TexasDaycare ReportFrom state records

Licensed child care center · public record

Hands N Hands Childcare

San Antonio, Texas. The state’s inspection record for this operation, from Texas Health and Human Services Child Care Regulation, in plain English.

10 state inspections, last 2 years
36 deficiencies on the state’s summary
25 high or medium-high risk
September 22, 2026 most recent inspection

The operation

Type
Licensed child care center
State permit
Full Permit, issued April 30, 2019
Capacity
88 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Hours
Mon, Tue, Wed, Thu, Fri · 06:00 AM-06:00 PM
Accepts child care subsidies
Yes
Conditions on the permit
No
Corrective action listed
No
Adverse action listed
No
Temporarily closed
No
State operation number
1682546

Where

4217 Clark Ave
San Antonio, TX 78223

Deficiencies by risk level

  • High 8
  • Medium-high 17
  • Medium 8
  • Medium-low 3
  • Low 0

The state’s own summary counts for this operation, as published in the HHSC operations file.

Citations on the record

Each standard the state found not met, newest first, with its risk level and when it was corrected. Showing the newest 25 of 36.

InspectionRiskStandardCorrected
August 19, 2026Medium High746.2431 - Infant Daily Report - Share with Parent
State’s note: “During the course of the investigation, it was determined that infant daily reports were not being shared with parents.”
September 11, 2026
August 17, 2026Medium High746.613(b) - Immunization Records, Exceptions, and Exemptions Current
State’s note: “Two of the four children's immunizations were not updated at the time of inspection.”
September 17, 2026
November 12, 2025High746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
State’s note: “Based on the interviews conducted by the staff and parent it was determined a child was dropped off at the wrong elementary school by a daycare driver.”
November 25, 2025
October 30, 2025Medium746.603(a)(4) - Children's Records - Immunizations
State’s note: “Three out of five children's files reviewed did not have current immunization records available for review.”
November 20, 2025
November 6, 2024Medium746.4135(b) - Children's Products- Annual Certification
State’s note: “The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form.”
At the inspection
September 10, 2024Medium High746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
State’s note: “There were five ceiling tiles missing in the operation.”
September 24, 2024
September 10, 2024High746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
State’s note: “Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for.”
September 10, 2024
September 6, 2024High746.5607(e) - Safety restraint devices for child used when vehicle is on and during all time vehicle in motion
State’s note: “The vehicles used to transport children do not have proper restraints for the age group transporting. Children ages 3 years to 7 years were not secured in a booster seats.”
September 17, 2024
July 9, 2024Medium High746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
State’s note: “The toddler caregiver was seen on her cell phone during nap time. Note, corrected at inspection after talking to the caregiver and director about no personal cell phone usage while in the classroom.”
July 9, 2024
January 26, 2024Medium High746.3401(a) - Annual Sanitation Inspection
State’s note: “The available health inspection posted was last conducted on 12.1.22.”
March 26, 2024
November 13, 2023Medium746.901(2) - Required Personnel Records- Meets Requirements
State’s note: “Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.”
November 20, 2023
November 13, 2023Medium High746.5619 - Plan to Handle Transportation Emergencies
State’s note: “A written procedure on how to handle transportation emergencies was not available for review.”
November 20, 2023
November 13, 2023Medium High746.3803(a)(1) - Medication Authorization - Signed and Dated
State’s note: “A written, signed and dated medication authorization was not available for review for one child.”
January 5, 2024
November 13, 2023Medium High746.605(13) - Required Admission Information - Special Needs Statement
State’s note: “Six out of the eight children files were missing special care information. One of the eight children files were missing food allergy information. One of the eight children files were missing emergency authorization care information. One of the eight children files were missing emergency contact address.”
November 20, 2023
November 13, 2023Medium High746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
State’s note: “Four of the eight staff files were missing First aid and CPR training.”
January 1, 2024
November 13, 2023Medium746.603(a)(4) - Children's Records - Immunizations
State’s note: “One of the eight children files didn't have a current immunization record.”
February 1, 2024
November 13, 2023Medium High746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
State’s note: “One of the two staff transporting didn't have training available for review.”
November 20, 2023
June 30, 2023Medium High746.1601 - Child/ Caregiver Ratio - 13 or More Children
State’s note: “The toddler teacher was observed with six children SAG of 12-17 months which made the teacher over by one child. NOTE: This was corrected when the youngest child was moved to the infant classroom.”
June 30, 2023
June 30, 2023High746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
State’s note: “The fire inspection was last conducted on 5.16.22.”
July 31, 2023
June 30, 2023Medium High746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
State’s note: “The school age teacher was unaware of the name of the youngest and oldest of the group. NOTE: This was corrected at inspection when a name to face was conducted.”
June 30, 2023
June 30, 2023Medium High746.3401(a) - Annual Sanitation Inspection
State’s note: “The health inspection was last conducted on 5.12.22.”
July 31, 2023
April 4, 2023Medium High746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
State’s note: “Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.”
At the inspection
April 4, 2023Medium746.603(a)(4) - Children's Records - Immunizations
State’s note: “Two of the eight children did not have shot records available for review. In addition to one of the eight children missing medical authorization information. NOTE: One of the two shot records was provided.”
May 4, 2023
April 4, 2023High746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
State’s note: “Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.”
At the inspection
April 4, 2023Medium High746.3701 - Safety - Areas Free From Hazards
State’s note: “On the changing table of the toddler classroom a Lysol spray can was observed accessible to the children. In addition to diaper cream on the changing table in the infant classroom. NOTE: This was corrected at inspection when it was removed.”
At the inspection

Recent inspections and visits

How many times has the state inspected Hands N Hands Childcare?

Texas HHSC's file lists 10 inspections in the last two years, the most recent on September 22, 2026. 4 of the inspections and other visits in that period are marked as having found a deficiency.

Does Hands N Hands Childcare have deficiencies on its record?

The state's summary for this operation lists 36: 8 high-risk, 17 medium-high-risk, 8 medium-risk, 3 medium-low-risk. Each one is listed below with its date and whether it was corrected.

Is this a rating?

No. This page shows the State of Texas's own public records, summarized. It is not a rating, a review or our opinion. Ask the operation or HHSC about anything here.

About this record. Public record from the Texas Health and Human Services Commission, Child Care Regulation: the operations file, the inspections file and the non-compliance file on data.texas.gov, read daily. We summarize the state’s counts and quote its words; we don’t rate, rank or review anyone. For the official record or a complaint, go to HHSC Child Care Regulation. Is this your operation, and is something wrong? Tell us.

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