Carino Child Care Center
435 SIMS AVE, San Antonio, TX 78225 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 60
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-06:00 PM
- Director / administrator
- Martha Enriquez
- Phone
- (210) 533-6026
- Regulated since
- Apr 1, 1987
- HHSC IDs
- Operation 96878 · number 135645
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 5 | 1 | Illness & medication (1), Safety & premises (1), Staff background & training (1), Other (2) |
| 2025 | 2 | 0 | Illness & medication (1), Staff background & training (1) |
| 2024 | 3 | 1 | Supervision & ratios (2), Other (1) |
| 2023 | 4 | 1 | Safety & premises (1), Staff background & training (3) |
| 2022 | 5 | 2 | Supervision & ratios (2), Staff background & training (2), Other (1) |
| 2021 | 9 | 3 | Safety & premises (3), Staff background & training (2), Other (4) |
Inspections, investigations & assessments
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Sep 4, 2026 Inspection · Deficiencies cited
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Staff background & training
Two out of five staff files evaluated did not have training available for review for Responding to Food Allergies and Handling Hazardous Materials.
HHSC 746.1309(f) — Documented Annual Training - Remaining training hour topics
HHSC risk weight: Medium. Corrected 2026-10-02.
-
Other Serious
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.
HHSC 746.2501(5) — Care Requirements for Toddlers - Free from Choking Objects That May Cause Choking in Infants or Toddlers
HHSC risk weight: High. Corrected at inspection. Corrected 2026-09-04.
-
Safety & premises
During inspection, three outlets were observed without safety covers. Note: This was corrected at inspection when safety covers were placed in the outlets.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2026-09-04.
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Other
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.
HHSC 746.4135(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-09-04.
-
Illness & medication
One out of five children's files evaluated did not have current immunization records on file.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2026-10-02.
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Staff background & training
-
Sep 8, 2025 Inspection · Deficiencies cited
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Staff background & training
The Director did not have SIDS/Shaken Baby Syndrome Training certificate available for review.
HHSC 746.1311(d) — Director Annual Training - Caring for children under 24 months
HHSC risk weight: Medium High. Corrected 2025-09-22. Correction verified 2025-09-15.
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Illness & medication
One out of six children files reviewed did not have current immunzations on file available for review.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2025-09-22. Correction verified 2025-09-15.
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Staff background & training
-
Oct 2, 2024 Inspection · Deficiencies cited
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Other
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.
HHSC 746.4135(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-10-02.
-
Supervision & ratios
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.
HHSC 746.5603(c) — Types of Vehicles Used to Transport Children - Be Maintained Safely
HHSC risk weight: Medium High. Corrected 2024-11-04. Correction verified 2024-11-08.
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Supervision & ratios Serious
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.
HHSC 746.5617(a)(4) — Required Equipment in Vehicles - Emergency Telephone Numbers for Each Child
HHSC risk weight: High. Corrected at inspection. Corrected 2024-10-02.
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Other
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Nov 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 2, 2023 Inspection · Deficiencies cited
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Staff background & training Serious
A caregiver was present without an active background check. Caregiver has worked at operation since August/2023.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2023-11-02. Correction verified 2023-11-15.
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Safety & premises
There was no emergency preparedness plan that lists required procedures mandated per minimum standards.
HHSC 746.5202(1) — Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
HHSC risk weight: Medium High. Corrected 2023-11-30. Correction verified 2023-12-15.
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Staff background & training
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.
HHSC 746.901(2) — Required Personnel Records- Meets Requirements
HHSC risk weight: Medium. Corrected 2023-11-16. Correction verified 2023-11-15.
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Staff background & training
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.
HHSC 746.901(5) — Required Personnel Records- Training Hours
HHSC risk weight: Medium. Corrected 2023-11-30. Correction verified 2024-01-15.
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Staff background & training Serious
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Nov 16, 2022 Inspection · Deficiencies cited
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Staff background & 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.
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-11-30. Correction verified 2022-11-28.
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Other
The most current health inspection was last conducted on 10/7/2021 and has not been scheduled.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2022-12-07. Correction verified 2022-11-28.
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Supervision & ratios
There was no written procedure regarding the release of children in the operational policies/parent handbook.
HHSC 746.501(a)(2) — Written Operational Policies - Release of Children
HHSC risk weight: Medium. Corrected 2022-11-30. Correction verified 2022-11-29.
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Supervision & ratios Serious
There was no written safe sleep for infants procedure in the operational policies/parent handbook.
HHSC 746.501(a)(9) — Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
HHSC risk weight: High. Corrected 2022-11-30. Correction verified 2022-11-29.
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Staff background & training
-
Mar 8, 2022 Inspection · Deficiencies cited
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Staff background & training Serious
An employee was present without a cleared background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2022-03-10. Correction verified 2022-03-08.
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Staff background & training Serious
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Dec 22, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 7, 2021 Inspection · Deficiencies cited
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Other Serious
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.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2021-12-07. Correction verified 2021-12-21.
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Other
A caregiver was on her phone while responsible for a group of children in care.
HHSC 746.1203(6) — Responsibilities of Caregivers - Free of other activities
HHSC risk weight: Medium High. Corrected 2021-12-07. Correction verified 2021-12-21.
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Staff background & training
Caregiver's lacked training in SIDS, Shaken Baby syndrome and understanding early childhood brain development.
HHSC 746.1309(d) — Documented Annual Training - Caregivers of Children Under 24 Months Required
HHSC risk weight: Medium High. Corrected 2021-12-14. Correction verified 2021-12-21.
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Safety & premises
One infant crib was not labeled with child's name. Note: Corrected at inspection when caregiver wrote infant name on the crib.
HHSC 746.2409(a)(10) — Safety Requirements for Cribs - Label for Each Infant
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-12-07.
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Safety & premises
The PVC pipe around the playground was not installed properly, creating a tripping hazard.
HHSC 746.3701 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-03-04. Correction verified 2022-03-08.
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Other Serious
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.
HHSC 746.3701(8) — Safety - Bodies of Water Inaccessible to Children
HHSC risk weight: High. Corrected at inspection. Corrected 2021-12-07.
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Other
The children's product form has not been re-certified, as required.
HHSC 746.4135(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2021-12-14. Correction verified 2021-12-21.
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Safety & premises
The pea gravel installed on the playground slide is not meeting the 6 inches of loose fill, as required by licensing.
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2022-03-04. Correction verified 2022-03-08.
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Other Serious
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Nov 3, 2021 Report · No deficiencies cited
No violations cited on this visit.
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Sep 19, 2021 Report · Deficiencies cited
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Staff background & training Serious
An employee at the operation was present without a cleared background check.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2021-11-10. Correction verified 2021-11-10.
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Staff background & training Serious
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.