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Pulling inspections, violations, and complaints.
Home › TX › San Antonio › Little Smiles Day Care
508 CUPPLES RD # 5, San Antonio TX 78237-3925 · License #533650 · Center · Licensed Center
When they operate
Ages served
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.
Corrected Corrected by Feb 25, 2026
Marked corrected in the state record.
Disposition: No Deficiencies Cited
Generated from this facility's specific inspection record
Data synced from Texas HHSC Child Care Regulation on Jul 10, 2026 · Source records · Report an error
746.613(b) · Immunization Records, Exceptions, and Exemptions Current
Two of the six children records didn't have updated immunization record on file.
Corrected Corrected by Jul 18, 2024
Category: health medication. Marked corrected in the state record.
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.
Corrected Corrected by Jul 18, 2024
Category: recordkeeping. Marked corrected in the state record.
746.2421(b) · Written Feeding Instructions - Review and Update Every 30 Days
No feeding schedule for the one infant was unavailable at inspection.
Corrected Corrected by Jun 18, 2024
Marked corrected in the state record.
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.
Corrected Corrected by Jun 18, 2024
Category: physical safety. Marked corrected in the state record.
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.
Corrected Corrected by Jun 18, 2024
Marked corrected in the state record.
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.
Corrected Corrected by Jan 24, 2024
Category: health medication. Marked corrected in the state record.
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.
Corrected Corrected by Jan 24, 2024
Marked corrected in the state record.
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.
Corrected Corrected by Jan 24, 2024
Category: health medication. Marked corrected in the state record.
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.
Corrected Corrected by Jun 26, 2023
Category: ratio. Marked corrected in the state record.
746.5619 · Plan to Handle Transportation Emergencies
A written plan to handle transportation emergencies was not available at the time.
Corrected Corrected by Jun 20, 2023
Category: transportation. Marked corrected in the state record.
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.
Corrected Corrected by Jun 20, 2023
Marked corrected in the state record.
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.
Corrected Corrected by Jun 20, 2023
Category: physical safety. Marked corrected in the state record.
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.
Corrected Corrected by Jun 20, 2023
Category: recordkeeping. Marked corrected in the state record.
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.
Corrected Corrected by Jun 20, 2023
Marked corrected in the state record.
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.
Corrected Corrected by Jun 20, 2023
Category: transportation. Marked corrected in the state record.
746.613(a) · Required Immunizations
One of the six children files was missing immunization records.
Corrected Corrected by Jul 4, 2023
Category: health medication. Marked corrected in the state record.
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.
Corrected Corrected by Jul 31, 2022
Category: physical safety. Marked corrected in the state record.
746.5401 · Requirement of Gas Leak Inspection
Gas inspection is overdue as of 7/1/22.
Corrected Corrected by Jul 31, 2022
Marked corrected in the state record.
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.
Corrected Corrected by Jul 31, 2022
Category: physical safety. Marked corrected in the state record.
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.
Corrected Corrected by Jul 31, 2022
Category: health medication. Marked corrected in the state record.