Hands N Hands Childcare
Licensed Center in San Antonio, Texas. License #1682546, issued April 30, 2019.
- Address
- 4217 Clark Ave, San Antonio, TX 78223
- Phone
- (210) 600-4116
- Licensed capacity
- 88 children
- Licensed for
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:00 PM
- Days
- Mon, Tue, Wed, Thu, Fri
- Child care subsidies
- Accepted
Programs listed with the state: 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.
Openings
This program has not told us about its openings. We only publish what a program confirms itself, so there is nothing here yet. Ring them to ask.
Texas Rising Star
Texas Rising Star 3-star of a possible 4
A quality rating the state awards after an on-site assessment. Four stars is the highest.
In effect since August 25, 2026. From the state's provider report of August 25, 2026.
Where this is
A map of this address loads when you ask for it. Nothing is requested from the map host until then, so opening this page does not tell anyone which program you were reading about.
The pin is where the US Census geocoder placed this address. About one in eight is interpolated along a street rather than resolved to a building, so treat it as the right block rather than the right doorway. How we source this.
What inspectors checked
Texas HHSC records how many individual standards it evaluated in each area of the rules, and how many it found violated. Across 22 areas it checked 4,438 standards at Hands N Hands Childcare between March 1, 2022 and September 22, 2026 and recorded 36 violations. Those correspond to the citations listed above that were recorded from 2021 onward; anything older than that is in the citation list but not in these counts.
The 22 areas, one by one
| Area of the rules | Visits | Standards checked | Violated |
|---|---|---|---|
| Scope, administration, and communication | 3 | 358 | 0 |
| Record keeping | 4 | 432 | 6 |
| Personnel | 4 | 564 | 2 |
| Ratios and group sizes | 3 | 162 | 0 |
| Activities | 3 | 108 | 0 |
| Infants | 3 | 270 | 0 |
| Toddlers | 2 | 44 | 0 |
| Pre-kindergarten | 2 | 38 | 0 |
| School-age | 3 | 60 | 0 |
| Discipline | 3 | 60 | 0 |
| Naptime | 4 | 48 | 0 |
| Field trips | 4 | 44 | 0 |
| Get well care | 3 | 81 | 0 |
| Nighttime care | 3 | 39 | 0 |
| Nutrition and food care | 4 | 179 | 0 |
| Health practices | 4 | 451 | 0 |
| Safety practices | 6 | 440 | 3 |
| Physical facilities | 2 | 150 | 0 |
| Outdoor safety | 4 | 384 | 0 |
| Pools | 4 | 102 | 0 |
| Fire safety | 3 | 203 | 1 |
| Transportation | 3 | 132 | 1 |
The table adds up to 4,349 of those standards. The remaining 89, including 23 of the violations, were recorded under the state's own catch-all heading, “Individual Standards Evaluated”, which names no area. They are reported here rather than folded into an area above, because the state did not say which area they belong to and we are not going to decide for it.
A high number of standards checked is not a compliment and a low one is not a criticism: how many apply depends on a program's size, its ages served and what the inspector was there to look at. We publish the two counts the state published and do not turn them into a score. This data begins in 2021, which is later than the inspection history above it.
Ask about an opening
This goes to Hands N Hands Childcare and nobody else. They reply to you directly: we do not sit in the middle of it, and we never pass your details on or sell them.
Tell me about new inspections
One short message each time Texas HHSC records an inspection here, saying that it happened and linking to the record. We do not tell you what the inspector found: a finding without whether it was corrected is misleading, and that pair belongs on the page rather than split across an email.
We ask for nothing but the address, and we send a confirmation first. Your list is never shown to this program, never sold, and every message has a link to stop. An inspection is routine: programs are visited on a schedule and after a complaint, and a visit is not a finding.
State inspection record
HHSC records 41 visits to this operation since October 2017, most recently on September 22, 2026, and 36 citations.
2 of those visits began with Hands N Hands Childcare reporting something to the state itself rather than HHSC finding it. We publish that because it is part of the record and the state records it separately, not because it is good or bad: a program with none may have had nothing to report. 3,674 of the 12,933 programs listed here have at least one.
- 8High
- 17Medium High
- 8Medium
- 3Medium Low
Every citation below records a correction.
Citations
Showing the 25 most recent of 36. Indented text is the inspector's own, reproduced verbatim.
- Medium High August 19, 2026 Correction verified September 22, 2026
746.2431: Infant Daily Report - Share with Parent
During the course of the investigation, it was determined that infant daily reports were not being shared with parents.
