Licensed centerLicensed

Hands N Hands Childcare

16 critical, 36 serious, 4 minor findings across 76 visits in the last 36 months. Most recent critical finding: Nov 25, 2024.

538 Surrey Ave, San Antonio, TX 78225 · (210) 332-5771

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Texas lists conditions on this permit. Read them on the state record.

At a glance

Inspection record · 36 monthsSan Antonio licensed centers, n=495

Critical findings16 critical, 36 serious, 4 minor across 60 inspections and 16 investigations (76 visits). Most recent critical: Nov 25, 2024.

Critical16 vs median 4

65% of centers have at least one

Serious36 vs median 16

86% of centers have at least one

LicenseSince 2024Full Permit

Practical6a–6:30pMon–Fri · Infant to school · Licensed capacity 93

Texas HHSC operation #1787821 · last checked against Texas Sep 16, 2026

Budget & timing

Tuition & openings

We don’t yet have provider-confirmed prices or availability for this facility. A missing price does not mean care is free.

What will care cost?

Not provided

Ask for a written quote for your child’s age, days per week, and daily hours.

Tuition & billing schedule: Confirm with provider
Registration & supply fees: Confirm with provider
Deposit & refund policy: Confirm with provider
Meals & late pickup fees: Confirm with provider

When can my child start?

Not confirmed

Licensed capacity is the maximum permitted enrollment, not the number of open places.

Ask about openings in your child’s age group.
Confirm the earliest start date and available schedule.
Ask about waitlist fees, timing, and how offers are made.

Help paying for care: The state lists this facility as accepting child care subsidies. Confirm your program and whether a funded place is available.

Call about tuition & openings

Programs and services

From the Texas license. “Not listed” means unknown, not that a service is unavailable. Confirm current services with the provider.

Meals providedListed
Snacks providedListed
Before-school careListed
After-school careListed
Transportation to/from schoolListed
Drop-in careListed
Part-time careListed
Field tripsNot listed
Skill classesNot listed
Weekend careNot listed
Night careNot listed
AccreditedNot listed
Accepts child care subsidiesListed

Ask about your child’s needs. Curriculum, languages spoken, accessibility, disability support, allergy accommodations, and staff qualifications are not included in our current data. Discuss these directly when you visit.

Inspection record

Visits available in our Texas data, newest first. Visits with findings are shown in full; runs of clean visits are folded into one line. Findings are quoted from the inspector's report with the Texas risk level beside our severity.

Inspection history is one input into your decision, not a guarantee of safety or a rating of care quality. How to read this record.

