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Learning Leaf Early Childhood Education

Child care center · 9823 MARBACH RD BLDG 1 STE 201, San Antonio, TX 78245-2098 · License 1666848

0Compliance score
Poor

Capacity 22. InfantToddler Accepts subsidy

Violation history (176)

SeverityDateStandard / narrativeCorrected
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on information gathered, caregiver did not use good judgement when she pulled a child's loose tooth out.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
At time of inspection all of the observed infant baby bottles were not labeled to distinguish who it belonged too. NOTE: Bottles were labeled during inspection.
Yes
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Toddler cots being used for nap time were not labled or numbered. CI: Center director labled cots being used with children's names.
Yes
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There was dirty toilet paper in the toddler restroom on the floor. CI: Center director picked up dirty toilet paper and disposed of it properly during inspection.
Yes
4 746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
School Age caregiver did not know the ages of the children in his care.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based on information gathered, it was determined that caregiver left her classroom to open the door to a visitor, leaving the children unsupervised.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The four infants in care still using formula did not have any feeding instructions for previous or current month.
4 746.605(6) - Required Admission Information - Emergency Contact
Three children lacked complete emergency contact information.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Based on information gathered, caregiver used her cell phone for personal use while responsible for a group of children.
4 746.5307(b) - Fire Extinguishers Serviced
At time of inspection the fire extinguisher was observed to be last serviced in November 2024.
4 746.3407 - Maintenance of Building, Grounds and Equipment
At time of inspection, a children sofa in a toddler class was observed to be torn. NOTE: Children sofa was removed from the class.
Yes
5 746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information gathered, it was determined that caregiver yells at the children.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection. The last fire inspection on file expired 3/16/2023.
3 746.1311(e) - Director Annual Training - Additional required topics
Director lacks training in shaken baby syndrome and abusive head trauma, SIDS, and Understanding early childhood brain development.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two staff member did not have current Pediatric first aid and CPR training.
4 746.3401(a) - Annual Sanitation Inspection
The operation did not have a current health inspection. The last health inspection expired 10/14/2023.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection the last fire inspection conducted at operation was conducted on 7.10.24.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
At time of inspection all monthly feeding instructions were for the month of February 2026.
4 746.3419 - Handwashing Procedures
The toddler room did not have soap and running water. Note: Corrected at inspection when director placed the portable handwashing sink back to the classroom, and the children/staff were able to wash hands after diaper changing.
Yes
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, it was determined that caregiver had 8 infants to herself, while other caregiver went into the office to make copies, leaving caregiver out of ratio.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three children's infant feeding instructions have not been updated, as required.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
At time of inspection, three infants sitting in restrictive devices were not strapped in. This was corrected at inspection.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, it was determined that caregiver had 8 infants to herself, while other caregiver went into the office to make copies, leaving caregiver out of ratio.
4 746.3407 - Maintenance of Building, Grounds and Equipment
At time of inspection, a children sofa in a toddler class was observed to be torn. NOTE: Children sofa was removed from the class.
Yes
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Based on information gathered, caregiver used her cell phone for personal use while responsible for a group of children.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
At time of inspection all monthly feeding instructions were for the month of February 2026.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The four infants in care still using formula did not have any feeding instructions for previous or current month.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three children's infant feeding instructions have not been updated, as required.
4 746.3401(a) - Annual Sanitation Inspection
The operation did not have a current health inspection. The last health inspection expired 10/14/2023.
4 746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
School Age caregiver did not know the ages of the children in his care.
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Toddler cots being used for nap time were not labled or numbered. CI: Center director labled cots being used with children's names.
Yes
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
At time of inspection, three infants sitting in restrictive devices were not strapped in. This was corrected at inspection.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection. The last fire inspection on file expired 3/16/2023.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two staff member did not have current Pediatric first aid and CPR training.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There was dirty toilet paper in the toddler restroom on the floor. CI: Center director picked up dirty toilet paper and disposed of it properly during inspection.
Yes
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based on information gathered, it was determined that caregiver left her classroom to open the door to a visitor, leaving the children unsupervised.
3 746.1311(e) - Director Annual Training - Additional required topics
Director lacks training in shaken baby syndrome and abusive head trauma, SIDS, and Understanding early childhood brain development.
4 746.605(6) - Required Admission Information - Emergency Contact
Three children lacked complete emergency contact information.
5 746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information gathered, it was determined that caregiver yells at the children.
4 746.3419 - Handwashing Procedures
The toddler room did not have soap and running water. Note: Corrected at inspection when director placed the portable handwashing sink back to the classroom, and the children/staff were able to wash hands after diaper changing.
Yes
4 746.5307(b) - Fire Extinguishers Serviced
At time of inspection the fire extinguisher was observed to be last serviced in November 2024.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
At time of inspection all of the observed infant baby bottles were not labeled to distinguish who it belonged too. NOTE: Bottles were labeled during inspection.
Yes
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection the last fire inspection conducted at operation was conducted on 7.10.24.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on information gathered, caregiver did not use good judgement when she pulled a child's loose tooth out.
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Toddler cots being used for nap time were not labled or numbered. CI: Center director labled cots being used with children's names.
Yes
3 746.1311(e) - Director Annual Training - Additional required topics
Director lacks training in shaken baby syndrome and abusive head trauma, SIDS, and Understanding early childhood brain development.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three children's infant feeding instructions have not been updated, as required.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based on information gathered, it was determined that caregiver left her classroom to open the door to a visitor, leaving the children unsupervised.
5 746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information gathered, it was determined that caregiver yells at the children.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two staff member did not have current Pediatric first aid and CPR training.
