2026-06-16 · 746.605(10) · Medium
Required Admission Information - Physician Information
Two of ten children's records audited did not have their physician's information on file.
Correction date recorded: 2026-06-23
The Lilypad Garden School
Licensed Center
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Provider details
- City / County / ZIP
- San Antonio / Bexar / 78259
- Street address
- 18952 Redland Rd
- Phone
- (210) 497-3024
- Capacity
- 218
- 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
- August 12, 2021
- 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 7 cited deficiencies dated July 10, 2024 to June 16, 2026 (2 High, 1 Medium High, 3 Medium, 1 Medium Low risk). Correction status: 0 corrected at inspection, 7 with a correction date recorded, 0 with no correction date recorded.
- High risk · AP Background check results - Must receive notification prior to allowing subject to be present at your operation (745.641)
Cited November 7, 2025 (correction date recorded: November 9, 2025; correction verified November 7, 2025; technical assistance given).
What the record describes: Two caregivers had no background checks submitted. One was counted in the staffing ratio during the walkthrough and left at 1:00 pm; the other was not present during the inspection. - High risk · Safety Requirements for Active Play Equipment - No Entrapment Openings (746.4601(3))
Cited July 10, 2024 (correction date recorded: July 12, 2024; correction verified July 23, 2024; technical assistance given).
What the record describes: A gate on the 18+ playground left an approximately 2-inch gap at ground level. On the back playground, a gap between the fence and shed was large enough for children to exit. - Medium High risk · Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib (746.2409(a)(1))
Cited November 7, 2025 (correction date recorded: November 7, 2025; correction verified November 19, 2025; technical assistance given).
What the record describes: There were additional mats in 13 cribs. One crib had two full-size mats and a thin mat, and another had two full-size mats. - Medium risk · Required Admission Information - Physician Information (746.605(10))
Cited June 16, 2026 (correction date recorded: June 23, 2026; correction verified June 18, 2026).
What the record describes: Two of ten children's records reviewed did not have the children's physician information on file. - Medium risk · Written Feeding Instructions - Review and Update Every 30 Days (746.2421(b))
Cited November 25, 2025 (correction date recorded: December 5, 2025; correction verified December 3, 2025; technical assistance given).
What the record describes: Two infant feeding sheets in an infant classroom were not current. - Medium risk · Fenced Outdoor Activity Space -Exits Required (746.4307)
Cited July 10, 2024 (correction date recorded: August 9, 2024; correction verified August 5, 2024; technical assistance given).
What the record describes: A newly added playground did not have 2 exits. - Medium Low risk · Report Number of Employees (746.303(b))
Cited January 20, 2026 (correction date recorded: January 20, 2026; correction verified January 26, 2026).
What the record describes: The operation did not report the number of employees who left the operation by the required date.
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 7 cited deficiencies for The Lilypad Garden School in the 3 years before October 10, 2026 (2 High, 1 Medium High, 3 Medium, 1 Medium Low).
Records list 13 inspections in this window. Most recent inspection: 2026-06-16.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 1 |
| Medium | 3 |
| Medium Low | 1 |
| 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
2026-01-20 · 746.303(b) · Medium Low
Report Number of Employees
The operation did not report the number of employees to leave the operation by the required date.
Correction date recorded: 2026-01-20
2025-11-25 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Two infant feeding sheets were not current in an infant classroom.
Correction date recorded: 2025-12-05
Full citation history from HHSC (10)
2026-06-16 · 746.605(10) · Medium
Required Admission Information - Physician Information
Corrected at inspection: No. Correction date: 2026-06-23. Correction verified: 2026-06-18.
Two of ten children's records audited did not have their physician's information on file.
2026-01-20 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2026-01-20. Correction verified: 2026-01-26.
The operation did not report the number of employees to leave the operation by the required date.
2025-11-25 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2025-12-05. Correction verified: 2025-12-03.
Two infant feeding sheets were not current in an infant classroom.
2025-11-07 · 746.2409(a)(1) · Medium High
Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib
Corrected at inspection: No. Correction date: 2025-11-07. Correction verified: 2025-11-19.
During inspection it was observed that 13 cribs had additional mats in the cirbs. One of the 13 cribs had two full size mats and a thin mat. One of 13 cribs had two full size mats in the cribs.
2025-11-07 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2025-11-09. Correction verified: 2025-11-07.
Two caregiver's did not have a background check submitted. Note: One staff member was counted in ratio during walk through and left operation at 1:00 pm and other caregiver was not present during inspection. Background checks were submitted during inspection.
2024-07-10 · 746.4307 · Medium
Fenced Outdoor Activity Space -Exits Required
Corrected at inspection: No. Correction date: 2024-08-09. Correction verified: 2024-08-05.
A newly added playground did not contain 2 exits.
2024-07-10 · 746.4601(3) · High
Safety Requirements for Active Play Equipment - No Entrapment Openings
Corrected at inspection: No. Correction date: 2024-07-12. Correction verified: 2024-07-23.
There was one gate on the 18+ playground that did not close at the ground level creating an approximate 2 in gap. On the back playground where the fence material did not meet the shed, there was a large enough gap where children could exit the playground.
2023-04-21 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2023-06-15. Correction verified: 2023-08-10.
Former caregiver was seen in video footage hitting a child in the foot with the child's shoe.
2023-04-21 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2023-06-15. Correction verified: 2023-08-10.
Former caregiver was seen in video footage grabbing and pulling a child across the carpet.
2022-02-22 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2022-03-21. Correction verified: 2022-03-21.
Five of the ten personnel records reviewed did not have the employment affidavit in file.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1380261
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.