Find a program / Texas / San Antonio / Hands N Hands Childcare
Childcare center · San Antonio, TX
Hands N Hands Childcare
A licensed child care center in San Antonio, Texas, with its state inspection history from Texas Health and Human Services (HHSC).
Program details
Program type: Licensed child care center
Address: 538 SURREY AVE, San Antonio, TX 78225
County: Bexar County
Phone: (210) 332-5771
Licensed to serve: Infant, Toddler, Pre-Kindergarten, School
Licensed capacity: 93 children
State ID (HHSC operation number): 1787821
Permit: Full Permit, issued May 30, 2024
On corrective action (HHSC): No
On adverse action (HHSC): No
Conditions on permit: Yes (see the official record for details)
Corrective action and adverse action are formal steps Texas HHSC can take on a permit. The official record explains any that apply.
View the official record on Texas HHSC's child care search (or search operation number 1787821 on the search page).
Inspection history
From November 12, 2023 to November 12, 2026
- 13 inspections
- 3 investigations
- 1 assessment
- 12 citations from these visits (risk level: High 3, Medium High 5, Medium 3, Medium Low 1)
A citation means an inspector found a rule wasn't met at the time of the visit; many are corrected the same day. Read the official record for details.
Below is every visit in the state's files from October 23, 2023 to April 17, 2026, newest first: 19 visits and 14 citations in all, so the totals can be higher than the 3-year counts above. An investigation is a visit to look into a report or complaint; many find no citations. Risk level is the level Texas HHSC assigns to each rule, from low to high, as published. Technical assistance means the inspector gave guidance on the rule. The state's file does not say whether the "correct-by" date is a deadline or the day the problem was fixed, so it can fall after the verified date or in the future.
April 17, 2026 · Inspection · No citations
February 10, 2026 · Inspection · 2 citations
746.603(a)(4) - Children's Records - Immunizations
Risk level: Medium · Correct-by date in the state file: March 17, 2026 · Correction verified: April 17, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Four of the five children's files evaluated did not have current immunization records available for review.
746.301(2) - Notification of Change in Space
Risk level: Medium · Correct-by date in the state file: February 24, 2026 · Correction verified: April 17, 2026 · Inspector gave guidance (technical assistance): Yes
The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.
October 6, 2025 · Inspection · No citations
September 23, 2025 · Investigation · No citations
August 25, 2025 · Inspection · No citations
August 13, 2025 · Investigation (the program reported it to the state) · No citations
July 10, 2025 · Inspection · No citations
May 30, 2025 · Inspection · 3 citations
746.5617(a)(3) - Required Equipment in Vehicles - Information About Facility
Risk level: Medium High · Correct-by date in the state file: June 13, 2025 · Correction verified: July 10, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.
746.2415(a)(3) - Prohibited Equipment for Infants - Accordion Safety Gates
Risk level: Medium High · Correct-by date in the state file: May 30, 2025 · Correction verified: July 10, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
746.4601(2) - Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
Risk level: Medium High · Correct-by date in the state file: May 30, 2025 · Correction verified: July 10, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
January 13, 2025 · Inspection · No citations
December 16, 2024 · Investigation · No citations
November 25, 2024 · Inspection · 4 citations
746.613(a) - Required Immunizations
Risk level: High · Correct-by date in the state file: December 20, 2024 · Correction verified: December 20, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Four out of the ten children's files reviewed during inspection did not have immunization's records.
746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Risk level: Medium High · Correct-by date in the state file: December 20, 2024 · Correction verified: December 20, 2024 · Inspector gave guidance (technical assistance): Yes
The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.
746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Risk level: Medium High · Correct-by date in the state file: December 20, 2024 · Correction verified: December 20, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Five out of nine staff files reviewed did not have CPR training.
746.605(11) - Required Admission Information - Emergency Medical Authorization
Risk level: High · Correct-by date in the state file: November 25, 2024 · Correction verified: December 20, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
July 26, 2024 · Inspection · No citations
May 29, 2024 · Inspection · No citations
May 29, 2024 · Inspection · 1 citation
746.611(b) - Health Statement on File within 1 Week of Admission
Risk level: Medium · Correct-by date in the state file: May 31, 2024 · Correction verified: May 31, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Two out the six children's files evaluated did not have signed health statements.
April 15, 2024 · Inspection · No citations
March 13, 2024 · Inspection · 1 citation
746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Risk level: High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
January 19, 2024 · Assessment · 1 citation
746.303(b) - Report Number of Employees
Risk level: Medium Low · Correct-by date in the state file: January 21, 2024 · Correction verified: January 29, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
October 30, 2023 · Inspection · No citations
October 23, 2023 · Inspection · 2 citations
746.4305 - Fenced Outdoor Activity Space
Risk level: Medium High · Correct-by date in the state file: October 30, 2023 · Correction verified: October 30, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The gate leading out of the playground was broken.
746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings
Risk level: High · Correct-by date in the state file: October 30, 2023 · Correction verified: October 30, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
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More programs in San Antonio · Texas child care rules
Sources
- HHSC CCL Daycare and Residential Operations Data: program details.
- HHSC CCL Inspection Investigation Assessment Data: visit dates and types.
- HHSC CCL Non-Compliance Data: citations, risk levels, corrections and inspector's notes.
All three are published by the Texas Health and Human Services Commission, Child Care Licensing, on data.texas.gov under CC0 1.0. State files updated November 12, 2026. We show the state's text as published, except that we restore apostrophes the files print as "?". Program details last checked October 21, 2026.