daycarefile
License activeChild-care centerAccepts CCDF subsidy

Hands N Hands Childcare

4217 Clark Ave, San Antonio, TX 78223 · Bexar County (210) 600-4116 License #1682546 · first licensed Apr 30, 2019
41
inspections on file
36
recorded violations
8
health & safety class
Sep 22, 2026
last inspection

Inspection history

Source: Texas Health and Human Services Commission, Child Care Regulation

Records held from Sep 1, 2021 onward. Earlier visits may exist in the agency’s own files.

Inspection history for Hands N Hands Childcare
DateKindOutcome as recordedViolationsOfficial record
Sep 22, 2026InspectionNo deficiencies cited0Agency record
Aug 22, 2026ReportNo deficiencies cited0Agency record
Aug 20, 2026InspectionNo deficiencies cited0Agency record
Aug 19, 2026ReportDeficiencies cited1Agency record
Aug 17, 2026InspectionDeficiencies cited1Agency record
Jun 3, 2026InspectionNo deficiencies cited0Agency record
Dec 3, 2025InspectionNo deficiencies cited0Agency record
Nov 20, 2025InspectionNo deficiencies cited0Agency record
Nov 13, 2025InspectionNo deficiencies cited0Agency record
Nov 12, 2025ReportDeficiencies cited1Agency record
Oct 30, 2025InspectionDeficiencies cited1Agency record
Oct 24, 2025InspectionNo deficiencies cited0Agency record
Oct 17, 2025InspectionNo deficiencies cited0Agency record
Oct 16, 2025ReportNo deficiencies cited0Agency record
Nov 6, 2024InspectionDeficiencies cited1Agency record
Sep 30, 2024InspectionNo deficiencies cited0Agency record
Sep 10, 2024InspectionDeficiencies cited2Agency record
Sep 6, 2024ReportDeficiencies cited1Agency record
Jul 23, 2024InspectionNo deficiencies cited0Agency record
Jul 9, 2024InspectionDeficiencies cited1Agency record
Jun 14, 2024ReportNo deficiencies cited0Agency record
Feb 8, 2024InspectionNo deficiencies cited0Agency record
Jan 26, 2024InspectionDeficiencies cited1Agency record
Jan 24, 2024ReportNo deficiencies cited0Agency record
Nov 13, 2023InspectionDeficiencies cited7Agency record
Jul 11, 2023InspectionNo deficiencies cited0Agency record
Jun 30, 2023InspectionDeficiencies cited4Agency record
Jun 23, 2023ReportNo deficiencies cited0Agency record
Apr 4, 2023InspectionDeficiencies cited5Agency record
Mar 28, 2023InspectionNo deficiencies cited0Agency record
Mar 23, 2023ReportNo deficiencies cited0Agency record
Feb 15, 2023ReportDeficiencies cited2Agency record
Feb 6, 2023InspectionNo deficiencies cited0Agency record
Jan 28, 2023ReportNo deficiencies cited0Agency record
Nov 2, 2022InspectionDeficiencies cited2Agency record
Aug 30, 2022InspectionNo deficiencies cited0Agency record
Aug 25, 2022ReportNo deficiencies cited0Agency record
Jul 19, 2022InspectionNo deficiencies cited0Agency record
Jun 6, 2022ReportDeficiencies cited3Agency record
Mar 10, 2022InspectionDeficiencies cited2Agency record
Mar 1, 2022AssessmentDeficiencies cited1Agency record
Oct 5, 2021
no longer in the state’s current file
InspectionNo deficiencies cited0Agency record
Sep 24, 2021
no longer in the state’s current file
ReportDeficiencies cited1Agency record

Violations

Text reproduced verbatim · Texas Health and Human Services Commission, Child Care Regulation
How to read violations

Nearly every licensed provider accumulates some. A missing signature and an unlocked medicine cabinet are both “violations”, and they are not the same thing. Look at the class, the pattern over time and how quickly it was corrected — not the count alone.

Paperwork — records, postings, forms Standard — supervision, ratio, training Health & safety — direct risk to a child

Class is our grouping of the state’s own weights, reviewed per state. The agency’s own label is always shown beside it.

Aug 19, 2026Report · 1 deficiency cited
StandardState weight: Medium High
746.2431 — Infant Daily Report - Share with Parent

“During the course of the investigation, it was determined that infant daily reports were not being shared with parents.”

Corrected Sep 11, 2026
Aug 17, 2026Inspection · 1 deficiency cited
StandardState weight: Medium High
746.613(b) — Immunization Records, Exceptions, and Exemptions Current

“Two of the four children's immunizations were not updated at the time of inspection.”

Corrected Sep 17, 2026
Nov 12, 2025Report · 1 deficiency cited
Health & safetyState weight: High
746.1205(a)(1) — Responsibilities of Caregivers - Know children responsible for

“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 Nov 25, 2025
Oct 30, 2025Inspection · 1 deficiency cited
StandardState weight: Medium
746.603(a)(4) — Children's Records - Immunizations

“Three out of five children's files reviewed did not have current immunization records available for review.”

Corrected Nov 20, 2025
Nov 6, 2024Inspection · 1 deficiency cited
StandardState weight: Medium
746.4135(b) — Children's Products- Annual Certification

“The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form.”

