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.

  1. October 28, 2026 · Inspection · No citations

  2. 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.

  3. August 20, 2026 · Inspection · No citations

  4. 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.

  5. August 7, 2026 · Inspection · No citations

  6. June 17, 2026 · Inspection · No citations

  7. June 16, 2026 · Investigation · No citations

  8. June 12, 2026 · Inspection · No citations

  9. 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.

  10. February 23, 2026 · Inspection · No citations

  11. 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.

  12. 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.

  13. July 29, 2025 · Inspection · No citations

  14. July 21, 2025 · Investigation (the program reported it to the state) · No citations

  15. 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.

  16. March 5, 2025 · Inspection · No citations

  17. February 28, 2025 · Inspection · No citations

  18. 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.

  19. December 16, 2024 · Inspection · No citations

  20. December 12, 2024 · Investigation (the program reported it to the state) · No citations

  21. September 30, 2024 · Inspection · No citations

  22. September 6, 2024 · Inspection · No citations

  23. August 1, 2024 · Inspection · No citations

  24. 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.

  25. May 6, 2024 · Inspection · No citations

  26. April 25, 2024 · Inspection · No citations

  27. April 17, 2024 · Investigation · No citations

  28. February 14, 2024 · Inspection · No citations

  29. 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.

  30. February 7, 2024 · Inspection · No citations

  31. May 31, 2023 · Inspection · No citations

  32. 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.

  33. September 19, 2022 · Inspection · No citations

  34. September 14, 2022 · Investigation · No citations

  35. August 2, 2022 · Inspection · No citations

  36. July 20, 2022 · Inspection · No citations

  37. July 18, 2022 · Investigation · No citations

  38. 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.

  39. July 13, 2022 · Investigation · No citations

  40. May 4, 2022 · Inspection · No citations

  41. April 24, 2022 · Investigation · No citations

  42. March 9, 2022 · Inspection · No citations

  43. March 3, 2022 · Investigation (the program reported it to the state) · No citations

  44. November 19, 2021 · Inspection · No citations

View the official record

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More programs in San Antonio · Texas child care rules

Sources

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.

A listing is not an endorsement or a rating. The state's record is the official source: confirm licensing, inspections and program details with Texas HHSC and the program before you enroll a child. Report a problem with this page.