Hands N Hands Childcare
538 Surrey Ave, San Antonio, TX
We are a directory, not the daycare. We cannot hold a spot, enroll a child or answer questions about care.
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Carino Child Care Center is a licensed child care center in San Antonio, Texas. The state has permitted it since April 1, 1987, for up to 60 children, serving infants, toddlers, preschoolers and school-age children.
It is open Monday to Friday, 7:00 AM to 6:00 PM.
Texas Health and Human Services, Child Care Regulation made 5 visits in the last 3 years and cited 14 rules across 4 of them. The visit list, in the state's words, is below.
Hours
| MondayToday | 7:00 AM to 6:00 PM |
|---|---|
| Tuesday | 7:00 AM to 6:00 PM |
| Wednesday | 7:00 AM to 6:00 PM |
| Thursday | 7:00 AM to 6:00 PM |
| Friday | 7:00 AM to 6:00 PM |
| Saturday | Not listed |
| Sunday | Not listed |
Programs
| Ages | Infants, toddlers, preschoolers and school-age childrenFrom the state license |
|---|---|
| Child care subsidy | Accepts state child care subsidiesFrom the state license |
| Licensed capacity | 60 childrenFrom the state license |
Cost
Carino Child Care Center has not listed its tuition. For comparison, full-time infant care at a child care center in Bexar County has a median price of $171 a week (U.S. Department of Labor, 2022).
State record
5 visits in the last 3 years · Last visit Sep 4, 2026: 5 rules cited
Rules cited on 4 of 5 visits · 14 rules in all · 12 corrected
For comparison: 78% of Texas daycares had at least one rule cited in the last 3 years; the typical daycare had 3.
A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.
Own this daycare? Add your response to the state record
746.3701 - 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 during the visit
746.2501(5) - 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 during the visit
746.603(a)(4) - Children's Records - Immunizations
“One out of five children's files evaluated did not have current immunization records on file.”
Correction date in the state record: Oct 2, 2026
746.1309(f) - 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.”
Correction date in the state record: Oct 2, 2026
746.4135(b) - 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.”
Corrected during the visit
746.1311(d) - Director Annual Training - Caring for children under 24 months
“The Director did not have SIDS/Shaken Baby Syndrome Training certificate available for review.”
The state verified the correction on Sep 15, 2025
746.603(a)(4) - Children's Records - Immunizations
“One out of six children files reviewed did not have current immunzations on file available for review.”
The state verified the correction on Sep 15, 2025
746.5617(a)(4) - 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.”
Corrected during the visit
746.5603(c) - 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.”
The state verified the correction on Nov 8, 2024
746.4135(b) - 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.”
Corrected during the visit
746.5202(1) - Emergency Preparedness Plan - Evacuation, relocation, and sheltering/lock-down procedures
“There was no emergency preparedness plan that lists required procedures mandated per minimum standards.”
The state verified the correction on Dec 15, 2023
746.901(5) - 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.”
The state verified the correction on Jan 15, 2024
745.641 - 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.”
The state verified the correction on Nov 15, 2023
746.901(2) - 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.”
The state verified the correction on Nov 15, 2023
746.501(a)(2) - Written Operational Policies - Release of Children
“There was no written procedure regarding the release of children in the operational policies/parent handbook.”
The state verified the correction on Nov 29, 2022
746.1301(6)(A) - 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.”
The state verified the correction on Nov 28, 2022
746.3401(a) - Annual Sanitation Inspection
“The most current health inspection was last conducted on 10/7/2021 and has not been scheduled.”
The state verified the correction on Nov 28, 2022
746.501(a)(9) - 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.”
The state verified the correction on Nov 29, 2022
745.641 - 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.”
The state verified the correction on Mar 8, 2022
746.1203(6) - Responsibilities of Caregivers - Free of other activities
“A caregiver was on her phone while responsible for a group of children in care.”
The state verified the correction on Dec 21, 2021
746.2409(a)(10) - 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.”
Corrected during the visit
746.3701 - Safety - Areas Free From Hazards
“The PVC pipe around the playground was not installed properly, creating a tripping hazard.”
The state verified the correction on Mar 8, 2022
746.3701(8) - 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.”
Corrected during the visit
746.1309(d) - 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.”
The state verified the correction on Dec 21, 2021
746.1203(2) - 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.”
The state verified the correction on Dec 21, 2021
746.4135(b) - Children's Products- Annual Certification
“The children's product form has not been re-certified, as required.”
The state verified the correction on Dec 21, 2021
746.4907(a)(1) - 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.”
The state verified the correction on Mar 8, 2022
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
“An employee at the operation was present without a cleared background check.”
The state verified the correction on Nov 10, 2021
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FAQ
Yes. Texas Health and Human Services, Child Care Regulation lists it as licensed and operating, with a permit issued April 1, 1987.
Texas Health and Human Services, Child Care Regulation lists the most recent visit on September 4, 2026, with 5 rules cited. It lists 5 visits in the last 3 years.
Yes. Inspectors cited 14 rules across 4 of 5 visits in the last 3 years; 12 show a correction in the state record. For comparison: 78% of Texas daycares had at least one rule cited in the last 3 years; the typical daycare had 3. A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.
60, the licensed capacity on the state record. It is licensed to serve infants, toddlers, preschoolers and school-age children.
Yes. The state record says it accepts child care subsidies.
Monday to Friday, 7:00 AM to 6:00 PM. These are the hours on the state record. Holiday hours can differ.
It has not listed its tuition. Call (210) 533-6026 to ask.
(210) 533-6026.
435 Sims Ave, San Antonio, TX 78225. The nearest other daycare we list is Hands N Hands Childcare, 0.3 miles away.