Texas records · BEXAR County · SAN ANTONIO

Hands N Hands Childcare

Licensed Center in SAN ANTONIO, Texas · Full Permit · permit issued April 30, 2019

State record presented as of November 5, 2026

Address: 4217 CLARK AVE, SAN ANTONIO, TX 78223 2217
Operation type: Licensed Center
Type of issuance: Full Permit
Permit issued: April 30, 2019
Operation number: 1682546
Licensed capacity: 88 children
Ages served: Infant,Toddler,Pre-Kindergarten,School
Schedule: Mon,Tue,Wed,Thu,Fri · 06:00 AM-06:00 PM
Conditions on permit: NO

The record at a glance

Inspections on record	27
Reports (complaints, incidents, self-reports) on record	13
Assessments on record	1
Standards evaluated across those visits	4,438
Citations recorded	36
Record covers	March 1, 2022 – September 22, 2026

Citations by the state’s risk levels

High	8
Medium High	17
Medium	8
Medium Low	3

Visits and findings, newest first

InspectionSeptember 22, 2026No citation recorded at this visit0 of 1 standards cited at this visit

ReportAugust 22, 2026No citation recorded at this visit0 of 2 standards cited at this visit

InspectionAugust 20, 2026No citation recorded at this visit

ReportAugust 19, 20261 citation recorded1 of 3 standards cited at this visit

746.2431 - Infant Daily Report - Share with ParentRisk level: Medium High

During the course of the investigation, it was determined that infant daily reports were not being shared with parents.

Correction verified by the state on September 22, 2026. The state provided technical assistance on this standard.

InspectionAugust 17, 20261 citation recorded1 of 533 standards cited at this visit

746.613(b) - Immunization Records, Exceptions, and Exemptions CurrentRisk level: Medium High

Two of the four children's immunizations were not updated at the time of inspection.

Correction verified by the state on September 14, 2026. The state provided technical assistance on this standard.

InspectionJune 3, 2026No citation recorded at this visit0 of 1 standards cited at this visit

InspectionDecember 3, 2025No citation recorded at this visit0 of 1 standards cited at this visit

InspectionNovember 20, 2025No citation recorded at this visit

InspectionNovember 13, 2025No citation recorded at this visit0 of 2 standards cited at this visit

ReportNovember 12, 2025Self-reported by the operation1 citation recorded1 of 5 standards cited at this visit

746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible forRisk level: High

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.

Correction verified by the state on December 3, 2025. The state provided technical assistance on this standard.

InspectionOctober 30, 20251 citation recorded1 of 733 standards cited at this visit

746.603(a)(4) - Children's Records - ImmunizationsRisk level: Medium

Three out of five children's files reviewed did not have current immunization records available for review.

Correction verified by the state on December 23, 2025. The state provided technical assistance on this standard.

InspectionOctober 24, 2025No citation recorded at this visit

InspectionOctober 17, 2025No citation recorded at this visit

ReportOctober 16, 2025Self-reported by the operationNo citation recorded at this visit0 of 5 standards cited at this visit

InspectionNovember 6, 20241 citation recorded1 of 242 standards cited at this visit

746.4135(b) - Children's Products- Annual CertificationRisk level: Medium

The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form.

Corrected at the time of inspection. The state provided technical assistance on this standard.

InspectionSeptember 30, 2024No citation recorded at this visit0 of 3 standards cited at this visit

InspectionSeptember 10, 20242 citations recorded2 of 2 standards cited at this visit

746.3407(9) - Floors, ceilings and Walls in Good Repair and CleanRisk level: Medium High

There were five ceiling tiles missing in the operation.

Correction verified by the state on September 30, 2024. The state provided technical assistance on this standard.

746.1205(a)(1) - Responsibilities of Caregivers - Know children responsible forRisk level: High

Two caregivers in the toddler rooms did not know the names of the children or ages they were responsible for.

Correction verified by the state on September 30, 2024. The state provided technical assistance on this standard.

ReportSeptember 6, 20241 citation recorded1 of 2 standards cited at this visit

746.5607(e) - Safety restraint devices for child used when vehicle is on and during all time vehicle in motionRisk level: High

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.

Correction verified by the state on September 30, 2024. The state provided technical assistance on this standard.

InspectionJuly 23, 2024No citation recorded at this visit0 of 1 standards cited at this visit

InspectionJuly 9, 20241 citation recorded1 of 542 standards cited at this visit

746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video gamesRisk level: Medium High

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.

Correction verified by the state on July 23, 2024. The state provided technical assistance on this standard.

ReportJune 14, 2024No citation recorded at this visit0 of 1 standards cited at this visit

InspectionFebruary 8, 2024No citation recorded at this visit

InspectionJanuary 26, 20241 citation recorded1 of 2 standards cited at this visit

746.3401(a) - Annual Sanitation InspectionRisk level: Medium High

The available health inspection posted was last conducted on 12.1.22.

Correction verified by the state on March 14, 2024. The state provided technical assistance on this standard.

ReportJanuary 24, 2024No citation recorded at this visit0 of 4 standards cited at this visit

InspectionNovember 13, 20237 citations recorded7 of 809 standards cited at this visit

746.603(a)(4) - Children's Records - ImmunizationsRisk level: Medium

One of the eight children files didn't have a current immunization record.

Correction verified by the state on January 23, 2024. The state provided technical assistance on this standard.

746.901(2) - Required Personnel Records- Meets RequirementsRisk level: Medium

Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.

