Hands N Hands Childcare, San Antonio, TX

The Essentials

Summary

Across 41 licensing visits from March 2022 to September 2026, HHSC cited 36 deficiencies at Hands N Hands Childcare; 36 have a recorded correction.

Visits: 41; 2022–2026, inspections, investigations and assessments
Deficiencies: 36; Standards cited by HHSC inspectors
Corrected: 36; Of 36 deficiencies, with a recorded correction date
Investigations: 13; Licensing investigations, whatever prompted them

Deficiencies by Year

Deficiencies
Of which, high risk

* Partial year, through October 31, 2026.

Deficiencies by year
Year	Visits	Deficiencies	Of which, high risk
2021	0	0	0
2022	7	8	2
2023	10	18	3
2024	10	6	2
2025	8	2	1
2026	6	2	0

What the Record Shows

36 of 36 deficiencies have a recorded correction date.
HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.
13 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
The latest inspection, September 22, 2026, recorded no deficiencies.

What to Ask About

Children's Records - Immunizations, Cited in Three Visits
Citation 746.1205(a)(1), Cited in Two Visits
Annual Sanitation Inspection, Cited in Two Visits
Citation 746.5101(a), Cited in Two Visits

Report at a Glance

Facility: Hands N Hands Childcare
Address: 4217 Clark Ave, San Antonio, TX 78223
Operation Number: TX-1682546
License Type: Licensed child care center
Licensed Capacity: 88 children
Permit: Full Permit
Ages Served: infants, toddlers, pre-kindergarten, school age
Hours: Mon–Fri, 6 a.m.–6 p.m.
Record Window: November 1, 2021 to October 31, 2026

Chronology

Inspection History

Every visit in the record window, newest first. A deficiency is a licensing standard Texas inspectors found was not met. HHSC publishes what an investigation cited, not what the report to it alleged.