2026
Apr 17, 2026 to Apr 17, 20264 inspections
No findingsShowHide
- Apr 17, 2026 inspection
- Apr 17, 2026 inspection
- Apr 17, 2026 inspection
- Apr 17, 2026 inspection
Feb 10, 2026Inspection
2 findings · serious
- SeriousTexas: Medium
  Children's Records - Immunizations
  Four of the five children's files evaluated did not have current immunization records available for review.
  Corrected Mar 17, 2026, verified Apr 17, 2026. Technical assistance given. Standard 746.603(a)(4).
- SeriousTexas: Medium
  Notification of Change in Space
  The operation did not notify Childcare Regulation about a change of indoor space.
  Corrected Feb 24, 2026, verified Apr 17, 2026. Technical assistance given. Standard 746.301(2).
Feb 10, 2026Inspection
2 findings · serious
- SeriousTexas: Medium
  Children's Records - Immunizations
  Four of the five children's files evaluated did not have current immunization records available for review.
  Corrected Mar 17, 2026, verified Apr 17, 2026. Technical assistance given. Standard 746.603(a)(4).
- SeriousTexas: Medium
  Notification of Change in Space
  The operation did not notify Childcare Regulation about a change of indoor space.
  Corrected Feb 24, 2026, verified Apr 17, 2026. Technical assistance given. Standard 746.301(2).
Feb 10, 2026Inspection
2 findings · serious
- SeriousTexas: Medium
  Notification of Change in Space
  The operation did not notify Childcare Regulation about a change of indoor space.
  Corrected Feb 24, 2026, verified Apr 17, 2026. Technical assistance given. Standard 746.301(2).
- SeriousTexas: Medium
  Children's Records - Immunizations
  Four of the five children's files evaluated did not have current immunization records available for review.
  Corrected Mar 17, 2026, verified Apr 17, 2026. Technical assistance given. Standard 746.603(a)(4).
Feb 10, 2026Inspection
2 findings · serious
- SeriousTexas: Medium
  Notification of Change in Space
  The operation did not notify Childcare Regulation about a change of indoor space.
  Corrected Feb 24, 2026, verified Apr 17, 2026. Technical assistance given. Standard 746.301(2).
- SeriousTexas: Medium
  Children's Records - Immunizations
  Four of the five children's files evaluated did not have current immunization records available for review.
  Corrected Mar 17, 2026, verified Apr 17, 2026. Technical assistance given. Standard 746.603(a)(4).
2025
Jul 10, 2025 to Oct 6, 202512 inspections and 8 investigations
No findingsShowHide
- Oct 6, 2025 inspection
- Oct 6, 2025 inspection
- Oct 6, 2025 inspection
- Oct 6, 2025 inspection
- Sep 23, 2025 complaint investigation
- Sep 23, 2025 complaint investigation
- Sep 23, 2025 complaint investigation
- Sep 23, 2025 complaint investigation
- Aug 25, 2025 inspection
- Aug 25, 2025 inspection
- Aug 25, 2025 inspection
- Aug 25, 2025 inspection
- Aug 13, 2025 self-reported incident
- Aug 13, 2025 self-reported incident
- Aug 13, 2025 self-reported incident
- Aug 13, 2025 self-reported incident
- Jul 10, 2025 inspection
- Jul 10, 2025 inspection
- Jul 10, 2025 inspection
- Jul 10, 2025 inspection
May 30, 2025Inspection
3 findings · serious
- SeriousTexas: Medium High
  Prohibited Equipment for Infants - Accordion Safety Gates
  An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
  Corrected May 30, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.2415(a)(3).
- SeriousTexas: 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.
  Corrected Jun 13, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.5617(a)(3).
- SeriousTexas: Medium High
  Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
  Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
  Corrected May 30, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.4601(2).
May 30, 2025Inspection
3 findings · serious
- SeriousTexas: Medium High
  Prohibited Equipment for Infants - Accordion Safety Gates
  An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
  Corrected May 30, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.2415(a)(3).
- SeriousTexas: Medium High
  Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
  Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
  Corrected May 30, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.4601(2).
- SeriousTexas: 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.
  Corrected Jun 13, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.5617(a)(3).
May 30, 2025Inspection
3 findings · serious
- SeriousTexas: 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.
  Corrected Jun 13, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.5617(a)(3).
- SeriousTexas: Medium High
  Prohibited Equipment for Infants - Accordion Safety Gates
  An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
  Corrected May 30, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.2415(a)(3).
- SeriousTexas: Medium High
  Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
  Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
  Corrected May 30, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.4601(2).
May 30, 2025Inspection
3 findings · serious
- SeriousTexas: Medium High
  Prohibited Equipment for Infants - Accordion Safety Gates
  An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
  Corrected May 30, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.2415(a)(3).
- SeriousTexas: Medium High
  Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
  Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
  Corrected May 30, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.4601(2).
- SeriousTexas: 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.
  Corrected Jun 13, 2025, verified Jul 10, 2025. Technical assistance given. Standard 746.5617(a)(3).
