Hearth Record

Little Miracles Child Development Center

A licensed child care center in San Antonio, Texas 78221

3751 Commercial Ave, San Antonio, Texas 78221. (210) 977-9978.

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 10 deficiencies in 4 months of the last 36. Last cited Apr 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.

9 inspections on record. The latest, on Apr 20, 2026: 2 deficiencies cited.

Rated High by Texas: Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children, at the inspection on Feb 27, 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 4 months of the last 36. Last cited Apr 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.

Apr 20, 2026: inspection2 deficiencies

  • Annual Sanitation Inspection

    “The last health inspection available for review was dated 10.4.24.”

    Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 20, 2026. Correction verified: May 1, 2026.

  • Required Personnel Records - Required Affidavit (Form 2985)

    “Two of the seven staff are missing the required Affidavit Form 2985 at the time of inspection”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2026. Correction verified: Apr 22, 2026.

Dec 15, 2025: report to the state3 deficiencies

  • CPR Training and Recertification Adhere to Guidelines-skill based

    “Seven of the eight staff members have CPR/First aid certificates from an exclusively online source. There was no hands-on training for the CPR portion of these courses.”

    Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 13, 2026. Correction verified: Jan 8, 2026.

  • Discipline - Positive Methods of Discipline and Guidance

    “It was determined that positive methods of discipline were not utilized when a caregiver was observed swatting a child’s hand because she took a book away from another child.”

    Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2025. Correction verified: Jan 8, 2026.

  • Parent right to be free from retaliatory action

    “It was determined that retaliatory action was taken against a family, by stating that an enrolled child would no longer be welcomed into care, after the family exercised their parental rights and made a report to CCR.”

    Rule 746.521(11). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 30, 2025. Correction verified: Jan 8, 2026.

Feb 26, 2025: inspection3 deficiencies

  • Immunization Records, Exceptions, and Exemptions Current

    “2 out of the 10 children’s files reviewed did not have updated immunization records.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 12, 2025. Correction verified: Mar 4, 2025.

  • Written Operational Policies - Promotion of Physical Activity

    “The operational policies and procedures handbook was missing required information regarding promotion of indoor and outdoor physical activity.”

    Rule 746.501(a)(18). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 5, 2025. Correction verified: Mar 5, 2025.

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

    “3 out of the 10 children’s files reviewed did not have a signed healthcare provider statement on file.”

    Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2025. Correction verified: Apr 25, 2025.

Feb 27, 2024: inspection2 deficiencies

  • Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

    “Cleaning solutions were observed in a cabinet underneath a sink that children use for handwashing. The cabinet did not have a child safety lock making solutions accessible to children. This was corrected when the director removed all solutions and chemicals from underneath the sink.”

    Rule 746.3407(12). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2024. Correction verified: Mar 12, 2024.

  • Responsibilities of Caregivers - Know children’s names and ages

    “A caregiver did not know or have information showing the age of a child they were responsible for.”

    Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2024. Correction verified: Mar 12, 2024.

9 deficiencies older than three years
Jun 7, 2023: inspection5 deficiencies

  • Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

    “5 out of the 9 staff files reviewed were missing annual training hours for last 12 months.”

    Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 7, 2023. Correction verified: Jul 11, 2023.

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

    “The emergency preparedness plan was missing the Name and address of the alternate shelter away from the center that children will be relocated to in an emergency.”

    Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 8, 2023. Correction verified: Jun 8, 2023.

  • Emergency Evacuation and Relocation Diagram - Posted in Each Room

    “An emergency evacuation and relocation diagram was not posted in the school age classroom. This was corrected at inspection when the caregiver posted the diagram near the classroom entrance/exit.”

    Rule 746.5207(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 7, 2023.

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

    “7 out of the 10 children’s files evaluated were missing a signed healthcare provider statement after being enrolled for 12 months.”

    Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 28, 2023. Correction verified: Jul 11, 2023.

  • Required Personnel Records

    “Several staff were missing the following documents from their personnel files: -Proof of education -Notarized Employment Affidavit -Signed employee statement off operational and employee policies and orientation”

    Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2023. Correction verified: Jul 11, 2023.

Jun 13, 2022: inspection4 deficiencies

  • Safety Requirements for Active Play Equipment - Anchoring devices Below Level of Playing Surface

    “A yellow bus playground structure was not properly anchored. Four bolts were exposed above the ground. The bolts present a high tripping hazard to children. Photos were taken and uploaded to digital storage.”

    Rule 746.4601(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2022. Correction verified: Jun 27, 2022.

  • Requirements for Feeding Infants - Other Use of Handwashing Sink

    “The sinks in the infant room and the toddler room designated only for hand washing were been utilized to wash bottles and other children’s items. Corrected during inspection all items not related to hand washing only were removed from the sinks. Photos taken and uploaded to digital storage.”

    Rule 746.2419(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 13, 2022.

  • Safety - Areas Free From Hazards

    “An under layer plastic cover was observed exposed in proximity of a playground bicycle merry-go-round. Children running around near the playground structure are at risk of tripping and falling. A permanent plastic cover on a cemented surface where children play was also noted as a possible tripping hazard. Photos were taken and uploaded to digital storage.”

    Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2022. Correction verified: Jun 27, 2022.

  • Written Activity Plans

    “The school age children and infant classrooms were missing activity plans. The activity plan in the two-year-old classroom was incomplete missing dates, times, and some activities.”

    Rule 746.2203(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 20, 2022. Correction verified: Jun 27, 2022.

All 10 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Apr 20, 2026Inspection2 deficiencies cited
Jan 8, 2026InspectionNo violation found
Dec 16, 2025InspectionNo violation found
Dec 15, 2025Report to the state3 deficiencies cited
Oct 7, 2025InspectionNo violation found
Feb 26, 2025Inspection3 deficiencies cited
Mar 12, 2024InspectionNo violation found
Feb 27, 2024Inspection2 deficiencies cited
Jun 7, 2023Inspection5 deficiencies cited
Jun 13, 2022Inspection4 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Dec 22, 2004.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 100 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.
  • 1 report 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: 3-Star (the middle 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
Foundation in Christ LLC3
Green Oak Learning Center11
Vestal Early Head Start10
Betty Williams Daycare9
Little Helper’s Learning Center11
Terry O’connor Early Learning Center3
A Joyful Journey3
Creative Little Minds2
Pci W Hutchins1
Little Miracles Child Development Center This child care provider10
Guardian Angel Child Development Center11
La Petite Academy Rayburn16

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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