Hearth Record

Lil’ Friends Dayschool

A licensed child care center in San Antonio, Texas 78232

2897 Thousand Oaks Dr, San Antonio, Texas 78232. (210) 665-0010.

Texas’s own record, on its child care search

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 10 deficiencies in 8 months of the last 36. Last cited Aug 2026. Most serious: High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels
Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

10 deficiencies cited in the last three years

The middle of the 768 child care providers in Bexar County had 5.

31 inspections on record. The latest, on Aug 20, 2026: 1 deficiency cited.

Rated High by Texas: Infant May Not Sleep in a Restrictive Device, at the inspection on Feb 20, 2025

Rated High by Texas: AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions, at the inspection on Feb 13, 2025

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the report to the state on Sep 18, 2024

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

10 deficiencies in 8 months of the last 36. Last cited Aug 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

10 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

Aug 20, 2026: inspection1 deficiency

  • Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

    “During the inspection it was noted an incident report is not given electronically or by paper to parents. A message is sent through Brightwheel, the app used.”

    Rule 746.701(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 20, 2026.

Dec 16, 2025: inspection1 deficiency

  • Requirements for Feeding Infants - Other Use of Handwashing Sink

    “A bib was being cleaned in the hand washing sink. The caregiver indicated that she washed dirty toys in the hand sink as well. This was corrected at inspection when the bib was removed and a conversation was had with the director on using the hand washing sink for hand washing only.”

    Rule 746.2419(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 16, 2025.

Feb 20, 2025: inspection1 deficiency

  • Infant May Not Sleep in a Restrictive Device

    “A child was observed sleeping in a restrictive device. This was corrected at inspection when the child was immediately removed and placed in a crib on their back.”

    Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 20, 2025. Correction verified: Feb 24, 2025.

Feb 13, 2025: inspection1 deficiency

  • AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

    “Two employees with a provisional status were in the same room together. This was corrected at inspection when a caregiver without conditions was added to the room.”

    Rule 745.635(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 13, 2025.

Sep 18, 2024: report to the state1 deficiency

  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “A child was left unsupervised on the playground for eight minutes.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 10, 2024. Correction verified: Oct 16, 2024.

Jun 7, 2024: inspection1 deficiency

  • Safety - Areas Free From Hazards

    “A portion of vinyl trim in the Ones room has fallen off, leaving a hole in the wall.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 14, 2024. Correction verified: Jun 14, 2024.

Mar 5, 2024: inspection1 deficiency

  • Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion

    “One of six staff files did not have proof of educational requirements.”

    Rule 746.1107(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2024. Correction verified: Mar 18, 2024.

Feb 23, 2024: inspection1 deficiency

  • Medication No Longer Used

    “Over the counter medication was expired. This was corrected at inspection when the medication was disposed of.”

    Rule 746.3809. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 23, 2024.

Dec 20, 2023: inspection2 deficiencies

  • Immunization Records, Exceptions, and Exemptions Current

    “Three of four children’s files audited did not have current immunization records.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 23, 2024. Correction verified: Jan 22, 2024.

  • Children’s Records - Health Statement

    “One of four children’s files audited did not have a health statement on file.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 5, 2024. Correction verified: Jan 9, 2024.

13 deficiencies older than three years
Jun 20, 2023: inspection1 deficiency

  • Measurement of Use Zone for Stationary Equipment

    “A push cart track did not have a six-foot use zone around it. This was corrected at inspection when the track was removed from the playground.”

    Rule 746.4803. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 20, 2023.

Mar 14, 2023: inspection1 deficiency

  • Required Records Maintained and Made Available - Infant Feeding Instructions

    “One of two infants not on table food did not have current infant feeding instructions.”

    Rule 746.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2023. Correction verified: Mar 28, 2023.

Feb 8, 2023: inspection1 deficiency

  • Requirements for Feeding Infants - Label Bottles/Cups

    “Six infant bottles were not properly labeled with the child’s name. *Bottles were immediately labeled”

    Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 8, 2023.

Jan 3, 2023: report to the state3 deficiencies

  • AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

    “The caregivers in charge of the infant classroom were negligent when they failed to account for a child who was left unattended on the playground for 32 minutes.”

    Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 8, 2023.

  • Responsibilities of Caregivers - Supervision of Children

    “Supervision was compromised when a 13-month-old child was left unsupervised on the playground. The child was later found unharmed by a parent.”

    Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 8, 2023.

  • Parental Communication - Situation that Placed a Child at Risk

    “The operation failed to notify the parents immediately after a child in their care was placed at risk.”

    Rule 746.307(b)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 31, 2023. Correction verified: Feb 8, 2023.

Jun 15, 2022: inspection4 deficiencies

  • Responsibilities of Caregivers - Free of other activities

    “The caregiver was noted using her personal phone as she was supervising 11 children ages 5-6 year olds.”

    Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2022. Correction verified: Jul 22, 2022.

