Licensed child care center · public record
Little Wishes and Big Dreams Playhouse LTD
San Antonio, Texas. The state’s inspection record for this operation, from Texas Health and Human Services Child Care Regulation, in plain English.
The operation
- Type
- Licensed child care center
- State permit
- Full Permit, issued April 20, 2023
- Capacity
- 219 children
- Ages served
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- Mon, Tue, Wed, Thu, Fri · 06:30 AM-06:30 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
- 1753535
Where
19274 Redland Rd
San Antonio, TX 78259
Deficiencies by risk level
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. Showing the newest 25 of 29.
| Inspection | Risk | Standard |
|---|---|---|
| October 9, 2026 | Medium | 746.603(a)(4) - Children's Records - Immunizations State’s note: “One out of ten children's immunization records audited were not current.” |
| October 9, 2026 | Medium High | 746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink State’s note: “Rubber bibs were being washed in the hand sink in the infant room. This was corrected at inspection when the bibs were removed and the director had a discussion with the caregivers on not using the dedicated hand washing sink for washing bottles, toys, bibs, or other items.” |
| June 15, 2026 | High | 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation State’s note: “One caregiver without an eligible background check was present in the classroom with children and another staff. Note.This was corrected when the staff was asked to leave and they left the property.” |
| May 12, 2026 | Medium High | 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface State’s note: “A diaper changing mat was torn.” |
| May 12, 2026 | Medium | 746.1309(a) - Documented Annual Training Area - 24 Hours Required State’s note: “Two out of ten staff files did not have the full 24hrs of training at review.” |
| February 25, 2026 | Medium High | 746.5537(a)(3) - Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation State’s note: “The carbon monoxide detector was not documented as being completed.” |
| November 21, 2025 | Medium High | 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps State’s note: “A caregiver had an infant in a highchair without being strapped in the seat. *This was corrected at inspection*” |
| November 21, 2025 | Medium High | 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes State’s note: “The operation did not have documented that they conducted the fire drill for the past month.” |
| August 27, 2025 | High | 746.1201(2) - Responsibilities of Employees and Caregivers -Relate to Children State’s note: “Caregiver did not relate to a child with patience or courtesy with the interaction of making the child cry by grabbing them multiple times leaving a mark. *Dir terminated the caregiver after reviewing video*” |
| August 27, 2025 | High | 746.2805(3) - Prohibited Punishments - Grabbing and Pulling State’s note: “Caregiver grabbed a 4yr old child by the arm leaving a mark on the arm. *Dir terminated the caregiver after reviewing video*” |
| March 24, 2025 | Medium High | 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing State’s note: “Based on the information gathered it was determined that one of the staff member's first aid certificate was expired at the time of the incident.” |
| March 12, 2025 | High | 746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher State’s note: “The operation had a fire extinguisher in the van, however the fire extinguisher was not secure in the van.” |
| January 3, 2025 | High | 746.2805(3) - Prohibited Punishments - Grabbing and Pulling State’s note: “A caregiver grabbed a 2yr old child by the shoulder and chin hard enough to have the 2yr old off balance. *Management terminated the caregiver when it was brought to their attention*” |
| November 12, 2024 | High | 746.3807(1) - Storage of Medication - Inaccessible to Children State’s note: “A 3yr old child had access to an aspirin from the first aid kit. *The child did not swallow the pill. All aspirin were removed from the first aid kits.” |
| November 12, 2024 | High | 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity State’s note: “A caregiver was unaware that a 3yr old child had acquired an aspirin from a first aid kit.” |
| November 12, 2024 | Medium High | 746.4001(5) - First Aid Kit - Inaccessible to Children State’s note: “A 3yr old child had access to the first aid kit.” |
| October 16, 2024 | High | 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for State’s note: “A caregiver did not know how many children were in her care when asked by CCR.” |
| September 12, 2024 | High | 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity State’s note: “A caregiver left a 3yr old child unattended in the restroom after a restroom break. Same caregiver left a different 3yr child on the indoor playground unattended while returning from that restroom break. *This caregiver is no longer with the operation. Operation had developed new plan with name to face checks.” |
| September 12, 2024 | Medium High | 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child State’s note: “An infant child was served food that was an identified allergy. *The operation has developed a new serving policy that has a picture of the child, what the allergy is, and action to take if exposed.” |
| August 29, 2024 | High | 746.2805(3) - Prohibited Punishments - Grabbing and Pulling State’s note: “A 3yr old child was grabbed with their hands over their head by a caregiver and drug across the room to the door leading to the outdoor playground. *Caregiver is not longer on staff.” |
| August 29, 2024 | High | 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control State’s note: “The operation displayed poor judgement by not notifying the parent that their child was drug across the room by a caregiver to the outdoor playground.” |
| July 3, 2024 | Medium High | 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers State’s note: “Based on evidence gathered, at least three caregivers who were responsible for a toddler at different times throughout the day, did not share pertinent information with each other regarding marks/bumbs seen on the toddler and incidents the toddler was involved in during their shift with the toddler.” |
| July 3, 2024 | Medium | 746.2501(2) - Care Requirements for Toddlers -Same Caregiver Regularly State’s note: “Based on evidence gathered, staff did not ensure a toddler was cared for by their regular when they decided to move the toddler to another room with a different caregiver because the toddler's assigned caregiver felt uncomfortable taking care of the toddler when the toddler was sick.” |
| July 3, 2024 | Medium | 746.3601(1) - Illness Preventing Care - Child Cannot Participate Comfortably State’s note: “Based on evidence gathered, staff allowed an ill toddler to remain in care although the child had obvious symptoms of illness over the course of the course of multiple days and was inconsolable, which prevented him from participating in care. The operation did not follow their own written illness policy which stated they would require parent to pick up child…” |
| April 12, 2024 | Medium High | 746.605(13) - Required Admission Information - Special Needs Statement State’s note: “One child did not have a completed special needs statement.” |
Recent inspections and visits
- October 9, 2026 Inspection · deficiency found: Yes
- July 13, 2026 Inspection · deficiency found: No
- June 15, 2026 Inspection · deficiency found: Yes
- June 11, 2026 Report · deficiency found: No
- May 28, 2026 Inspection · deficiency found: No
- May 27, 2026 Report · deficiency found: No
- May 12, 2026 Inspection · deficiency found: Yes
- February 25, 2026 Inspection · deficiency found: Yes
- November 21, 2025 Inspection · deficiency found: Yes
- October 1, 2025 Inspection · deficiency found: No
- August 28, 2025 Inspection · deficiency found: No
- August 27, 2025 Report · deficiency found: Yes
- April 24, 2025 Inspection · deficiency found: No
- April 22, 2025 Inspection · deficiency found: No
- April 8, 2025 Report · deficiency found: No
How many times has the state inspected Little Wishes and Big Dreams Playhouse LTD?
Texas HHSC's file lists 18 inspections in the last two years, the most recent on October 9, 2026. 10 of the inspections and other visits in that period are marked as having found a deficiency.
Does Little Wishes and Big Dreams Playhouse LTD have deficiencies on its record?
The state's summary for this operation lists 29: 14 high-risk, 11 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.
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