Hearth Record

Lil Tikes Day Care Center

A licensed child care center in San Antonio, Texas 78224

2710 Tortuga St, San Antonio, Texas 78224. (210) 924-8453.

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 19 deficiencies in 6 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?

19 deficiencies cited in the last three years

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

16 inspections on record. The latest, on Oct 19, 2026: outcome pending.

Rated High by Texas: Safety - Bodies of Water Inaccessible to Children, at the inspection on Aug 14, 2026

Rated High by Texas: Policies Comply with Rules, at the report to the state on Mar 13, 2025

Rated High by Texas: AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age, at the inspection on Nov 12, 2024

Source:

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

When those deficiencies happened

19 deficiencies in 6 months of the last 36. Last cited Aug 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

19 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 26, 2026: inspection2 deficiencies
  • Child/Caregiver Ratio - 18 Months Difference in Age

    “There were 15 children combined in the front room. The age of the youngest child was five months and the age of the oldest child was three years. This was corrected at inspection when the infants went to their room.”

    Rule 746.1605(1). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 26, 2026.

  • Screen Time Activities - Not Used for Under Two

    “Infants and children were observed having screen time. This was corrected at inspection when the television was turned off.”

    Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 26, 2026.

Aug 14, 2026: inspection2 deficiencies
  • Safety - Bodies of Water Inaccessible to Children

    “A mop bucket full of water was accessible to children waiting in line for the bathroom. This was corrected at inspection when the mop bucket was removed.”

    Rule 746.3701(9). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 14, 2026.

  • Using, Storing and Disposing of Hazardous Materials

    “Disenfectant spray was accessible to children waiting in line for the bathroom. This was corrected at inspection when spray can was removed.”

    Rule 746.3407(13). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 14, 2026.

Aug 10, 2026: report to the state1 deficiency
  • Child/ Caregiver Ratio - 13 or More Children

    “There were five infants with one caregiver in Infant room. The ages of the infants were five months, seven months, eight months, 11 months, and 19 months, The specified age group was 0 to 11 months. This was corrected at inspection when a child wa moved to another room.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 14, 2026. Correction verified: Aug 26, 2026.

Feb 19, 2026: inspection2 deficiencies
  • Nutrition and Food Service - Follow Meal Patterns

    “During snack time the children were provided one component (pudding) instead of two components.”

    Rule 746.3301(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 19, 2026. Correction verified: Feb 26, 2026.

  • Required Admission Information - School Information for School-age Child

    “One of the three children files was missing school age information. NOTE: Corrected at inspection.”

    Rule 746.605(13). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 19, 2026.

Jul 14, 2025: inspection3 deficiencies
  • Requirement of Gas Leak Inspection

    “At the time of inspection, the gas inspection was unavailable for review.”

    Rule 746.5401. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 21, 2025.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “One of the feeding schedules for a bottle-feeding infant was unavailable at the time of inspection.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 21, 2025. Correction verified: Jul 21, 2025.

  • Children’s Products- Annual Certification

    “The Consumer Report form was observed to have been last reviewed on 5.12.24. NOTE: This was corrected at inspection.”

    Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 14, 2025.

Mar 21, 2025: inspection1 deficiency
  • Child/ Caregiver Ratio - 13 or More Children

    “The infant classroom was observed out of ratio when the second caregiver left the room several times to open the front door throughout drop off. The specifed age group was 0-11 months and there were 7 infants present. This was corrected when the second caregiver returned to the infant classroom and child/caregiver ratio was back in compliance.”

    Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 21, 2025. Correction verified: Apr 7, 2025.

Mar 13, 2025: report to the state1 deficiency
  • Policies Comply with Rules

    “Based on the evidence gathered, the operation was enforcing a policy regarding toilet-trained children, but this policy was not written in the center’s operational policies when provided to parents at enrollment.”

    Rule 746.201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2025. Correction verified: May 5, 2025.

Nov 12, 2024: inspection1 deficiency
  • AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

    “An infant under 12 months was observed asleep in a crib propped up with a boppy pillow and a blanket. This was corrected when the items were removed from the crib.”

    Rule 746.2415(b). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 12, 2024.

