25 were rated high or medium-high risk. All were marked corrected. Texas HHSC inspections since 2022.
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.
Immunization Records, Exceptions, and Exemptions Current: Two of the four children's immunizations were not updated at the time of inspection.
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.
What parents say online, cameras, food and extra costs, tuition, teacher turnover, your drop-off and pick-up traffic, plus the full record — researched, reviewed by a person, delivered by email.
| Date | Inspection | Result | Findings | Open | Evidence |
|---|---|---|---|---|---|
| Sep 22, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Aug 22, 2026 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Aug 20, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Aug 19, 2026 | Investigation of a report | Deficiencies cited | 1 | 0 | Verified |
8 answers need research — reviews, parent groups, the program’s website and traffic data. The report finds them for Hands N Hands Childcare.
Unlock — $12“Public record” rows come from state datasets. Missing information never means there is no issue.
Distilled into recurring themes, with dates and sources.
Unlock in the reportHistorical traffic at opening and closing, from every direction.
Unlock in the report| Aug 17, 2026 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Jun 3, 2026 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Dec 3, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Nov 20, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Nov 13, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Nov 12, 2025 | Investigation of a report (self-reported) | Deficiencies cited | 1 | 0 | Verified |
| Oct 30, 2025 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Oct 24, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Oct 17, 2025 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Oct 16, 2025 | Investigation of a report (self-reported) | No deficiencies cited | 0 | 0 | Verified |
| Nov 6, 2024 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Sep 30, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Sep 10, 2024 | Inspection | Deficiencies cited | 2 | 0 | Verified |
| Sep 6, 2024 | Investigation of a report | Deficiencies cited | 1 | 0 | Verified |
| Jul 23, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jul 9, 2024 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Jun 14, 2024 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Feb 8, 2024 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jan 26, 2024 | Inspection | Deficiencies cited | 1 | 0 | Verified |
| Jan 24, 2024 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Nov 13, 2023 | Inspection | Deficiencies cited | 7 | 0 | Verified |
| Jul 11, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 30, 2023 | Inspection | Deficiencies cited | 4 | 0 | Verified |
| Jun 23, 2023 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Apr 4, 2023 | Inspection | Deficiencies cited | 5 | 0 | Verified |
| Mar 28, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Mar 23, 2023 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Feb 15, 2023 | Investigation of a report | Deficiencies cited | 2 | 0 | Verified |
| Feb 6, 2023 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jan 28, 2023 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Nov 2, 2022 | Inspection | Deficiencies cited | 2 | 0 | Verified |
| Aug 30, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Aug 25, 2022 | Investigation of a report | No deficiencies cited | 0 | 0 | Verified |
| Jul 19, 2022 | Inspection | No deficiencies cited | 0 | 0 | Verified |
| Jun 6, 2022 | Investigation of a report | Deficiencies cited | 3 | 0 | Verified |
| Mar 10, 2022 | Inspection | Deficiencies cited | 2 | 0 | Verified |
| Mar 1, 2022 | Assessment | Deficiencies cited | 1 | 0 | Verified |
Each finding links to its normalized violation type (all facilities with the same finding) and to the exact inspection.
| Date | Code | Severity | Status | Finding (source text) |
|---|---|---|---|---|
| Aug 19, 2026 | §746.2431 Records, permits & program | Medium-high risk | Corrected | 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. |
| Aug 17, 2026 | §746.613(b) Staff qualifications & clearances | Medium-high risk | Corrected | Immunization Records, Exceptions, and Exemptions Current: Two of the four children's immunizations were not updated at the time of inspection. |
| Nov 12, 2025 | §746.1205(a)(1) Records, permits & program | High risk | Corrected | 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. |
| Oct 30, 2025 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: Three out of five children's files reviewed did not have current immunization records available for review. |
| Nov 6, 2024 | §746.4135(b) Staff qualifications & clearances | Medium risk | Corrected | 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. |
| Sep 10, 2024 | §746.3407(9) Supervision & ratios | Medium-high risk | Corrected | Floors, ceilings and Walls in Good Repair and Clean: There were five ceiling tiles missing in the operation. |
| Sep 10, 2024 | §746.1205(a)(1) Facilities & equipment | High risk | Corrected | 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. |
| Sep 6, 2024 | §746.5607(e) Other | High risk | Corrected | 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. |
| Jul 9, 2024 | §746.1203(3)(D) Staff qualifications & clearances | Medium-high risk | Corrected | 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. |
| Jan 26, 2024 | §746.3401(a) Sanitation & hygiene | Medium-high risk | Corrected | Annual Sanitation Inspection: The available health inspection posted was last conducted on 12.1.22. |
| Nov 13, 2023 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | Children's Records - Immunizations: One of the eight children files didn't have a current immunization record. |
| Nov 13, 2023 | §746.1315(a) Staff qualifications & clearances | Medium-high risk | Corrected | 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. |
| Nov 13, 2023 | §746.5619 Records, permits & program | Medium-high risk | Corrected | Plan to Handle Transportation Emergencies: A written procedure on how to handle transportation emergencies was not available for review. |
| Nov 13, 2023 | §746.1316(a) Staff qualifications & clearances | Medium-high risk | Corrected | Transportation Safety Training -Director and Employee Complete 2 Hours Annually: One of the two staff transporting didn't have training available for review. |
