Licensed child care center · public record
Madison Square Child Development Center
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 November 4, 1985
- Capacity
- 85 children
- Ages served
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- Mon, Tue, Wed, Thu, Fri · 06:30 AM-08:00 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
- 40911
Where
319 Camden St
San Antonio, TX 78215
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.
| Inspection | Risk | Standard |
|---|---|---|
| August 20, 2026 | High | 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control State’s note: “During the investigation, it was determined that staff used improper techniques when responding to a medical incident.” |
| August 14, 2026 | Medium High | 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups State’s note: “The infant bottles only had the first name on them at inspection.” |
| June 9, 2026 | High | 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control State’s note: “Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink.” |
| February 17, 2026 | High | 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for State’s note: “The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care.” |
| February 17, 2026 | High | 746.4601(7) - Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points State’s note: “At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground.” |
| February 9, 2026 | Medium High | 746.613(b) - Immunization Records, Exceptions, and Exemptions Current State’s note: “One of the four children files was missing an updated immunization record.” |
| April 1, 2025 | Low | 746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program State’s note: “1 child's file is missing a health statement for review during the inspection.” |
| February 26, 2025 | Medium High | 746.3417(3) - Children Handwashing After Toileting or Diapering State’s note: “When reviewing the video it was observed of a child not washing hands after getting diaper changed.” |
| February 26, 2025 | Medium High | 746.3415(4) - Employee Handwashing After Diapering a Child State’s note: “When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper.” |
| July 30, 2024 | High | 746.2805(1) - Prohibited Punishments - Corporal Punishment State’s note: “It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child.” |
| February 7, 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: “It was found that a child was left unsupervised on the playground.” |
| May 16, 2023 | Medium High | 746.605(6) - Required Admission Information - Emergency Contact State’s note: “8 files were reviewed, 3 were found to be missing addresses for emergency contacts listed.” |
| May 16, 2023 | Medium | 746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist State’s note: “The operation does not have a current monthly maintenance checklists available for review during an inspection.” |
| May 16, 2023 | Medium | 746.603(a)(4) - Children's Records - Immunizations State’s note: “8 files were reviewed, 1 was found to be missing immunization records.” |
| May 16, 2023 | Medium Low | 746.901(4) - Required Personnel Records - Required Affidavit State’s note: “8 files were reviewed, 1 file was found to be missing an employee affidavit. This was corrected during the inspection when the Director, who is a notary added the form to the employees file.” |
| July 14, 2022 | Medium High | 746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional State’s note: “There were two children identified with a food allergy, one child's food allergy plan was missing physician's authorization signature. Second child in care had a note from physician indicating child was allergic to lactose, but a food allergy plan was not created.” |
| July 14, 2022 | Medium | 746.201(8) - Liability Insurance Maintained State’s note: “Operation insurance notification in CLASS was due on 11/04/2021. Corrected during inspection, liability information was updated in CLASS during this inspection.” |
| July 14, 2022 | Medium High | 746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink State’s note: “Infant caregiver confirmed the handwashing sink is used to rinse infant bottles, plates, and spoons. Corrected during inspection. Plates and spoons were removed from sink area and infant caregivers were inform the sink is only for hand washing purposes.” |
Recent inspections and visits
- October 28, 2026 Inspection · deficiency found: No
- August 20, 2026 Report · deficiency found: Yes
- August 20, 2026 Inspection · deficiency found: No
- August 14, 2026 Report · deficiency found: Yes
- August 7, 2026 Inspection · deficiency found: No
- June 17, 2026 Inspection · deficiency found: No
- June 16, 2026 Report · deficiency found: No
- June 12, 2026 Inspection · deficiency found: No
- June 9, 2026 Report · deficiency found: Yes
- February 23, 2026 Inspection · deficiency found: No
- February 17, 2026 Inspection · deficiency found: Yes
- February 9, 2026 Inspection · deficiency found: Yes
- July 29, 2025 Inspection · deficiency found: No
- July 21, 2025 Report · deficiency found: No
- April 1, 2025 Inspection · deficiency found: Yes
How many times has the state inspected Madison Square Child Development Center?
Texas HHSC's file lists 13 inspections in the last two years, the most recent on October 28, 2026. 7 of the inspections and other visits in that period are marked as having found a deficiency.
Does Madison Square Child Development Center have deficiencies on its record?
The state's summary for this operation lists 18: 6 high-risk, 7 medium-high-risk, 3 medium-risk, 1 medium-low-risk, 1 low-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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