Nov 5, 2024: report to the state3 deficiencies
  • Discipline - Positive Methods of Discipline and Guidance

    “Based on the evidence gathered, a caregiver did not use positive methods of redirection with a child during potty training. The caregiver had the child hold their wet pull-up while they placed a clean pull-up on the child.”

    Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 23, 2024. Correction verified: Jan 22, 2025.

  • Garbage Inaccessible to Children; Maintained in Sanitary Manner

    “Based on the evidence gathered, a caregiver did not follow proper health and safety practices when they asked the child to hold their wet pull-up during potty training.”

    Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 23, 2024. Correction verified: Jan 22, 2025.

  • Operation Open to Parents At All Times

    “Based on the evidence gathered, parents were not allowed to visit their children at the daycare while their children participated in a holiday event.”

    Rule 746.201(7). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 23, 2024. Correction verified: Jan 22, 2025.

Sep 4, 2024: inspection3 deficiencies
  • Required Records Maintained and Made Available - Fire Inspection Report, Including Written Approval for Above/Below Ground Level Care

    “The operation did not have their current fire inspection report on file or available for review.”

    Rule 746.801(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2024. Correction verified: Sep 11, 2024.

  • Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

    “One out of the six children’s files evalauted did not have a signed healthcare provider statement on file. The child had been enrolled over 12 months.”

    Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2024. Correction verified: Sep 10, 2024.

  • Parent right to receive HHSC’s inspection report

    “Four out of the six children’s files evaluated did not have signed Parent’s Rights form.”

    Rule 746.521(5)(A). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2024. Correction verified: Sep 10, 2024.

5 deficiencies older than three years
Sep 20, 2023: inspection1 deficiency
  • Administrative and clerical duties that take caregiver’s attention away from children

    “A caregiver was observed having to leave a classroom of preschool children unattended for less than minute to unlock the front door to receive children coming in for care. Caregiver was also put in charge of administrative/clerical duties as all employees present were responsible for supervising children in care. This was corrected when the director arrived at the center and took over admin duties.”

    Rule 746.1203(3)(A). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 20, 2023.

Sep 5, 2023: inspection2 deficiencies
  • Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

    “A large bottle of homemade weed killer along with bottles of vinegar and dish soap were on the floor within children’s reach as they walked to and from the restroom. This was corrected at inspection when the solutions were moved from the area and made inaccessible to children.”

    Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 5, 2023.

  • Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

    “The emergency preparedness plan is missing written procedures for the evacuation, relocation, and sheltering/lock-down of children during different types of emergency situations.”

    Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2023. Correction verified: Sep 20, 2023.

Sep 13, 2022: inspection2 deficiencies
  • AP Background check results - Must receive notification prior to allowing subject to be present at your operation

    “An employee with a pending background check was observed caring for children. She completed fingerprints however the employee recently recieved notice that the fingerprints did not go through and they will have to be resubmitted.”

    Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 13, 2022. Correction verified: Sep 17, 2022.

  • Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

    “Two children did not have signed healthcare provider statements on file after being enrolled for 12 months or more.”

    Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 20, 2022. Correction verified: Sep 20, 2022.

All 21 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Oct 19, 2026InspectionOutcome pending
Aug 26, 2026Inspection2 deficiencies cited
Aug 14, 2026Inspection2 deficiencies cited
Aug 10, 2026Report to the state1 deficiency cited
Feb 26, 2026InspectionNo violation found
Feb 19, 2026Inspection2 deficiencies cited
Feb 11, 2026InspectionNo violation found
Feb 10, 2026Report to the stateNo violation found
Jul 14, 2025Inspection3 deficiencies cited
Apr 7, 2025InspectionNo violation found
Mar 21, 2025Inspection1 deficiency cited
Mar 13, 2025Report to the state1 deficiency cited
Jan 22, 2025InspectionNo violation found
Nov 12, 2024Inspection1 deficiency cited
Nov 5, 2024Report to the state3 deficiencies cited
Sep 4, 2024Inspection3 deficiencies cited
Sep 20, 2023Inspection1 deficiency cited
Sep 5, 2023Inspection2 deficiencies cited
Sep 13, 2022Inspection2 deficiencies cited
Jun 15, 2022InspectionNo violation found
Jun 2, 2022Report to the stateNo violation found

Is it licensed?

  • Licensed Center, permit issued Mar 8, 2001.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 49 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.
  • 5 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 19.
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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