Find a program / Texas / San Antonio / Hands 'n' Hands Childcare and Learning Center

Childcare center · San Antonio, TX

Hands 'n' Hands Childcare and Learning Center

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: 875 HOT WELLS BLVD, San Antonio, TX 78223

County: Bexar County

Phone: (210) 532-3396

Licensed to serve: Infant, Toddler, Pre-Kindergarten, School

Licensed capacity: 133 children

State ID (HHSC operation number): 840816

Permit: Full Permit, issued August 25, 2005

On corrective action (HHSC): No

On adverse action (HHSC): No

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 840816 on the search page).

Inspection history

From November 12, 2023 to November 12, 2026

  • 11 inspections
  • 7 investigations
  • 5 citations from these visits (risk level: Medium High 2, Medium 3)

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 November 11, 2021 to July 20, 2026, newest first: 38 visits and 23 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.

  1. July 20, 2026 · Inspection · 2 citations

    • 746.501(a)(20) - Written Operational Policies - Parent Rights

      Risk level: Medium · Corrected during the visit · 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.

    • 746.603(a)(3) - Children's Records - Health Statement

      Risk level: Medium · Correct-by date in the state file: August 20, 2026 · Correction verified: July 27, 2026 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      One of the ten children was missing a healthcare statement at the time of inspection.

  2. October 31, 2025 · Inspection · No citations

  3. September 17, 2025 · Inspection · No citations

  4. September 3, 2025 · Investigation · No citations

  5. August 18, 2025 · Inspection · No citations

  6. August 15, 2025 · Investigation · No citations

  7. August 14, 2025 · Inspection · 1 citation

    • 746.3407 - Maintenance of Building, Grounds and Equipment

      Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The picnic table on the playground has a cracked tabletop and poses a safety hazard.Note: This was corrected at inspection when the table was removed from the playground.

  8. April 22, 2025 · Inspection · No citations

  9. April 8, 2025 · Investigation (the program reported it to the state) · No citations

  10. December 9, 2024 · Inspection · No citations

  11. November 27, 2024 · Investigation · No citations

  12. October 10, 2024 · Inspection · No citations

  13. May 29, 2024 · Inspection · No citations

  14. April 22, 2024 · Investigation · No citations

  15. January 26, 2024 · Inspection · No citations

  16. January 25, 2024 · Investigation · No citations

  17. January 4, 2024 · Investigation · No citations

  18. November 27, 2023 · Inspection · 2 citations

    • 746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room

      Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The preschool class did not have a posted emergency evacuation diagram in their classroom. This was corrected when the diagram was posted back in the room after it was accidentally removed by maintenance.

    • 746.5205(4) - Documentation of Drills

      Risk level: Medium · Correct-by date in the state file: December 31, 2023 · Correction verified: December 28, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The operation only had 2 out 4 lock down drills and 1 out of 4 shelter-in-place drills completed on emergency drills documentation.

  19. September 6, 2023 · Inspection · No citations

  20. September 5, 2023 · Investigation (the program reported it to the state) · No citations

  21. August 24, 2023 · Inspection · No citations

  22. July 14, 2023 · Inspection · No citations

  23. July 13, 2023 · Investigation · 4 citations

    • 746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible for

      Risk level: High · Correct-by date in the state file: August 11, 2023 · Correction verified: August 24, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Based on the evidence gathered, caregivers did not know which children they were responsible for after children from another classroom were brought to their classroom.

    • 746.1205(a)(4) - Supervision ensures each child's safety, well-being, including physical proximity and auditory or visual awareness of each child's on going activity

      Risk level: High · Correct-by date in the state file: August 11, 2023 · Correction verified: August 24, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Based on the evidence gathered, supervision was not appropriate when a toddler wandered away from a classroom unsupervised and was found in the operation's parking lot by another parent.

    • 746.305(a)(6) - Report Situation Placing Children at Risk

      Risk level: High · Correct-by date in the state file: August 11, 2023 · Correction verified: August 24, 2023 · 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.

    • 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk

      Risk level: High · Correct-by date in the state file: August 11, 2023 · Correction verified: August 24, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Based on the evidence gathered, the operation did not immediately notify the parent of a toddler who had wandered away from a classroom unsupervised and was found in the parking lot by another parent.

