DaycareLens
TexasSan Antonio › Little Wishes and Big Dreams Playhouse LTD

Little Wishes and Big Dreams Playhouse LTD

Child care center · 19274 REDLAND RD, San Antonio, TX 78259-3341 · License 1753535

0Compliance score
Poor

Capacity 219. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (216)

SeverityDateStandard / narrativeCorrected
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
A bottle of air freshner was observed on top of the papertowel dispenser making it accessible to children in the pre-k. Note: This was CORRECTED AT INSPECTION when the air freshner was moved into a cabinet that was out of reach of children.
Yes
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One caregiver without an eligible background check was present in the classroom with children and another staff. Note.This was corrected when the staff was asked to leave and they left the property.
Yes
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A 3yr old child was grabbed with their hands over their head by a caregiver and drug across the room to the door leading to the outdoor playground. *Caregiver is not longer on staff.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver grabbed a 2yr old child by the shoulder and chin hard enough to have the 2yr old off balance. *Management terminated the caregiver when it was brought to their attention*
5 746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information gathered in the investigation, a caregiver was yelling at children as a form of discipline.
4 746.4001(5) - First Aid Kit - Inaccessible to Children
A 3yr old child had access to the first aid kit.
4 746.605(13) - Required Admission Information - Special Needs Statement
One child did not have a completed special needs statement.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Based on the information gathered it was determined that one of the staff member's first aid certificate was expired at the time of the incident.
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
A caregiver left a 3yr old child unattended in the restroom after a restroom break. Same caregiver left a different 3yr child on the indoor playground unattended while returning from that restroom break. *This caregiver is no longer with the operation. Operation had developed new plan with name to face checks.
5 746.3807(1) - Storage of Medication - Inaccessible to Children
A 3yr old child had access to an aspirin from the first aid kit. *The child did not swallow the pill. All aspirin were removed from the first aid kits.
4 746.4103(b) - Policies for Release of Children - Record Identity of Person
During the course of this investigation, it was determined that the operation staff did not follow their policy for release of children when a copy of the pick-up persons ID was not saved and placed in the child's file.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
The operation displayed poor judgement by not notifying the parent that their child was drug across the room by a caregiver to the outdoor playground.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Caregiver grabbed a 4yr old child by the arm leaving a mark on the arm. *Dir terminated the caregiver after reviewing video*
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
A diaper changing mat was torn.
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver did not know how many children were in her care when asked by CCR.
5 746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
The operation had a fire extinguisher in the van, however the fire extinguisher was not secure in the van.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was seen transporting children without an active background check.
3 746.3601(1) - Illness Preventing Care - Child Cannot Participate Comfortably
Based on evidence gathered, staff allowed an ill toddler to remain in care although the child had obvious symptoms of illness over the course of the course of multiple days and was inconsolable, which prevented him from participating in care. The operation did not follow their own written illness policy which stated they would require parent to pick up child if ill and/or if the child is "crying for longer than 1 hour without ability to be consoled."
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation did not have documented that they conducted the fire drill for the past month.
4 746.5537(a)(3) - Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation
The carbon monoxide detector was not documented as being completed.
3 746.2501(2) - Care Requirements for Toddlers -Same Caregiver Regularly
Based on evidence gathered, staff did not ensure a toddler was cared for by their regular when they decided to move the toddler to another room with a different caregiver because the toddler's assigned caregiver felt uncomfortable taking care of the toddler when the toddler was sick.
4 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
An infant child was served food that was an identified allergy. *The operation has developed a new serving policy that has a picture of the child, what the allergy is, and action to take if exposed.
4 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
Based on evidence gathered, at least three caregivers who were responsible for a toddler at different times throughout the day, did not share pertinent information with each other regarding marks/bumbs seen on the toddler and incidents the toddler was involved in during their shift with the toddler.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two out of ten staff files did not have the full 24hrs of training at review.
5 746.1201(2) - Responsibilities of Employees and Caregivers -Relate to Children
