Hands N Hands Childcare

Licensed Center

Provider details

City / County / ZIP: San Antonio / Bexar / 78225
Street address: 538 Surrey Ave
Phone: (210) 332-5771
Capacity: 93
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 06:00 AM-06:30 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: May 30, 2024
Operation status:: Active
Corrective action: HHSC lists: No
Adverse action: HHSC lists: No
Temporarily closed: HHSC lists: No

Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.

Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.

Plain-English summary of cited deficiencies

State records list 14 cited deficiencies dated October 23, 2023 to February 10, 2026 (4 High, 6 Medium High, 3 Medium, 1 Medium Low risk). Correction status: 1 corrected at inspection, 13 with a correction date recorded, 0 with no correction date recorded.

High risk · Required Admission Information - Emergency Medical Authorization (746.605(11))
Cited November 25, 2024 (correction date recorded: November 25, 2024; correction verified December 20, 2024; technical assistance given).
What the record describes: Three of the ten children's records reviewed did not contain medical authorization information.
High risk · Required Immunizations (746.613(a))
Cited November 25, 2024 (correction date recorded: December 20, 2024; correction verified December 20, 2024; technical assistance given).
What the record describes: Four of the ten children's files reviewed did not have immunization records.
High risk · Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children (746.3407(12))
Cited March 13, 2024 (corrected at inspection; technical assistance given).
What the record describes: Cleaning solutions under the sinks in the school-age restrooms were accessible to children.
High risk · Safety Requirements for Active Play Equipment - No Entrapment Openings (746.4601(3))
Cited October 23, 2023 (correction date recorded: October 30, 2023; correction verified October 30, 2023; technical assistance given).
What the record describes: There was a four-and-a-half-inch gap under the barrier surrounding the playground platform. The rail along the steps also had a gap more than 3 1/2 inches wide.
Medium High risk · Prohibited Equipment for Infants - Accordion Safety Gates (746.2415(a)(3))
Cited May 30, 2025 (correction date recorded: May 30, 2025; correction verified July 10, 2025; technical assistance given).
What the record describes: An accordion gate was used to block entry to the infant room.
Medium High risk · Required Equipment in Vehicles - Information About Facility (746.5617(a)(3))
Cited May 30, 2025 (correction date recorded: June 13, 2025; correction verified July 10, 2025; technical assistance given).
What the record describes: The two vehicles used for transportation did not have the operation's name or phone number clearly visible.
Medium High risk · Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions (746.4601(2))
Cited May 30, 2025 (correction date recorded: May 30, 2025; correction verified July 10, 2025; technical assistance given).
What the record describes: Two swings on the after-school playground had chains that were not secured according to the manufacturer's instructions.
Medium High risk · Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR (746.1301(a)(4)(A))
Cited November 25, 2024 (correction date recorded: December 20, 2024; correction verified December 20, 2024; technical assistance given).
What the record describes: Five of the nine staff files reviewed did not have documentation of CPR training.
Medium High risk · Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing (746.1301(a)(3)(A))
Cited November 25, 2024 (correction date recorded: December 20, 2024; correction verified December 20, 2024; technical assistance given).
What the record describes: Five of the nine staff files reviewed did not have documentation of first aid training.
Medium High risk · Fenced Outdoor Activity Space (746.4305)
Cited October 23, 2023 (correction date recorded: October 30, 2023; correction verified October 30, 2023; technical assistance given).
What the record describes: The gate leading out of the playground was broken.
Medium risk · Children's Records - Immunizations (746.603(a)(4))
Cited February 10, 2026 (correction date recorded: March 17, 2026; correction verified April 17, 2026; technical assistance given).
What the record describes: Four of the five children's files reviewed did not have current immunization records available for review.
Medium risk · Notification of Change in Space (746.301(2))
Cited February 10, 2026 (correction date recorded: February 24, 2026; correction verified April 17, 2026; technical assistance given).
What the record describes: The operation did not notify Childcare Regulation about a change in indoor space.
Medium risk · Health Statement on File within 1 Week of Admission (746.611(b))
Cited May 29, 2024 (correction date recorded: May 31, 2024; correction verified May 31, 2024; technical assistance given).
What the record describes: Two of the six children's files reviewed did not have signed health statements.
Medium Low risk · Report Number of Employees (746.303(b))
Cited January 19, 2024 (correction date recorded: January 21, 2024; correction verified January 29, 2024; technical assistance given).
What the record describes: The operation did not submit the number of employees who left its employment in 2023 by January 15th.

Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.

View the official state record · Report an issue with this page

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 14 cited deficiencies for Hands N Hands Childcare in the 3 years before October 10, 2026 (4 High, 6 Medium High, 3 Medium, 1 Medium Low).

Records list 15 inspections in this window. Most recent inspection: 2026-04-17.

HHSC risk weights of citations
Risk weight	Citations
High	4
Medium High	6
Medium	3
Medium Low	1
Low	0
Unknown	0

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

2026-02-10 · 746.301(2) · Medium

Notification of Change in Space

The operation did not notify Childcare Regulation about a change of indoor space.

Correction date recorded: 2026-02-24

2026-02-10 · 746.603(a)(4) · Medium

Children's Records - Immunizations

Four of the five children's files evaluated did not have current immunization records available for review.

Correction date recorded: 2026-03-17

2025-05-30 · 746.5617(a)(3) · Medium High

Required Equipment in Vehicles - Information About Facility

The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.

Correction date recorded: 2025-06-13

Full citation history from HHSC (14)

2026-02-10 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2026-03-17. Correction verified: 2026-04-17.
Four of the five children's files evaluated did not have current immunization records available for review.
2026-02-10 · 746.301(2) · Medium
Notification of Change in Space
Corrected at inspection: No. Correction date: 2026-02-24. Correction verified: 2026-04-17.
The operation did not notify Childcare Regulation about a change of indoor space.
2025-05-30 · 746.2415(a)(3) · Medium High
Prohibited Equipment for Infants - Accordion Safety Gates
Corrected at inspection: No. Correction date: 2025-05-30. Correction verified: 2025-07-10.
An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
2025-05-30 · 746.4601(2) · Medium High
Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
Corrected at inspection: No. Correction date: 2025-05-30. Correction verified: 2025-07-10.
Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
2025-05-30 · 746.5617(a)(3) · Medium High
Required Equipment in Vehicles - Information About Facility
Corrected at inspection: No. Correction date: 2025-06-13. Correction verified: 2025-07-10.
The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.
2024-11-25 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2024-12-20. Correction verified: 2024-12-20.
Five out of nine staff files reviewed did not have CPR training.
2024-11-25 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2024-12-20. Correction verified: 2024-12-20.
Five out of the nine staff files reviewed during inspection did not have First Aid training.
2024-11-25 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2024-12-20. Correction verified: 2024-12-20.
Four out of the ten children's files reviewed during inspection did not have immunization's records.
2024-11-25 · 746.605(11) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2024-11-25. Correction verified: 2024-12-20.
Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
2024-05-29 · 746.611(b) · Medium
Health Statement on File within 1 Week of Admission
Corrected at inspection: No. Correction date: 2024-05-31. Correction verified: 2024-05-31.
Two out the six children's files evaluated did not have signed health statements.
2024-03-13 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2024-03-13. Correction verified: Not recorded.
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.
2024-01-19 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2024-01-21. Correction verified: 2024-01-29.
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
2023-10-23 · 746.4601(3) · High
Safety Requirements for Active Play Equipment - No Entrapment Openings
Corrected at inspection: No. Correction date: 2023-10-30. Correction verified: 2023-10-30.
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.
2023-10-23 · 746.4305 · Medium High
Fenced Outdoor Activity Space
Corrected at inspection: No. Correction date: 2023-10-30. Correction verified: 2023-10-30.
The gate leading out of the playground was broken.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1463856

Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.

Provider data fetched: October 10, 2026.