Recorded violations per inspection
- This provider
- 0.86
- Local median
- 0.83
Hands N Hands Childcare
4217 CLARK AVE, San Antonio, TX 78223-2217
- Operation number:
- 1682546
- Type:
- Licensed Center
- Status:
- Active (Y)
- Records checked:
- August 22, 2026
Additional info
- Source:
- Texas Health and Human Services Child Care Regulation
- County:
- Bexar
- Capacity:
- 88
- License effective:
- April 30, 2019
- Hours:
- 06:00 AM-06:00 PM
- Days:
- Mon,Tue,Wed,Thu,Fri
- Phone:
- 2106004116
- Email:
- handsnhands210@gmail.com
- Website:
- Not listed
Inspection snapshot
Questions worth asking
The records include recorded violations parents may want to understand before enrolling. These are conversation starters, not a pass-or-fail judgment.
Next: Review the inspection history below and ask the provider what the records mean and what changed afterward.
Summary
This summary covers 42 available inspections for Hands N Hands Childcare from August 16, 2021 through August 20, 2026.
17 inspections recorded violations, with 36 recorded violations in total.
The most recent higher-concern violation was on August 17, 2026 and involved health or food records.
That higher-concern topic showed up in four inspections.
A later inspection showed no recorded violations, but the records do not say whether it was a formal follow-up.
At a glance
- Total inspections
- 42
- Recorded violations
- 36
- Higher-concern violations
- 25
- Repeated topics
- 3
11 in last 12 months
3 in last 12 months
2 in last 12 months
Last 36 months
Local comparison
42 total inspections vs 16 local median in 78223
Compared to 12 local facilities
Inspections with higher-concern violations
- This provider
- 31%
- Local median
- 27%
Inspections with recorded violations
- This provider
- 40%
- Local median
- 42%
Repeated topics
- This provider
- 3
- Local average
- 2.17
Repeated topics
Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.
Health or food records
Appeared across 3 inspections, with 3 recorded violations.
November 13, 2023October 30, 2025August 17, 2026Supervision
Appeared across 3 inspections, with 3 recorded violations.
July 9, 2024September 10, 2024November 12, 2025Transportation
Appeared across 2 inspections, with 3 recorded violations.
November 13, 2023September 6, 2024Inspection history
Available inspection history. Select a violation topic for more info.
No recorded violations in this report
Higher concern: Health or food records
- Report finding
- Two of the four children's immunizations were not updated at the time of inspection.
- Correction status
- Correction due by September 17, 2026
More details
- Official Texas risk level
- Medium High
- Report section
- 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
- Official code
- 746.613(b)
No recorded violations in this report
No recorded violations in this report
No recorded violations in this report
No recorded violations in this report
Higher concern: Supervision
- Report finding
- 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.
- Correction deadline
- November 25, 2025
- Correction status
- Correction evaluated December 3, 2025
More details
- Official Texas risk level
- High
- Report section
- 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
- Official code
- 746.1205(a)(1)
Medium concern: Health or food records
- Report finding
- Three out of five children's files reviewed did not have current immunization records available for review.
- Correction deadline
- November 20, 2025
- Correction status
- Correction evaluated December 23, 2025
More details
- Official Texas risk level
- Medium
- Report section
- 746.603(a)(4) - Children's Records - Immunizations
- Official code
- 746.603(a)(4)
No recorded violations in this report
No recorded violations in this report
No recorded violations in this report
Medium concern: Equipment or readiness
- Report finding
- The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form.
- Correction status
- Completed at time of inspection
More details
- Official Texas risk level
- Medium
- Report section
- 746.4135(b) - Children's Products- Annual Certification
- Official code
- 746.4135(b)
No recorded violations in this report
Higher concern: Supervision
- Report finding
- Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for.
- Correction deadline
- September 10, 2024
- Correction status
- Correction evaluated September 30, 2024
More details
- Official Texas risk level
- High
- Report section
- 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for
- Official code
- 746.1205(a)(1)
Higher concern: Other violations
- Report finding
- There were five ceiling tiles missing in the operation.
- Correction deadline
- September 24, 2024
- Correction status
- Correction evaluated September 30, 2024
More details
- Official Texas risk level
- Medium High
- Report section
- 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
- Official code
- 746.3407(9)
Higher concern: Transportation
- Report finding
- 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.
- Correction deadline
- September 17, 2024
- Correction status
- Correction evaluated September 30, 2024
More details
- Official Texas risk level
- High
- Report section
- 746.5607(e) - Safety restraint devices for child used when vehicle is on and during all time vehicle in motion
- Official code
- 746.5607(e)
No recorded violations in this report
Higher concern: Supervision
- Report finding
- 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.