4 746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
School Age caregiver did not know the ages of the children in his care.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
At time of inspection all monthly feeding instructions were for the month of February 2026.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
At time of inspection, three infants sitting in restrictive devices were not strapped in. This was corrected at inspection.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection. The last fire inspection on file expired 3/16/2023.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There was dirty toilet paper in the toddler restroom on the floor. CI: Center director picked up dirty toilet paper and disposed of it properly during inspection.
Yes
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection the last fire inspection conducted at operation was conducted on 7.10.24.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Based on information gathered, caregiver used her cell phone for personal use while responsible for a group of children.
4 746.3407 - Maintenance of Building, Grounds and Equipment
At time of inspection, a children sofa in a toddler class was observed to be torn. NOTE: Children sofa was removed from the class.
Yes
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
At time of inspection all of the observed infant baby bottles were not labeled to distinguish who it belonged too. NOTE: Bottles were labeled during inspection.
Yes
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, it was determined that caregiver had 8 infants to herself, while other caregiver went into the office to make copies, leaving caregiver out of ratio.
4 746.3419 - Handwashing Procedures
The toddler room did not have soap and running water. Note: Corrected at inspection when director placed the portable handwashing sink back to the classroom, and the children/staff were able to wash hands after diaper changing.
Yes
4 746.605(6) - Required Admission Information - Emergency Contact
Three children lacked complete emergency contact information.
4 746.3401(a) - Annual Sanitation Inspection
The operation did not have a current health inspection. The last health inspection expired 10/14/2023.
4 746.5307(b) - Fire Extinguishers Serviced
At time of inspection the fire extinguisher was observed to be last serviced in November 2024.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on information gathered, caregiver did not use good judgement when she pulled a child's loose tooth out.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The four infants in care still using formula did not have any feeding instructions for previous or current month.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The four infants in care still using formula did not have any feeding instructions for previous or current month.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection. The last fire inspection on file expired 3/16/2023.
4 746.3407 - Maintenance of Building, Grounds and Equipment
At time of inspection, a children sofa in a toddler class was observed to be torn. NOTE: Children sofa was removed from the class.
Yes
3 746.4503(b) - Cots, Beds, Mats Labeled With Child's Name
Toddler cots being used for nap time were not labled or numbered. CI: Center director labled cots being used with children's names.
Yes
4 746.605(6) - Required Admission Information - Emergency Contact
Three children lacked complete emergency contact information.
4 746.5307(b) - Fire Extinguishers Serviced
At time of inspection the fire extinguisher was observed to be last serviced in November 2024.
5 746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information gathered, it was determined that caregiver yells at the children.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There was dirty toilet paper in the toddler restroom on the floor. CI: Center director picked up dirty toilet paper and disposed of it properly during inspection.
Yes
4 746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
School Age caregiver did not know the ages of the children in his care.
4 746.3419 - Handwashing Procedures
The toddler room did not have soap and running water. Note: Corrected at inspection when director placed the portable handwashing sink back to the classroom, and the children/staff were able to wash hands after diaper changing.
Yes
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection the last fire inspection conducted at operation was conducted on 7.10.24.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three children's infant feeding instructions have not been updated, as required.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Based on information gathered, caregiver used her cell phone for personal use while responsible for a group of children.
3 746.1311(e) - Director Annual Training - Additional required topics
Director lacks training in shaken baby syndrome and abusive head trauma, SIDS, and Understanding early childhood brain development.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based on information gathered, it was determined that caregiver left her classroom to open the door to a visitor, leaving the children unsupervised.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two staff member did not have current Pediatric first aid and CPR training.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
At time of inspection all of the observed infant baby bottles were not labeled to distinguish who it belonged too. NOTE: Bottles were labeled during inspection.
Yes
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
At time of inspection all monthly feeding instructions were for the month of February 2026.
4 746.3401(a) - Annual Sanitation Inspection
The operation did not have a current health inspection. The last health inspection expired 10/14/2023.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
At time of inspection, three infants sitting in restrictive devices were not strapped in. This was corrected at inspection.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, it was determined that caregiver had 8 infants to herself, while other caregiver went into the office to make copies, leaving caregiver out of ratio.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on information gathered, caregiver did not use good judgement when she pulled a child's loose tooth out.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There was dirty toilet paper in the toddler restroom on the floor. CI: Center director picked up dirty toilet paper and disposed of it properly during inspection.
Yes
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Two staff member did not have current Pediatric first aid and CPR training.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The four infants in care still using formula did not have any feeding instructions for previous or current month.
3 746.1311(e) - Director Annual Training - Additional required topics
Director lacks training in shaken baby syndrome and abusive head trauma, SIDS, and Understanding early childhood brain development.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, it was determined that caregiver had 8 infants to herself, while other caregiver went into the office to make copies, leaving caregiver out of ratio.
3 746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
Three children's infant feeding instructions have not been updated, as required.
4 746.1203(3) - Responsibilities of Caregivers - Know Children's Names and Ages
School Age caregiver did not know the ages of the children in his care.
5 746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information gathered, it was determined that caregiver yells at the children.
4 746.3419 - Handwashing Procedures
The toddler room did not have soap and running water. Note: Corrected at inspection when director placed the portable handwashing sink back to the classroom, and the children/staff were able to wash hands after diaper changing.
Yes
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The operation did not have a current fire inspection. The last fire inspection on file expired 3/16/2023.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
At time of inspection the last fire inspection conducted at operation was conducted on 7.10.24.
5 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Based on information gathered, it was determined that caregiver left her classroom to open the door to a visitor, leaving the children unsupervised.

Severity 5 = most serious. Source: official state record.

Inspections (64)

64 inspection record(s) on file from TX-HHSC.

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