| Nov 13, 2023 | §746.605(13) Fire safety & emergency drills | Medium-high risk | Corrected | 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. |
| Nov 13, 2023 | §746.901(2) Staff qualifications & clearances | Medium risk | Corrected | Required Personnel Records- Meets Requirements: Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits. |
| Nov 13, 2023 | §746.3803(a)(1) Health records & medication | Medium-high risk | Corrected | Medication Authorization - Signed and Dated: A written, signed and dated medication authorization was not available for review for one child. |
| Jun 30, 2023 | §746.1205(a)(3) Staff qualifications & clearances | Medium-high risk | Corrected | 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. |
| Jun 30, 2023 | §746.1601 Supervision & ratios | Medium-high risk | Corrected | 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. |
| Jun 30, 2023 | §746.3401(a) Sanitation & hygiene | Medium-high risk | Corrected | Annual Sanitation Inspection: The health inspection was last conducted on 5.12.22. |
| Jun 30, 2023 | §746.5101(a) Fire safety & emergency drills | High risk | Corrected | Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months: The fire inspection was last conducted on 5.16.22. |
| Apr 4, 2023 | §746.5617(a)(2) Fire safety & emergency drills | High risk | Corrected | Required Equipment in Vehicles - Emergency Medical Information: Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection. |
| Apr 4, 2023 | §746.603(a)(4) Staff qualifications & clearances | Medium risk | Corrected | 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. |
| Apr 4, 2023 | §746.3501(6) Sanitation & hygiene | Medium-high risk | Corrected | 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. |
| Apr 4, 2023 | §746.5537(a)(2) Fire safety & emergency drills | Medium-high risk | Corrected | Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly: Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection. |
| Apr 4, 2023 | §746.3701 Safety hazards | Medium-high risk | Corrected | 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. |
| Feb 15, 2023 | §746.307(e) Facilities & equipment | Medium-low risk | Corrected | Parental Notification of Infestation: 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. |
| Feb 15, 2023 | §746.1201(1) Supervision & ratios | High risk | Corrected | Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control: 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. |
| Nov 2, 2022 | §746.901(4) Staff qualifications & clearances | Medium-low risk | Corrected | Required Personnel Records - Required Affidavit: Three out of eight employee records reviewed were missing the required affidavit for employment. |
| Nov 2, 2022 | §746.603(a) Fire safety & emergency drills | Medium risk | Corrected | Children's Records Maintained: Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements. |
| Jun 6, 2022 | §745.641 Supervision & ratios | High risk | Corrected | AP Background check results - Must receive notification prior to allowing subject to be present at your operation: During the investigation a caregiver in direct care of children had not received required background check eligibility notifications. |
| Jun 6, 2022 | §746.307(c) Safety hazards | Medium risk | Corrected | Parental Notification of Less Serious Injuries: Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time. |
| Jun 6, 2022 | §746.201(7) Supervision & ratios | Medium risk | Corrected | Operation Open to Parents At All Times: Based on the information received parents are not allowed to enter the operation. |
| Mar 10, 2022 | §746.3701(9) Staff qualifications & clearances | Medium-high risk | Corrected | Safety - Televisions Anchored to Prevent Tip Over: In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom. |
| Mar 10, 2022 | §746.5101(a) Fire safety & emergency drills | High risk | Corrected | Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months: Annual first inspection had not been updated since 10/19/2020. |
| Mar 1, 2022 | §746.303(b) Staff qualifications & clearances | Medium-low risk | Corrected | Report Number of Employees: 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. |
| Facility | Type | Operator | Capacity | Inspection findings | Last insp. | Dist. |
|---|---|---|---|---|---|---|
| Y School Age @ Steele Montessori San Antonio, 78223 | School-age program | — | 102 | No records | — | 0.3 km |
| The Children's Garden, a Place to Bloom San Antonio, 78223 | Child care center | — | 56 | No records | — | 0.4 km |
| Smart Ducklings Daycare San Antonio, 78223 | Child care center | — | 97 | No records | — | 0.5 km |
| Hands 'N' Hands Childcare and Learning Center San Antonio, 78223 | Child care center | — | 133 | No records | — | 0.5 km |
| Wee Friends Preschool & Day Care San Antonio, 78223 | Child care center | — | 37 | No records | — | 1.3 km |
| Learning With Grace Educational Child Care San Antonio, 78210 | Child care center | — | 63 | No records | — | 1.3 km |
| Source | Record | Facts | Evidence | Effective | Retrieved |
|---|---|---|---|---|---|
| Texas HHSC Operations TX | 1318541 | name, type, status, capacity, ages, hours, address, phone, subsidies | Verified | — | Nov 5, 2026 |
| us_census_geocoder US | 4217 CLARK AVE|SAN ANTONIO|T… | location Census Geocoder Exact match: 4217 CLARK AVE, SAN ANTONIO, TX, 78223 | Verified | — | Nov 5, 2026 |
| tx_twc_subsidy_providers TX | 1682546 | tx_rising_star_rating, accepts_cc_subsidy | Verified | Aug 25, 2026 | Nov 6, 2026 |
| tx_twc_ccs_facilities TX | row-zzxm-tfe9.puiy | monthlyamtpaid, accrdstatus, prekstandard, headstart | Historical | Jun 1, 2024 | Nov 6, 2026 |
| tx_tda_cacfp_centers TX | 02107-1510 | mealpreparationmethod, foodservicevendorname, enrolled_by_eligibility | Verified | — | Nov 6, 2026 |
| Texas HHSC Inspections | 905828371 | Verified | Sep 22, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905933628 | Verified | Aug 22, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905828370 | Verified | Aug 20, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905933627 | Verified | Aug 19, 2026 | Nov 5, 2026 | |
| Texas HHSC Inspections | 905828369 | Verified | Aug 17, 2026 | Nov 5, 2026 |
Sources: Texas HHSC Operations, us_census_geocoder, tx_twc_subsidy_providers, tx_twc_ccs_facilities, tx_tda_cacfp_centers. Missing data never means no issue exists. Report a correction.