Jan 13, 2025 to Jan 13, 20254 inspections
No findingsShowHide
- Jan 13, 2025 inspection
- Jan 13, 2025 inspection
- Jan 13, 2025 inspection
- Jan 13, 2025 inspection
2024
Dec 16, 2024 to Dec 16, 20244 investigations
No findingsShowHide
- Dec 16, 2024 complaint investigation
- Dec 16, 2024 complaint investigation
- Dec 16, 2024 complaint investigation
- Dec 16, 2024 complaint investigation
Nov 25, 2024Inspection
4 findings · critical
- CriticalTexas: High
  Required Admission Information - Emergency Medical Authorization
  Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
  Corrected Nov 25, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.605(11).
- CriticalTexas: High
  Required Immunizations
  Four out of the ten children's files reviewed during inspection did not have immunization's records.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.613(a).
- SeriousTexas: Medium High
  Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
  Five out of the nine staff files reviewed during inspection did not have First Aid training.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.1301(a)(3)(A).
- SeriousTexas: Medium High
  Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
  Five out of nine staff files reviewed did not have CPR training.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.1301(a)(4)(A).
Nov 25, 2024Inspection
4 findings · critical
- CriticalTexas: High
  Required Immunizations
  Four out of the ten children's files reviewed during inspection did not have immunization's records.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.613(a).
- CriticalTexas: High
  Required Admission Information - Emergency Medical Authorization
  Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
  Corrected Nov 25, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.605(11).
- SeriousTexas: Medium High
  Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
  Five out of nine staff files reviewed did not have CPR training.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.1301(a)(4)(A).
- SeriousTexas: Medium High
  Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
  Five out of the nine staff files reviewed during inspection did not have First Aid training.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.1301(a)(3)(A).
Nov 25, 2024Inspection
4 findings · critical
- CriticalTexas: High
  Required Immunizations
  Four out of the ten children's files reviewed during inspection did not have immunization's records.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.613(a).
- CriticalTexas: High
  Required Admission Information - Emergency Medical Authorization
  Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
  Corrected Nov 25, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.605(11).
- SeriousTexas: Medium High
  Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
  Five out of nine staff files reviewed did not have CPR training.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.1301(a)(4)(A).
- SeriousTexas: Medium High
  Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
  Five out of the nine staff files reviewed during inspection did not have First Aid training.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.1301(a)(3)(A).
Nov 25, 2024Inspection
4 findings · critical
- CriticalTexas: High
  Required Admission Information - Emergency Medical Authorization
  Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
  Corrected Nov 25, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.605(11).
- CriticalTexas: High
  Required Immunizations
  Four out of the ten children's files reviewed during inspection did not have immunization's records.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.613(a).
- SeriousTexas: Medium High
  Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
  Five out of nine staff files reviewed did not have CPR training.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.1301(a)(4)(A).
- SeriousTexas: Medium High
  Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
  Five out of the nine staff files reviewed during inspection did not have First Aid training.
  Corrected Dec 20, 2024, verified Dec 20, 2024. Technical assistance given. Standard 746.1301(a)(3)(A).
Jul 26, 2024 to Jul 26, 20244 inspections
No findingsShowHide
- Jul 26, 2024 inspection
- Jul 26, 2024 inspection
- Jul 26, 2024 inspection
- Jul 26, 2024 inspection
May 29, 2024Inspection
1 finding · serious
- SeriousTexas: Medium
  Health Statement on File within 1 Week of Admission
  Two out the six children's files evaluated did not have signed health statements.
  Corrected May 31, 2024, verified May 31, 2024. Technical assistance given. Standard 746.611(b).
May 29, 2024Inspection
No findings
May 29, 2024Inspection
1 finding · serious
- SeriousTexas: Medium
  Health Statement on File within 1 Week of Admission
  Two out the six children's files evaluated did not have signed health statements.
  Corrected May 31, 2024, verified May 31, 2024. Technical assistance given. Standard 746.611(b).
May 29, 2024Inspection
No findings
May 29, 2024Inspection
1 finding · serious
- SeriousTexas: Medium
  Health Statement on File within 1 Week of Admission
  Two out the six children's files evaluated did not have signed health statements.
  Corrected May 31, 2024, verified May 31, 2024. Technical assistance given. Standard 746.611(b).
May 29, 2024 to May 29, 20242 inspections
No findingsShowHide
- May 29, 2024 inspection
- May 29, 2024 inspection
May 29, 2024Inspection
1 finding · serious
- SeriousTexas: Medium
  Health Statement on File within 1 Week of Admission
