Respite Care of San Antonio

Caring for Children With Special Needs

Respite Care of San Antonio


Little girl with Down syndrome plays with play dough

Developmental Childcare Program

RCSA’s Developmental Childcare Program helps meet San Antonio’s need for early childhood education for children with special needs and complex medical conditions from six weeks to six years of age.

Nurse caregiver feeds infant with special needs in high chair

Residential Children's Homes

Respite Care of San Antonio provides consistent medical and compassionate care that helps heal trauma for children with complex medical conditions who have been removed from their homes due to suspected abuse or neglect.

Little girl with special needs rides in little car on playground

Community Respite Programs

Our Respite Programs have proven to reduce caregiver stress, strengthen families, and help prevent child abuse. Here, children with medical and special needs can improve motor/life skills and make developmental progress.

Respite Care of San Antonio

How We Are Unique


Respite Care of San Antonio is the ONLY organization in Texas that provides childcare services as well as state-licensed residential homes for children with complex medical conditions.

RCSA cares for children with special needs and complex medical conditions, such as congenital birth defects (e.g., spina bifida, Down syndrome, and heart defects), neonatal abstinence syndrome, fetal drug syndrome, abusive head trauma, cerebral palsy, and autism.

For the last 36 years, RCSA has helped thousands of families with respite care, strengthening the family bond, and helping their child reach new milestones! 

Respite Care of San Antonio


Respite Care of San Antonio




The staff is always so friendly – they genuinely love what they do, and it shows. It is so refreshing to finally experience an atmosphere where all children are celebrated equally and especially for a parent of a special needs child, that in itself, means the world.

Brian Biggs, Former Board Member

Seeing the faces of the kids, seeing them on the playground, hearing the sounds of joy and laughter, and knowing what they’ve been through…that makes it special. The chance to not only help those in need, but to see lives changed. The love, healing and growth that happens at Respite Care is something to behold.


It's amazing. They've given me that sense of comfort. A sense to know that it takes a village and … I've finally found my village


What I love about Respite is they put all the kids needs above their own. They focus on helping not just the children but the families as well. I didn’t think I could love a daycare as much as I do this place. We absolutely love it there!


When I come to Respite Care I know that when I leave my children there that they are in great hands. I know that they're going to get the same love and attention that I would give them if I was at home with them.

Sandra, RCSA Staff

What I love about RCSA is greeting the parents and listening to them talk about how their child is grown and learning. How staff is loving and understanding with their child.

Dana Terracina, Former Board Member

Respite Care was so important to me because … I was the one who was blessed by being a part of such a compassionate mission … My memories of Respite remind me always of the fragility of life but also of the courage and strength of the angels put in the care of the amazing Respite team. May God continue to bless them all.

Respite Care of San Antonio

News & Announcements


December 2022: News & Thank Yous

Thank You for Keeping our Children Warm! Thin Blue Line, Alamo City Chapter continued their tradition this year of donating coats to the children of […]
H-E-B volunteeers pass out Thanksgiving meals

November 2022: News & Thank Yous

Caring for Caregivers! Taking care of our caregivers is so rewarding! Thanks to donations from Christ Episcopal Church and our wonderful community, Respite Care staff […]

RCSA Board of Directors Unanimously Approves New CEO

Dear Respite Care Team Family of Supporters, The Board of Directors is excited to announce that that we have unanimously approved Rebecca Helterbrand to serve […]
Respite Care of San Antonio 35th Anniversary Gala

2022 RCSA 35th anniversary Gala

Our annual gala was held in late September with great fanfare! Sean and Claudia Elliott were honored for their immense service to our community’s children. […]
Child's painting of a polar bear on blue background

June 2022: News & Thank Yous

Thank You Neilsen Media! June 10, 2022 We’d like to give a huge thank you to our wonderful volunteers from Nielsen Media! They took time […]
Group of women smiling, wearing blue Autism t-shirts

May 2022: News & Thank YOUs

May 26, 2022 Please help us celebrate Ms. Christianna Wilson, who recently received her Bachelor’s Degree from New Mexico State University! Christianna completed her degree […]
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