Lil Tikes Day Care Center
2710 TORTUGA ST, San Antonio, TX 78224 · Bexar County
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
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 14 | 2 | Cleanliness & sanitation (4), Supervision & ratios (4), Food & allergies (2), Other (4) |
| 2025 | 10 | 2 | Cleanliness & sanitation (2), Supervision & ratios (2), Food & allergies (2), Records & paperwork (2), Other (2) |
| 2024 | 14 | 2 | Supervision & ratios (4), Safety & premises (2), Staff background & training (4), Records & paperwork (2), Other (2) |
| 2023 | 6 | 2 | Cleanliness & sanitation (2), Safety & premises (2), Other (2) |
| 2022 | 4 | 2 | Staff background & training (2), Other (2) |
Inspections, investigations & assessments
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Aug 26, 2026 Inspection · Deficiencies cited
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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.
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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.
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Supervision & ratios
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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.
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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
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Supervision & ratios
-
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.
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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
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Cleanliness & sanitation
-
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.
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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.
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Cleanliness & sanitation
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Aug 10, 2026 Report · Deficiencies cited
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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.
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Supervision & ratios
-
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
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Supervision & ratios
-
Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 26, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 19, 2026 Inspection · Deficiencies cited
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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.
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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
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Food & allergies
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Feb 19, 2026 Inspection · Deficiencies cited
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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.
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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.
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Food & allergies
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Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Feb 11, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
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.
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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.
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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
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Food & allergies
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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.
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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.
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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.
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Food & allergies
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Apr 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 7, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 21, 2025 Inspection · Deficiencies cited
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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
-
Supervision & ratios
-
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.
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Supervision & ratios
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Mar 13, 2025 Report · Deficiencies cited
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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.
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Cleanliness & sanitation Serious
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Mar 13, 2025 Report · Deficiencies cited
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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
-
Cleanliness & sanitation Serious
-
Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 12, 2024 Inspection · Deficiencies cited
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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
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Safety & premises Serious
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Nov 12, 2024 Inspection · Deficiencies cited
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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.
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Safety & premises Serious
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Nov 5, 2024 Report · Deficiencies cited
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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.
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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.
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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.
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Supervision & ratios
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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.
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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.
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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
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Supervision & ratios
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Sep 4, 2024 Inspection · Deficiencies cited
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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.
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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.
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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.
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Records & paperwork
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Sep 4, 2024 Inspection · Deficiencies cited
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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.
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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.
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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
-
Records & paperwork
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Sep 20, 2023 Inspection · Deficiencies cited
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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
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Other
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Sep 20, 2023 Inspection · Deficiencies cited
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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.
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Other
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Sep 5, 2023 Inspection · Deficiencies cited
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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.
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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
-
Cleanliness & sanitation Serious
-
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.
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Cleanliness & sanitation Serious
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Sep 13, 2022 Inspection · Deficiencies cited
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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.
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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.
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Staff background & training Serious
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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.
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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
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Staff background & training Serious
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Jun 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 15, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 2, 2022 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 2, 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.