17 were rated high or medium-high risk. All were marked corrected. Texas HHSC inspections since 2021.
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.
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.
What parents say online, cameras, food and extra costs, tuition, teacher turnover, your drop-off and pick-up traffic, plus the full record — researched, reviewed by a person, delivered by email.
| Date | Inspection | Result | Findings | Open | Evidence |
|---|---|---|---|---|---|
| Sep 4, 2026 | Inspection | Deficiencies cited | 5 | 0 | Verified |
| Sep 8, 2025 | Inspection | Deficiencies cited | 2 | 0 | Verified |
| Oct 2, 2024 | Inspection | Deficiencies cited | 3 | 0 | Verified |
| Nov 15, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
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.
8 answers need research — reviews, parent groups, the program’s website and traffic data. The report finds them for Carino Child Care Center.
Unlock — $12“Public record” rows come from state datasets. Missing information never means there is no issue.
Distilled into recurring themes, with dates and sources.
Unlock in the reportHistorical traffic at opening and closing, from every direction.
Unlock in the report| Nov 2, 2023 | Inspection | Deficiencies cited | 4 | 0 | Verified |
| Nov 16, 2022 | Inspection | Deficiencies cited | 4 | 0 | Verified |
| Mar 8, 2022 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Dec 22, 2021 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Dec 7, 2021 | Inspection | Deficiencies cited | 8 | 0 | Verified |
| Nov 3, 2021 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
Each finding links to its normalized violation type (all facilities with the same finding) and to the exact inspection.
| Date | Code | Severity | Status | Finding (source text) |
|---|---|---|---|---|
| Sep 4, 2026 | §746.3701 Safety hazards | Medium-high risk | Corrected | 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. |
| Sep 4, 2026 | §746.2501(5) Facilities & equipment | High risk | Corrected | 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. |
| Sep 4, 2026 | §746.1309(f) Staff qualifications & clearances | Medium risk | Corrected | 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. |
| Sep 4, 2026 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: One out of five children's files evaluated did not have current immunization records on file. |
| Sep 4, 2026 | §746.4135(b) Staff qualifications & clearances | Medium risk | Corrected | 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. |
| Sep 8, 2025 | §746.1311(d) Staff qualifications & clearances | Medium-high risk | Corrected | Director Annual Training - Caring for children under 24 months: The Director did not have SIDS/Shaken Baby Syndrome Training certificate available for review. |
| Sep 8, 2025 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: One out of six children files reviewed did not have current immunzations on file available for review. |
| Oct 2, 2024 | §746.4135(b) Staff qualifications & clearances | Medium risk | Corrected | 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. |
| Oct 2, 2024 | §746.5603(c) Supervision & ratios | Medium-high risk | Corrected | 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. |
| Oct 2, 2024 | §746.5617(a)(4) Supervision & ratios | High risk | Corrected | 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. |
| Nov 2, 2023 | §746.901(5) Staff qualifications & clearances | Medium risk | Corrected | 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. |
| Nov 2, 2023 | §746.901(2) Staff qualifications & clearances | Medium risk | Corrected | 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. |
| Nov 2, 2023 | §745.641 Supervision & ratios | High risk | Corrected | 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. |
| Nov 2, 2023 | §746.5202(1) Fire safety & emergency drills | Medium-high risk | Corrected | Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures: There was no emergency preparedness plan that lists required procedures mandated per minimum standards. |
| Nov 16, 2022 | §746.501(a)(2) Supervision & ratios | Medium risk | Corrected | Written Operational Policies - Release of Children: There was no written procedure regarding the release of children in the operational policies/parent handbook. |
