Carino Child Care Center

A licensed child care center in San Antonio, Texas 78225

435 Sims Ave, San Antonio, Texas 78225. (210) 533-6026.

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

10 deficiencies cited in the last three years Middle in Bexar County: 5
2 rated High by Texas, its most serious level (needs attention)
9 inspections on record
4-Star Texas Rising Star rating

The last 24 months 10 deficiencies in 3 months of the last 36. Last cited Sep 2026. Most serious: High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5

Inspection (survey): A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation: What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels: Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status: Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity: The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

10 deficiencies cited in the last three years

The middle of the 768 child care providers in Bexar County had 5.

9 inspections on record. The latest, on Sep 4, 2026: 5 deficiencies cited.

Rated High by Texas: Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers, at the inspection on Sep 4, 2026

Rated High by Texas: Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child, at the inspection on Oct 2, 2024

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

10 deficiencies in 3 months of the last 36. Last cited Sep 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

10 deficiencies by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023												Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

Sep 4, 2026: inspection5 deficiencies

Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers

“During inspection, a bin in the Toddler classroom was observed with water beads accessible to the children. Note: This was corrected at inspection when the water beads were removed from the classroom and thrown away.”

Rule 746.2501(5). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 4, 2026.
Safety - Areas Free From Hazards

“During inspection, three outlets were observed without safety covers. Note: This was corrected at inspection when safety covers were placed in the outlets.”

Rule 746.3701. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 4, 2026.
Documented Annual Training - Remaining training hour topics

“Two out of five staff files evaluated did not have training available for review for Responding to Food Allergies and Handling Hazardous Materials.”

Rule 746.1309(f). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 23, 2026.
Children’s Products- Annual Certification

“The CPSC form was not certified annually. Note: This was corrected at inspection when the website was reviewed and a current certification form was posted.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 4, 2026.
Children’s Records - Immunizations

“One out of five children’s files evaluated did not have current immunization records on file.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2026. Correction verified: Oct 23, 2026.

Sep 8, 2025: inspection2 deficiencies

Director Annual Training - Caring for children under 24 months

“The Director did not have SIDS/Shaken Baby Syndrome Training certificate available for review.”

Rule 746.1311(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2025. Correction verified: Sep 15, 2025.
Children’s Records - Immunizations

“One out of six children files reviewed did not have current immunzations on file available for review.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 22, 2025. Correction verified: Sep 15, 2025.

Oct 2, 2024: inspection3 deficiencies

Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child

“There were three emergency medical transport and treatment authorization forms missing for children being transported. This was corrected at inspection when the operation placed the missing forms in the van.”

Rule 746.5617(a)(4). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 2, 2024.
Types of Vehicles Used to Transport Children - Be Maintained Safely

“At the time of inspection, one seatbelt in the van used for transportation has a seatbelt that is torn. The operation has been advised to not use the seat until repaired.”

Rule 746.5603(c). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2024. Correction verified: Nov 8, 2024.
Children’s Products- Annual Certification

“The Consumer Product Safety Commission (CPSC) product certification form posted was outdated. This was corrected at inspection when the Director reviewed current recalls and the updated certification form was posted.”

Rule 746.4135(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 2, 2024.

17 deficiencies older than three years

Nov 2, 2023: inspection4 deficiencies

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“A caregiver was present without an active background check. Caregiver has worked at operation since August/2023.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 2, 2023. Correction verified: Nov 15, 2023.
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures

“There was no emergency preparedness plan that lists required procedures mandated per minimum standards.”

Rule 746.5202(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Dec 15, 2023.
Required Personnel Records- Meets Requirements

“One of ten caregiver files did not have verification of education qualification met. One of ten caregiver files did not have a notarized employment affidavit.”

Rule 746.901(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 16, 2023. Correction verified: Nov 15, 2023.
Required Personnel Records- Training Hours

“One of ten caregiver files had 22.5 of the required 24 hours of annual training. One of ten caregiver files had 8.5 of the required 24 hours of annual training. While reviewing caregiver files, the director had 3 of the required 30 hours of annual training.”

Rule 746.901(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2023. Correction verified: Jan 15, 2024.

Nov 16, 2022: inspection4 deficiencies

Written Operational Policies - Safe Sleep for Infants 12 Months and Younger

“There was no written safe sleep for infants procedure in the operational policies/parent handbook.”

Rule 746.501(a)(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2022. Correction verified: Nov 29, 2022.
Training Requirements for Directors 30- Annual Training

“The director had verification of only 8 hours of annual training completed in her file. One of five caregivers had verification of 14 of 24 hours completed of required annual training hours.”

