Little Smiles Day Care
Licensed Center · San Antonio, Bexar County, TX · Operation No. 533650
Little Smiles Day Care holds a Full Permit issued May 26, 1998. In the state's 60-month public window it has 14 inspections on record with 21 cited deficiencies. The records below are republished verbatim from the Texas HHSC database.
License details
License status
Full Permit
Issued
May 26, 1998
Operation type
Licensed Center
Total capacity
57 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Address
508 Cupples Rd # 5, San Antonio, TX 78237-3925
The 60-month record
14
Inspections
0
Assessments
0
Self reports
21
Deficiencies
Deficiencies by the agency's own weight: High 4 · Medium High 13 · Medium 4 · Medium Low 0 · Low 0. These are the state's precomputed counts, republished as-is.
Inspection history
| Date | Activity | Deficiencies cited |
|---|---|---|
| Feb 18, 2026 | Inspection | 1 |
| Jun 13, 2025 | Inspection | 0 |
| Jan 9, 2025 | Inspection | 0 |
| Nov 4, 2024 | Inspection | 0 |
| Nov 1, 2024 | Report | 0 |
| Sep 11, 2024 | Inspection | 0 |
| Jun 24, 2024 | Inspection | 0 |
| Jun 18, 2024 | Inspection | 5 |
| Feb 1, 2024 | Inspection | 0 |
| Jan 24, 2024 | Inspection | 3 |
| Jul 5, 2023 | Inspection | 0 |
| Jun 26, 2023 | Inspection | 1 |
| Jun 20, 2023 | Inspection | 7 |
| Aug 1, 2022 | Inspection | 0 |
| Jul 12, 2022 | Inspection | 4 |
Deficiency records
February 18, 2026 Standard § 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Medium Verbatim from the agency record
Four of the infants did not have updated infant feeding instructions available for review.
Corrected: February 25, 2026
June 18, 2024 Standard § 746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
Medium High Verbatim from the agency record
The caregiver in the toddler classroom stated the children in the classroom were 2-3 years old when verifying the children were 18-24 months.
Corrected: June 18, 2024
June 18, 2024 Standard § 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Medium High Verbatim from the agency record
Two of the six children records didn't have updated immunization record on file.
Corrected: July 18, 2024
June 18, 2024 Standard § 746.3701 - Safety - Areas Free From Hazards
Medium High Verbatim from the agency record
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection.
Corrected: June 18, 2024
June 18, 2024 Standard § 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Medium Verbatim from the agency record
No feeding schedule for the one infant was unavailable at inspection.
Corrected: June 18, 2024
June 18, 2024 Standard § 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Medium High Verbatim from the agency record
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection.
Corrected: July 18, 2024
January 24, 2024 Standard § 746.3505(c) - Diapering Procedures - Use Disposable Gloves
Medium High Verbatim from the agency record
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change.
Corrected: January 24, 2024
January 24, 2024 Standard § 746.3417(3) - Children Handwashing After Toileting or Diapering
Medium High Verbatim from the agency record
In the toddler classroom the children were observed not washing hands after a diaper change. In the infant classroom a teacher was observed placing a child in the highchair for a cookie without washing the child's hands.
Corrected: January 24, 2024
January 24, 2024 Standard § 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
High Verbatim from the agency record
The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care.
Corrected: January 24, 2024
June 26, 2023 Standard § 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Medium High Verbatim from the agency record
The infant classroom was observed out of ratio with eight children (4months-13 months) to one caregiver at the time of the walkthrough. This resulted in the caregiver being out of ratio by four children. NOTE: This was corrected at inspection when the caregiver returned back into the classroom.
Corrected: June 26, 2023
June 20, 2023 Standard § 746.613(a) - Required Immunizations
High Verbatim from the agency record
One of the six children files was missing immunization records.
Corrected: July 4, 2023
June 20, 2023 Standard § 746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
High Verbatim from the agency record
A seven-month-old infant was observed inside the crib drinking from a baby bottle. NOTE: Corrected at inspection when the child was taken out of the crib and held.
Corrected: June 20, 2023
June 20, 2023 Standard § 746.5617(a)(1) - Required Equipment in Vehicles - List of Children
High Verbatim from the agency record
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection.
Corrected: June 20, 2023
June 20, 2023 Standard § 746.5619 - Plan to Handle Transportation Emergencies
Medium High Verbatim from the agency record
A written plan to handle transportation emergencies was not available at the time.
Corrected: June 20, 2023
June 20, 2023 Standard § 746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Medium High Verbatim from the agency record
A trashcan in the toddler classroom was observed without a lid that contained dirty diapers that was accessible to children. NOTE: This was corrected at inspection when the trashcan was replaced.
Corrected: June 20, 2023
June 20, 2023 Standard § 746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
Medium High Verbatim from the agency record
Two shelves in the toddler classroom were observed empty while children were waiting for diaper changes. NOTE: This was corrected when the shelves were filled with age apprpriate toys.
Corrected: June 20, 2023
June 20, 2023 Standard § 746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
Medium Verbatim from the agency record
A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection.
Corrected: June 20, 2023
July 12, 2022 Standard § 746.5401 - Requirement of Gas Leak Inspection
Medium High Verbatim from the agency record
Gas inspection is overdue as of 7/1/22.
Corrected: July 31, 2022
July 12, 2022 Standard § 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
Medium High Verbatim from the agency record
Monthly fire drills are not being conducted and documented as required. Carbon monoxide/smoke detectors and fire extinguishers are not checked monthly and documented as required.
Corrected: July 31, 2022
July 12, 2022 Standard § 746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Medium High Verbatim from the agency record
The operation did not have a plan set up. Operation is currently in process of gathering all required information.
Corrected: July 31, 2022
July 12, 2022 Standard § 746.603(a)(3) - Children's Records - Health Statement
Medium Verbatim from the agency record
Two of four children's files did not have a healthcare statement included in their file.
Corrected: July 31, 2022
About these records
These records come from the Texas Health and Human Services Commission database and cover the state's 60-month public window. Records synced from the agency on August 29, 2026. They reflect the agency's database as of that date; recent inspections may not appear yet, so verify current status with the agency or on the official record ↗. Facility operators can request a review through our corrections process.
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