Hands N Hands Childcare
Hands N Hands Childcare is a licensed child care center in San Antonio, TX, licensed for up to 88 children and serving infants through school-age children. It has held its Texas license since 2019. Since October 2021, state inspectors have visited 28 times and investigated 13 reports. Inspectors recorded 37 citations, 9 of them high-risk, most often for records & paperwork (8 of 37). 4 citations came in the last 12 months, including 1 high-risk. 16% were corrected during the inspection itself. Its last 2 inspections found no violations. Measured by risk-weighted citations per inspection, it is tied for #360 of 476 centers in San Antonio and better than 21% of licensed centers statewide.
Inspection record
Every state visit
What inspectors cited most
Citations, newest first
During the course of the investigation, it was determined that infant daily reports were not being shared with parents.
Two of the four children's immunizations were not updated at the time of inspection.
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.
Three out of five children's files reviewed did not have current immunization records available for review.
The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form.
There were five ceiling tiles missing in the operation.
Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for.
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.
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.
The available health inspection posted was last conducted on 12.1.22.
One of the eight children files didn't have a current immunization record.
A written, signed and dated medication authorization was not available for review for one child.
Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.
A written procedure on how to handle transportation emergencies was not available for review.
Four of the eight staff files were missing First aid and CPR training.
One of the two staff transporting didn't have training available for review.
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.
The health inspection was last conducted on 5.12.22.
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.
The fire inspection was last conducted on 5.16.22.
The toddler teacher was observed with six children SAG of 12-17 months which made the teacher over by one child. NOTE: This was corrected when the youngest child was moved to the infant classroom.
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.
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.
Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.
Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.
Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.
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.
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.
Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.
Three out of eight employee records reviewed were missing the required affidavit for employment.
Based on the information received parents are not allowed to enter the operation.
Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.
During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.
In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.
Annual first inspection had not been updated since 10/19/2020.
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
A person was present at the operation without a cleared background check and responsible for children prior to the operation receiving the eligibility letter. NOTE: This has been corrected by caregiver being removed from operation.
About this center
Common questions
Does Hands N Hands Childcare take infants?
Yes. Texas licenses it to care for infants through school-age children.
What are Hands N Hands Childcare’s hours?
6 AM to 6 PM, Monday through Friday, according to its state licensing record. Confirm holiday and summer hours with the center.
Does Hands N Hands Childcare accept child care subsidies?
Yes, according to its state licensing record.
How much does Hands N Hands Childcare cost?
Texas does not publish individual centers’ prices, so ask Hands N Hands Childcare for its current tuition. For comparison, the median full-day price at licensed centers in the Alamo area, which includes San Antonio, is $42.00 a day for infants, $40.40 a day for toddlers and $39.20 a day for 3-year-olds (2025 Texas Child Care Market Rate Survey).
Has Hands N Hands Childcare had any serious violations?
Inspectors recorded 9 high-risk citations since 2021. The most recent was on Nov 12, 2025: “Responsibilities of Caregivers - Know children responsible for.” Each one is listed in full above.
How does Hands N Hands Childcare compare with other daycares in San Antonio?
It is tied for #360 of 476 centers in San Antonio by risk-weighted citations per inspection, and is better than 21% of licensed centers statewide (out of 9,147 Texas centers with enough inspection history).
When was Hands N Hands Childcare last inspected?
Sep 22, 2026. No violations were found during that visit.
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Citations are quoted from Texas HHS inspection records. Many are corrected the same day, and a citation is a finding about one rule, not a judgment about a center overall.
To see the official record, search operation 1682546 on Search Texas Child Care. Data refreshed Sep 30, 2026.