Rule 746.1301(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2022. Correction verified: Nov 28, 2022.
Annual Sanitation Inspection

“The most current health inspection was last conducted on 10/7/2021 and has not been scheduled.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2022. Correction verified: Nov 28, 2022.
Written Operational Policies - Release of Children

“There was no written procedure regarding the release of children in the operational policies/parent handbook.”

Rule 746.501(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2022. Correction verified: Nov 29, 2022.

Mar 8, 2022: inspection1 deficiency

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“An employee was present without a cleared background check.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2022. Correction verified: Mar 8, 2022.

Dec 7, 2021: inspection8 deficiencies

Responsibilities of Caregivers - Know Group Responsible For

“Caregiver did not know how many children were in care. Caregiver first stated she had 9 kids in care, then after inspector counted it was observed caregiver had 8 children in care.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2021. Correction verified: Dec 21, 2021.
Safety - Bodies of Water Inaccessible to Children

“A mop bucket filled with water was in the classroom accessible to children in care. Note: Corrected at inspection when caregiver moved the bucket into the kitchen.”

Rule 746.3701(8). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 7, 2021.
Responsibilities of Caregivers - Free of other activities

“A caregiver was on her phone while responsible for a group of children in care.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 7, 2021. Correction verified: Dec 21, 2021.
Documented Annual Training - Caregivers of Children Under 24 Months Required

“Caregiver’s lacked training in SIDS, Shaken Baby syndrome and understanding early childhood brain development.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2021. Correction verified: Dec 21, 2021.
Safety - Areas Free From Hazards

“The PVC pipe around the playground was not installed properly, creating a tripping hazard.”

Rule 746.3701. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 8, 2022.
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

“The pea gravel installed on the playground slide is not meeting the 6 inches of loose fill, as required by licensing.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 4, 2022. Correction verified: Mar 8, 2022.
Safety Requirements for Cribs - Label for Each Infant

“One infant crib was not labeled with child’s name. Note: Corrected at inspection when caregiver wrote infant name on the crib.”

Rule 746.2409(a)(10). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 7, 2021.
Children’s Products- Annual Certification

“The children’s product form has not been re-certified, as required.”

Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 14, 2021. Correction verified: Dec 21, 2021.

All 10 visits on record

Inspections, investigations and reports to the state
Date	Visit	What the record says
Sep 4, 2026	Inspection	5 deficiencies cited
Sep 8, 2025	Inspection	2 deficiencies cited
Oct 2, 2024	Inspection	3 deficiencies cited
Nov 15, 2023	Inspection	No violation found
Nov 2, 2023	Inspection	4 deficiencies cited
Nov 16, 2022	Inspection	4 deficiencies cited
Mar 8, 2022	Inspection	1 deficiency cited
Dec 22, 2021	Inspection	No violation found
Dec 7, 2021	Inspection	8 deficiencies cited
Nov 3, 2021	Report to the state	No violation found

Is it licensed?

Licensed Center, permit issued Apr 1, 1987.
Accepts state child care subsidies.
Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
Capacity: 60 children.

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

No corrective or adverse action by Texas on record.
1 report to the state on record; Texas doesn’t publish whether they were .

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 2026. Updated daily.

Who does the caring?

Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

Texas’s open data doesn’t list owners.

How is it rated?

Texas Rising Star: 4-Star (the highest of three levels).

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

Among 768 child care providers in Bexar County, the middle value for deficiencies cited in the last three years was 5; this one had 10.

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

11 of the 768 in Bexar County, as the source lists them, same ZIP code first
Place	Deficiencies, 3 years
Y School Age Graebner Elementary	1
San Antonio Cottage Child Dev. Center	18
Hands N Hands Childcare	12
Carino Child Care Center This child care provider	10
Crown of Life Lutheran School	3
Eleanor Rodriguez	2
Alamo Heights United Methodist Weekday School	12
Country Home Learning Center #1, Ltd.	5
Judson at Stahl Kindercare	21
La Petite Toepperwein	31
La Petite Academy Judson	4
Valley Hi Baptist Academy	49

What the record doesn’t say

Texas doesn’t publish whether a complaint was substantiated.
Texas rates some paperwork slips as High risk, so read what was actually cited.
Texas doesn’t publish staffing levels or owners for individual providers.

Sources

Texas Health and Human Services Commission, Child care operations (bc5r-88dy).

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Inspections and investigations (m5q4-3y3d).

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Health and Human Services Commission, Deficiencies (non-compliance data) (tqgd-mf4x).

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. Creative Commons 1.0 Universal (Public Domain Dedication).
Texas Workforce Commission, Subsidy providers and Texas Rising Star.

Released Nov 5, 2026 and checked Nov 5, 2026. Updated daily. No licence stated.

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.