk weight: Medium High. Corrected 2024-12-23. Correction verified 2025-01-22.

    HHSC inspection history · no longer published by HHSC; kept here

  29. Sep 4, 2024 Inspection · Deficiencies cited
    • Records & paperwork

      Four out of the six children's files evaluated did not have signed Parent's Rights form.

      HHSC 746.521(5)(A) — Parent right to receive HHSC's inspection report

      HHSC risk weight: Medium Low. Corrected 2024-09-13. Correction verified 2024-09-10.

    • Other

      One out of the six children's files evalauted did not have a signed healthcare provider statement on file. The child had been enrolled over 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 2024-09-18. Correction verified 2024-09-10.

    • Supervision & ratios

      The operation did not have their current fire inspection report on file or available for review.

      HHSC 746.801(11) — Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

      HHSC risk weight: Medium High. Corrected 2024-09-11. Correction verified 2024-09-11.

    HHSC inspection history

  30. Sep 4, 2024 Inspection · Deficiencies cited
    • Records & paperwork

      Four out of the six children's files evaluated did not have signed Parent's Rights form.

      HHSC 746.521(5)(A) — Parent right to receive HHSC's inspection report

      HHSC risk weight: Medium Low. Corrected 2024-09-13. Correction verified 2024-09-10.

    • Other

      One out of the six children's files evalauted did not have a signed healthcare provider statement on file. The child had been enrolled over 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 2024-09-18. Correction verified 2024-09-10.

    • Supervision & ratios

      The operation did not have their current fire inspection report on file or available for review.

      HHSC 746.801(11) — Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

      HHSC risk weight: Medium High. Corrected 2024-09-11. Correction verified 2024-09-11.

    HHSC inspection history · no longer published by HHSC; kept here

  31. Sep 20, 2023 Inspection · Deficiencies cited
    • Other

      A caregiver was observed having to leave a classroom of preschool children unattended for less than minute to unlock the front door to receive children coming in for care. Caregiver was also put in charge of administrative/clerical duties as all employees present were responsible for supervising children in care. This was corrected when the director arrived at the center and took over admin duties.

      HHSC 746.1203(3)(A) — Administrative and clerical duties that take caregiver's attention away from children

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-20.

    HHSC inspection history · no longer published by HHSC; kept here

  32. Sep 20, 2023 Inspection · Deficiencies cited
    • Other

      A caregiver was observed having to leave a classroom of preschool children unattended for less than minute to unlock the front door to receive children coming in for care. Caregiver was also put in charge of administrative/clerical duties as all employees present were responsible for supervising children in care. This was corrected when the director arrived at the center and took over admin duties.

      HHSC 746.1203(3)(A) — Administrative and clerical duties that take caregiver's attention away from children

      HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-09-20.

    HHSC inspection history

  33. Sep 5, 2023 Inspection · Deficiencies cited
    • Cleanliness & sanitation Serious

      A large bottle of homemade weed killer along with bottles of vinegar and dish soap were on the floor within children's reach as they walked to and from the restroom. This was corrected at inspection when the solutions were moved from the area and made inaccessible to children.

      HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

      HHSC risk weight: High. Corrected at inspection. Corrected 2023-09-05.

    • Safety & premises

      The emergency preparedness plan is missing written procedures for the evacuation, relocation, and sheltering/lock-down of children during different types of emergency situations.

      HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

      HHSC risk weight: Medium High. Corrected 2023-09-15. Correction verified 2023-09-20.

    HHSC inspection history · no longer published by HHSC; kept here

  34. Sep 5, 2023 Inspection · Deficiencies cited
    • Cleanliness & sanitation Serious

      A large bottle of homemade weed killer along with bottles of vinegar and dish soap were on the floor within children's reach as they walked to and from the restroom. This was corrected at inspection when the solutions were moved from the area and made inaccessible to children.

      HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

      HHSC risk weight: High. Corrected at inspection. Corrected 2023-09-05.

    • Safety & premises

      The emergency preparedness plan is missing written procedures for the evacuation, relocation, and sheltering/lock-down of children during different types of emergency situations.

      HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

      HHSC risk weight: Medium High. Corrected 2023-09-15. Correction verified 2023-09-20.

    HHSC inspection history

  35. Sep 13, 2022 Inspection · Deficiencies cited
    • Staff background & training Serious

      An employee with a pending background check was observed caring for children. She completed fingerprints however the employee recently recieved notice that the fingerprints did not go through and they will have to be resubmitted.

      HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation

      HHSC risk weight: High. Corrected 2022-09-13. Correction verified 2022-09-17.

    • Other

      Two children did not have signed healthcare provider statements on file after being enrolled for 12 months or more.

      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 2022-09-20. Correction verified 2022-09-20.

    HHSC inspection history

  36. Sep 13, 2022 Inspection · Deficiencies cited
    • Staff background & training Serious

      An employee with a pending background check was observed caring for children. She completed fingerprints however the employee recently recieved notice that the fingerprints did not go through and they will have to be resubmitted.

      HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation

      HHSC risk weight: High. Corrected 2022-09-13. Correction verified 2022-09-17.

    • Other

      Two children did not have signed healthcare provider statements on file after being enrolled for 12 months or more.

      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 2022-09-20. Correction verified 2022-09-20.

    HHSC inspection history · no longer published by HHSC; kept here

  37. Jun 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  38. Jun 15, 2022 Inspection · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

  39. Jun 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history · no longer published by HHSC; kept here

  40. Jun 2, 2022 Report · No deficiencies cited

    No violations cited on this visit.

    HHSC inspection history

Get the full file

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HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
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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.