Carino Child Care Center

Licensed Center

Provider details

City / County / ZIP: San Antonio / Bexar / 78225
Street address: 435 Sims Ave
Phone: (210) 533-6026
Capacity: 60
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 07:00 AM-06:00 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: April 1, 1987
Operation status:: Active
Corrective action: HHSC lists: No
Adverse action: HHSC lists: No
Temporarily closed: HHSC lists: No

Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.

Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.

Summary of state inspection records

Texas HHSC records list 5 inspections dated between October 10, 2023 and October 10, 2026.

The most recent inspection in these records is dated September 4, 2026.

The same records list 14 cited deficiencies dated November 2, 2023 to September 4, 2026 (HHSC risk levels: 3 High, 4 Medium High, 7 Medium).

Correction status recorded by HHSC: 5 corrected at inspection, 9 with a correction date recorded, 0 with no correction date recorded.

HHSC lists a verified correction date for 7 of these citations.

The official HHSC record has the full inspection history and the latest information.

Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.

View the official state record · Report an issue with this page

Summary of the record

This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.

Texas Health and Human Services records list 14 cited deficiencies for Carino Child Care Center in the 3 years before October 10, 2026 (3 High, 4 Medium High, 7 Medium).

Records list 5 inspections in this window. Most recent inspection: 2026-09-04.

HHSC risk weights of citations
Risk weight	Citations
High	3
Medium High	4
Medium	7
Medium Low	0
Low	0
Unknown	0

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

2026-09-04 · 746.3701 · Medium High

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.

Corrected at inspection

2026-09-04 · 746.603(a)(4) · Medium

Children's Records - Immunizations

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

Correction date recorded: 2026-10-02

2026-09-04 · 746.2501(5) · High

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.

Corrected at inspection

Full citation history from HHSC (28)

2026-09-04 · 746.1309(f) · Medium
Documented Annual Training - Remaining training hour topics
Corrected at inspection: No. Correction date: 2026-10-02. Correction verified: Not recorded.
Two out of five staff files evaluated did not have training available for review for Responding to Food Allergies and Handling Hazardous Materials.
2026-09-04 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2026-09-04. Correction verified: Not recorded.
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.
2026-09-04 · 746.2501(5) · High
Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: Yes. Correction date: 2026-09-04. Correction verified: Not recorded.
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.
2026-09-04 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2026-10-02. Correction verified: Not recorded.
One out of five children's files evaluated did not have current immunization records on file.
2026-09-04 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: Yes. Correction date: 2026-09-04. Correction verified: Not recorded.
During inspection, three outlets were observed without safety covers. Note: This was corrected at inspection when safety covers were placed in the outlets.
2025-09-08 · 746.1311(d) · Medium High
Director Annual Training - Caring for children under 24 months
Corrected at inspection: No. Correction date: 2025-09-22. Correction verified: 2025-09-15.
The Director did not have SIDS/Shaken Baby Syndrome Training certificate available for review.
2025-09-08 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-09-22. Correction verified: 2025-09-15.
One out of six children files reviewed did not have current immunzations on file available for review.
2024-10-02 · 746.5617(a)(4) · High
Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
Corrected at inspection: Yes. Correction date: 2024-10-02. Correction verified: Not recorded.
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.
2024-10-02 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: Yes. Correction date: 2024-10-02. Correction verified: Not recorded.
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.
2024-10-02 · 746.5603(c) · Medium High
Types of Vehicles Used to Transport Children - Be Maintained Safely
Corrected at inspection: No. Correction date: 2024-11-04. Correction verified: 2024-11-08.
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.
2023-11-02 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2023-11-02. Correction verified: 2023-11-15.
A caregiver was present without an active background check. Caregiver has worked at operation since August/2023.
2023-11-02 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2023-11-16. Correction verified: 2023-11-15.
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.
2023-11-02 · 746.901(5) · Medium
Required Personnel Records- Training Hours
Corrected at inspection: No. Correction date: 2023-11-30. Correction verified: 2024-01-15.
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.
2023-11-02 · 746.5202(1) · Medium High
Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
Corrected at inspection: No. Correction date: 2023-11-30. Correction verified: 2023-12-15.
There was no emergency preparedness plan that lists required procedures mandated per minimum standards.
2022-11-16 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-12-07. Correction verified: 2022-11-28.
The most current health inspection was last conducted on 10/7/2021 and has not been scheduled.
2022-11-16 · 746.501(a)(2) · Medium
Written Operational Policies - Release of Children
Corrected at inspection: No. Correction date: 2022-11-30. Correction verified: 2022-11-29.
There was no written procedure regarding the release of children in the operational policies/parent handbook.
2022-11-16 · 746.1301(6)(A) · Medium High
Training Requirements for Directors 30- Annual Training
Corrected at inspection: No. Correction date: 2022-11-30. Correction verified: 2022-11-28.
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.
2022-11-16 · 746.501(a)(9) · High
Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
Corrected at inspection: No. Correction date: 2022-11-30. Correction verified: 2022-11-29.
There was no written safe sleep for infants procedure in the operational policies/parent handbook.
2022-03-08 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2022-03-10. Correction verified: 2022-03-08.
An employee was present without a cleared background check.
2021-12-07 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2021-12-07. Correction verified: 2021-12-21.
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.
2021-12-07 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2021-12-14. Correction verified: 2021-12-21.
Caregiver's lacked training in SIDS, Shaken Baby syndrome and understanding early childhood brain development.
2021-12-07 · 746.2409(a)(10) · Medium
Safety Requirements for Cribs - Label for Each Infant
Corrected at inspection: Yes. Correction date: 2021-12-07. Correction verified: Not recorded.
One infant crib was not labeled with child's name. Note: Corrected at inspection when caregiver wrote infant name on the crib.
2021-12-07 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2021-12-14. Correction verified: 2021-12-21.
The children's product form has not been re-certified, as required.
2021-12-07 · 746.3701(8) · High
Safety - Bodies of Water Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2021-12-07. Correction verified: Not recorded.
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.
2021-12-07 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-03-08.
The PVC pipe around the playground was not installed properly, creating a tripping hazard.
2021-12-07 · 746.1203(6) · Medium High
Responsibilities of Caregivers - Free of other activities
Corrected at inspection: No. Correction date: 2021-12-07. Correction verified: 2021-12-21.
A caregiver was on her phone while responsible for a group of children in care.
2021-12-07 · 746.4907(a)(1) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-03-08.
The pea gravel installed on the playground slide is not meeting the 6 inches of loose fill, as required by licensing.
2021-09-19 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2021-11-10. Correction verified: 2021-11-10.
An employee at the operation was present without a cleared background check.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=96878

Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.

Provider data fetched: October 10, 2026.