Sep 222026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122234
Aug 222026
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227566
Aug 202026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122233
Aug 192026
Investigation
1 deficiency
- 746.2431Infant Daily Report - Share with ParentMedium-high riskCorrected Sep 11, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227565
Aug 172026
Inspection
1 deficiency
- 746.613(b)Immunization Records, Exceptions, and Exemptions CurrentMedium-high riskCorrected Sep 17, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122232
Jun 32026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122231
Dec 32025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122230
Nov 202025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122229
Nov 132025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122228
Nov 122025
Investigation
1 deficiency
Opened on a report the operation made itself.
- 746.1205(a)(1)Responsibilities of Caregivers - Know children responsible forHigh riskCorrected Nov 25, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227564
Oct 302025
Inspection
1 deficiency
- 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected Nov 20, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122227
Oct 242025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122226
Oct 172025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122225
Oct 162025
Investigation
No deficiencies
Opened on a report the operation made itself.
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227563
Nov 62024
Inspection
1 deficiency
- 746.4135(b)Children's Products- Annual CertificationMedium riskCorrected Nov 6, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122224
Sep 302024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122223
Sep 102024
Inspection
2 deficiencies
- 746.3407(9)Floors, ceilings and Walls in Good Repair and CleanMedium-high riskCorrected Sep 24, 2024
- 746.1205(a)(1)Responsibilities of Caregivers - Know children responsible forHigh riskCorrected Sep 10, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122222
Sep 62024
Investigation
1 deficiency
- 746.5607(e)Safety restraint devices for child used when vehicle is on and during all time vehicle in motionHigh riskCorrected Sep 17, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227562
Jul 232024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122221
Jul 92024
Inspection
1 deficiency
- 746.1203(3)(D)Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video gamesMedium-high riskCorrected Jul 9, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122220
Jun 142024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227561
Feb 82024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122219
Jan 262024
Inspection
1 deficiency
- 746.3401(a)Annual Sanitation InspectionMedium-high riskCorrected Mar 26, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122218
Jan 242024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227560
Nov 132023
Inspection
7 deficiencies
- 746.901(2)Required Personnel Records- Meets RequirementsMedium riskCorrected Nov 20, 2023
- 746.5619Plan to Handle Transportation EmergenciesMedium-high riskCorrected Nov 20, 2023
- 746.3803(a)(1)Medication Authorization - Signed and DatedMedium-high riskCorrected Jan 5, 2024
- 746.1315(a)Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.Medium-high riskCorrected Jan 1, 2024
- 746.605(13)Required Admission Information - Special Needs StatementMedium-high riskCorrected Nov 20, 2023
- 746.1316(a)Transportation Safety Training -Director and Employee Complete 2 Hours AnnuallyMedium-high riskCorrected Nov 20, 2023
- 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected Feb 1, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122217
Jul 112023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122216
Jun 302023
Inspection
4 deficiencies
- 746.1205(a)(3)Responsibilities of Caregivers - Know children's names and agesMedium-high riskCorrected Jun 30, 2023
- 746.3401(a)Annual Sanitation InspectionMedium-high riskCorrected Jul 31, 2023
- 746.5101(a)Annual Fire Inspection - Before Initial Permit Issued and Every 12 MonthsHigh riskCorrected Jul 31, 2023
- 746.1601Child/ Caregiver Ratio - 13 or More ChildrenMedium-high riskCorrected Jun 30, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122215
Jun 232023
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227559
Apr 42023
Inspection
5 deficiencies
- 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected May 4, 2023
- 746.5537(a)(2)Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors MonthlyMedium-high riskCorrected Apr 4, 2023
- 746.3701Safety - Areas Free From HazardsMedium-high riskCorrected Apr 4, 2023
- 746.5617(a)(2)Required Equipment in Vehicles - Emergency Medical InformationHigh riskCorrected Apr 4, 2023
- 746.3501(6)Diaper Changing Steps-Supplies Kept Out of Child's ReachMedium-high riskCorrected Apr 4, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122214
Mar 282023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122213
Mar 232023
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227558
Feb 152023
Investigation
2 deficiencies
- 746.307(e)Parental Notification of InfestationMedium-low riskCorrected Mar 28, 2023
- 746.1201(1)Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlHigh riskCorrected Mar 28, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227557
Feb 62023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122212
Jan 282023
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227556
Nov 22022
Inspection
2 deficiencies
- 746.901(4)Required Personnel Records - Required AffidavitMedium-low riskCorrected Nov 9, 2022
- 746.603(a)Children's Records MaintainedMedium riskCorrected Nov 16, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122211
Aug 302022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122210
Aug 252022
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227555
Jul 192022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122209
Jun 62022
Investigation
3 deficiencies
- 746.201(7)Operation Open to Parents At All TimesMedium riskCorrected Jul 14, 2022
- 746.307(c)Parental Notification of Less Serious InjuriesMedium riskCorrected Jul 14, 2022
- 745.641AP Background check results - Must receive notification prior to allowing subject to be present at your operationHigh riskCorrected Jul 14, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905227554
Mar 102022
Inspection
2 deficiencies
- 746.3701(9)Safety - Televisions Anchored to Prevent Tip OverMedium-high riskCorrected Mar 10, 2022
- 746.5101(a)Annual Fire Inspection - Before Initial Permit Issued and Every 12 MonthsHigh riskCorrected Mar 10, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905122208
Mar 12022
Assessment
1 deficiency
- 746.303(b)Report Number of EmployeesMedium-low riskCorrected Mar 4, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905253174

Texas gives every licensing standard one of five risk levels, from low to high, by how likely a deficiency is to harm a child.

