13 were rated high or medium-high risk. All were marked corrected. Texas HHSC inspections since 2021.
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: During the investigation, it was determined that staff used improper techniques when responding to a medical incident.
Requirements for Feeding Infants - Label Bottles/Cups: The infant bottles only had the first name on them at inspection.
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink.
8 answers need research — reviews, parent groups, the program’s website and traffic data. The report finds them for Madison Square Child Development Center.
Unlock — $12“Public record” rows come from state datasets. Missing information never means there is no issue.
Distilled into recurring themes, with dates and sources.
Unlock in the reportHistorical traffic at opening and closing, from every direction.
Unlock in the reportWhat parents say online, cameras, food and extra costs, tuition, teacher turnover, your drop-off and pick-up traffic, plus the full record — researched, reviewed by a person, delivered by email.
| Date | Inspection | Result | Findings | Open | Evidence |
|---|---|---|---|---|---|
| Oct 28, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Aug 20, 2026 | Investigation of a report (self-reported) | Deficiencies cited | 1 | 0 | Verified |
| Aug 20, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Aug 14, 2026 | Investigation of a report | Deficiencies cited | 1 | 0 | Verified |
| Aug 7, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 17, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 16, 2026 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Jun 12, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 9, 2026 | Investigation of a report | Deficiencies cited | 1 | 0 | Verified |
| Feb 23, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Feb 17, 2026 | Inspection | Deficiencies cited | 2 | 0 | Verified |
| Feb 9, 2026 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Jul 29, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jul 21, 2025 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Apr 1, 2025 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Mar 5, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Feb 28, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Feb 26, 2025 | Investigation of a report (self-reported) | Deficiencies cited | 2 | 0 | Verified |
| Dec 16, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Dec 12, 2024 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Sep 30, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Sep 6, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Aug 1, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jul 30, 2024 | Investigation of a report (self-reported) | Deficiencies cited | 1 | 0 | Verified |
| May 6, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Apr 25, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Apr 17, 2024 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Feb 14, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Feb 7, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Feb 7, 2024 | Investigation of a report (self-reported) | Deficiencies cited | 1 | 0 | Verified |
| May 31, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| May 16, 2023 | Inspection | Deficiencies cited | 4 | 0 | Verified |
| Sep 19, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Sep 14, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Aug 2, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jul 20, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jul 18, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Jul 14, 2022 | Inspection | Deficiencies cited | 3 | 0 | Verified |
| Jul 13, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| May 4, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Apr 24, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Mar 9, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Mar 3, 2022 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Nov 19, 2021 | Inspection | No deficiencies cited | 0 | 0 | Verified |
Each finding links to its normalized violation type (all facilities with the same finding) and to the exact inspection.
| Date | Code | Severity | Status | Finding (source text) |
|---|---|---|---|---|
| Aug 20, 2026 | §746.1201(1) Staff qualifications & clearances | High risk | Corrected | Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: During the investigation, it was determined that staff used improper techniques when responding to a medical incident. |
| Aug 14, 2026 | §746.2419(6) Food & nutrition | Medium-high risk | Corrected | Requirements for Feeding Infants - Label Bottles/Cups: The infant bottles only had the first name on them at inspection. |
| Jun 9, 2026 | §746.1201(1) Staff qualifications & clearances | High risk | Corrected | Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: Based on the information gathered through the investigation, a caregiver showed a lack of judgment by leaving a Tylenol pill on the windowsill next to the children's handwashing sink. |
| Feb 17, 2026 | §746.4601(7) Facilities & equipment | High risk | Corrected | Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points: At the time of the inspection, a child-sized wooden well was observed with a broken wood piece that exposed nail. In addition to a broken wooden pallet board, both accessible to the children. NOTE: Compliance has been met as they were removed from the playground. |
| Feb 17, 2026 | §746.1205(a)(2) Staff qualifications & clearances | High risk | Corrected | Responsibilities of Caregivers - Know number of children responsible for: The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care. |
