Hands 'n' Hands Childcare and Learning Center

Licensed Center

Provider details

City / County / ZIP: San Antonio / Bexar / 78223
Street address: 875 Hot Wells Blvd
Phone: (210) 532-3396
Capacity: 133
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 06:30 AM-06:00 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: August 25, 2005
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.

Summary of state inspection records

Texas HHSC records list 11 inspections dated between October 10, 2023 and October 10, 2026.

The most recent inspection in these records is dated July 20, 2026.

The same records list 5 cited deficiencies dated November 27, 2023 to July 20, 2026 (HHSC risk levels: 2 Medium High, 3 Medium).

Correction status recorded by HHSC: 3 corrected at inspection, 2 with a correction date recorded, 0 with no correction date recorded.

HHSC lists a verified correction date for 2 of these citations.

The official HHSC record has the full inspection history and the latest information.

Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.

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 5 cited deficiencies for Hands 'n' Hands Childcare and Learning Center in the 3 years before October 10, 2026 (2 Medium High, 3 Medium).

Records list 11 inspections in this window. Most recent inspection: 2026-07-20.

HHSC risk weights of citations
Risk weight	Citations
High	0
Medium High	2
Medium	3
Medium Low	0
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

2026-07-20 · 746.603(a)(3) · Medium

Children's Records - Health Statement

One of the ten children was missing a healthcare statement at the time of inspection.

Correction date recorded: 2026-08-20

2026-07-20 · 746.501(a)(20) · Medium

Written Operational Policies - Parent Rights

A written parent rights policy was unavailable in the Operational Policy at the time of inspection. NOTE: This was corrected when Form 2987 was used.

Corrected at inspection

2025-08-14 · 746.3407 · Medium High

Maintenance of Building, Grounds and Equipment

The picnic table on the playground has a cracked tabletop and poses a safety hazard.Note: This was corrected at inspection when the table was removed from the playground.

Corrected at inspection

Full citation history from HHSC (23)