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

1
Children's Records - Immunizations, Cited in Three Visits
HHSC inspectors cited 746.603(a)(4) in April 2023, November 2023 and October 2025. The agency describes it this way: Children's Records - Immunizations. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
2222222222222223232323232323232323242424242424242424242525252525252525262626262626746.603(a)(4) across all 41 visits, oldest to newest
2
Citation 746.1205(a)(1), Cited in Two Visits
HHSC inspectors cited 746.1205(a)(1) in September 2024 and November 2025. The agency describes it this way: Responsibilities of Caregivers - Know children responsible for. The most serious of these was recorded at high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
2222222222222223232323232323232323242424242424242424242525252525252525262626262626746.1205(a)(1) across all 41 visits, oldest to newest
3
Annual Sanitation Inspection, Cited in Two Visits
HHSC inspectors cited 746.3401(a) in June 2023 and January 2024. The agency describes it this way: Annual Sanitation Inspection. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
2222222222222223232323232323232323242424242424242424242525252525252525262626262626746.3401(a) across all 41 visits, oldest to newest
4
Citation 746.5101(a), Cited in Two Visits
HHSC inspectors cited 746.5101(a) in March 2022 and June 2023. The agency describes it this way: Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months. The most serious of these was recorded at high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
2222222222222223232323232323232323242424242424242424242525252525252525262626262626746.5101(a) across all 41 visits, oldest to newest

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

01
What changed after 746.603(a)(4) was cited, and how do you check it now?
Children's Records - Immunizations: cited in three visits, most seriously at medium risk.
02
What changed after 746.1205(a)(1) was cited, and how do you check it now?
Citation 746.1205(a)(1): cited in two visits, including high-risk standards.
03
What changed after 746.3401(a) was cited, and how do you check it now?
Annual Sanitation Inspection: cited in two visits, most seriously at medium-high risk.
04
What changed after 746.5101(a) was cited, and how do you check it now?
Citation 746.5101(a): cited in two visits, including high-risk standards.
05
What is the ratio in the room my child would join, and how is every child accounted for at nap time, pickup and on the playground?
Ratios change through the day, so they are worth counting yourself on a visit.
06
Has the center ever been under corrective or adverse action, and what changed afterward?
HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.

The Evidence

Sources and Coverage

Program details, licensing visits and the deficiencies cited at each are published by the Texas Health and Human Services Commission's Child Care Regulation in its daily files on data.texas.gov.

Child Care Licensing operations (data.texas.gov)
Texas Health and Human Services Commission, Child Care Regulation · 1682546
Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905253174
Visit Mar 1, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122208
Visit Mar 10, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227554
Visit Jun 6, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122209
Visit Jul 19, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227555
Visit Aug 25, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122210
Visit Aug 30, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122211
Visit Nov 2, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227556
Visit Jan 28, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122212
Visit Feb 6, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227557
Visit Feb 15, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227558
Visit Mar 23, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122213
Visit Mar 28, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122214
Visit Apr 4, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227559
Visit Jun 23, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122215
Visit Jun 30, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122216
Visit Jul 11, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122217
Visit Nov 13, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227560
Visit Jan 24, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122218
Visit Jan 26, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122219
Visit Feb 8, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227561
Visit Jun 14, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122220
Visit Jul 9, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122221
Visit Jul 23, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227562
Visit Sep 6, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122222
Visit Sep 10, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122223
Visit Sep 30, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122224
Visit Nov 6, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227563
Visit Oct 16, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122225
Visit Oct 17, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122226
Visit Oct 24, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122227
Visit Oct 30, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227564
Visit Nov 12, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122228
Visit Nov 13, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122229
Visit Nov 20, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122230
Visit Dec 3, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122231
Visit Jun 3, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122232
Visit Aug 17, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227565
Visit Aug 19, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122233
Visit Aug 20, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905227566
Visit Aug 22, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905122234
Visit Sep 22, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗

Coverage

Record windowNovember 1, 2021 – October 31, 2026

This record is HHSC's list of operations as of October 2026, with the inspections, investigations and assessments in HHSC's files, which run from November 2021.
Listed family homes (one caregiver with up to three unrelated children, listed with HHSC but not inspected on a schedule) are not in this record.
HHSC's narrative for each deficiency is left out because it can name children, parents and staff; the rule cited, its risk level and the correction dates are kept.

What This Report Cannot Tell You

Inspector narratives: Published by HHSC but left out of this record because they can name people.
Enforcement actions: HHSC's files say whether an operation is under corrective or adverse action, not what the action was.
Complaints not investigated: Reports HHSC screened out without an investigation are not published.
Staff qualifications and turnover: Not part of the published licensing record.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.