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.
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.
October 31, 2025 · Inspection · No citations
September 17, 2025 · Inspection · No citations
September 3, 2025 · Investigation · No citations
August 18, 2025 · Inspection · No citations
August 15, 2025 · Investigation · No citations
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.
April 22, 2025 · Inspection · No citations
April 8, 2025 · Investigation (the program reported it to the state) · No citations
December 9, 2024 · Inspection · No citations
November 27, 2024 · Investigation · No citations
October 10, 2024 · Inspection · No citations
May 29, 2024 · Inspection · No citations
April 22, 2024 · Investigation · No citations
January 26, 2024 · Inspection · No citations
January 25, 2024 · Investigation · No citations
January 4, 2024 · Investigation · No citations
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.
September 6, 2023 · Inspection · No citations
September 5, 2023 · Investigation (the program reported it to the state) · No citations
August 24, 2023 · Inspection · No citations
July 14, 2023 · Inspection · No citations
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.
June 28, 2023 · Inspection · No citations
June 20, 2023 · Investigation · No citations
June 15, 2023 · Inspection · No citations
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.
May 24, 2023 · Investigation · No citations
February 9, 2023 · Inspection · No citations
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.
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.
November 10, 2022 · Investigation · No citations
March 16, 2022 · Inspection · No citations
January 14, 2022 · Inspection · No citations
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.
December 3, 2021 · Inspection · No citations
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.
November 11, 2021 · Investigation · No citations
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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.