Hands N Hands Childcare

Inspection history

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 March 1, 2022 to September 22, 2026, newest first: 41 visits and 36 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. September 22, 2026 · Inspection · No citations

2. August 22, 2026 · Investigation · No citations

3. August 20, 2026 · Inspection · No citations

4. August 19, 2026 · Investigation · 1 citation

   • 746.2431 - Infant Daily Report - Share with Parent

     Risk level: Medium High · Correct-by date in the state file: September 11, 2026 · Correction verified: September 22, 2026 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     During the course of the investigation, it was determined that infant daily reports were not being shared with parents.

5. August 17, 2026 · Inspection · 1 citation

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

     Risk level: Medium High · Correct-by date in the state file: September 17, 2026 · Correction verified: September 14, 2026 · Inspector gave guidance (technical assistance): Yes

     Inspector's notes (as published)

     Two of the four children's immunizations were not updated at the time of inspection.

6. June 3, 2026 · Inspection · No citations

7. December 3, 2025 · Inspection · No citations

8. November 20, 2025 · Inspection · No citations

9. November 13, 2025 · Inspection · No citations

10. November 12, 2025 · Investigation (the program reported it to the state) · 1 citation

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

      Risk level: High · Correct-by date in the state file: November 25, 2025 · Correction verified: December 3, 2025 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

11. October 30, 2025 · Inspection · 1 citation

    • 746.603(a)(4) - Children's Records - Immunizations

      Risk level: Medium · Correct-by date in the state file: November 20, 2025 · Correction verified: December 23, 2025 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Three out of five children's files reviewed did not have current immunization records available for review.

12. October 24, 2025 · Inspection · No citations

13. October 17, 2025 · Inspection · No citations

14. October 16, 2025 · Investigation (the program reported it to the state) · No citations

15. November 6, 2024 · Inspection · 1 citation

    • 746.4135(b) - Children's Products- Annual Certification

      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.

16. September 30, 2024 · Inspection · No citations

17. September 10, 2024 · Inspection · 2 citations

    • 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean

      Risk level: Medium High · Correct-by date in the state file: September 24, 2024 · Correction verified: September 30, 2024 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      There were five ceiling tiles missing in the operation.

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

      Risk level: High · Correct-by date in the state file: September 10, 2024 · Correction verified: September 30, 2024 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for.

18. September 6, 2024 · Investigation · 1 citation

    • 746.5607(e) - Safety restraint devices for child used when vehicle is on and during all time vehicle in motion

      Risk level: High · Correct-by date in the state file: September 17, 2024 · Correction verified: September 30, 2024 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

19. July 23, 2024 · Inspection · No citations

20. July 9, 2024 · Inspection · 1 citation

    • 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

      Risk level: Medium High · Correct-by date in the state file: July 9, 2024 · Correction verified: July 23, 2024 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

21. June 14, 2024 · Investigation · No citations

22. February 8, 2024 · Inspection · No citations

23. January 26, 2024 · Inspection · 1 citation

    • 746.3401(a) - Annual Sanitation Inspection

      Risk level: Medium High · Correct-by date in the state file: March 26, 2024 · Correction verified: March 14, 2024 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The available health inspection posted was last conducted on 12.1.22.

24. January 24, 2024 · Investigation · No citations

25. November 13, 2023 · Inspection · 7 citations

    • 746.605(13) - Required Admission Information - Special Needs Statement

      Risk level: Medium High · Correct-by date in the state file: November 20, 2023 · Correction verified: November 15, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

    • 746.603(a)(4) - Children's Records - Immunizations

      Risk level: Medium · Correct-by date in the state file: February 1, 2024 · Correction verified: January 23, 2024 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      One of the eight children files didn't have a current immunization record.

    • 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

      Risk level: Medium High · Correct-by date in the state file: January 1, 2024 · Correction verified: December 11, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Four of the eight staff files were missing First aid and CPR training.

    • 746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually

      Risk level: Medium High · Correct-by date in the state file: November 20, 2023 · Correction verified: November 15, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      One of the two staff transporting didn't have training available for review.

    • 746.901(2) - Required Personnel Records- Meets Requirements

      Risk level: Medium · Correct-by date in the state file: November 20, 2023 · Correction verified: November 27, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.

