Hands N Hands Childcare

Summary of the record

This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.

Texas Health and Human Services records list 23 cited deficiencies for Hands N Hands Childcare in the 3 years before October 10, 2026 (4 High, 11 Medium High, 8 Medium).

Records list 15 inspections in this window. Most recent inspection: 2026-09-29.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (30)

• 2026-07-31 · 746.2805(1) · High

  Prohibited Punishments - Corporal Punishment

  Corrected at inspection: No. Correction date: 2026-08-31. Correction verified: 2026-09-08.

  A caregiver utilized corporal punishment in the classroom.

• 2026-03-17 · 746.1315(b)(1) · Medium High

  CPR Training and Recertification Adhere to Guidelines-skill based

  Corrected at inspection: No. Correction date: 2026-03-31. Correction verified: 2026-03-31.

  Two out of ten employee records evaluated had CPR training that did not meet the in-person requirement.

• 2026-03-17 · 746.901(6) · Medium

  Required Personnel Records -Training Hours

  Corrected at inspection: No. Correction date: 2026-03-31. Correction verified: 2026-04-29.

  Six out of ten employee records were not fully available to be reviewed during the inspection because part of the records had been removed from the operation. Those records missing include: two out of ten were lacking training certificates for CPR/First Aid. Four out of ten employee records evaluated were lacking training certificates for the topics of handling hazardous materials, food allergies, etc.

• 2026-03-17 · 746.611(b) · Medium

  Health Statement on File within 1 Week of Admission

  Corrected at inspection: No. Correction date: 2026-03-31. Correction verified: 2026-04-20.

  Five out of ten children's records evaluated were lacking a complete health statement.

• 2026-03-17 · 746.613(b) · Medium High

  Immunization Records, Exceptions, and Exemptions Current

  Corrected at inspection: No. Correction date: 2026-03-31. Correction verified: 2026-03-31.

  Three out of ten children's records evaluated were lacking up to date or current immunizations.

• 2026-03-17 · 746.4901(a) · Medium High

  Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

  Corrected at inspection: Yes. Correction date: 2026-03-17. Correction verified: Not recorded.

  There was a slide without any loose-fill in the outdoor play area. The slide was on top of a carpet and a cement slab. The slide was approximately 3 feet tall. This was corrected at inspection when the slide structure was removed from the play area.

• 2025-01-21 · 746.307(c) · Medium

  Parental Notification of Less Serious Injuries

  Corrected at inspection: No. Correction date: 2025-03-03. Correction verified: 2025-03-11.

  Based on information gathered during the investigation, it was determined that the operation did not notify parents of less serious injuries on more than one occasion.

• 2024-12-18 · 746.3407(12) · High

  Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

  Corrected at inspection: Yes. Correction date: 2024-12-18. Correction verified: Not recorded.

  A spray bottle with bleach water was left on the floor near a toilet in the toddler restroom. This was corrected at inspection when it was addressed and the cleaning product was removed and stored out of reach of children.

• 2024-09-16 · 746.5205(4) · Medium

  Documentation of Drills

  Corrected at inspection: Yes. Correction date: 2024-09-16. Correction verified: Not recorded.

  There is no documented fire drill for the month of August 2024. This was corrected at inspection when the August fire drill was documented.

• 2024-09-16 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: Yes. Correction date: 2024-09-16. Correction verified: Not recorded.

  The restroom in the toddler room had various items present including a chair directly behind the sink, an easel/chalkboard, there were items blocking access to the toilets, and there were various cleaning supplies in a bin on the floor near the restroom (this area was being blocked off with a chair). This was corrected at inspection when the portable sink in the toddler room was refilled with water. Extra staff was also in the process of cleaning the restroom and removing the items that do not belong in the restroom.

• 2024-09-16 · 746.2405(4) · Medium High

  Infant Care Area Furnishings and Equipment - Hand-washing Sink

  Corrected at inspection: Yes. Correction date: 2024-09-16. Correction verified: Not recorded.

  An infant room did not have working water in the handwashing sink. This was corrected at inspection when the portable sink in the infant room was refilled with water and it was verified that it was working.

• 2024-09-16 · 746.3417(3) · Medium High

  Children Handwashing After Toileting or Diapering

  Corrected at inspection: Yes. Correction date: 2024-09-16. Correction verified: Not recorded.

  A caregiver changed the diaper to two children. The children did not wash their hands prior to returning to the classroom activities. This was corrected at inspection when it was addressed with the caregiver and the children's hands were washed.

• 2024-09-16 · 746.3505(c) · Medium High

  Diapering Procedures - Use Disposable Gloves

  Corrected at inspection: Yes. Correction date: 2024-09-16. Correction verified: Not recorded.

  A caregiver did not wash their hands after changing their gloves in between diapering. This was corrected when it was addressed with the caregiver.

• 2024-09-16 · 746.4503(b) · Medium

  Cots, Beds, Mats Labeled With Child's Name

  Corrected at inspection: Yes. Correction date: 2024-09-16. Correction verified: Not recorded.

  The nap mats in the toddler room are labled with a number however there is no child assignment map to specify which mat is assigned to each child. This was corrected at inspection when a nap mat chart was completed and available in the classroom.

