Official record · Texas HHSC Child Care Regulation · Synced August 29, 2026 View on the state portal ↗

Hands N Hands Childcare

Licensed Center · San Antonio, Bexar County, TX · Operation No. 1682546

Hands N Hands Childcare holds a Full Permit issued April 30, 2019. In the state's 60-month public window it has 27 inspections on record with 36 cited deficiencies. The records below are republished verbatim from the Texas HHSC database.

License details
License status
Full Permit
Issued
April 30, 2019
Operation type
Licensed Center
Total capacity
88 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Address
4217 Clark Ave, San Antonio, TX 78223-2217
The 60-month record
27
Inspections
1
Assessments
2
Self reports
36
Deficiencies
Deficiencies by the agency's own weight: High 9 · Medium High 16 · Medium 8 · Medium Low 3 · Low 0. These are the state's precomputed counts, republished as-is.
Inspection history
DateActivityDeficiencies cited
Aug 20, 2026 Inspection 0
Aug 17, 2026 Inspection 1
Jun 3, 2026 Inspection 0
Dec 3, 2025 Inspection 0
Nov 20, 2025 Inspection 0
Nov 13, 2025 Inspection 0
Nov 12, 2025 Report 1
Oct 30, 2025 Inspection 1
Oct 24, 2025 Inspection 0
Oct 17, 2025 Inspection 0
Oct 16, 2025 Report 0
Nov 6, 2024 Inspection 1
Sep 30, 2024 Inspection 0
Sep 10, 2024 Inspection 2
Sep 6, 2024 Report 1
Jul 23, 2024 Inspection 0
Jul 9, 2024 Inspection 1
Jun 14, 2024 Report 0
Feb 8, 2024 Inspection 0
Jan 26, 2024 Inspection 1
Jan 24, 2024 Report 0
Nov 13, 2023 Inspection 7
Jul 11, 2023 Inspection 0
Jun 30, 2023 Inspection 4
Jun 23, 2023 Report 0
Apr 4, 2023 Inspection 5
Mar 28, 2023 Inspection 0
Mar 23, 2023 Report 0
Feb 15, 2023 Report 2
Feb 6, 2023 Inspection 0
Jan 28, 2023 Report 0
Nov 2, 2022 Inspection 2
Aug 30, 2022 Inspection 0
Aug 25, 2022 Report 0
Jul 19, 2022 Inspection 0
Jun 6, 2022 Report 3
Mar 10, 2022 Inspection 2
Mar 1, 2022 Assessment 1
Oct 5, 2021 Inspection 0
Sep 24, 2021 Report 1
Aug 16, 2021 Report 0
Deficiency records
August 17, 2026 Standard § 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Medium High
Verbatim from the agency record
Two of the four children's immunizations were not updated at the time of inspection.
Corrected: September 17, 2026
November 12, 2025 Standard § 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
High
Verbatim from the agency record
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.
Corrected: November 25, 2025
October 30, 2025 Standard § 746.603(a)(4) - Children's Records - Immunizations
Medium
Verbatim from the agency record
Three out of five children's files reviewed did not have current immunization records available for review.
Corrected: November 20, 2025
November 6, 2024 Standard § 746.4135(b) - Children's Products- Annual Certification
Medium
Verbatim from the agency record
The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form.
Corrected: November 6, 2024
September 10, 2024 Standard § 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
High
Verbatim from the agency record
Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for.
Corrected: September 10, 2024
September 10, 2024 Standard § 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Medium High
Verbatim from the agency record
There were five ceiling tiles missing in the operation.
Corrected: September 24, 2024
September 6, 2024 Standard § 746.5607(e) - Safety restraint devices for child used when vehicle is on and during all time vehicle in motion
High
Verbatim from the agency record
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.
Corrected: September 17, 2024
July 9, 2024 Standard § 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Medium High
Verbatim from the agency record
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.
Corrected: July 9, 2024
January 26, 2024 Standard § 746.3401(a) - Annual Sanitation Inspection
Medium High
Verbatim from the agency record
The available health inspection posted was last conducted on 12.1.22.
Corrected: March 26, 2024
November 13, 2023 Standard § 746.901(2) - Required Personnel Records- Meets Requirements
Medium
Verbatim from the agency record
Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.
Corrected: November 20, 2023
November 13, 2023 Standard § 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Medium High
Verbatim from the agency record
Four of the eight staff files were missing First aid and CPR training.
Corrected: January 1, 2024
November 13, 2023 Standard § 746.603(a)(4) - Children's Records - Immunizations
Medium
Verbatim from the agency record
One of the eight children files didn't have a current immunization record.
Corrected: February 1, 2024
November 13, 2023 Standard § 746.5619 - Plan to Handle Transportation Emergencies
Medium High
Verbatim from the agency record
A written procedure on how to handle transportation emergencies was not available for review.
Corrected: November 20, 2023
November 13, 2023 Standard § 746.605(13) - Required Admission Information - Special Needs Statement
Medium High
Verbatim from the agency record
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.
Corrected: November 20, 2023
November 13, 2023 Standard § 746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Medium High
Verbatim from the agency record
One of the two staff transporting didn't have training available for review.
Corrected: November 20, 2023
November 13, 2023 Standard § 746.3803(a)(1) - Medication Authorization - Signed and Dated
Medium High
Verbatim from the agency record
