2026-04-20 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
One of the toddler two-year-old rooms was out of ratio with one caregiver and twelve children.
Correction date recorded: 2026-04-20
Little Sunshine's Playhouse
Licensed Center
View the official HHSC recordOfficial HHSC provider profile
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Provider details
- City / County / ZIP
- San Antonio / Bexar / 78256
- Street address
- 21822 Stonewall Pkwy
- Phone
- (210) 698-3333
- Capacity
- 155
- Ages served
- Infant, Toddler, Pre-Kindergarten, School
- Hours / Days
- 06:30 AM-06:30 PM / Mon,Tue,Wed,Thu,Fri
- Permit type
- Full Permit
- Permit issued
- June 7, 2017
- Operation status:
- Active
- Corrective action
- HHSC lists: No
- Adverse action
- HHSC lists: No
- Temporarily closed
- HHSC lists: No
Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
Plain-English summary of cited deficiencies
State records list 10 cited deficiencies dated January 13, 2025 to April 20, 2026 (1 High, 5 Medium High, 4 Medium risk). Correction status: 1 corrected at inspection, 9 with a correction date recorded, 0 with no correction date recorded.
- High risk · Director Responsibilities - Operate in Compliance (746.1003(1))
Cited April 16, 2026 (correction date recorded: May 12, 2026; correction verified May 26, 2026; technical assistance given).
What the record describes: Caregivers notify the directors when rooms are out of ratio, but the directors often take several minutes to provide coverage or help staff. - Medium High risk · Child/ Caregiver Ratio - 13 or More Children (746.1601)
Cited April 20, 2026 (correction date recorded: April 20, 2026; correction verified May 4, 2026; technical assistance given); April 16, 2026 (correction date recorded: May 12, 2026; correction verified May 26, 2026; technical assistance given).
What the record describes: Narratives describe toddler rooms with more children per caregiver than allowed. One describes one caregiver with twelve children in a two-year-old room; another states that a toddler room was over the allowed ratio for over twenty minutes. - Medium High risk · Inspect Fire Extinguishers Monthly (746.5307(a))
Cited December 15, 2025 (corrected at inspection; technical assistance given).
What the record describes: The operation did not have documentation showing monthly fire extinguisher inspections. - Medium High risk · CPR Training and Recertification Adhere to Guidelines-skill based (746.1315(b)(1))
Cited June 11, 2025 (correction date recorded: June 26, 2025; correction verified June 25, 2025; technical assistance given).
What the record describes: Two staff members had CPR and first aid certificates from an online source that does not offer hands-on skills instruction. - Medium High risk · Documented Annual Training - Caregivers of Children Under 24 Months Required (746.1309(d))
Cited January 13, 2025 (correction date recorded: January 27, 2025; correction verified January 29, 2025; technical assistance given).
What the record describes: One of nine staff files lacked documentation of training on shaken baby syndrome, SIDS, and early childhood brain development. - Medium risk · Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age (746.4503(a))
Cited April 16, 2026 (correction date recorded: May 12, 2026; correction verified May 26, 2026; technical assistance given).
What the record describes: Not every child in the toddler room had their own cot during rest time. - Medium risk · Director Annual Training - Additional required topics (746.1311(e))
Cited January 13, 2025 (correction date recorded: January 27, 2025; correction verified January 28, 2025; technical assistance given).
What the record describes: The director lacked required training on communicable diseases, buildings and physical premises, and hazardous materials. - Medium risk · Documented Annual Training- Required Content (746.1309(e))
Cited January 13, 2025 (correction date recorded: January 27, 2025; correction verified February 3, 2025).
What the record describes: All nine staff files reviewed lacked documentation of required training on emergency preparedness, communicable diseases, administering medication, allergic reactions, building and physical premises safety, and hazardous materials. - Medium risk · Written Operational Policies - Promotion of Physical Activity (746.501(a)(18))
Cited January 13, 2025 (correction date recorded: January 27, 2025; correction verified January 28, 2025).
What the record describes: The operational policies did not include promotion of indoor and outdoor physical activities or components A–G.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
View the official state record · Report an issue with this page
Summary of the record
This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 10 cited deficiencies for Little Sunshine's Playhouse in the 3 years before October 10, 2026 (1 High, 5 Medium High, 4 Medium).