  24. June 28, 2023 · Inspection · No citations

  25. June 20, 2023 · Investigation · No citations

  26. June 15, 2023 · Inspection · No citations

  27. June 1, 2023 · Inspection · 5 citations

    • 746.4901(a) - Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

      Risk level: Medium High · Correct-by date in the state file: July 21, 2023 · Correction verified: August 17, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The climbing playground structure in the three's outdoor area does not have the appropriate surfacing installed underneath it.

    • 746.5209(b) - Doors to Fenced Area Easily Opened By Children

      Risk level: High · Correct-by date in the state file: June 15, 2023 · Correction verified: June 15, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      A classroom door leading into the fenced in playground does not open correctly from the inside or outside. The door gets stuck half way when you push or pull it open.

    • 746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment Openings

      Risk level: High · Correct-by date in the state file: June 30, 2023 · Correction verified: June 15, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      There is a wide opening between the fence and gate that encloses the threes outdoor play area.

    • 746.5207(b) - Emergency Evacuation and Relocation Diagram - Posted in Each Room

      Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Two classrooms did not have emergency evacuation diagrams posted.

    • 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

      Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Two individual climbing slide structures did not have the appropriate depth of surfacing underneath. This was corrected when the director removed both slides from the playground.

  28. May 24, 2023 · Investigation · No citations

  29. February 9, 2023 · Inspection · No citations

  30. January 30, 2023 · Investigation · 1 citation

    • 746.307(c) - Parental Notification of Less Serious Injuries

      Risk level: Medium · Correct-by date in the state file: March 10, 2023 · Correction verified: March 23, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      A deficiency was cited when the operation could not provide a signed incident report.

  31. November 30, 2022 · Inspection · 5 citations

    • 746.611(a)(1) - Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program

      Risk level: Low · Correct-by date in the state file: January 3, 2023 · Correction verified: December 27, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      There were two children files out of the twelve that were viewed that did not have a health statement signed by a health care professional, available for review.

    • 746.4601(4) - Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings

      Risk level: High · Correct-by date in the state file: December 16, 2022 · Correction verified: December 13, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The swings on the after-school playground had big screws that were protruding out of the pole that the swings were attached to. Additionally, the swing seats were cracked, and their chains were twisted.

    • 746.4003(a) - First Aid Kit - Incomplete Kit

      Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      There were two vans meant to transport children that did not have complete first Aid kits available for review. One van was missing band aids, and the other van was missing band aids, and tweezers. Note: This was corrected at inspection when the director put band aids in the first van's first aid kit, and put band aids and tweezers in the second van's first aid kit.

    • 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)

      There were cleaning supplies located underneath the sink, in an unlocked cabinet, in the Pre-K bathroom. Note: This was corrected at inspection when the director removed the cleaning supplies and put them up on a high shelf, where children can not access to the cleaning supplies.

    • 746.613(b) - Immunization Records, Exceptions, and Exemptions Current

      Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      There was one child file out of the twelve files viewed that did not have an updated immunization record available for review. Note: This was corrected at inspection when an updated immunization record was placed in the child's file.

  32. November 10, 2022 · Investigation · No citations

  33. March 16, 2022 · Inspection · No citations

  34. January 14, 2022 · Inspection · No citations

  35. December 15, 2021 · Inspection · 2 citations

    • 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      Risk level: High · Correct-by date in the state file: January 1, 2022 · Correction verified: January 14, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      There was no current annual fire inspection report available during inspection.

    • 746.3417(3) - Children Handwashing After Toileting or Diapering

      Risk level: Medium High · Correct-by date in the state file: December 15, 2021 · Correction verified: January 14, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      One caregiver in the infant room failed to wash the child's hands after changing the diaper.

  36. December 3, 2021 · Inspection · No citations

  37. November 22, 2021 · Inspection · 1 citation

    • 746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over

      Risk level: Medium High · Correct-by date in the state file: November 22, 2021 · Correction verified: December 3, 2021 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      In the school age classroom there was one television found to be sitting on a table, The television was not achored or secured. The television was accessible to children. The television was removed and put into storage during insepction.

  38. November 11, 2021 · Investigation · No citations

View the official record

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Sources

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.

A listing is not an endorsement or a rating. The state's record is the official source: confirm licensing, inspections and program details with Texas HHSC and the program before you enroll a child. Report a problem with this page.