Childcare Program


Full-Time, High-Quality, Affordable Childcare

4-Star Certified - Texas Rising Star

Texas School Ready


Children with disabilities & complex medical conditions often require daily medical treatments that may disqualify them from enrolling in traditional childcare programs. Without a childcare option, children fall behind developmentally, and a parent may need to stay home to care for their child’s special needs. Underserved single parents are at greater risk of falling into financial distress when an affordable childcare option is unavailable.

Child with special needs sits with nurse smiles at camera

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

RCSA’s Childcare Program is Texas School Ready and a four-star-certified Texas Rising Star Provider, the highest possible rating.

Childcare is available Monday through Friday from 7 AM to 6 PM throughout the year at Christ Episcopal Church’s Family Ministry Center.

On-Site Nursing Care Available

Through a partnership with UT Health San Antonio, an on-site nurse provides daily treatments, such as G-tube feeding, seizure care, and wound management. Program staff develop and tailor lesson plans to meet the needs and capabilities of each child. The program team fosters a positive learning environment and provides outings and enrichment activities so children with disabilities experience opportunities often only available to their peers without a disability.

Cost of Developmental Childcare at RCSA

Respite Care accepts child care subsidies. If a family does not qualify for that financial assistance, another avenue is completing a hardship application for consideration of a reduction in fees. As a nonprofit, Respite Care fundraises to individuals, corporations and foundations while simultaneously seeking city, state and federal grants to cover as many costs as possible.

Respite Care's Childcare Fees

Age Group Weekly Rate
Infant (6 weeks - 17 months) $242.65
Toddler (18 - 35 months) $219.15
Preschool (3 - 5 years) $208.45
School Age (6 - 12 years) $201.15
Camps $201.15

If you qualify for CCS, CCA, or our financial hardship application, your rates will differ than those listed above.

Our Partnership
with UT Health San Antonio
  • UT Health operates a medical clinic on RCSA's campus
  • On-site UT Health nursing care for children in our Children’s Homes and Community Programs
  • Effective collaboration between UT Health team & RCSA's case managers

Eligibility for Services


To qualify for services, children must have a disability, however, parents and caregivers may enroll non-disabled siblings in RCSA’s programs to provide an inclusive learning environment, encourage a stable family unit, and for their convenience.

As of June 2024, RCSA’s on-site medical clinic is available to provide initial exams to families seeking to enroll in programs and need assistance completing the medical portion of the application. For more information, please contact Macie at (210) 738-1636.

The diagnoses/disabilities that qualify a child include but are not limited to:

    • Fetal Alcohol Syndrome/Affect
    • Down Syndrome
    • Cerebral Palsy
    • Autism
    • Intellectual or Developmental Disabilities (IDD)
    • Speech/Motor/Cognitive delays
    • Microcephaly
    • Hydrocephalus/Shunt
    • Various Syndromes if affecting the client developmentally
    • Seizure Disorder
    • TBI (Traumatic Brain Injury)
    • Spina Bifida

Please call our Family Support Services Coordinator at 210-737-1212, ext. 2015 to determine if your child qualifies for services.

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