Records list 11 inspections in this window. Most recent inspection: 2026-09-30.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 5 |
| Medium | 4 |
| Medium Low | 0 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
Recent citations in the summary window
2026-04-16 · 746.4503(a) · Medium
Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
During the course of the investigation, it was determined that not every child in the toddler room has their own cot during rest time.
Correction date recorded: 2026-05-12
2026-04-16 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
During the course of the investigation, it was determined that the Center Directors are notified by caregivers about being out of ratio, but it often takes several minutes for them to provide coverage or step in to support staff.
Correction date recorded: 2026-05-12
Full citation history from HHSC (17)
2026-04-20 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-04-20. Correction verified: 2026-05-04.
One of the toddler two-year-old rooms was out of ratio with one caregiver and twelve children.
2026-04-16 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-05-12. Correction verified: 2026-05-26.
During the course of the investigation, it was determined on April 16, 2026, that the toddler room was out of ratio for over twenty minutes.
2026-04-16 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2026-05-12. Correction verified: 2026-05-26.
During the course of the investigation, it was determined that the Center Directors are notified by caregivers about being out of ratio, but it often takes several minutes for them to provide coverage or step in to support staff.
2026-04-16 · 746.4503(a) · Medium
Individual Cot, Bed, or Mat for Each Walking Child Through 4 Years of Age
Corrected at inspection: No. Correction date: 2026-05-12. Correction verified: 2026-05-26.
During the course of the investigation, it was determined that not every child in the toddler room has their own cot during rest time.
2025-12-15 · 746.5307(a) · Medium High
Inspect Fire Extinguishers Monthly
Corrected at inspection: Yes. Correction date: 2025-12-15. Correction verified: Not recorded.
The operation did not have documentation showing monthly inspections for the fire extinguishers. Noted: This was corrected during this inspection.
2025-06-11 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2025-06-26. Correction verified: 2025-06-25.
Two staff members have CPR/First aid certificates from an online source. The source does not offer hands-on skill-based instruction.
2025-01-13 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2025-01-27. Correction verified: 2025-01-28.
Director did not have training in required topics; Communicable diseases, Building and Physical Premises, and Hazardous Materials.
2025-01-13 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2025-01-27. Correction verified: 2025-01-29.
One of the nine staff files did not have training in required topics; Shaken Baby, SIDs, Early Childhood Brain Development.
2025-01-13 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2025-01-27. Correction verified: 2025-02-03.
Nine of the nine staff files reviewed did not have training in required topics; Emergency Preparedness, Communicable Diseases, Administering Medication, Allergic Reactions, Building and Physical Premise Safety, and Hazardous Materials.
2025-01-13 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2025-01-27. Correction verified: 2025-01-28.
The operational policies did not include the promotion of indoor and outdoor physical activities and components A-G.
2022-09-24 · 746.1203(7) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2022-11-16. Correction verified: 2022-11-22.
A caregiver interacted with a child by yelling at the child in the restroom when the child was refusing to use the restroom before naptime.
2022-09-24 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-11-16. Correction verified: 2022-11-22.
Caregivers used poor judgment when they overheard a caregiver yelling at a child in a closed restroom and did not intervene or immediately report the incident to management.
2022-09-24 · 746.2805(4) · High
Prohibited Punishments - Hitting with Hand or Instrument
Corrected at inspection: No. Correction date: 2022-11-16. Correction verified: 2022-11-22.
A caregiver used their hand to discipline a child leaving red marks on the child.
2022-07-14 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2022-07-18. Correction verified: 2022-07-28.
A caregiver with a provisional background check was left alone to care for 5 children, ages 12-18 months of age.
2021-12-13 · 746.1301(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Corrected at inspection: No. Correction date: 2022-02-01. Correction verified: 2022-02-01.
A caregiver had unsupervised access to children without current pediatric first aid training.
2021-09-24 · 746.307(d) · Medium High
Parental Notification of Communicable Disease
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-23.
The operation did not notify parents when a child in care contracted a communicable disease.
2021-09-24 · 746.305(a)(4) · Medium High
Report Outbreak of Communicable Illness
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-11-23.
The operation did not notify Licensing when a child tested positive for a communicable illness.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1265673
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.