Hands N Hands Childcare
Hands N Hands Childcare is a licensed child care center in San Antonio, TX, licensed for up to 93 children and serving infants through school-age children. It has held its Texas license since 2024. Since October 2021, state inspectors have visited 15 times and investigated 3 reports. Inspectors recorded 14 citations, 4 of them high-risk, most often for health & medication (4 of 14). 2 citations came in the last 12 months. 7% were corrected during the inspection itself. Measured by risk-weighted citations per inspection, it is tied for #287 of 476 centers in San Antonio and better than 35% of licensed centers statewide.
Inspection record
Every state visit
What inspectors cited most
Citations, newest first
Four of the five children's files evaluated did not have current immunization records available for review.
The operation did not notify Childcare Regulation about a change of indoor space.
Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.
Four out of the ten children's files reviewed during inspection did not have immunization's records.
Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
Five out of nine staff files reviewed did not have CPR training.
Five out of the nine staff files reviewed during inspection did not have First Aid training.
Two out the six children's files evaluated did not have signed health statements.
Cleaning solutions were observed underneath the sinks in the school age restrooms and were accessible to children. This was corrected when staff removed the cleaning solutions from restrooms.
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
The gate leading out of the playground was broken.
At the time of inspection there was a four and a half inch gap under the barrier surrounding the playground platform. The rail going down the steps also has a gap that is over 3 1/2 inches wide.
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 6:30 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.
Has Hands N Hands Childcare had any serious violations?
Inspectors recorded 4 high-risk citations since 2021. The most recent was on Nov 25, 2024: “Required Immunizations.” Each one is listed in full above.
How does Hands N Hands Childcare compare with other daycares in San Antonio?
It is tied for #287 of 476 centers in San Antonio by risk-weighted citations per inspection, and is better than 35% of licensed centers statewide (out of 9,147 Texas centers with enough inspection history).
When was Hands N Hands Childcare last inspected?
Apr 17, 2026. No violations were found during that visit.
Other centers near 78225
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 1787821 on Search Texas Child Care. Data refreshed Sep 30, 2026.