| Nov 16, 2022 | §746.1301(6)(A) Staff qualifications & clearances | Medium-high risk | Corrected | 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. |
| Nov 16, 2022 | §746.3401(a) Sanitation & hygiene | Medium-high risk | Corrected | Annual Sanitation Inspection: The most current health inspection was last conducted on 10/7/2021 and has not been scheduled. |
| Nov 16, 2022 | §746.501(a)(9) Supervision & ratios | High risk | Corrected | 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. |
| Mar 8, 2022 | §745.641 Supervision & ratios | High risk | Corrected | 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. |
| Dec 7, 2021 | §746.1309(d) Staff qualifications & clearances | Medium-high risk | Corrected | 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. |
| Dec 7, 2021 | §746.4907(a)(1) Facilities & equipment | Medium-high risk | Corrected | 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. |
| Dec 7, 2021 | §746.1203(6) Records, permits & program | Medium-high risk | Corrected | Responsibilities of Caregivers - Free of other activities: A caregiver was on her phone while responsible for a group of children in care. |
| Dec 7, 2021 | §746.3701 Safety hazards | Medium-high risk | Corrected | Safety - Areas Free From Hazards: The PVC pipe around the playground was not installed properly, creating a tripping hazard. |
| Dec 7, 2021 | §746.1203(2) Other | High risk | Corrected | 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. |
| Dec 7, 2021 | §746.2409(a)(10) Facilities & equipment | Medium risk | Corrected | 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. |
| Dec 7, 2021 | §746.3701(8) Safety hazards | High risk | Corrected | 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. |
| Dec 7, 2021 | §746.4135(b) Staff qualifications & clearances | Medium risk | Corrected | Children's Products- Annual Certification: The children's product form has not been re-certified, as required. |
| Facility | Type | Operator | Capacity | Inspection findings | Last insp. | Dist. |
|---|---|---|---|---|---|---|
| Hands N Hands Childcare San Antonio, 78225 | Child care center | — | 93 | No records | — | 0.5 km |
| San Antonio Cottage Child Dev. Center San Antonio, 78225 | Child care center | — | 30 | No records | — | 0.5 km |
| Little Wonderland Childcare San Antonio, 78214 | Child care center | — | 112 | No records | — | 0.7 km |
| Y School Age Graebner Elementary San Antonio, 78225 | School-age program | — | 130 | No records | — | 1.0 km |
| Head Start-Avance San Antonio @ Fenley Center San Antonio, 78211 | Child care center | — | 208 | No records | — | 1.0 km |
| Avance-Ehs Early Education Center @ Fenley San Antonio, 78211 | Child care center | — | 32 | No records | — | 1.0 km |
| Source | Record | Facts | Evidence | Effective | Retrieved |
|---|---|---|---|---|---|
| Texas HHSC Operations TX | 96878 | name, type, status, capacity, ages, hours, address, phone, subsidies | Verified | — | Nov 5, 2026 |
| us_census_geocoder US | 435 SIMS AVE|SAN ANTONIO|TX|… | location Census Geocoder Exact match: 435 SIMS AVE, SAN ANTONIO, TX, 78225 | Verified | — | Nov 5, 2026 |
| tx_twc_subsidy_providers TX | 135645 | tx_rising_star_rating, accepts_cc_subsidy | Verified | Sep 18, 2026 | Nov 6, 2026 |
| tx_twc_ccs_facilities TX | row-mtu7_3sjw~xzca | monthlyamtpaid, accrdstatus, prekstandard, headstart | Historical | Jun 1, 2024 | Nov 6, 2026 |
| tx_tda_cacfp_centers TX | 02008-1001 | mealpreparationmethod, foodservicevendorname, enrolled_by_eligibility | Verified | — | Nov 6, 2026 |
| Texas HHSC Inspections | 905745477 | Verified | Sep 4, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905745476 | Verified | Sep 8, 2025 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905745475 | Verified | Oct 2, 2024 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905745474 | Verified | Nov 15, 2023 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905745473 | Verified | Nov 2, 2023 | Nov 5, 2026 |
Sources: Texas HHSC Operations, us_census_geocoder, tx_twc_subsidy_providers, tx_twc_ccs_facilities, tx_tda_cacfp_centers. Missing data never means no issue exists. Report a correction.