  • Administering Medication - Original Container with Child’s Name, Date

    “A tylenol bottle was found in the infant refrigerator , the bag did not have the child’s name it pertained to. *Director removed medication from the room.”

    Rule 746.3805(b)(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 15, 2022.

  • Emergency Preparedness Plan-Continuity of Care Until Children Released

    “Preparedness plan was found missing how the operation will continue to care for children in the new location.”

    Rule 746.5202(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 22, 2022. Correction verified: Jul 22, 2022.

  • Written Operational Policies - Promotion of Physical Activity

    “Operation policies were missing the time durations, and benefits, of how the operation will be promoting indoor and outdoor physical activity.”

    Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 22, 2022. Correction verified: Jul 22, 2022.

Jun 8, 2022: report to the state2 deficiencies

  • AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

    “There was sufficient evidence to determine the neglectful supervision of a two-year-old child who exited the outdoor gate unattended and was found uninjured by another caregiver.”

    Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2022. Correction verified: Aug 15, 2022.

  • Responsibilities of Caregivers - Supervision of Children

    “Supervision was compromised when a child was left unattended for approximately 10 minutes.”

    Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 3, 2022. Correction verified: Aug 15, 2022.

Feb 22, 2022: report to the state1 deficiency

  • Report Outbreak of Communicable Illness

    “Operation notified CCR on 2/22/22 of the COVID cases experienced in January and did not report to Licensing timely.”

    Rule 746.305(a)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Feb 28, 2022.

All 39 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Aug 20, 2026Inspection1 deficiency cited
Dec 16, 2025Inspection1 deficiency cited
Sep 11, 2025InspectionNo violation found
Jul 14, 2025InspectionNo violation found
Jul 7, 2025Report to the stateNo violation found
Jun 11, 2025InspectionNo violation found
Feb 24, 2025InspectionNo violation found
Feb 20, 2025Inspection1 deficiency cited
Feb 13, 2025Inspection1 deficiency cited
Oct 16, 2024InspectionNo violation found
Sep 19, 2024InspectionNo violation found
Sep 18, 2024Report to the stateNo violation found
Sep 18, 2024Report to the state1 deficiency cited
Jun 7, 2024Inspection1 deficiency cited
Mar 5, 2024Inspection1 deficiency cited
Feb 23, 2024Inspection1 deficiency cited
Jan 9, 2024InspectionNo violation found
Dec 20, 2023Inspection2 deficiencies cited
Nov 8, 2023InspectionNo violation found
Oct 9, 2023InspectionNo violation found
Sep 13, 2023InspectionNo violation found
Aug 9, 2023InspectionNo violation found
Jul 18, 2023InspectionNo violation found
Jun 20, 2023Inspection1 deficiency cited
May 16, 2023InspectionNo violation found
Apr 24, 2023InspectionNo violation found
Apr 24, 2023Report to the stateNo violation found
Apr 6, 2023InspectionNo violation found
Mar 14, 2023Inspection1 deficiency cited
Feb 8, 2023Inspection1 deficiency cited
Jan 3, 2023Report to the state3 deficiencies cited
Dec 16, 2022InspectionNo violation found
Dec 14, 2022Report to the stateNo violation found
Nov 2, 2022InspectionNo violation found
Aug 15, 2022InspectionNo violation found
Jul 22, 2022InspectionNo violation found
Jun 15, 2022Inspection4 deficiencies cited
Jun 8, 2022Report to the state2 deficiencies cited
Feb 22, 2022Report to the state1 deficiency cited

Is it licensed?

  • Licensed Center, permit issued Feb 15, 2018.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 64 children.
Source:

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

  • No corrective or adverse action by Texas on record.
  • 8 reports to the state on record; Texas doesn’t publish whether they were .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 2026. Updated daily.

Who does the caring?

  • Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

  • Texas’s open data doesn’t list owners.

How is it rated?

  • Texas Rising Star: 4-Star (the highest of three levels).
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 768 child care providers in Bexar County, the middle value for deficiencies cited in the last three years was 5; this one had 10.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

11 of the 768 in Bexar County, as the source lists them, same ZIP code first
PlaceDeficiencies, 3 years
Country Home Learning Center #2, Ltd2
Loretta Stevenson1
Lil’ Friends Dayschool This child care provider10
Sandra Lynn Mercer-AyalaNot given
Bca Hollywood Park LLC1
Abiding Presence Lutheran Day School2
Heimer Kindercare13
Luv-N-Care No. 313
St. Thomas Episcopal School8
St. Mark’s Catholic Preschool and Nursery1
Norma Jean TrevinoNot given
Panda Bear Day Care5

What the record doesn’t say

  • Texas doesn’t publish whether a complaint was substantiated.
  • Texas rates some paperwork slips as High risk, so read what was actually cited.
  • Texas doesn’t publish staffing levels or owners for individual providers.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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