A written, signed and dated medication authorization was not available for review for one child.
Corrected: January 5, 2024
June 30, 2023 Standard § 746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
Medium High
Verbatim from the agency record
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.
Corrected: June 30, 2023
June 30, 2023 Standard § 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Medium High
Verbatim from the agency record
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.
Corrected: June 30, 2023
June 30, 2023 Standard § 746.3401(a) - Annual Sanitation Inspection
Medium High
Verbatim from the agency record
The health inspection was last conducted on 5.12.22.
Corrected: July 31, 2023
June 30, 2023 Standard § 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
High
Verbatim from the agency record
The fire inspection was last conducted on 5.16.22.
Corrected: July 31, 2023
April 4, 2023 Standard § 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
High
Verbatim from the agency record
Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.
Corrected: April 4, 2023
April 4, 2023 Standard § 746.603(a)(4) - Children's Records - Immunizations
Medium
Verbatim from the agency record
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.
Corrected: May 4, 2023
April 4, 2023 Standard § 746.3501(6) - Diaper Changing Steps-Supplies Kept Out of Child's Reach
Medium High
Verbatim from the agency record
Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.
Corrected: April 4, 2023
April 4, 2023 Standard § 746.3701 - Safety - Areas Free From Hazards
Medium High
Verbatim from the agency record
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.
Corrected: April 4, 2023
April 4, 2023 Standard § 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Medium High
Verbatim from the agency record
Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.
Corrected: April 4, 2023
February 15, 2023 Standard § 746.307(e) - Parental Notification of Infestation
Medium Low
Verbatim from the agency record
Based on the information gathered, and interviews conducted during this investigation parents were not notified in writing within 48 hours about the outbreak of lice.
Corrected: March 28, 2023
February 15, 2023 Standard § 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
High
Verbatim from the agency record
Based on the information gathered, and interviews conducted the operation staff did not demonstrate good judgment by not assisting in the basic care with toileting for a child who was partially toilet trained.
Corrected: March 28, 2023
November 2, 2022 Standard § 746.603(a) - Children's Records Maintained
Medium
Verbatim from the agency record
Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.
Corrected: November 16, 2022
November 2, 2022 Standard § 746.901(4) - Required Personnel Records - Required Affidavit
Medium Low
Verbatim from the agency record
Three out of eight employee records reviewed were missing the required affidavit for employment.
Corrected: November 9, 2022
June 6, 2022 Standard § 746.307(c) - Parental Notification of Less Serious Injuries
Medium
Verbatim from the agency record
Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.
Corrected: July 14, 2022
June 6, 2022 Standard § 746.201(7) - Operation Open to Parents At All Times
Medium
Verbatim from the agency record
Based on the information received parents are not allowed to enter the operation.
Corrected: July 14, 2022
June 6, 2022 Standard § 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
High
Verbatim from the agency record
During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.
Corrected: July 14, 2022
March 10, 2022 Standard § 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
High
Verbatim from the agency record
Annual first inspection had not been updated since 10/19/2020.
Corrected: March 10, 2022
March 10, 2022 Standard § 746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over
Medium High
Verbatim from the agency record
In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.
Corrected: March 10, 2022
March 1, 2022 Standard § 746.303(b) - Report Number of Employees
Medium Low
Verbatim from the agency record
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
Corrected: March 4, 2022
September 24, 2021 Standard § 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
High
Verbatim from the agency record
A person was present at the operation without a cleared background check and responsible for children prior to the operation receiving the eligibility letter. NOTE: This has been corrected by caregiver being removed from operation.
Corrected: October 21, 2021
About these records

These records come from the Texas Health and Human Services Commission database and cover the state's 60-month public window. Records synced from the agency on August 29, 2026. They reflect the agency's database as of that date; recent inspections may not appear yet, so verify current status with the agency or on the official record ↗. Facility operators can request a review through our corrections process.

Other facilities in San Antonio
1.2..me Kidz Licensed Center · 9 deficiencies (60 mo)
123-ABC Play & Learn Licensed Child-Care Home · 13 deficiencies (60 mo)
4-R-Kid's Learning Center Licensed Center · 22 deficiencies (60 mo)
A Joyful Journey Licensed Child-Care Home · 3 deficiencies (60 mo)
A Magic Day Licensed Child-Care Home · 4 deficiencies (60 mo)
A Place For Kids Luth CH Of RE Licensed Center · 16 deficiencies (60 mo)