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.

8 state inspections, last 2 years
14 deficiencies on the state’s summary
10 high or medium-high risk
April 17, 2026 most recent inspection

The operation

Type
Licensed child care center
State permit
Full Permit, issued May 30, 2024
Capacity
93 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Hours
Mon, Tue, Wed, Thu, Fri · 06:00 AM-06:30 PM
Accepts child care subsidies
Yes
Conditions on the permit
Yes
Corrective action listed
No
Adverse action listed
No
Temporarily closed
No
State operation number
1787821

Where

538 Surrey Ave
San Antonio, TX 78225

Deficiencies by risk level

  • High 4
  • Medium-high 6
  • Medium 3
  • Medium-low 1
  • 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.

InspectionRiskStandardCorrected
February 10, 2026Medium746.603(a)(4) - Children's Records - Immunizations
State’s note: “Four of the five children's files evaluated did not have current immunization records available for review.”
March 17, 2026
February 10, 2026Medium746.301(2) - Notification of Change in Space
State’s note: “The operation did not notify Childcare Regulation about a change of indoor space.”
February 24, 2026
May 30, 2025Medium High746.4601(2) - Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
State’s note: “Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.”
May 30, 2025
May 30, 2025Medium High746.2415(a)(3) - Prohibited Equipment for Infants - Accordion Safety Gates
State’s note: “An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.”
May 30, 2025
May 30, 2025Medium High746.5617(a)(3) - Required Equipment in Vehicles - Information About Facility
State’s note: “The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.”
June 13, 2025
November 25, 2024High746.613(a) - Required Immunizations
State’s note: “Four out of the ten children's files reviewed during inspection did not have immunization's records.”
December 20, 2024
November 25, 2024Medium High746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
State’s note: “Five out of nine staff files reviewed did not have CPR training.”
December 20, 2024
November 25, 2024Medium High746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
State’s note: “Five out of the nine staff files reviewed during inspection did not have First Aid training.”
December 20, 2024
November 25, 2024High746.605(11) - Required Admission Information - Emergency Medical Authorization
State’s note: “Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.”
November 25, 2024
May 29, 2024Medium746.611(b) - Health Statement on File within 1 Week of Admission
State’s note: “Two out the six children's files evaluated did not have signed health statements.”
May 31, 2024
March 13, 2024High746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
State’s note: “Cleaning solutions were observed underneath the sinks in the school age restrooms and were accessible to children. This was corrected when staff removed the cleaning solutions from restrooms.”
At the inspection
January 19, 2024Medium Low746.303(b) - Report Number of Employees
State’s note: “The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.”
January 21, 2024
October 23, 2023High746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
State’s note: “At the time of inspection there was a four and a half inch gap under the barrier surrounding the playground platform. The rail going down the steps also has a gap that is over 3 1/2 inches wide.”
October 30, 2023
October 23, 2023Medium High746.4305 - Fenced Outdoor Activity Space
State’s note: “The gate leading out of the playground was broken.”
October 30, 2023

Recent inspections and visits

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

Texas HHSC's file lists 8 inspections in the last two years, the most recent on April 17, 2026. 3 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 14: 4 high-risk, 6 medium-high-risk, 3 medium-risk, 1 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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