Find a program / Texas / San Antonio / Madison Square Child Development Center
Childcare center · San Antonio, TX
Madison Square Child Development Center
A licensed child care center in San Antonio, Texas, with its state inspection history from Texas Health and Human Services (HHSC).
Program details
Program type: Licensed child care center
Address: 319 CAMDEN ST, San Antonio, TX 78215
County: Bexar County
Phone: (210) 226-1920
Licensed to serve: Infant, Toddler, Pre-Kindergarten, School
Licensed capacity: 85 children
State ID (HHSC operation number): 40911
Permit: Full Permit, issued November 4, 1985
On corrective action (HHSC): No
On adverse action (HHSC): No
Corrective action and adverse action are formal steps Texas HHSC can take on a permit. The official record explains any that apply.
View the official record on Texas HHSC's child care search (or search operation number 40911 on the search page).
Inspection history
From November 12, 2023 to November 12, 2026
- 20 inspections
- 10 investigations
- 11 citations from these visits (risk level: High 6, Medium High 4, Low 1)
A citation means an inspector found a rule wasn't met at the time of the visit; many are corrected the same day. Read the official record for details.
Below is every visit in the state's files from November 19, 2021 to October 28, 2026, newest first: 44 visits and 18 citations in all, so the totals can be higher than the 3-year counts above. An investigation is a visit to look into a report or complaint; many find no citations. Risk level is the level Texas HHSC assigns to each rule, from low to high, as published. Technical assistance means the inspector gave guidance on the rule. The state's file does not say whether the "correct-by" date is a deadline or the day the problem was fixed, so it can fall after the verified date or in the future.
October 28, 2026 · Inspection · No citations
August 20, 2026 · Investigation (the program reported it to the state) · 1 citation
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Risk level: High · Correct-by date in the state file: August 25, 2026 · Correction verified: August 25, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
During the investigation, it was determined that staff used improper techniques when responding to a medical incident.
August 20, 2026 · Inspection · No citations
August 14, 2026 · Investigation · 1 citation
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Risk level: Medium High · Correct-by date in the state file: October 8, 2026 · Correction verified: October 28, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The infant bottles only had the first name on them at inspection.
August 7, 2026 · Inspection · No citations
June 17, 2026 · Inspection · No citations
June 16, 2026 · Investigation · No citations
June 12, 2026 · Inspection · No citations
June 9, 2026 · Investigation · 1 citation
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Risk level: High · Correct-by date in the state file: July 8, 2026 · Correction verified: August 7, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
February 23, 2026 · Inspection · No citations
February 17, 2026 · Inspection · 2 citations
746.4601(7) - Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
Risk level: High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Risk level: High · Correct-by date in the state file: February 17, 2026 · Correction verified: February 23, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care.
February 9, 2026 · Inspection · 1 citation
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Risk level: Medium High · Correct-by date in the state file: March 9, 2026 · Correction verified: February 10, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
One of the four children files was missing an updated immunization record.
July 29, 2025 · Inspection · No citations
July 21, 2025 · Investigation (the program reported it to the state) · No citations
April 1, 2025 · Inspection · 1 citation
746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Risk level: Low · Correct-by date in the state file: May 9, 2025 · Correction verified: April 8, 2025 · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
1 child's file is missing a health statement for review during the inspection.
March 5, 2025 · Inspection · No citations
February 28, 2025 · Inspection · No citations
February 26, 2025 · Investigation (the program reported it to the state) · 2 citations
746.3417(3) - Children Handwashing After Toileting or Diapering
Risk level: Medium High · Correct-by date in the state file: March 21, 2025 · Correction verified: April 1, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
When reviewing the video it was observed of a child not washing hands after getting diaper changed.
746.3415(4) - Employee Handwashing After Diapering a Child
Risk level: Medium High · Correct-by date in the state file: March 21, 2025 · Correction verified: April 1, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper.
December 16, 2024 · Inspection · No citations
December 12, 2024 · Investigation (the program reported it to the state) · No citations
September 30, 2024 · Inspection · No citations
September 6, 2024 · Inspection · No citations
August 1, 2024 · Inspection · No citations
July 30, 2024 · Investigation (the program reported it to the state) · 1 citation
746.2805(1) - Prohibited Punishments - Corporal Punishment
Risk level: High · Correct-by date in the state file: August 26, 2024 · Correction verified: September 6, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child.
May 6, 2024 · Inspection · No citations
April 25, 2024 · Inspection · No citations
April 17, 2024 · Investigation · No citations
February 14, 2024 · Inspection · No citations
February 7, 2024 · Investigation (the program reported it to the state) · 1 citation
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
Risk level: High · Correct-by date in the state file: February 9, 2024 · Correction verified: February 14, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
It was found that a child was left unsupervised on the playground.
February 7, 2024 · Inspection · No citations
May 31, 2023 · Inspection · No citations
May 16, 2023 · Inspection · 4 citations
746.603(a)(4) - Children's Records - Immunizations
Risk level: Medium · Correct-by date in the state file: May 26, 2023 · Correction verified: May 19, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
8 files were reviewed, 1 was found to be missing immunization records.
746.605(6) - Required Admission Information - Emergency Contact
Risk level: Medium High · Correct-by date in the state file: May 26, 2023 · Correction verified: May 19, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
8 files were reviewed, 3 were found to be missing addresses for emergency contacts listed.
746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Risk level: Medium · Correct-by date in the state file: May 26, 2023 · Correction verified: May 19, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The operation does not have a current monthly maintenance checklists available for review during an inspection.
746.901(4) - Required Personnel Records - Required Affidavit
Risk level: Medium Low · Corrected during the visit · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
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.
September 19, 2022 · Inspection · No citations
September 14, 2022 · Investigation · No citations
August 2, 2022 · Inspection · No citations
July 20, 2022 · Inspection · No citations
July 18, 2022 · Investigation · No citations
July 14, 2022 · Inspection · 3 citations
746.201(8) - Liability Insurance Maintained
Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Operation insurance notification in CLASS was due on 11/04/2021. Corrected during inspection, liability information was updated in CLASS during this inspection.
746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Risk level: Medium High · Correct-by date in the state file: July 28, 2022 · Correction verified: July 28, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
July 13, 2022 · Investigation · No citations
May 4, 2022 · Inspection · No citations
April 24, 2022 · Investigation · No citations
March 9, 2022 · Inspection · No citations
March 3, 2022 · Investigation (the program reported it to the state) · No citations
November 19, 2021 · Inspection · No citations
Is this your program?
Claiming is free. We show the state's record as the agency publishes it, so claiming doesn't change it; to correct the state's record, contact Texas HHSC. If we got something wrong on this page, we'll fix it. Claim this program
BackPR is registration and payment software for programs like this one: online enrollment and tuition payments, free for nonprofits (other programs get pricing by quote), with no BackPR fee on what families pay and free setup. Stripe's card fees apply. Create a BackPR account · Questions? Contact us
More programs in San Antonio · Texas child care rules
Sources
- HHSC CCL Daycare and Residential Operations Data: program details.
- HHSC CCL Inspection Investigation Assessment Data: visit dates and types.
- HHSC CCL Non-Compliance Data: citations, risk levels, corrections and inspector's notes.
All three are published by the Texas Health and Human Services Commission, Child Care Licensing, on data.texas.gov under CC0 1.0. State files updated November 12, 2026. We show the state's text as published, except that we restore apostrophes the files print as "?". Program details last checked October 21, 2026.