Corrected Nov 6, 2024
Sep 10, 2024Inspection · 2 deficiencies cited
Health & safetyState weight: High
746.1205(a)(1) — Responsibilities of Caregivers - Know children responsible for

“Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for.”

Corrected Sep 10, 2024
StandardState weight: Medium High
746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean

“There were five ceiling tiles missing in the operation.”

Corrected Sep 24, 2024
Sep 6, 2024Report · 1 deficiency cited
Health & safetyState weight: High
746.5607(e) — Safety restraint devices for child used when vehicle is on and during all time vehicle in motion

“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 Sep 17, 2024
Jul 9, 2024Inspection · 1 deficiency cited
StandardState weight: Medium High
746.1203(3)(D) — Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“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 Jul 9, 2024
Jan 26, 2024Inspection · 1 deficiency cited
StandardState weight: Medium High
746.3401(a) — Annual Sanitation Inspection

“The available health inspection posted was last conducted on 12.1.22.”

Corrected Mar 26, 2024
Nov 13, 2023Inspection · 7 deficiencies cited
StandardState weight: Medium High
746.605(13) — Required Admission Information - Special Needs Statement

“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 Nov 20, 2023
StandardState weight: Medium High
746.1316(a) — Transportation Safety Training -Director and Employee Complete 2 Hours Annually

“One of the two staff transporting didn't have training available for review.”

Corrected Nov 20, 2023
StandardState weight: Medium High
746.1315(a) — Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“Four of the eight staff files were missing First aid and CPR training.”

Corrected Jan 1, 2024
StandardState weight: Medium High
746.3803(a)(1) — Medication Authorization - Signed and Dated

“A written, signed and dated medication authorization was not available for review for one child.”

Corrected Jan 5, 2024
StandardState weight: Medium
746.603(a)(4) — Children's Records - Immunizations

“One of the eight children files didn't have a current immunization record.”

Corrected Feb 1, 2024
StandardState weight: Medium
746.901(2) — Required Personnel Records- Meets Requirements

“Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.”

Corrected Nov 20, 2023
StandardState weight: Medium High
746.5619 — Plan to Handle Transportation Emergencies

“A written procedure on how to handle transportation emergencies was not available for review.”

Corrected Nov 20, 2023
Jun 30, 2023Inspection · 4 deficiencies cited
StandardState weight: Medium High
746.3401(a) — Annual Sanitation Inspection

“The health inspection was last conducted on 5.12.22.”

Corrected Jul 31, 2023
Health & safetyState weight: High
746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The fire inspection was last conducted on 5.16.22.”

Corrected Jul 31, 2023
StandardState weight: Medium High
746.1205(a)(3) — Responsibilities of Caregivers - Know children's names and ages

“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 Jun 30, 2023
StandardState weight: Medium High
746.1601 — Child/ Caregiver Ratio - 13 or More Children

“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 Jun 30, 2023
Apr 4, 2023Inspection · 5 deficiencies cited
Health & safetyState weight: High
746.5617(a)(2) — Required Equipment in Vehicles - Emergency Medical Information

“Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.”

Corrected Apr 4, 2023
StandardState weight: Medium High
746.3501(6) — Diaper Changing Steps-Supplies Kept Out of Child's Reach

“Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.”

Corrected Apr 4, 2023
StandardState weight: Medium High
746.5537(a)(2) — Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

“Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.”

Corrected Apr 4, 2023
StandardState weight: Medium
746.603(a)(4) — Children's Records - Immunizations

“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
StandardState weight: Medium High
746.3701 — Safety - Areas Free From Hazards

“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 Apr 4, 2023
Feb 15, 2023Report · 2 deficiencies cited
PaperworkState weight: Medium Low
746.307(e) — Parental Notification of Infestation

“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 Mar 28, 2023
Health & safetyState weight: High
746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“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 Mar 28, 2023
Nov 2, 2022Inspection · 2 deficiencies cited
PaperworkState weight: Medium Low
746.901(4) — Required Personnel Records - Required Affidavit

“Three out of eight employee records reviewed were missing the required affidavit for employment.”

Corrected Nov 9, 2022
StandardState weight: Medium
746.603(a) — Children's Records Maintained

“Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.”

Corrected Nov 16, 2022
Jun 6, 2022Report · 3 deficiencies cited
StandardState weight: Medium
746.307(c) — Parental Notification of Less Serious Injuries

“Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.”

Corrected Jul 14, 2022
Health & safetyState weight: High
745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.”

Corrected Jul 14, 2022
StandardState weight: Medium
746.201(7) — Operation Open to Parents At All Times

“Based on the information received parents are not allowed to enter the operation.”

Corrected Jul 14, 2022
Mar 10, 2022Inspection · 2 deficiencies cited
StandardState weight: Medium High
746.3701(9) — Safety - Televisions Anchored to Prevent Tip Over

“In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.”

Corrected Mar 10, 2022
Health & safetyState weight: High
746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“Annual first inspection had not been updated since 10/19/2020.”

Corrected Mar 10, 2022
Mar 1, 2022Assessment · 1 deficiency cited
PaperworkState weight: Medium Low
746.303(b) — Report Number of Employees

“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 Mar 4, 2022
Sep 24, 2021Report · 1 deficiency cited · no longer in the state's current file
Health & safetyState weight: High
745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“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 Oct 21, 2021

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