2026-07-20 · 746.501(a)(20) · Medium
Written Operational Policies - Parent Rights
Corrected at inspection: Yes. Correction date: 2026-07-20. Correction verified: Not recorded.
A written parent rights policy was unavailable in the Operational Policy at the time of inspection. NOTE: This was corrected when Form 2987 was used.
2026-07-20 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2026-08-20. Correction verified: 2026-07-27.
One of the ten children was missing a healthcare statement at the time of inspection.
2025-08-14 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: Yes. Correction date: 2025-08-14. Correction verified: Not recorded.
The picnic table on the playground has a cracked tabletop and poses a safety hazard.Note: This was corrected at inspection when the table was removed from the playground.
2023-11-27 · 746.5205(4) · Medium
Documentation of Drills
Corrected at inspection: No. Correction date: 2023-12-31. Correction verified: 2023-12-28.
The operation only had 2 out 4 lock down drills and 1 out of 4 shelter-in-place drills completed on emergency drills documentation.
2023-11-27 · 746.5207(b) · Medium High
Emergency Evacuation and Relocation Diagram - Posted in Each Room
Corrected at inspection: Yes. Correction date: 2023-11-27. Correction verified: Not recorded.
The preschool class did not have a posted emergency evacuation diagram in their classroom. This was corrected when the diagram was posted back in the room after it was accidentally removed by maintenance.
2023-07-13 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2023-08-11. Correction verified: 2023-08-24.
Based on the evidence gathered, the operation did not immediately notify the parent of a toddler who had wandered away from a classroom unsupervised and was found in the parking lot by another parent.
2023-07-13 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2023-08-11. Correction verified: 2023-08-24.
Based on the evidence gathered, supervision was not appropriate when a toddler wandered away from a classroom unsupervised and was found in the operation's parking lot by another parent.
2023-07-13 · 746.1205(a)(1) · High
Responsibilities of Caregivers - Know children responsible for
Corrected at inspection: No. Correction date: 2023-08-11. Correction verified: 2023-08-24.
Based on the evidence gathered, caregivers did not know which children they were responsible for after children from another classroom were brought to their classroom.
2023-07-13 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-08-11. Correction verified: 2023-08-24.
Based on the evidence gathered, the operation did not report to Child Care Regulation that a toddler had wandered away from a classroom unsupervised and was found in a parking lot by another parent.
2023-06-01 · 746.5209(b) · High
Doors to Fenced Area Easily Opened By Children
Corrected at inspection: No. Correction date: 2023-06-15. Correction verified: 2023-06-15.
A classroom door leading into the fenced in playground does not open correctly from the inside or outside. The door gets stuck half way when you push or pull it open.
2023-06-01 · 746.5207(b) · Medium High
Emergency Evacuation and Relocation Diagram - Posted in Each Room
Corrected at inspection: Yes. Correction date: 2023-06-01. Correction verified: Not recorded.
Two classrooms did not have emergency evacuation diagrams posted.
2023-06-01 · 746.4901(a) · Medium High
Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
Corrected at inspection: No. Correction date: 2023-07-21. Correction verified: 2023-08-17.
The climbing playground structure in the three's outdoor area does not have the appropriate surfacing installed underneath it.
2023-06-01 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: Yes. Correction date: 2023-06-01. Correction verified: Not recorded.
Two individual climbing slide structures did not have the appropriate depth of surfacing underneath. This was corrected when the director removed both slides from the playground.
2023-06-01 · 746.4601(3) · High
Safety Requirements for Active Play Equipment - No Entrapment Openings
Corrected at inspection: No. Correction date: 2023-06-30. Correction verified: 2023-06-15.
There is a wide opening between the fence and gate that encloses the threes outdoor play area.
2023-01-30 · 746.307(c) · Medium
Parental Notification of Less Serious Injuries
Corrected at inspection: No. Correction date: 2023-03-10. Correction verified: 2023-03-23.
A deficiency was cited when the operation could not provide a signed incident report.
2022-11-30 · 746.4003(a) · Medium
First Aid Kit - Incomplete Kit
Corrected at inspection: Yes. Correction date: 2022-11-30. Correction verified: Not recorded.
There were two vans meant to transport children that did not have complete first Aid kits available for review. One van was missing band aids, and the other van was missing band aids, and tweezers. Note: This was corrected at inspection when the director put band aids in the first van's first aid kit, and put band aids and tweezers in the second van's first aid kit.
2022-11-30 · 746.4601(4) · High
Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
Corrected at inspection: No. Correction date: 2022-12-16. Correction verified: 2022-12-13.
The swings on the after-school playground had big screws that were protruding out of the pole that the swings were attached to. Additionally, the swing seats were cracked, and their chains were twisted.
2022-11-30 · 746.611(a)(1) · Low
Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Corrected at inspection: No. Correction date: 2023-01-03. Correction verified: 2022-12-27.
There were two children files out of the twelve that were viewed that did not have a health statement signed by a health care professional, available for review.
2022-11-30 · 746.3407(12) · High
Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
Corrected at inspection: Yes. Correction date: 2022-11-30. Correction verified: Not recorded.
There were cleaning supplies located underneath the sink, in an unlocked cabinet, in the Pre-K bathroom. Note: This was corrected at inspection when the director removed the cleaning supplies and put them up on a high shelf, where children can not access to the cleaning supplies.
2022-11-30 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: Yes. Correction date: 2022-11-30. Correction verified: Not recorded.
There was one child file out of the twelve files viewed that did not have an updated immunization record available for review. Note: This was corrected at inspection when an updated immunization record was placed in the child's file.
2021-12-15 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2021-12-15. Correction verified: 2022-01-14.
One caregiver in the infant room failed to wash the child's hands after changing the diaper.
2021-12-15 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-01-01. Correction verified: 2022-01-14.
There was no current annual fire inspection report available during inspection.
2021-11-22 · 746.3701(9) · Medium High
Safety - Televisions Anchored to Prevent Tip Over
Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-12-03.
In the school age classroom there was one television found to be sitting on a table, The television was not achored or secured. The television was accessible to children. The television was removed and put into storage during insepction.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=254152

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.