- Medium High August 17, 2026 Correction verified September 14, 2026
746.613(b): Immunization Records, Exceptions, and Exemptions Current
Two of the four children's immunizations were not updated at the time of inspection.
- High November 12, 2025 Correction verified December 3, 2025
746.1205(a)(1): Responsibilities of Caregivers - Know children responsible for
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.
- Medium October 30, 2025 Correction verified December 23, 2025
746.603(a)(4): Children's Records - Immunizations
Three out of five children's files reviewed did not have current immunization records available for review.
- Medium November 6, 2024 Corrected at inspection
746.4135(b): Children's Products- Annual Certification
The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form.
- High September 10, 2024 Correction verified September 30, 2024
746.1205(a)(1): Responsibilities of Caregivers - Know children responsible for
Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for.
- Medium High September 10, 2024 Correction verified September 30, 2024
746.3407(9): Floors, ceilings and Walls in Good Repair and Clean
There were five ceiling tiles missing in the operation.
- High September 6, 2024 Correction verified September 30, 2024
746.5607(e): Safety restraint devices for child used when vehicle is on and during all time vehicle in motion
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.
- Medium High July 9, 2024 Correction verified July 23, 2024
746.1203(3)(D): Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
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.
- Medium High January 26, 2024 Correction verified March 14, 2024
746.3401(a): Annual Sanitation Inspection
The available health inspection posted was last conducted on 12.1.22.
- Medium High November 13, 2023 Correction verified January 8, 2024
746.3803(a)(1): Medication Authorization - Signed and Dated
A written, signed and dated medication authorization was not available for review for one child.
- Medium November 13, 2023 Correction verified January 23, 2024
746.603(a)(4): Children's Records - Immunizations
One of the eight children files didn't have a current immunization record.
- Medium November 13, 2023 Correction verified November 27, 2023
746.901(2): Required Personnel Records- Meets Requirements
Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.
- Medium High November 13, 2023 Correction verified November 15, 2023
746.1316(a): Transportation Safety Training -Director and Employee Complete 2 Hours Annually
One of the two staff transporting didn't have training available for review.
- Medium High November 13, 2023 Correction verified November 15, 2023
746.5619: Plan to Handle Transportation Emergencies
A written procedure on how to handle transportation emergencies was not available for review.
- Medium High November 13, 2023 Correction verified December 11, 2023
746.1315(a): Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Four of the eight staff files were missing First aid and CPR training.
- Medium High November 13, 2023 Correction verified November 15, 2023
746.605(13): Required Admission Information - Special Needs Statement
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.
- Medium High June 30, 2023 Correction verified August 11, 2023
746.3401(a): Annual Sanitation Inspection
The health inspection was last conducted on 5.12.22.
- Medium High June 30, 2023 Correction verified July 11, 2023
746.1601: Child/ Caregiver Ratio - 13 or More Children
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.
- Medium High June 30, 2023 Correction verified July 11, 2023
746.1205(a)(3): Responsibilities of Caregivers - Know children's names and ages
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.
- High June 30, 2023 Correction verified July 25, 2023
746.5101(a): Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was last conducted on 5.16.22.
- High April 4, 2023 Corrected at inspection
746.5617(a)(2): Required Equipment in Vehicles - Emergency Medical Information
Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.
- Medium April 4, 2023 Correction verified April 12, 2023
746.603(a)(4): Children's Records - Immunizations
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.
- Medium High April 4, 2023 Corrected at inspection
746.3701: Safety - Areas Free From Hazards
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.
- Medium High April 4, 2023 Corrected at inspection
746.3501(6): Diaper Changing Steps-Supplies Kept Out of Child's Reach
Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.
Do you have a child enrolled here?
If Hands N Hands Childcare confirms you are enrolled, you can tell us what you actually pay. We publish price ranges by city and age so other families know what to expect, and the only reliable source for that is people paying it.
There are no reviews on this site and we are not adding them. We publish the state's inspection record and facts families confirm, not opinions. Your address is never shown publicly; it goes to the program so they can confirm you, and nowhere else.
About this record
Every figure on this page comes from the Texas HHSC Child Care Regulation open data published at data.texas.gov, reproduced as the state recorded it. We do not grade, score or rank programs. A citation is a finding by a state inspector on a given day; it is not a judgment about a program today, and the correction status beside each one is part of the record. This page reflects data retrieved on November 8, 2026. Full methodology.
Operate this program? Write to corrections@childcaretx.com and we will publish your response beside any record here.