| Feb 9, 2026 | §746.613(b) Staff qualifications & clearances | Medium-high risk | Corrected | Immunization Records, Exceptions, and Exemptions Current: One of the four children files was missing an updated immunization record. |
| Apr 1, 2025 | §746.611(a)(1) Supervision & ratios | Low risk | Corrected | Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program: 1 child's file is missing a health statement for review during the inspection. |
| Feb 26, 2025 | §746.3417(3) Sanitation & hygiene | Medium-high risk | Corrected | Children Handwashing After Toileting or Diapering: When reviewing the video it was observed of a child not washing hands after getting diaper changed. |
| Feb 26, 2025 | §746.3415(4) Staff qualifications & clearances | Medium-high risk | Corrected | Employee Handwashing After Diapering a Child: When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper. |
| Jul 30, 2024 | §746.2805(1) Other | High risk | Corrected | Prohibited Punishments - Corporal Punishment: It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child. |
| Feb 7, 2024 | §746.1205(a)(4) Supervision & ratios | High risk | Corrected | Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity: It was found that a child was left unsupervised on the playground. |
| May 16, 2023 | §746.901(4) Staff qualifications & clearances | Medium-low risk | Corrected | Required Personnel Records - Required Affidavit: 8 files were reviewed, 1 file was found to be missing an employee affidavit. This was corrected during the inspection when the Director, who is a notary added the form to the employees file. |
| May 16, 2023 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: 8 files were reviewed, 1 was found to be missing immunization records. |
| May 16, 2023 | §746.605(6) Fire safety & emergency drills | Medium-high risk | Corrected | Required Admission Information - Emergency Contact: 8 files were reviewed, 3 were found to be missing addresses for emergency contacts listed. |
| May 16, 2023 | §746.4751(b) Supervision & ratios | Medium risk | Corrected | Maintenance Procedures for Active Play - Monthly Maintenance Checklist: The operation does not have a current monthly maintenance checklists available for review during an inspection. |
| Jul 14, 2022 | §746.201(8) Supervision & ratios | Medium risk | Corrected | Liability Insurance Maintained: Operation insurance notification in CLASS was due on 11/04/2021. Corrected during inspection, liability information was updated in CLASS during this inspection. |
| Jul 14, 2022 | §746.3819 Fire safety & emergency drills | Medium-high risk | Corrected | Food Allergy Emergency Plan Signed by Parents and Health Care Professional: There were two children identified with a food allergy, one child's food allergy plan was missing physician's authorization signature. Second child in care had a note from physician indicating child was allergic to lactose, but a food allergy plan was not created. |
| Jul 14, 2022 | §746.2419(8) Sanitation & hygiene | Medium-high risk | Corrected | Requirements for Feeding Infants - Other Use of Handwashing Sink: Infant caregiver confirmed the handwashing sink is used to rinse infant bottles, plates, and spoons. Corrected during inspection. Plates and spoons were removed from sink area and infant caregivers were inform the sink is only for hand washing purposes. |
| Facility | Type | Operator | Capacity | Inspection findings | Last insp. | Dist. |
|---|---|---|---|---|---|---|
| Central Christian Child Development Center San Antonio, 78205 | Child care center | — | 117 | No records | — | 0.2 km |
| Tia's Child Care Academy San Antonio, 78212 | Child care center | — | 34 | No records | — | 0.7 km |
| First Presbyterian Church Children's Center San Antonio, 78205 | Child care center | — | 100 | No records | — | 0.9 km |
| Rise School of San Antonio San Antonio, 78207 | Child care center | — | 50 | No records | — | 1.0 km |
| San Antonio College Early Childhood Ctr San Antonio, 78212 | Child care center | — | 44 | No records | — | 1.3 km |
| Upbring Head Start (San Antonio College) San Antonio, 78212 | Child care center | — | 32 | No records | — | 1.3 km |
| Source | Record | Facts | Evidence | Effective | Retrieved |
|---|---|---|---|---|---|
| Texas HHSC Operations TX | 94723 | name, type, status, capacity, ages, hours, address, phone, subsidies | Verified | — | Nov 5, 2026 |
| us_census_geocoder US | 319 CAMDEN ST|SAN ANTONIO|TX… | location Census Geocoder Exact match: 319 CAMDEN ST, SAN ANTONIO, TX, 78215 | Verified | — | Nov 5, 2026 |
| tx_twc_subsidy_providers TX | 40911 | tx_rising_star_rating, accepts_cc_subsidy | Verified | Oct 26, 2026 | Nov 6, 2026 |
| tx_twc_ccs_facilities TX | row-z6ne-esgs.twbz | monthlyamtpaid, accrdstatus, prekstandard, headstart | Historical | Jun 1, 2024 | Nov 6, 2026 |
| tx_tda_cacfp_centers TX | 02328-3617 | mealpreparationmethod, foodservicevendorname, enrolled_by_eligibility | Verified | — | Nov 6, 2026 |
| Texas HHSC Inspections | 905742138 | Verified | Oct 28, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905899490 | Verified | Aug 20, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905742137 | Verified | Aug 20, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905899489 | Verified | Aug 14, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905742136 | Verified | Aug 7, 2026 | Nov 5, 2026 |
Sources: Texas HHSC Operations, us_census_geocoder, tx_twc_subsidy_providers, tx_twc_ccs_facilities, tx_tda_cacfp_centers. Missing data never means no issue exists. Report a correction.