- Correction deadline
- July 9, 2024
- Correction status
- Correction evaluated July 23, 2024
More details
- Official Texas risk level
- Medium High
- Report section
- 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
- Official code
- 746.1203(3)(D)
No recorded violations in this report
No recorded violations in this report
Higher concern: Facility condition
- Report finding
- The available health inspection posted was last conducted on 12.1.22.
- Correction deadline
- March 26, 2024
- Correction status
- Correction evaluated March 14, 2024
More details
- Official Texas risk level
- Medium High
- Report section
- 746.3401(a) - Annual Sanitation Inspection
- Official code
- 746.3401(a)
No recorded violations in this report
Higher concern: Transportation
- Report finding
- A written procedure on how to handle transportation emergencies was not available for review.
- Correction deadline
- November 20, 2023
- Correction status
- Correction evaluated November 15, 2023
More details
- Official Texas risk level
- Medium High
- Report section
- 746.5619 - Plan to Handle Transportation Emergencies
- Official code
- 746.5619
Medium concern: Recordkeeping
- Report finding
- Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.
- Correction deadline
- November 20, 2023
- Correction status
- Correction evaluated November 27, 2023
More details
- Official Texas risk level
- Medium
- Report section
- 746.901(2) - Required Personnel Records- Meets Requirements
- Official code
- 746.901(2)
Medium concern: Health or food records
- Report finding
- One of the eight children files didn't have a current immunization record.
- Correction deadline
- February 1, 2024
- Correction status
- Correction evaluated January 23, 2024
More details
- Official Texas risk level
- Medium
- Report section
- 746.603(a)(4) - Children's Records - Immunizations
- Official code
- 746.603(a)(4)
Higher concern: Individual needs and accommodations
- Report finding
- 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.
- Correction deadline
- November 20, 2023
- Correction status
- Correction evaluated November 15, 2023
More details
- Official Texas risk level
- Medium High
- Report section
- 746.605(13) - Required Admission Information - Special Needs Statement
- Official code
- 746.605(13)
Higher concern: Medication
- Report finding
- A written, signed and dated medication authorization was not available for review for one child.
- Correction deadline
- January 5, 2024
- Correction status
- Correction evaluated January 8, 2024
More details
- Official Texas risk level
- Medium High
- Report section
- 746.3803(a)(1) - Medication Authorization - Signed and Dated
- Official code
- 746.3803(a)(1)
Higher concern: Staff training
- Report finding
- Four of the eight staff files were missing First aid and CPR training.
- Correction deadline
- January 1, 2024
- Correction status
- Correction evaluated December 11, 2023
More details
- Official Texas risk level
- Medium High
- Report section
- 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
- Official code
- 746.1315(a)
Higher concern: Transportation
- Report finding
- One of the two staff transporting didn't have training available for review.
- Correction deadline
- November 20, 2023
- Correction status
- Correction evaluated November 15, 2023
More details
- Official Texas risk level
- Medium High
- Report section
- 746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
- Official code
- 746.1316(a)
No recorded violations in this report
Higher concern: Facility condition
- Report finding
- The health inspection was last conducted on 5.12.22.
- Correction deadline
- July 31, 2023
- Correction status
- Correction evaluated August 11, 2023
More details
- Official Texas risk level
- Medium High
- Report section
- 746.3401(a) - Annual Sanitation Inspection
- Official code
- 746.3401(a)
Higher concern: Attendance accountability
- Report finding
- 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.
- Correction deadline
- June 30, 2023
- Correction status
- Correction evaluated July 11, 2023
More details
- Official Texas risk level
- Medium High
- Report section
- 746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
- Official code
- 746.1205(a)(3)
Higher concern: Staff-to-child ratio
- Report finding
- 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.
- Correction deadline
- June 30, 2023
- Correction status
- Correction evaluated July 11, 2023
More details
- Official Texas risk level
- Medium High
- Report section
- 746.1601 - Child/ Caregiver Ratio - 13 or More Children
- Official code
- 746.1601
Higher concern: Equipment or readiness
- Report finding
- The fire inspection was last conducted on 5.16.22.
- Correction deadline
- July 31, 2023
- Correction status
- Correction evaluated July 25, 2023
More details
- Official Texas risk level
- High
- Report section
- 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
- Official code
- 746.5101(a)
No recorded violations in this report
Higher concern: Equipment or readiness
- Report finding
- Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.
