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Hands N Hands Childcare

538 SURREY AVE, San Antonio, TX 78225-2450

Operation number:
1787821
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:
93
License effective:
May 30, 2024
Hours:
06:00 AM-06:30 PM
Days:
Mon,Tue,Wed,Thu,Fri
Phone:
2103325771
Email:
hands78225@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 19 available inspections for Hands N Hands Childcare from October 23, 2023 through April 17, 2026.

Seven inspections recorded violations, with 14 recorded violations in total.

The most recent recorded violation was on February 10, 2026 and involved health or food records.

That higher-concern topic showed up in three 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
19

5 in last 12 months

Recorded violations
14

2 in last 12 months

Higher-concern violations
10

0 in last 12 months

Repeated topics
2

Last 36 months

Local comparison

19 total inspections vs 16 local median in San Antonio

Compared to 504 local facilities

Recorded violations per inspection

This provider
0.74
Local median
0.6

Inspections with higher-concern violations

This provider
21%
Local median
27%

Inspections with recorded violations

This provider
37%
Local median
33%

Repeated topics

This provider
2
Local average
1.65

Repeated topics

Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.

Inspection history

Available inspection history. Select a violation topic for more info.

View official report
Medium concern: Health or food records
Report finding
Four of the five children's files evaluated did not have current immunization records available for review.
Correction deadline
March 17, 2026
Correction status
Correction evaluated April 17, 2026
More details
Official Texas risk level
Medium
Report section
746.603(a)(4) - Children's Records - Immunizations
Official code
746.603(a)(4)
Medium concern: Licensing compliance
Report finding
The operation did not notify Childcare Regulation about a change of indoor space.
Correction deadline
February 24, 2026
Correction status
Correction evaluated April 17, 2026
More details
Official Texas risk level
Medium
Report section
746.301(2) - Notification of Change in Space
Official code
746.301(2)
View official report
Higher concern: Transportation
Report finding
The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.
Correction deadline
June 13, 2025
Correction status
Correction evaluated July 10, 2025
More details
Official Texas risk level
Medium High
Report section
746.5617(a)(3) - Required Equipment in Vehicles - Information About Facility
Official code
746.5617(a)(3)
Higher concern: Equipment or readiness
Report finding
Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
Correction deadline
May 30, 2025
Correction status
Correction evaluated July 10, 2025
More details
Official Texas risk level
Medium High
Report section
746.4601(2) - Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
Official code
746.4601(2)
Higher concern: Other violations
Report finding
An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
Correction deadline
May 30, 2025
Correction status
Correction evaluated July 10, 2025
More details
Official Texas risk level
Medium High
Report section
746.2415(a)(3) - Prohibited Equipment for Infants - Accordion Safety Gates
Official code
746.2415(a)(3)
View official report
Higher concern: Health or food records
Report finding
Four out of the ten children's files reviewed during inspection did not have immunization's records.
Correction status
Correction evaluated December 20, 2024
More details
Official Texas risk level
High
Report section
746.613(a) - Required Immunizations
Official code
746.613(a)
Higher concern: Equipment or readiness
Report finding
Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
Correction deadline
November 25, 2024
Correction status
Correction evaluated December 20, 2024
More details
Official Texas risk level
High
Report section
746.605(11) - Required Admission Information - Emergency Medical Authorization
Official code
746.605(11)
Higher concern: Staff training
Report finding
Five out of nine staff files reviewed did not have CPR training.
Correction status
Correction evaluated December 20, 2024
More details
Official Texas risk level
Medium High
Report section
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Official code
746.1301(a)(4)(A)
Higher concern: Staff training
Report finding
Five out of the nine staff files reviewed during inspection did not have First Aid training.
Correction status
Correction evaluated December 20, 2024
More details
Official Texas risk level
Medium High
Report section
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Official code
746.1301(a)(3)(A)
View official report
Medium concern: Health or food records
Report finding
Two out the six children's files evaluated did not have signed health statements.
Correction status
Correction evaluated May 31, 2024
More details
Official Texas risk level
Medium
Report section
746.611(b) - Health Statement on File within 1 Week of Admission
Official code
746.611(b)
View official report
Higher concern: Hazardous access
Report finding
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
High
Report section
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Official code
746.3407(12)
View official report
Medium concern: Recordkeeping
Report finding
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
Correction deadline
January 21, 2024
Correction status
Correction evaluated January 29, 2024
More details
Official Texas risk level
Medium Low
Report section
746.303(b) - Report Number of Employees
Official code
746.303(b)
View official report
Higher concern: Equipment or readiness
Report finding
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.
Correction status
Correction evaluated October 30, 2023
More details
Official Texas risk level
High
Report section
746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
Official code
746.4601(3)
Higher concern: Equipment or readiness
Report finding
The gate leading out of the playground was broken.
Correction status
Correction evaluated October 30, 2023
More details
Official Texas risk level
Medium High
Report section
746.4305 - Fenced Outdoor Activity Space
Official code
746.4305