Hands N Hands Childcare
Licensed Center · San Antonio, Bexar County, TX · Operation No. 1787821
Hands N Hands Childcare holds a Full Permit issued May 30, 2024. In the state's 60-month public window it has 15 inspections on record with 14 cited deficiencies. The records below are republished verbatim from the Texas HHSC database.
License details
License status
Full Permit
Issued
May 30, 2024
Operation type
Licensed Center
Total capacity
93 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Address
538 Surrey Ave, San Antonio, TX 78225-2450
The 60-month record
15
Inspections
1
Assessments
1
Self reports
14
Deficiencies
Deficiencies by the agency's own weight: High 4 · Medium High 6 · Medium 3 · Medium Low 1 · Low 0. These are the state's precomputed counts, republished as-is.
Inspection history
| Date | Activity | Deficiencies cited |
|---|---|---|
| Apr 17, 2026 | Inspection | 0 |
| Feb 10, 2026 | Inspection | 2 |
| Oct 6, 2025 | Inspection | 0 |
| Sep 23, 2025 | Report | 0 |
| Aug 25, 2025 | Inspection | 0 |
| Aug 13, 2025 | Report | 0 |
| Jul 10, 2025 | Inspection | 0 |
| May 30, 2025 | Inspection | 3 |
| Jan 13, 2025 | Inspection | 0 |
| Dec 16, 2024 | Report | 0 |
| Nov 25, 2024 | Inspection | 4 |
| Jul 26, 2024 | Inspection | 0 |
| May 29, 2024 | Inspection | 0 |
| May 29, 2024 | Inspection | 1 |
| Apr 15, 2024 | Inspection | 0 |
| Mar 13, 2024 | Inspection | 1 |
| Jan 19, 2024 | Assessment | 1 |
| Oct 30, 2023 | Inspection | 0 |
| Oct 23, 2023 | Inspection | 2 |
Deficiency records
February 10, 2026 Standard § 746.603(a)(4) - Children's Records - Immunizations
Medium Verbatim from the agency record
Four of the five children's files evaluated did not have current immunization records available for review.
Corrected: March 17, 2026
February 10, 2026 Standard § 746.301(2) - Notification of Change in Space
Medium Verbatim from the agency record
The operation did not notify Childcare Regulation about a change of indoor space.
Corrected: February 24, 2026
May 30, 2025 Standard § 746.2415(a)(3) - Prohibited Equipment for Infants - Accordion Safety Gates
Medium High Verbatim from the agency record
An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
Corrected: May 30, 2025
May 30, 2025 Standard § 746.4601(2) - Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
Medium High Verbatim from the agency record
Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
Corrected: May 30, 2025
May 30, 2025 Standard § 746.5617(a)(3) - Required Equipment in Vehicles - Information About Facility
Medium High Verbatim from the agency record
The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.
Corrected: June 13, 2025
November 25, 2024 Standard § 746.605(11) - Required Admission Information - Emergency Medical Authorization
High Verbatim from the agency record
Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
Corrected: November 25, 2024
November 25, 2024 Standard § 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Medium High Verbatim from the agency record
Five out of the nine staff files reviewed during inspection did not have First Aid training.
Corrected: December 20, 2024
November 25, 2024 Standard § 746.613(a) - Required Immunizations
High Verbatim from the agency record
Four out of the ten children's files reviewed during inspection did not have immunization's records.
Corrected: December 20, 2024
November 25, 2024 Standard § 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Medium High Verbatim from the agency record
Five out of nine staff files reviewed did not have CPR training.
Corrected: December 20, 2024
May 29, 2024 Standard § 746.611(b) - Health Statement on File within 1 Week of Admission
Medium Verbatim from the agency record
Two out the six children's files evaluated did not have signed health statements.
Corrected: May 31, 2024
March 13, 2024 Standard § 746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
High Verbatim from the agency record
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.
Corrected: March 13, 2024
January 19, 2024 Standard § 746.303(b) - Report Number of Employees
Medium Low Verbatim from the agency record
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
Corrected: January 21, 2024
October 23, 2023 Standard § 746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
High Verbatim from the agency record
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.
Corrected: October 30, 2023
October 23, 2023 Standard § 746.4305 - Fenced Outdoor Activity Space
Medium High Verbatim from the agency record
The gate leading out of the playground was broken.
Corrected: October 30, 2023
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.
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