Hands N Hands Childcare, San Antonio, TX

The Essentials

Summary

Across 19 licensing visits from October 2023 to April 2026, HHSC cited 14 deficiencies at Hands N Hands Childcare; 14 have a recorded correction.

Visits: 19; 2023–2026, inspections, investigations and assessments
Deficiencies: 14; Standards cited by HHSC inspectors
Corrected: 14; Of 14 deficiencies, with a recorded correction date
Investigations: 3; 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	0	0	0
2023	2	2	1
2024	8	7	3
2025	7	3	0
2026	2	2	0

What the Record Shows

14 of 14 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.
3 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
The latest inspection, April 17, 2026, recorded no deficiencies.

What to Ask About

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?
Has the center ever been under corrective or adverse action, and what changed afterward?

Report at a Glance

Facility: Hands N Hands Childcare
Address: 538 Surrey Ave, San Antonio, TX 78225
Operation Number: TX-1787821
License Type: Licensed child care center
Licensed Capacity: 93 children
Permit: Full Permit
Ages Served: infants, toddlers, pre-kindergarten, school age
Hours: Mon–Fri, 6 a.m.–6:30 p.m.
Conditions on Permit: Yes
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.

Apr 172026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168654
Feb 102026
Inspection
2 deficiencies
- 746.301(2)Notification of Change in SpaceMedium riskCorrected Feb 24, 2026
- 746.603(a)(4)Children's Records - ImmunizationsMedium riskCorrected Mar 17, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168653
Oct 62025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168652
Sep 232025
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905244197
Aug 252025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168651
Aug 132025
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), 905244196
Jul 102025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168650
May 302025
Inspection
3 deficiencies
- 746.2415(a)(3)Prohibited Equipment for Infants - Accordion Safety GatesMedium-high riskCorrected May 30, 2025
- 746.4601(2)Safety Requirements for Active Play Equipment - Used According to Manufacturer's InstructionsMedium-high riskCorrected May 30, 2025
- 746.5617(a)(3)Required Equipment in Vehicles - Information About FacilityMedium-high riskCorrected Jun 13, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168649
Jan 132025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168648
Dec 162024
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905244195
Nov 252024
Inspection
4 deficiencies
- 746.613(a)Required ImmunizationsHigh riskCorrected Dec 20, 2024
- 746.1301(a)(4)(A)Training Requirements for Employees, Caregivers, and Directors - Pediatric CPRMedium-high riskCorrected Dec 20, 2024
- 746.1301(a)(3)(A)Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue BreathingMedium-high riskCorrected Dec 20, 2024
- 746.605(11)Required Admission Information - Emergency Medical AuthorizationHigh riskCorrected Nov 25, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168647
Jul 262024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168646
May 292024
Inspection
1 deficiency
- 746.611(b)Health Statement on File within 1 Week of AdmissionMedium riskCorrected May 31, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168644
May 292024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168645
Apr 152024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168643
Mar 132024
Inspection
1 deficiency
- 746.3407(12)Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to ChildrenHigh riskCorrected Mar 13, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168642
Jan 192024
Assessment
1 deficiency
- 746.303(b)Report Number of EmployeesMedium-low riskCorrected Jan 21, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905254752
Oct 302023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168641
Oct 232023
Inspection
2 deficiencies
- 746.4601(3)Safety Requirements for Active Play Equipment - No Entrapment OpeningsHigh riskCorrected Oct 30, 2023
- 746.4305Fenced Outdoor Activity SpaceMedium-high riskCorrected Oct 30, 2023
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905168640

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.

No citation repeats across the 19 visits in this window, and no deficiency is waiting on a verified correction. That is what the record shows; it is not a judgment of care. The questions that follow still apply.

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 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.
02
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 · 1787821
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 · 905168640
Visit Oct 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 · 905168641
Visit Oct 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 · 905254752
Visit Jan 19, 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 · 905168642
Visit Mar 13, 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 · 905168643
Visit Apr 15, 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 · 905168644
Visit May 29, 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 · 905168645
Visit May 29, 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 · 905168646
Visit Jul 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 · 905168647
Visit Nov 25, 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 · 905244195
Visit Dec 16, 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 · 905168648
Visit Jan 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 · 905168649
Visit May 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 · 905168650
Visit Jul 10, 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 · 905244196
Visit Aug 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 · 905168651
Visit Aug 25, 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 · 905244197
Visit Sep 23, 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 · 905168652
Visit Oct 6, 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 · 905168653
Visit Feb 10, 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 · 905168654
Visit Apr 17, 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.