TexasDaycare ReportFrom state records

Licensed child care center · public record

Little Smiles Day Care

San Antonio, Texas. The state’s inspection record for this operation, from Texas Health and Human Services Child Care Regulation, in plain English.

4 state inspections, last 2 years
21 deficiencies on the state’s summary
17 high or medium-high risk
October 27, 2026 most recent inspection

The operation

Type
Licensed child care center
State permit
Full Permit, issued May 26, 1998
Capacity
57 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Hours
Mon, Tue, Wed, Thu, Fri · 07:00 AM-06:00 PM
Accepts child care subsidies
Yes
Conditions on the permit
No
Corrective action listed
No
Adverse action listed
No
Temporarily closed
No
State operation number
533650

Where

508 Cupples Rd # 5
San Antonio, TX 78237

Deficiencies by risk level

  • High 4
  • Medium-high 13
  • Medium 4
  • Medium-low 0
  • Low 0

The state’s own summary counts for this operation, as published in the HHSC operations file.

Citations on the record

Each standard the state found not met, newest first, with its risk level and when it was corrected.

InspectionRiskStandardCorrected
February 18, 2026Medium746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
State’s note: “Four of the infants did not have updated infant feeding instructions available for review.”
February 25, 2026
June 18, 2024Medium High746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
State’s note: “One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection.”
July 18, 2024
June 18, 2024Medium746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
State’s note: “No feeding schedule for the one infant was unavailable at inspection.”
June 18, 2024
June 18, 2024Medium High746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
State’s note: “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.”
June 18, 2024
June 18, 2024Medium High746.613(b) - Immunization Records, Exceptions, and Exemptions Current
State’s note: “Two of the six children records didn't have updated immunization record on file.”
July 18, 2024
June 18, 2024Medium High746.3701 - Safety - Areas Free From Hazards
State’s note: “A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection.”
At the inspection
January 24, 2024Medium High746.3505(c) - Diapering Procedures - Use Disposable Gloves
State’s note: “A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change.”
January 24, 2024
January 24, 2024Medium High746.3417(3) - Children Handwashing After Toileting or Diapering
State’s note: “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.”
January 24, 2024
January 24, 2024High746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
State’s note: “The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care.”
January 24, 2024
June 26, 2023Medium High746.1601 - Child/ Caregiver Ratio - 13 or More Children
State’s note: “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.”
June 26, 2023
June 20, 2023Medium High746.5619 - Plan to Handle Transportation Emergencies
State’s note: “A written plan to handle transportation emergencies was not available at the time.”
June 20, 2023
June 20, 2023Medium High746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
State’s note: “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.”
At the inspection
June 20, 2023High746.613(a) - Required Immunizations
State’s note: “One of the six children files was missing immunization records.”
July 4, 2023
June 20, 2023Medium High746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
State’s note: “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.”
At the inspection
June 20, 2023Medium746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
State’s note: “A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection.”
At the inspection
June 20, 2023High746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
State’s note: “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.”
June 20, 2023
June 20, 2023High746.5617(a)(1) - Required Equipment in Vehicles - List of Children
State’s note: “A list of children being transported was unavailable for review. NOTE: This was corrected at inspection.”
At the inspection
July 12, 2022Medium High746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
State’s note: “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.”
July 31, 2022
July 12, 2022Medium High746.5401 - Requirement of Gas Leak Inspection
State’s note: “Gas inspection is overdue as of 7/1/22.”
July 31, 2022
July 12, 2022Medium746.603(a)(3) - Children's Records - Health Statement
State’s note: “Two of four children's files did not have a healthcare statement included in their file.”
July 31, 2022
July 12, 2022Medium High746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
State’s note: “The operation did not have a plan set up. Operation is currently in process of gathering all required information.”
July 31, 2022

Recent inspections and visits

How many times has the state inspected Little Smiles Day Care?

Texas HHSC's file lists 4 inspections in the last two years, the most recent on October 27, 2026. 1 of the inspections and other visits in that period are marked as having found a deficiency.

Does Little Smiles Day Care have deficiencies on its record?

The state's summary for this operation lists 21: 4 high-risk, 13 medium-high-risk, 4 medium-risk. Each one is listed below with its date and whether it was corrected.

Is this a rating?

No. This page shows the State of Texas's own public records, summarized. It is not a rating, a review or our opinion. Ask the operation or HHSC about anything here.

About this record. Public record from the Texas Health and Human Services Commission, Child Care Regulation: the operations file, the inspections file and the non-compliance file on data.texas.gov, read daily. We summarize the state’s counts and quote its words; we don’t rate, rank or review anyone. For the official record or a complaint, go to HHSC Child Care Regulation. Is this your operation, and is something wrong? Tell us.

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