Little Smiles Day Care
Does Little Smiles Day Care have a state child-care violation history?
Texas HHSC records list 21 child-care citations for Little Smiles Day Care in SAN ANTONIO, TX. The state assigns each cited standard a risk level; for this facility, 4 are recorded at the High level and 13 at Medium High, with the remainder at Medium, Medium Low, or Low. Each entry below reproduces the standard Texas cited and the state's own description of what was found.
These are licensing-record findings, not a judgment about any child or family. The dates shown are the dates Texas recorded a correction as verified — they are not inspection dates, and the record may lag the state's current file. This page reflects the published record as of its last update and is not a complete history; the authoritative source is Texas HHSC.
Texas HHSC recorded 4 High-risk citations at this facility.
Risk levels below are Texas HHSC's own labels, shown verbatim.
- High
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care.
- High
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
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.
- High
746.613(a) - Required Immunizations
One of the six children files was missing immunization records.
Show 18 earlier citations
- High
746.5617(a)(1) - Required Equipment in Vehicles - List of Children
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection.
- Medium High
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
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.
- Medium High
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection.
- Medium High
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Two of the six children records didn't have updated immunization record on file.
- Medium High
746.3701 - Safety - Areas Free From Hazards
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection.
- Medium High
746.3417(3) - Children Handwashing After Toileting or Diapering
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.
- Medium High
746.3505(c) - Diapering Procedures - Use Disposable Gloves
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change.
- Medium High
746.1601 - Child/ Caregiver Ratio - 13 or More Children
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.
- Medium High
746.5619 - Plan to Handle Transportation Emergencies
A written plan to handle transportation emergencies was not available at the time.
- Medium High
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
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.
- Medium High
746.2505(2) - Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
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.
- Medium High
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
The operation did not have a plan set up. Operation is currently in process of gathering all required information.
- Medium High
746.5401 - Requirement of Gas Leak Inspection
Gas inspection is overdue as of 7/1/22.
- Medium High
746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
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.
- Medium
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Four of the infants did not have updated infant feeding instructions available for review.
- Medium
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
No feeding schedule for the one infant was unavailable at inspection.
- Medium
746.2505(4)(C) - Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection.
- Medium
746.603(a)(3) - Children's Records - Health Statement
Two of four children's files did not have a healthcare statement included in their file.
This facility in context
Other records in BEXAR County, TX
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- ABC Daycare — SAN ANTONIO
- His Kidz Academy — SAN ANTONIO
- Pinnacle Montessori Academy of Alamo Ranch — SAN ANTONIO
- Parliament KinderCare — SAN ANTONIO
- Shepherd of the Hills Lutheran — SAN ANTONIO
See all child-care records in SAN ANTONIO, TX →
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- Texas HHSC CCR — https://data.texas.gov
Compiled from public Texas Health and Human Services Commission (HHSC) Child-Care Licensing records. To flag a discrepancy, write to records@daycaredossier.com.