Caregiver did not relate to a child with patience or courtesy with the interaction of making the child cry by grabbing them multiple times leaving a mark. *Dir terminated the caregiver after reviewing video*
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
A caregiver had an infant in a highchair without being strapped in the seat. *This was corrected at 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
A caregiver was unaware that a 3yr old child had acquired an aspirin from a first aid kit.
4 746.4103(b) - Policies for Release of Children - Record Identity of Person
During the course of this investigation, it was determined that the operation staff did not follow their policy for release of children when a copy of the pick-up persons ID was not saved and placed in the child's file.
3 746.3601(1) - Illness Preventing Care - Child Cannot Participate Comfortably
Based on evidence gathered, staff allowed an ill toddler to remain in care although the child had obvious symptoms of illness over the course of the course of multiple days and was inconsolable, which prevented him from participating in care. The operation did not follow their own written illness policy which stated they would require parent to pick up child if ill and/or if the child is "crying for longer than 1 hour without ability to be consoled."
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Based on the information gathered it was determined that one of the staff member's first aid certificate was expired at the time of the incident.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation did not have documented that they conducted the fire drill for the past month.
4 746.4001(5) - First Aid Kit - Inaccessible to Children
A 3yr old child had access to the first aid kit.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was seen transporting children without an active background check.
5 746.1201(2) - Responsibilities of Employees and Caregivers -Relate to Children
Caregiver did not relate to a child with patience or courtesy with the interaction of making the child cry by grabbing them multiple times leaving a mark. *Dir terminated the caregiver after reviewing video*
5 746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
The operation had a fire extinguisher in the van, however the fire extinguisher was not secure in the van.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
A diaper changing mat was torn.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two out of ten staff files did not have the full 24hrs of training at review.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Caregiver grabbed a 4yr old child by the arm leaving a mark on the arm. *Dir terminated the caregiver after reviewing video*
3 746.2501(2) - Care Requirements for Toddlers -Same Caregiver Regularly
Based on evidence gathered, staff did not ensure a toddler was cared for by their regular when they decided to move the toddler to another room with a different caregiver because the toddler's assigned caregiver felt uncomfortable taking care of the toddler when the toddler was sick.
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
A caregiver was unaware that a 3yr old child had acquired an aspirin from a first aid kit.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
The operation displayed poor judgement by not notifying the parent that their child was drug across the room by a caregiver to the outdoor playground.
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
A caregiver left a 3yr old child unattended in the restroom after a restroom break. Same caregiver left a different 3yr child on the indoor playground unattended while returning from that restroom break. *This caregiver is no longer with the operation. Operation had developed new plan with name to face checks.
4 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
Based on evidence gathered, at least three caregivers who were responsible for a toddler at different times throughout the day, did not share pertinent information with each other regarding marks/bumbs seen on the toddler and incidents the toddler was involved in during their shift with the toddler.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One caregiver without an eligible background check was present in the classroom with children and another staff. Note.This was corrected when the staff was asked to leave and they left the property.
Yes
4 746.605(13) - Required Admission Information - Special Needs Statement
One child did not have a completed special needs statement.
4 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
An infant child was served food that was an identified allergy. *The operation has developed a new serving policy that has a picture of the child, what the allergy is, and action to take if exposed.
4 746.5537(a)(3) - Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation
The carbon monoxide detector was not documented as being completed.
5 746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information gathered in the investigation, a caregiver was yelling at children as a form of discipline.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver grabbed a 2yr old child by the shoulder and chin hard enough to have the 2yr old off balance. *Management terminated the caregiver when it was brought to their attention*
5 746.3807(1) - Storage of Medication - Inaccessible to Children
A 3yr old child had access to an aspirin from the first aid kit. *The child did not swallow the pill. All aspirin were removed from the first aid kits.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A 3yr old child was grabbed with their hands over their head by a caregiver and drug across the room to the door leading to the outdoor playground. *Caregiver is not longer on staff.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