• 2024-06-06 · 746.1205(a)(3) · Medium High

  Responsibilities of Caregivers - Know children's names and ages

  Corrected at inspection: No. Correction date: 2024-06-06. Correction verified: 2024-06-14.

  Three caregivers were unable say the ages of the youngest or oldest child in their care. The children's list they had was inaccurate.

• 2024-06-04 · 746.303(a)(4) · Medium High

  Report Change in Director

  Corrected at inspection: Yes. Correction date: 2024-06-06. Correction verified: Not recorded.

  The director's last day was May 24, 2024. Corrected at inspection: The operation's main page was updated during the inspection.

• 2024-03-20 · 746.3701(9) · High

  Safety - Bodies of Water Inaccessible to Children

  Corrected at inspection: No. Correction date: 2024-03-20. Correction verified: 2024-03-20.

  A play table was observed full of water in the playground area accessbile to kids.

• 2024-03-20 · 746.611(a)(3) · Medium

  Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

  Corrected at inspection: No. Correction date: 2024-03-22. Correction verified: 2024-03-22.

  Four out of ten children's files reviewed did not have the doctor name or address under the health statement option #4.

• 2024-03-20 · 746.613(b) · Medium High

  Immunization Records, Exceptions, and Exemptions Current

  Corrected at inspection: No. Correction date: 2024-03-27. Correction verified: 2024-03-25.

  Ten files were reviewed. One was lacking an immunization on file and the other needed to be updated.-

• 2024-03-20 · 746.605(13) · Medium High

  Required Admission Information - Special Needs Statement

  Corrected at inspection: No. Correction date: 2024-03-20. Correction verified: 2024-03-22.

  Four out of ten children's files that were reviewed did not have an answer for the special needs section.

• 2024-03-20 · 746.5101(a) · High

  Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

  Corrected at inspection: No. Correction date: 2024-04-03. Correction verified: 2024-04-03.

  The fire inspection was last conducted on 01/30/23.

• 2024-03-20 · 746.401(5) · Medium

  Posting Requirements - Activity Plans for each group of children in the child care center

  Corrected at inspection: Yes. Correction date: 2024-03-20. Correction verified: Not recorded.

  The toddler classroom did not have an activity plan posted and two other rooms had an outdated activity plan. Corrected at inspection: The activity plans were updated and posted.

• 2024-03-20 · 746.401(6) · Medium

  Posting Requirements - Daily menu, including all snacks and meals served by the child care center

  Corrected at inspection: Yes. Correction date: 2024-03-20. Correction verified: Not recorded.

  The menu posted on the main board with all the required postings was outdated it was from August of 2023. Corrected at inspection: The recent menu was posted.

• 2023-08-08 · 746.3611(3) · Medium

  Vaccine preventable policy- include procedures for verifying employee compliance with policy

  Corrected at inspection: No. Correction date: 2023-08-11. Correction verified: 2023-08-15.

  One of ten children's records evaluated did not have a health statement on file.

• 2023-06-28 · 746.2407 · Medium High

  Infant Care Area Furnishings and Equipment -Use of Safety Straps

  Corrected at inspection: Yes. Correction date: 2023-06-28. Correction verified: Not recorded.

  One infant was observed to be not strapped into a high chair during meal time. CI: This was corrected when the child was strapped into the chair.

• 2023-06-28 · 746.3317(6) · Medium High

  Food Service and Preparation Requirement - Use Sanitary Holders

  Corrected at inspection: Yes. Correction date: 2023-06-28. Correction verified: Not recorded.

  Children were observed eating snack off a bare table. CI: This was corrected at inspection when plates were used.

• 2023-05-15 · 746.2505(4)(C) · Medium

  Furnishings and Equipment for Toddlers - Never Allow Toddlers to Sleep or Walk With Bottles and Training Cups

  Corrected at inspection: Yes. Correction date: 2023-05-15. Correction verified: Not recorded.

  A toddler was observed walking around the classroom drinking out of a cup. CI: This was corrected at inspection when the cup was placed on the table rather than the child walking around the classroom with the cup.

• 2023-05-15 · 746.2419(6) · Medium High

  Requirements for Feeding Infants - Label Bottles/Cups

  Corrected at inspection: Yes. Correction date: 2023-05-15. Correction verified: Not recorded.

  An infant and two mobile infants were observed with cups and bottle that lacked the child's name.. CI: This was corrected at inspection when the cups and bottle was labeled with the child's name.

• 2023-03-21 · 746.5607(a) · Medium High

  Child Passenger Safety Seat System - Must Use for Each Child in When Transporting and be Properly Installed

  Corrected at inspection: No. Correction date: 2023-04-04. Correction verified: 2023-04-04.

  One of the seat belts on the transportation vehicle was not functioning properly.

• 2023-03-21 · 746.3701(8) · Medium High

  Safety-Hinged Lid Storage Containers Safe

  Corrected at inspection: Yes. Correction date: 2023-03-21. Correction verified: Not recorded.

  Hinge-Storage box located outside on the patio is missing ventilation holes. CI-Compliance was met when they drilled holes in the sides.