Little Smiles Day Care

Licensed Center

Provider details

City / County / ZIP: San Antonio / Bexar / 78237
Street address: 508 Cupples Rd # 5
Phone: (210) 434-7135
Capacity: 57
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 07:00 AM-06:00 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: May 26, 1998
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.

Summary of state inspection records

Texas HHSC records list 9 inspections dated between October 10, 2023 and October 10, 2026.

The most recent inspection in these records is dated February 18, 2026.

The same records list 9 cited deficiencies dated January 24, 2024 to February 18, 2026 (HHSC risk levels: 1 High, 6 Medium High, 2 Medium).

Correction status recorded by HHSC: 1 corrected at inspection, 8 with a correction date recorded, 0 with no correction date recorded.

HHSC lists a verified correction date for 8 of these citations.

The official HHSC record has the full inspection history and the latest information.

Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.

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 9 cited deficiencies for Little Smiles Day Care in the 3 years before October 10, 2026 (1 High, 6 Medium High, 2 Medium).

Records list 9 inspections in this window. Most recent inspection: 2026-02-18.

HHSC risk weights of citations
Risk weight	Citations
High	1
Medium High	6
Medium	2
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

2026-02-18 · 746.2421(b) · Medium

Written Feeding Instructions - Review and Update Every 30 Days

Four of the infants did not have updated infant feeding instructions available for review.

Correction date recorded: 2026-02-25

2024-06-18 · 746.2421(b) · Medium

Written Feeding Instructions - Review and Update Every 30 Days

No feeding schedule for the one infant was unavailable at inspection.

Correction date recorded: 2024-06-18

2024-06-18 · 746.1315(a) · Medium High

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.

Correction date recorded: 2024-07-18

Full citation history from HHSC (21)

2026-02-18 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2026-02-25. Correction verified: 2026-02-19.
Four of the infants did not have updated infant feeding instructions available for review.
2024-06-18 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: No. Correction date: 2024-06-18. Correction verified: 2024-06-24.
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.
2024-06-18 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: Yes. Correction date: 2024-06-18. Correction verified: Not recorded.
A can of paint was observed under the restroom cabinet of the toddler classroom accessible to the children. NOTE: This was corrected at inspection.
2024-06-18 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2024-07-18. Correction verified: 2024-06-18.
Two of the six children records didn't have updated immunization record on file.
2024-06-18 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2024-07-18. Correction verified: 2024-06-18.
One of the six staff had an expired CPR/First aid card expiring on 6.9.24. NOTE: This was corrected at inspection.
2024-06-18 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-06-18. Correction verified: 2024-06-19.
No feeding schedule for the one infant was unavailable at inspection.
2024-01-24 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2024-01-24. Correction verified: 2024-02-01.
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.
2024-01-24 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-01-24. Correction verified: 2024-02-01.
The caregiver in the toddler classroom stated there were 12 children in care when there were actually 10 children in care.
2024-01-24 · 746.3505(c) · Medium High
Diapering Procedures - Use Disposable Gloves
Corrected at inspection: No. Correction date: 2024-01-24. Correction verified: 2024-02-01.
A caregiver in the toddler classroom was observed changing diapers with gloves without washing hands between each diaper change.
2023-06-26 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-06-26. Correction verified: 2023-07-05.
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.
2023-06-20 · 746.5617(a)(1) · High
Required Equipment in Vehicles - List of Children
Corrected at inspection: Yes. Correction date: 2023-06-20. Correction verified: Not recorded.
A list of children being transported was unavailable for review. NOTE: This was corrected at inspection.
2023-06-20 · 746.2505(2) · Medium High
Furnishings and Equipment for Toddlers - Enough Available to Prevent Competition
Corrected at inspection: Yes. Correction date: 2023-06-20. Correction verified: Not recorded.
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.
2023-06-20 · 746.5619 · Medium High
Plan to Handle Transportation Emergencies
Corrected at inspection: No. Correction date: 2023-06-20. Correction verified: 2023-06-26.
A written plan to handle transportation emergencies was not available at the time.
2023-06-20 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2023-07-04. Correction verified: 2023-06-21.
One of the six children files was missing immunization records.
2023-06-20 · 746.2505(4)(C) · Medium
Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups
Corrected at inspection: Yes. Correction date: 2023-06-20. Correction verified: Not recorded.
A toddler was observed in the dining hall walking around drinking from a baby bottle. NOTE: This was corrected at inspection.
2023-06-20 · 746.3407(8) · Medium High
Garbage Inaccessible to Children; Maintained in Sanitary Manner
Corrected at inspection: Yes. Correction date: 2023-06-20. Correction verified: Not recorded.
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.
2023-06-20 · 746.2415(b) · High
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Corrected at inspection: No. Correction date: 2023-06-20. Correction verified: 2023-06-26.
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.
2022-07-12 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2022-07-31. Correction verified: 2022-07-13.
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.
2022-07-12 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2022-07-31. Correction verified: 2022-07-23.
The operation did not have a plan set up. Operation is currently in process of gathering all required information.
2022-07-12 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2022-07-31. Correction verified: 2022-07-19.
Gas inspection is overdue as of 7/1/22.
2022-07-12 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2022-07-31. Correction verified: 2022-08-01.
Two of four children's files did not have a healthcare statement included in their file.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=153422

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.