Correction verified by the state on November 27, 2023. The state provided technical assistance on this standard.

746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours AnnuallyRisk level: Medium High

One of the two staff transporting didn't have training available for review.

Correction verified by the state on November 15, 2023. The state provided technical assistance on this standard.

746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.Risk level: Medium High

Four of the eight staff files were missing First aid and CPR training.

Correction verified by the state on December 11, 2023. The state provided technical assistance on this standard.

746.3803(a)(1) - Medication Authorization - Signed and DatedRisk level: Medium High

A written, signed and dated medication authorization was not available for review for one child.

Correction verified by the state on January 8, 2024. The state provided technical assistance on this standard.

746.5619 - Plan to Handle Transportation EmergenciesRisk level: Medium High

A written procedure on how to handle transportation emergencies was not available for review.

Correction verified by the state on November 15, 2023. The state provided technical assistance on this standard.

746.605(13) - Required Admission Information - Special Needs StatementRisk level: Medium High

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.

Correction verified by the state on November 15, 2023. The state provided technical assistance on this standard.

InspectionJuly 11, 2023No citation recorded at this visit0 of 2 standards cited at this visit

InspectionJune 30, 20234 citations recorded4 of 4 standards cited at this visit

746.1601 - Child/ Caregiver Ratio - 13 or More ChildrenRisk level: Medium High

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.

Correction verified by the state on July 11, 2023. The state provided technical assistance on this standard.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 MonthsRisk level: High

The fire inspection was last conducted on 5.16.22.

Correction verified by the state on July 25, 2023. The state provided technical assistance on this standard.

746.3401(a) - Annual Sanitation InspectionRisk level: Medium High

The health inspection was last conducted on 5.12.22.

Correction verified by the state on August 11, 2023. The state provided technical assistance on this standard.

746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and agesRisk level: Medium High

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.

Correction verified by the state on July 11, 2023. The state provided technical assistance on this standard.

ReportJune 23, 2023No citation recorded at this visit0 of 5 standards cited at this visit

InspectionApril 4, 20235 citations recorded5 of 455 standards cited at this visit

746.3701 - Safety - Areas Free From HazardsRisk level: Medium High

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.

Corrected at the time of inspection. The state provided technical assistance on this standard.

746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors MonthlyRisk level: Medium High

Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.

Corrected at the time of inspection. The state provided technical assistance on this standard.

746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical InformationRisk level: High

Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.

Corrected at the time of inspection. The state provided technical assistance on this standard.

746.3501(6) - Diaper Changing Steps-Supplies Kept Out of Child's ReachRisk level: Medium High

Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.

Corrected at the time of inspection. The state provided technical assistance on this standard.

746.603(a)(4) - Children's Records - ImmunizationsRisk level: Medium

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.

Correction verified by the state on April 12, 2023. The state provided technical assistance on this standard.

InspectionMarch 28, 2023No citation recorded at this visit0 of 2 standards cited at this visit

ReportMarch 23, 2023No citation recorded at this visit0 of 3 standards cited at this visit

ReportFebruary 15, 20232 citations recorded2 of 3 standards cited at this visit

746.307(e) - Parental Notification of InfestationRisk level: Medium Low

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.

Correction verified by the state on April 4, 2023. The state provided technical assistance on this standard.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-controlRisk level: High

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.

Correction verified by the state on April 4, 2023. The state provided technical assistance on this standard.

InspectionFebruary 6, 2023No citation recorded at this visit

ReportJanuary 28, 2023No citation recorded at this visit0 of 5 standards cited at this visit

InspectionNovember 2, 20222 citations recorded2 of 495 standards cited at this visit

746.901(4) - Required Personnel Records - Required AffidavitRisk level: Medium Low

Three out of eight employee records reviewed were missing the required affidavit for employment.

Correction verified by the state on November 9, 2022.

746.603(a) - Children's Records MaintainedRisk level: Medium

Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.

Correction verified by the state on November 17, 2022.

InspectionAugust 30, 2022No citation recorded at this visit

ReportAugust 25, 2022No citation recorded at this visit0 of 3 standards cited at this visit

InspectionJuly 19, 2022No citation recorded at this visit0 of 3 standards cited at this visit

ReportJune 6, 20223 citations recorded3 of 4 standards cited at this visit

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operationRisk level: High

During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.

Correction verified by the state on July 19, 2022. The state provided technical assistance on this standard.

746.307(c) - Parental Notification of Less Serious InjuriesRisk level: Medium

Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.

Correction verified by the state on July 19, 2022.

746.201(7) - Operation Open to Parents At All TimesRisk level: Medium

Based on the information received parents are not allowed to enter the operation.

Correction verified by the state on July 19, 2022. The state provided technical assistance on this standard.

InspectionMarch 10, 20222 citations recorded2 of 559 standards cited at this visit

746.3701(9) - Safety - Televisions Anchored to Prevent Tip OverRisk level: Medium High

In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.

Corrected at the time of inspection. The state provided technical assistance on this standard.

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 MonthsRisk level: High

Annual first inspection had not been updated since 10/19/2020.

Correction verified by the state on March 21, 2022. The state provided technical assistance on this standard.

AssessmentMarch 1, 20221 citation recorded1 of 1 standards cited at this visit

746.303(b) - Report Number of EmployeesRisk level: Medium Low

A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.

Correction verified by the state on March 7, 2022.

This page presents the state’s record for this operation as of November 5, 2026; it is a dated presentation, not a live register. If something here does not match the operation’s current state record, file a correction report.