Texas records · BEXAR County · SAN ANTONIO

Hands N Hands Childcare

Licensed Center in SAN ANTONIO, Texas · Full Permit · permit issued May 30, 2024

State record presented as of November 5, 2026

Address: 538 SURREY AVE, SAN ANTONIO, TX 78225 2450
Operation type: Licensed Center
Type of issuance: Full Permit
Permit issued: May 30, 2024
Operation number: 1787821
Licensed capacity: 93 children
Ages served: Infant,Toddler,Pre-Kindergarten,School
Schedule: Mon,Tue,Wed,Thu,Fri · 06:00 AM-06:30 PM
Conditions on permit: YES

The record at a glance

Inspections on record	15
Reports (complaints, incidents, self-reports) on record	3
Assessments on record	1
Standards evaluated across those visits	4,023
Citations recorded	14
Record covers	October 23, 2023 – April 17, 2026

Citations by the state’s risk levels

High	4
Medium High	6
Medium	3
Medium Low	1

Visits and findings, newest first

InspectionApril 17, 2026No citation recorded at this visit0 of 2 standards cited at this visit

InspectionFebruary 10, 20262 citations recorded2 of 224 standards cited at this visit

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

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

Correction verified by the state on April 17, 2026. The state provided technical assistance on this standard.

746.301(2) - Notification of Change in SpaceRisk level: Medium

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

Correction verified by the state on April 17, 2026. The state provided technical assistance on this standard.

InspectionOctober 6, 2025No citation recorded at this visit

ReportSeptember 23, 2025No citation recorded at this visit0 of 1 standards cited at this visit

InspectionAugust 25, 2025No citation recorded at this visit

ReportAugust 13, 2025Self-reported by the operationNo citation recorded at this visit0 of 3 standards cited at this visit

InspectionJuly 10, 2025No citation recorded at this visit0 of 3 standards cited at this visit

InspectionMay 30, 20253 citations recorded3 of 597 standards cited at this visit

746.4601(2) - Safety Requirements for Active Play Equipment - Used According to Manufacturer's InstructionsRisk level: Medium High

Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.

Correction verified by the state on July 10, 2025. The state provided technical assistance on this standard.

746.2415(a)(3) - Prohibited Equipment for Infants - Accordion Safety GatesRisk level: Medium High

An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.

Correction verified by the state on July 10, 2025. The state provided technical assistance on this standard.

746.5617(a)(3) - Required Equipment in Vehicles - Information About FacilityRisk level: Medium High

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

Correction verified by the state on July 10, 2025. The state provided technical assistance on this standard.

InspectionJanuary 13, 2025No citation recorded at this visit

ReportDecember 16, 2024No citation recorded at this visit0 of 1 standards cited at this visit

InspectionNovember 25, 20244 citations recorded4 of 678 standards cited at this visit

746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPRRisk level: Medium High

Five out of nine staff files reviewed did not have CPR training.

Correction verified by the state on December 20, 2024. The state provided technical assistance on this standard.

746.613(a) - Required ImmunizationsRisk level: High

Four out of the ten children's files reviewed during inspection did not have immunization's records.

Correction verified by the state on December 20, 2024. The state provided technical assistance on this standard.

746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue BreathingRisk level: Medium High

Five out of the nine staff files reviewed during inspection did not have First Aid training.

Correction verified by the state on December 20, 2024. The state provided technical assistance on this standard.

746.605(11) - Required Admission Information - Emergency Medical AuthorizationRisk level: High

Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.

Correction verified by the state on December 20, 2024. The state provided technical assistance on this standard.

InspectionJuly 26, 2024No citation recorded at this visit0 of 2 standards cited at this visit

InspectionMay 29, 2024No citation recorded at this visit0 of 1 standards cited at this visit

InspectionMay 29, 20241 citation recorded1 of 562 standards cited at this visit

746.611(b) - Health Statement on File within 1 Week of AdmissionRisk level: Medium

Two out the six children's files evaluated did not have signed health statements.

Correction verified by the state on May 31, 2024. The state provided technical assistance on this standard.

InspectionApril 15, 2024No citation recorded at this visit0 of 547 standards cited at this visit

InspectionMarch 13, 20241 citation recorded1 of 148 standards cited at this visit

746.3407(12) - Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to ChildrenRisk level: High

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.

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

AssessmentJanuary 19, 20241 citation recorded1 of 1 standards cited at this visit

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

The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.

Correction verified by the state on January 29, 2024. The state provided technical assistance on this standard.

InspectionOctober 30, 2023No citation recorded at this visit0 of 2 standards cited at this visit

InspectionOctober 23, 20232 citations recorded2 of 1,251 standards cited at this visit

746.4305 - Fenced Outdoor Activity SpaceRisk level: Medium High

The gate leading out of the playground was broken.

Correction verified by the state on October 30, 2023. The state provided technical assistance on this standard.

746.4601(3) - Safety Requirements for Active Play Equipment - No Entrapment OpeningsRisk level: High

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.

Correction verified by the state on October 30, 2023. The state provided technical assistance on this standard.

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.