  Two out the six children's files evaluated did not have signed health statements.
  Corrected May 31, 2024, verified May 31, 2024. Technical assistance given. Standard 746.611(b).
Apr 15, 2024 to Apr 15, 20244 inspections
No findingsShowHide
- Apr 15, 2024 inspection
- Apr 15, 2024 inspection
- Apr 15, 2024 inspection
- Apr 15, 2024 inspection
Mar 13, 2024Inspection
1 finding · critical
- CriticalTexas: High
  Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
  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 during the inspection. Technical assistance given. Standard 746.3407(12).
Mar 13, 2024Inspection
1 finding · critical
- CriticalTexas: High
  Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
  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 during the inspection. Technical assistance given. Standard 746.3407(12).
Mar 13, 2024Inspection
1 finding · critical
- CriticalTexas: High
  Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
  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 during the inspection. Technical assistance given. Standard 746.3407(12).
Mar 13, 2024Inspection
1 finding · critical
- CriticalTexas: High
  Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
  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 during the inspection. Technical assistance given. Standard 746.3407(12).
Jan 19, 2024Assessment
1 finding · minor
- MinorTexas: Medium Low
  Report Number of Employees
  The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
  Corrected Jan 21, 2024, verified Jan 29, 2024. Technical assistance given. Standard 746.303(b).
Jan 19, 2024Assessment
1 finding · minor
- MinorTexas: Medium Low
  Report Number of Employees
  The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
  Corrected Jan 21, 2024, verified Jan 29, 2024. Technical assistance given. Standard 746.303(b).
Jan 19, 2024Assessment
1 finding · minor
- MinorTexas: Medium Low
  Report Number of Employees
  The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
  Corrected Jan 21, 2024, verified Jan 29, 2024. Technical assistance given. Standard 746.303(b).
Jan 19, 2024Assessment
1 finding · minor
- MinorTexas: Medium Low
  Report Number of Employees
  The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
  Corrected Jan 21, 2024, verified Jan 29, 2024. Technical assistance given. Standard 746.303(b).
2023
Oct 30, 2023 to Oct 30, 20234 inspections
No findingsShowHide
- Oct 30, 2023 inspection
- Oct 30, 2023 inspection
- Oct 30, 2023 inspection
- Oct 30, 2023 inspection
Oct 23, 2023Inspection
2 findings · critical
- CriticalTexas: High
  Safety Requirements for Active Play Equipment - No Entrapment Openings
  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.
  Corrected Oct 30, 2023, verified Oct 30, 2023. Technical assistance given. Standard 746.4601(3).
- SeriousTexas: Medium High
  Fenced Outdoor Activity Space
  The gate leading out of the playground was broken.
  Corrected Oct 30, 2023, verified Oct 30, 2023. Technical assistance given. Standard 746.4305.
Oct 23, 2023Inspection
2 findings · critical
- CriticalTexas: High
  Safety Requirements for Active Play Equipment - No Entrapment Openings
  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.
  Corrected Oct 30, 2023, verified Oct 30, 2023. Technical assistance given. Standard 746.4601(3).
- SeriousTexas: Medium High
  Fenced Outdoor Activity Space
  The gate leading out of the playground was broken.
  Corrected Oct 30, 2023, verified Oct 30, 2023. Technical assistance given. Standard 746.4305.
Oct 23, 2023Inspection
2 findings · critical
- CriticalTexas: High
  Safety Requirements for Active Play Equipment - No Entrapment Openings
  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.
  Corrected Oct 30, 2023, verified Oct 30, 2023. Technical assistance given. Standard 746.4601(3).
- SeriousTexas: Medium High
  Fenced Outdoor Activity Space
  The gate leading out of the playground was broken.
  Corrected Oct 30, 2023, verified Oct 30, 2023. Technical assistance given. Standard 746.4305.
Oct 23, 2023Inspection
2 findings · critical
- CriticalTexas: High
  Safety Requirements for Active Play Equipment - No Entrapment Openings
  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.
  Corrected Oct 30, 2023, verified Oct 30, 2023. Technical assistance given. Standard 746.4601(3).
- SeriousTexas: Medium High
  Fenced Outdoor Activity Space
  The gate leading out of the playground was broken.
  Corrected Oct 30, 2023, verified Oct 30, 2023. Technical assistance given. Standard 746.4305.

Source. This facility on the Texas HHSC search. Data reloaded nightly.

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Is there an opening for our start date? How does your waitlist work?
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What does a typical day look like, and how will you share updates with me?
What changed after the most recent finding about “Children's Records - Immunizations”, and can you show evidence of the correction?

Compare nearby

Licensed centers in zip 78225, same 36-month window.

Daycare	Ages	Places	Hours	Findings, 36 mo
Hands N Hands Childcare this page	Infant–School	93	6a–6:30p	16 crit·36 ser·4 min
Carino Child Care Center	Infant–School	60	7a–6p	8 crit·28 ser
San Antonio Cottage Child Dev. Center	Toddler–School	30	6a–6p	8 crit·56 ser·8 min
Y School Age Graebner Elementary	Pre-K–School	130	3:15p–6p	4 crit

Hands N Hands Childcarethis page
Infant–School · 93 places16 crit·36 ser·4 min
Carino Child Care Center
Infant–School · 60 places8 crit·28 ser
San Antonio Cottage Child Dev. Center
Toddler–School · 30 places8 crit·56 ser·8 min
Y School Age Graebner Elementary
Pre-K–School · 130 places4 crit