    • 746.5619 - Plan to Handle Transportation Emergencies

      Risk level: Medium High · Correct-by date in the state file: November 20, 2023 · Correction verified: November 15, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      A written procedure on how to handle transportation emergencies was not available for review.

    • 746.3803(a)(1) - Medication Authorization - Signed and Dated

      Risk level: Medium High · Correct-by date in the state file: January 5, 2024 · Correction verified: January 8, 2024 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      A written, signed and dated medication authorization was not available for review for one child.

26. July 11, 2023 · Inspection · No citations

27. June 30, 2023 · Inspection · 4 citations

    • 746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages

      Risk level: Medium High · Correct-by date in the state file: June 30, 2023 · Correction verified: July 11, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

    • 746.1601 - Child/ Caregiver Ratio - 13 or More Children

      Risk level: Medium High · Correct-by date in the state file: June 30, 2023 · Correction verified: July 11, 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.

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

      Risk level: High · Correct-by date in the state file: July 31, 2023 · Correction verified: July 25, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The fire inspection was last conducted on 5.16.22.

    • 746.3401(a) - Annual Sanitation Inspection

      Risk level: Medium High · Correct-by date in the state file: July 31, 2023 · Correction verified: August 11, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      The health inspection was last conducted on 5.12.22.

28. June 23, 2023 · Investigation · No citations

29. April 4, 2023 · Inspection · 5 citations

    • 746.3501(6) - Diaper Changing Steps-Supplies Kept Out of Child's Reach

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

      Inspector's notes (as published)

      Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.

    • 746.603(a)(4) - Children's Records - Immunizations

      Risk level: Medium · Correct-by date in the state file: May 4, 2023 · Correction verified: April 12, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

    • 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

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

      Inspector's notes (as published)

      Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.

    • 746.3701 - Safety - Areas Free From Hazards

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

      Inspector's notes (as published)

      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.

    • 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information

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

      Inspector's notes (as published)

      Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.

30. March 28, 2023 · Inspection · No citations

31. March 23, 2023 · Investigation · No citations

32. February 15, 2023 · Investigation · 2 citations

    • 746.307(e) - Parental Notification of Infestation

      Risk level: Medium Low · Correct-by date in the state file: March 28, 2023 · Correction verified: April 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

    • 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

      Risk level: High · Correct-by date in the state file: March 28, 2023 · Correction verified: April 4, 2023 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      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.

33. February 6, 2023 · Inspection · No citations

34. January 28, 2023 · Investigation · No citations

35. November 2, 2022 · Inspection · 2 citations

    • 746.901(4) - Required Personnel Records - Required Affidavit

      Risk level: Medium Low · Correct-by date in the state file: November 9, 2022 · Correction verified: November 9, 2022 · Inspector gave guidance (technical assistance): No

      Inspector's notes (as published)

      Three out of eight employee records reviewed were missing the required affidavit for employment.

    • 746.603(a) - Children's Records Maintained

      Risk level: Medium · Correct-by date in the state file: November 16, 2022 · Correction verified: November 17, 2022 · Inspector gave guidance (technical assistance): No

      Inspector's notes (as published)

      Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.

36. August 30, 2022 · Inspection · No citations

37. August 25, 2022 · Investigation · No citations

38. July 19, 2022 · Inspection · No citations

39. June 6, 2022 · Investigation · 3 citations

    • 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation

      Risk level: High · Correct-by date in the state file: July 14, 2022 · Correction verified: July 19, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.

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

      Risk level: Medium · Correct-by date in the state file: July 14, 2022 · Correction verified: July 19, 2022 · Inspector gave guidance (technical assistance): No

      Inspector's notes (as published)

      Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.

    • 746.201(7) - Operation Open to Parents At All Times

      Risk level: Medium · Correct-by date in the state file: July 14, 2022 · Correction verified: July 19, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Based on the information received parents are not allowed to enter the operation.

40. March 10, 2022 · 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: March 10, 2022 · Correction verified: March 21, 2022 · Inspector gave guidance (technical assistance): Yes

      Inspector's notes (as published)

      Annual first inspection had not been updated since 10/19/2020.

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

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

      Inspector's notes (as published)

      In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.

41. March 1, 2022 · Assessment · 1 citation

    • 746.303(b) - Report Number of Employees

      Risk level: Medium Low · Correct-by date in the state file: March 4, 2022 · Correction verified: March 7, 2022 · Inspector gave guidance (technical assistance): No

      The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.

View the official record

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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.