No infractions recorded at this inspection.
Licensed Center · Texas
Hands N Hands Childcare
4217 Clark Ave, San Antonio
Last inspected Sep 22, 2026 · Map
About this program
- Licensed capacity
- 88
- Ages served
- Infant,Toddler,Pre-Kindergarten,School
- Hours
- 06:00 AM-06:00 PM
- Days
- Mon,Tue,Wed,Thu,Fri
- Programs
- School Age Care,Before School Care,Meals Provided ,After School Care,Snacks Provided,Drop-In Care,Part Time Care,Transportation to/from School ,Field Trips
- Accepts child care subsidies
- Yes
- License type
- Full Permit
- Issued
- Apr 30, 2019
- Phone
- 2106004116
No adverse action, corrective action or permit conditions on record.
State compliance summary
How many deficiencies Texas has recorded for this program, by risk level. This is not a quality rating: it describes compliance with the state’s minimum licensing standards.
Inspection history
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Critical Immunization Records, Exceptions, and Exemptions Current
Inspector's note: Two of the four children's immunizations were not updated at the time of inspection. Risk level: Medium High. Corrected by 2026-09-17.
- Critical Immunization Records, Exceptions, and Exemptions Current
Inspector's note: Two of the four children's immunizations were not updated at the time of inspection. Risk level: Medium High. Corrected by 2026-09-17.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Critical Responsibilities of Caregivers - Know children responsible for
Inspector's note: 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. Risk level: High. Corrected by 2025-11-25.
- Non-critical Children's Records - Immunizations
Inspector's note: Three out of five children's files reviewed did not have current immunization records available for review. Risk level: Medium. Corrected by 2025-11-20.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Non-critical Children's Products- Annual Certification
Inspector's note: The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form. Risk level: Medium. Corrected during the inspection.
No infractions recorded at this inspection.
- Critical Responsibilities of Caregivers - Know children responsible for
Inspector's note: Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for. Risk level: High. Corrected by 2024-09-10. - Critical Floors, ceilings and Walls in Good Repair and Clean
Inspector's note: There were five ceiling tiles missing in the operation. Risk level: Medium High. Corrected by 2024-09-24.
- Critical Safety restraint devices for child used when vehicle is on and during all time vehicle in motion
Inspector's note: 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. Risk level: High. Corrected by 2024-09-17.
No infractions recorded at this inspection.
- Critical Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Inspector's note: 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. Risk level: Medium High. Corrected by 2024-07-09.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Critical Annual Sanitation Inspection
Inspector's note: The available health inspection posted was last conducted on 12.1.22. Risk level: Medium High. Corrected by 2024-03-26.
No infractions recorded at this inspection.
- Critical Plan to Handle Transportation Emergencies
Inspector's note: A written procedure on how to handle transportation emergencies was not available for review. Risk level: Medium High. Corrected by 2023-11-20. - Non-critical Children's Records - Immunizations
Inspector's note: One of the eight children files didn't have a current immunization record. Risk level: Medium. Corrected by 2024-02-01. - Critical Medication Authorization - Signed and Dated
Inspector's note: A written, signed and dated medication authorization was not available for review for one child. Risk level: Medium High. Corrected by 2024-01-05. - Critical Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Inspector's note: Four of the eight staff files were missing First aid and CPR training. Risk level: Medium High. Corrected by 2024-01-01. - Critical Required Admission Information - Special Needs Statement
Inspector's note: 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. Risk level: Medium High. Corrected by 2023-11-20. - Non-critical Required Personnel Records- Meets Requirements
Inspector's note: Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits. Risk level: Medium. Corrected by 2023-11-20. - Critical Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Inspector's note: One of the two staff transporting didn't have training available for review. Risk level: Medium High. Corrected by 2023-11-20.
No infractions recorded at this inspection.
- Critical Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Inspector's note: The fire inspection was last conducted on 5.16.22. Risk level: High. Corrected by 2023-07-31. - Critical Annual Sanitation Inspection
Inspector's note: The health inspection was last conducted on 5.12.22. Risk level: Medium High. Corrected by 2023-07-31. - Critical Responsibilities of Caregivers - Know children's names and ages
Inspector's note: 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. Risk level: Medium High. Corrected by 2023-06-30. - Critical Child/ Caregiver Ratio - 13 or More Children
Inspector's note: 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. Risk level: Medium High. Corrected by 2023-06-30.
No infractions recorded at this inspection.
- Non-critical Children's Records - Immunizations
Inspector's note: 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. Risk level: Medium. Corrected by 2023-05-04. - Critical Required Equipment in Vehicles - Emergency Medical Information
Inspector's note: Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection. Risk level: High. Corrected during the inspection. - Critical Safety - Areas Free From Hazards
Inspector's note: 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. Risk level: Medium High. Corrected during the inspection. - Critical Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Inspector's note: Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection. Risk level: Medium High. Corrected during the inspection. - Critical Diaper Changing Steps-Supplies Kept Out of Child's Reach
Inspector's note: Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection. Risk level: Medium High. Corrected during the inspection.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
- Non-critical Parental Notification of Infestation
Inspector's note: 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. Risk level: Medium Low. Corrected by 2023-03-28. - Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Inspector's note: 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. Risk level: High. Corrected by 2023-03-28.
No infractions recorded at this inspection.
No infractions recorded at this inspection.
Records come from Texas Health and Human Services, Child Care Regulation. They describe conditions on the inspection date and may not reflect current conditions.