Little is known about the educational experiences of deaf children in Mexico. Schools for the deaf exist, but no research has examined instructional practices for children in these contexts. In this study, we adopt a sociocultural framework for language acquisition to document and understand how teachers at a bilingual (Mexican Sign Language and Spanish) school for the deaf in central Mexico support the learning of their students. Our findings indicate that teachers at this school prioritized deafness and how to leverage the visual modality to support student growth. They used a number of instructional practices familiar to English-speaking audiences, such as scaffolding, explicit instruction, and individualization, perhaps as a result of the close ties between the school and US-based collaborators. Finally, both teachers and students felt that collaboration, between the administration and teachers, among teachers, and among students, was essential. Findings indicate a need to explore these complex issues and expand burgeoning collaborations between bilingual and deaf education researchers.