A caregiver had an infant in a highchair without being strapped in the seat. *This was corrected at inspection*
Yes
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
A bottle of air freshner was observed on top of the papertowel dispenser making it accessible to children in the pre-k. Note: This was CORRECTED AT INSPECTION when the air freshner was moved into a cabinet that was out of reach of children.
Yes
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver did not know how many children were in her care when asked by CCR.
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
A bottle of air freshner was observed on top of the papertowel dispenser making it accessible to children in the pre-k. Note: This was CORRECTED AT INSPECTION when the air freshner was moved into a cabinet that was out of reach of children.
Yes
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
The operation displayed poor judgement by not notifying the parent that their child was drug across the room by a caregiver to the outdoor playground.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver grabbed a 2yr old child by the shoulder and chin hard enough to have the 2yr old off balance. *Management terminated the caregiver when it was brought to their attention*
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was seen transporting children without an active background check.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Based on the information gathered it was determined that one of the staff member's first aid certificate was expired at the time of the incident.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation did not have documented that they conducted the fire drill for the past month.
5 746.1201(2) - Responsibilities of Employees and Caregivers -Relate to Children
Caregiver did not relate to a child with patience or courtesy with the interaction of making the child cry by grabbing them multiple times leaving a mark. *Dir terminated the caregiver after reviewing video*
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
A caregiver had an infant in a highchair without being strapped in the seat. *This was corrected at inspection*
Yes
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two out of ten staff files did not have the full 24hrs of training at review.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Caregiver grabbed a 4yr old child by the arm leaving a mark on the arm. *Dir terminated the caregiver after reviewing video*
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One caregiver without an eligible background check was present in the classroom with children and another staff. Note.This was corrected when the staff was asked to leave and they left the property.
Yes
3 746.2501(2) - Care Requirements for Toddlers -Same Caregiver Regularly
Based on evidence gathered, staff did not ensure a toddler was cared for by their regular when they decided to move the toddler to another room with a different caregiver because the toddler's assigned caregiver felt uncomfortable taking care of the toddler when the toddler was sick.
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver did not know how many children were in her care when asked by CCR.
3 746.3601(1) - Illness Preventing Care - Child Cannot Participate Comfortably
Based on evidence gathered, staff allowed an ill toddler to remain in care although the child had obvious symptoms of illness over the course of the course of multiple days and was inconsolable, which prevented him from participating in care. The operation did not follow their own written illness policy which stated they would require parent to pick up child if ill and/or if the child is "crying for longer than 1 hour without ability to be consoled."
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
A caregiver left a 3yr old child unattended in the restroom after a restroom break. Same caregiver left a different 3yr child on the indoor playground unattended while returning from that restroom break. *This caregiver is no longer with the operation. Operation had developed new plan with name to face checks.
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
A caregiver was unaware that a 3yr old child had acquired an aspirin from a first aid kit.
5 746.3807(1) - Storage of Medication - Inaccessible to Children
A 3yr old child had access to an aspirin from the first aid kit. *The child did not swallow the pill. All aspirin were removed from the first aid kits.
4 746.4103(b) - Policies for Release of Children - Record Identity of Person
During the course of this investigation, it was determined that the operation staff did not follow their policy for release of children when a copy of the pick-up persons ID was not saved and placed in the child's file.
4 746.605(13) - Required Admission Information - Special Needs Statement
One child did not have a completed special needs statement.
4 746.4001(5) - First Aid Kit - Inaccessible to Children
A 3yr old child had access to the first aid kit.
4 746.5537(a)(3) - Electronic or Battery-Operated Carbon Monoxide Detector-Document Test Date, Battery Installation Date, and Staff Name Testing and Installation
The carbon monoxide detector was not documented as being completed.
4 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
Based on evidence gathered, at least three caregivers who were responsible for a toddler at different times throughout the day, did not share pertinent information with each other regarding marks/bumbs seen on the toddler and incidents the toddler was involved in during their shift with the toddler.
5 746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
The operation had a fire extinguisher in the van, however the fire extinguisher was not secure in the van.
