Hearth Record

The Lilypad Garden School

A licensed child care center in San Antonio, Texas 78259

18952 Redland Rd, San Antonio, Texas 78259. (210) 497-3024.

Texas’s own record, on its child care search

Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on its child care search.

The short answer

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

The last 24 months 7 deficiencies in 4 months of the last 36. Last cited Jun 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?

7 deficiencies cited in the last three years

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

18 inspections on record. The latest, on Jun 16, 2026: 1 deficiency cited.

Rated High by Texas: AP Background check results - Must receive notification prior to allowing subject to be present at your operation, at the inspection on Nov 7, 2025

Rated High by Texas: Safety Requirements for Active Play Equipment - No Entrapment Openings, at the inspection on Jul 10, 2024

Source:

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

When those deficiencies happened

7 deficiencies in 4 months of the last 36. Last cited Jun 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

7 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.

Jun 16, 2026: inspection1 deficiency
  • Required Admission Information - Physician Information

    “Two of ten children’s records audited did not have their physician’s information on file.”

    Rule 746.605(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 23, 2026. Correction verified: Jun 18, 2026.

Jan 20, 2026: assessment1 deficiency
  • Report Number of Employees

    “The operation did not report the number of employees to leave the operation by the required date.”

    Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 20, 2026. Correction verified: Jan 26, 2026.

Nov 25, 2025: inspection1 deficiency
  • Written Feeding Instructions - Review and Update Every 30 Days

    “Two infant feeding sheets were not current in an infant classroom.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 5, 2025. Correction verified: Dec 3, 2025.

Nov 7, 2025: inspection2 deficiencies
  • AP Background check results - Must receive notification prior to allowing subject to be present at your operation

    “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.”

    Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 9, 2025. Correction verified: Nov 7, 2025.

  • Safety Requirements for Cribs - Snug Fitting, Firm, Flat Mattress Designed for Use in Crib

    “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.”

    Rule 746.2409(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 7, 2025. Correction verified: Nov 19, 2025.

Jul 10, 2024: inspection2 deficiencies
  • Safety Requirements for Active Play Equipment - No Entrapment Openings

    “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.”

    Rule 746.4601(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2024. Correction verified: Jul 23, 2024.

  • Fenced Outdoor Activity Space -Exits Required

    “A newly added playground did not contain 2 exits.”

    Rule 746.4307. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 9, 2024. Correction verified: Aug 5, 2024.

3 deficiencies older than three years
Apr 21, 2023: report to the state2 deficiencies
  • Prohibited Punishments - Corporal Punishment

    “Former caregiver was seen in video footage hitting a child in the foot with the child’s shoe.”

    Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2023. Correction verified: Aug 10, 2023.

  • Prohibited Punishments - Grabbing and Pulling

    “Former caregiver was seen in video footage grabbing and pulling a child across the carpet.”

    Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2023. Correction verified: Aug 10, 2023.

Feb 22, 2022: inspection1 deficiency
  • Required Personnel Records - Required Affidavit

    “Five of the ten personnel records reviewed did not have the employment affidavit in file.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2022. Correction verified: Mar 21, 2022.

All 27 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Jun 16, 2026Inspection1 deficiency cited
Apr 29, 2026InspectionNo violation found
Feb 9, 2026InspectionNo violation found
Jan 28, 2026Report to the stateNo violation found
Jan 20, 2026Assessment1 deficiency cited
Jan 13, 2026InspectionNo violation found
Nov 25, 2025Inspection1 deficiency cited
Nov 19, 2025InspectionNo violation found
Nov 18, 2025Report to the stateNo violation found
Nov 7, 2025Inspection2 deficiencies cited
Oct 24, 2025Report to the stateNo violation found
Aug 28, 2025InspectionNo violation found
Aug 19, 2025Report to the stateNo violation found
Jul 16, 2025InspectionNo violation found
Jun 26, 2025InspectionNo violation found
Jul 10, 2024Inspection2 deficiencies cited
Jan 16, 2024Report to the stateNo violation found
Dec 11, 2023InspectionNo violation found
Dec 1, 2023InspectionNo violation found
Nov 28, 2023Report to the stateNo violation found
Nov 16, 2023Report to the stateNo violation found
Aug 10, 2023InspectionNo violation found
May 4, 2023InspectionNo violation found
Apr 21, 2023Report to the state2 deficiencies cited
Aug 15, 2022InspectionNo violation found
Apr 12, 2022InspectionNo violation found
Feb 22, 2022Inspection1 deficiency cited

Is it licensed?

  • Licensed Center, permit issued Aug 12, 2021.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 218 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?

  • Not star-rated in Texas Rising Star (TWC’s code: ELD).
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 7.
Source:

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

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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