- Correction status
- Completed at time of inspection
More details
- Official Texas risk level
- Medium High
- Report section
- 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
- Official code
- 746.5537(a)(2)
Higher concern: Transportation
- Report finding
- Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.
- Correction status
- Completed at time of inspection
More details
- Official Texas risk level
- High
- Report section
- 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
- Official code
- 746.5617(a)(2)
Higher concern: Facility condition
- Report finding
- Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.
- Correction status
- Completed at time of inspection
More details
- Official Texas risk level
- Medium High
- Report section
- 746.3501(6) - Diaper Changing Steps-Supplies Kept Out of Child's Reach
- Official code
- 746.3501(6)
Medium concern: Health or food records
- Report finding
- 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.
- Correction deadline
- May 4, 2023
- Correction status
- Correction evaluated April 12, 2023
More details
- Official Texas risk level
- Medium
- Report section
- 746.603(a)(4) - Children's Records - Immunizations
- Official code
- 746.603(a)(4)
Higher concern: Hazardous access
- Report finding
- 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.
- Correction status
- Completed at time of inspection
More details
- Official Texas risk level
- Medium High
- Report section
- 746.3701 - Safety - Areas Free From Hazards
- Official code
- 746.3701
No recorded violations in this report
No recorded violations in this report
Medium concern: Parent rights
- Report finding
- 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.
- Correction deadline
- March 28, 2023
- Correction status
- Correction evaluated April 4, 2023
More details
- Official Texas risk level
- Medium Low
- Report section
- 746.307(e) - Parental Notification of Infestation
- Official code
- 746.307(e)
Higher concern: Child guidance
- Report finding
- 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.
- Correction deadline
- March 28, 2023
- Correction status
- Correction evaluated April 4, 2023
More details
- Official Texas risk level
- High
- Report section
- 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
- Official code
- 746.1201(1)
No recorded violations in this report
No recorded violations in this report
Medium concern: Recordkeeping
- Report finding
- Three out of eight employee records reviewed were missing the required affidavit for employment.
- Correction status
- Correction evaluated November 9, 2022
More details
- Official Texas risk level
- Medium Low
- Report section
- 746.901(4) - Required Personnel Records - Required Affidavit
- Official code
- 746.901(4)
Medium concern: Recordkeeping
- Report finding
- Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.
- Correction deadline
- November 16, 2022
- Correction status
- Correction evaluated November 17, 2022
More details
- Official Texas risk level
- Medium
- Report section
- 746.603(a) - Children's Records Maintained
- Official code
- 746.603(a)
No recorded violations in this report
No recorded violations in this report
No recorded violations in this report
Medium concern: Parent rights
- Report finding
- Based on the information received parents are not allowed to enter the operation.
- Correction deadline
- July 14, 2022
- Correction status
- Correction evaluated July 19, 2022
More details
- Official Texas risk level
- Medium
- Report section
- 746.201(7) - Operation Open to Parents At All Times
- Official code
- 746.201(7)
Medium concern: Parent rights
- Report finding
- Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.
- Correction deadline
- July 14, 2022
- Correction status
- Correction evaluated July 19, 2022
More details
- Official Texas risk level
- Medium
- Report section
- 746.307(c) - Parental Notification of Less Serious Injuries
- Official code
- 746.307(c)
Higher concern: Background screening
- Report finding
- During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.
- Correction deadline
- July 14, 2022
- Correction status
- Correction evaluated July 19, 2022
More details
- Official Texas risk level
- High
- Report section
- 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
- Official code
- 745.641
Higher concern: Hazardous access
- Report finding
- In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.
- Correction status
- Completed at time of inspection
More details
- Official Texas risk level
- Medium High
- Report section
- 746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over
- Official code
- 746.3701(9)
Higher concern: Equipment or readiness
- Report finding
- Annual first inspection had not been updated since 10/19/2020.
- Correction deadline
- March 10, 2022
- Correction status
- Correction evaluated March 21, 2022
More details
- Official Texas risk level
- High
- Report section
- 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
- Official code
- 746.5101(a)
Medium concern: Recordkeeping
- Report finding
- 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.
- Correction deadline
- March 4, 2022
- Correction status
- Correction evaluated March 7, 2022
More details
- Official Texas risk level
- Medium Low
- Report section
- 746.303(b) - Report Number of Employees
- Official code
- 746.303(b)
No recorded violations in this report
Higher concern: Background screening
- Report finding
- 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.
- Correction status
- Correction evaluated October 21, 2021
More details
- Official Texas risk level
- High
- Report section
- 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
- Official code
- 745.641
No recorded violations in this report
No recorded violations in this report