5 746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling
Based on information gathered in the investigation, a caregiver was yelling at children as a form of discipline.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A 3yr old child was grabbed with their hands over their head by a caregiver and drug across the room to the door leading to the outdoor playground. *Caregiver is not longer on staff.
4 746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child
An infant child was served food that was an identified allergy. *The operation has developed a new serving policy that has a picture of the child, what the allergy is, and action to take if exposed.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
A diaper changing mat was torn.
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
A caregiver left a 3yr old child unattended in the restroom after a restroom break. Same caregiver left a different 3yr child on the indoor playground unattended while returning from that restroom break. *This caregiver is no longer with the operation. Operation had developed new plan with name to face checks.
5 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
A caregiver did not know how many children were in her care when asked by CCR.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
The operation displayed poor judgement by not notifying the parent that their child was drug across the room by a caregiver to the outdoor playground.
4 746.5205(1) - Fire Drill Monthly - Exit in 3 Minutes
The operation did not have documented that they conducted the fire drill for the past month.
3 746.1309(a) - Documented Annual Training Area - 24 Hours Required
Two out of ten staff files did not have the full 24hrs of training at review.
5 746.5617(a)(5) - Required Equipment in Vehicles - Fire Extinguisher
The operation had a fire extinguisher in the van, however the fire extinguisher was not secure in the van.
3 746.3601(1) - Illness Preventing Care - Child Cannot Participate Comfortably
Based on evidence gathered, staff allowed an ill toddler to remain in care although the child had obvious symptoms of illness over the course of the course of multiple days and was inconsolable, which prevented him from participating in care. The operation did not follow their own written illness policy which stated they would require parent to pick up child if ill and/or if the child is "crying for longer than 1 hour without ability to be consoled."
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
A caregiver was unaware that a 3yr old child had acquired an aspirin from a first aid kit.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
Caregiver grabbed a 4yr old child by the arm leaving a mark on the arm. *Dir terminated the caregiver after reviewing video*
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
A caregiver had an infant in a highchair without being strapped in the seat. *This was corrected at inspection*
Yes
4 746.4103(b) - Policies for Release of Children - Record Identity of Person
During the course of this investigation, it was determined that the operation staff did not follow their policy for release of children when a copy of the pick-up persons ID was not saved and placed in the child's file.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A caregiver grabbed a 2yr old child by the shoulder and chin hard enough to have the 2yr old off balance. *Management terminated the caregiver when it was brought to their attention*
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A caregiver was seen transporting children without an active background check.
5 746.2805(3) - Prohibited Punishments - Grabbing and Pulling
A 3yr old child was grabbed with their hands over their head by a caregiver and drug across the room to the door leading to the outdoor playground. *Caregiver is not longer on staff.
4 746.1203(10) - Responsibilities of Caregivers - Share Information with Incoming Caregivers
Based on evidence gathered, at least three caregivers who were responsible for a toddler at different times throughout the day, did not share pertinent information with each other regarding marks/bumbs seen on the toddler and incidents the toddler was involved in during their shift with the toddler.
4 746.3503(a) - Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
A diaper changing mat was torn.
5 746.3807(1) - Storage of Medication - Inaccessible to Children
A 3yr old child had access to an aspirin from the first aid kit. *The child did not swallow the pill. All aspirin were removed from the first aid kits.
5 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
A bottle of air freshner was observed on top of the papertowel dispenser making it accessible to children in the pre-k. Note: This was CORRECTED AT INSPECTION when the air freshner was moved into a cabinet that was out of reach of children.
Yes
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Based on the information gathered it was determined that one of the staff member's first aid certificate was expired at the time of the incident.

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

Inspections (136)

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

Nearby alternatives

FacilityScoreCityDistance
Circle School 0 San Antonio
St. Paul's Lutheran Child Development Center 0 San Antonio
Marbach Christian Church DCC 0 San Antonio
Life Church Child Development Center 0 San Antonio
Concordia Lutheran Child Care Center 0 San Antonio
Central Christian Child Development Center 0 San Antonio

Licensed facilities near this one, highest compliance score first.

Get violation alerts for this daycare

We'll email you when a new inspection or violation is posted. Free.