- Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Inspector's note: During the investigation, it was determined that staff used improper techniques when responding to a medical incident. Risk level: High. Corrected by 2026-08-25.
Licensed Center · Texas
Madison Square Child Development Center
319 Camden St, San Antonio
Last inspected Aug 20, 2026 · Map
About this program
- Licensed capacity
- 85
- Ages served
- Infant,Toddler,Pre-Kindergarten,School
- Hours
- 06:30 AM-08:00 PM
- Days
- Mon,Tue,Wed,Thu,Fri
- Programs
- School Age Care,Meals Provided ,Snacks Provided,Drop-In Care,Part Time Care,Field Trips
- Accepts child care subsidies
- Yes
- License type
- Full Permit
- Issued
- Nov 4, 1985
- Phone
- 2102261920
No adverse action, corrective action or permit conditions on record.
State compliance summary
How many deficiencies Texas has recorded for this program, by risk level. This is not a quality rating: it describes compliance with the state’s minimum licensing standards.
Inspection history
No infractions recorded at this inspection.
- Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Inspector's note: During the investigation, it was determined that staff used improper techniques when responding to a medical incident. Risk level: High. Corrected by 2026-08-25.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Inspector's note: 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. Risk level: High. Corrected by 2026-07-08.
No infractions recorded at this inspection.
- Critical Safety Requirements for Active Play Equipment - No Pinch, Crush, or Shear Points
Inspector's note: 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. Risk level: High. Corrected during the inspection. - Critical Responsibilities of Caregivers - Know number of children responsible for
Inspector's note: The teacher in the PreK3 classroom stated there were 15 children in care. After verifying there were 16 children in care. Risk level: High. Corrected by 2026-02-17.
- Critical Immunization Records, Exceptions, and Exemptions Current
Inspector's note: One of the four children files was missing an updated immunization record. Risk level: Medium High. Corrected by 2026-03-09.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Non-critical Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Inspector's note: 1 child's file is missing a health statement for review during the inspection. Risk level: Low. Corrected by 2025-05-09.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Critical Children Handwashing After Toileting or Diapering
Inspector's note: When reviewing the video it was observed of a child not washing hands after getting diaper changed. Risk level: Medium High. Corrected by 2025-03-21. - Critical Employee Handwashing After Diapering a Child
Inspector's note: When reviewing the video it was observed that a caregiver did not wash her hands after changing a diaper. Risk level: Medium High. Corrected by 2025-03-21.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Critical Prohibited Punishments - Corporal Punishment
Inspector's note: It is found that a caregiver used prohibited punishment in the form of corporal punishment by spanking a child. Risk level: High. Corrected by 2024-08-26.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Inspector's note: It was found that a child was left unsupervised on the playground. Risk level: High. Corrected by 2024-02-09.
No infractions recorded at this inspection.
- Non-critical Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Inspector's note: The operation does not have a current monthly maintenance checklists available for review during an inspection. Risk level: Medium. Corrected by 2023-05-26. - Non-critical Required Personnel Records - Required Affidavit
Inspector's note: 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. Risk level: Medium Low. Corrected during the inspection. - Critical Required Admission Information - Emergency Contact
Inspector's note: 8 files were reviewed, 3 were found to be missing addresses for emergency contacts listed. Risk level: Medium High. Corrected by 2023-05-26. - Non-critical Children's Records - Immunizations
Inspector's note: 8 files were reviewed, 1 was found to be missing immunization records. Risk level: Medium. Corrected by 2023-05-26.
Records come from Texas Health and Human Services, Child Care Regulation. They describe conditions on the inspection date and may not reflect current conditions.