# Hands N Hands Childcare Hands N Hands Childcare is a licensed child care program (child care center) in San Antonio, TX serving ages Infant, Toddler, Pre-Kindergarten, School, with 88 licensed seats. It is regulated by TX HHSC. ## Key facts - Status: Full Permit · Operating - Address: 4217 Clark Ave, San Antonio, TX 78223 - Ages: Infant, Toddler, Pre-Kindergarten, School - Capacity: 88 - License/permit: 1682546 - Operator: not published - Phone: (210) 600-4116 - Hours: 06:00 AM-06:00 PM (Mon, Tue, Wed, Thu, Fri) - Accepts child care subsidies: yes - Official regulator profile: https://childcare.hhs.texas.gov/Public/OperationDetails?operationId=1318541 ## Inspection record 36 findings across 41 Texas HHSC inspections (2022-03-01 to 2026-09-22); 25 rated serious; 0 open at last record. - 2026-08-19 — Records, permits & program, Medium-high risk, Correction verified 2026-09-22: 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. (§746.2431; [type](https://www.kinfield.site/violation/tx-tac-746-2431)) - 2026-08-17 — Staff qualifications & clearances, Medium-high risk, Correction verified 2026-09-14: Immunization Records, Exceptions, and Exemptions Current: Two of the four children's immunizations were not updated at the time of inspection. (§746.613(b); [type](https://www.kinfield.site/violation/tx-tac-746-613-b)) - 2025-11-12 — Records, permits & program, High risk, Correction verified 2025-12-03: 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. (§746.1205(a)(1); [type](https://www.kinfield.site/violation/tx-tac-746-1205-a-1)) - 2025-10-30 — Staff qualifications & clearances, Medium risk, Correction verified 2025-12-23: Children's Records - Immunizations: Three out of five children's files reviewed did not have current immunization records available for review. (§746.603(a)(4); [type](https://www.kinfield.site/violation/tx-tac-746-603-a-4)) - 2024-11-06 — Staff qualifications & clearances, Medium risk, Corrected at inspection: 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. (§746.4135(b); [type](https://www.kinfield.site/violation/tx-tac-746-4135-b)) - 2024-09-10 — Supervision & ratios, Medium-high risk, Correction verified 2024-09-30: Floors, ceilings and Walls in Good Repair and Clean: There were five ceiling tiles missing in the operation. (§746.3407(9); [type](https://www.kinfield.site/violation/tx-tac-746-3407-9)) - 2024-09-10 — Facilities & equipment, High risk, Correction verified 2024-09-30: 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. (§746.1205(a)(1); [type](https://www.kinfield.site/violation/tx-tac-746-1205-a-1)) - 2024-09-06 — Other, High risk, Correction verified 2024-09-30: 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. (§746.5607(e); [type](https://www.kinfield.site/violation/tx-tac-746-5607-e)) - 2024-07-09 — Staff qualifications & clearances, Medium-high risk, Correction verified 2024-07-23: 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. (§746.1203(3)(D); [type](https://www.kinfield.site/violation/tx-tac-746-1203-3-d)) - 2024-01-26 — Sanitation & hygiene, Medium-high risk, Correction verified 2024-03-14: Annual Sanitation Inspection: The available health inspection posted was last conducted on 12.1.22. (§746.3401(a); [type](https://www.kinfield.site/violation/tx-tac-746-3401-a)) - 2023-11-13 — Staff qualifications & clearances, Medium risk, Correction verified 2024-01-23: Children's Records - Immunizations: One of the eight children files didn't have a current immunization record. (§746.603(a)(4); [type](https://www.kinfield.site/violation/tx-tac-746-603-a-4)) - 2023-11-13 — Staff qualifications & clearances, Medium-high risk, Correction verified 2023-12-11: 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. (§746.1315(a); [type](https://www.kinfield.site/violation/tx-tac-746-1315-a)) - 2023-11-13 — Records, permits & program, Medium-high risk, Correction verified 2023-11-15: Plan to Handle Transportation Emergencies: A written procedure on how to handle transportation emergencies was not available for review. (§746.5619; [type](https://www.kinfield.site/violation/tx-tac-746-5619)) - 2023-11-13 — Staff qualifications & clearances, Medium-high risk, Correction verified 2023-11-15: Transportation Safety Training -Director and Employee Complete 2 Hours Annually: One of the two staff transporting didn't have training available for review. (§746.1316(a); [type](https://www.kinfield.site/violation/tx-tac-746-1316-a)) - 2023-11-13 — Fire safety & emergency drills, Medium-high risk, Correction verified 2023-11-15: 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. (§746.605(13); [type](https://www.kinfield.site/violation/tx-tac-746-605-13)) - …and 21 more on the source page. ## Nearby programs - [Y School Age @ Steele Montessori](https://www.kinfield.site/facility/tx-hhsc-1336943) — 0.29 km, capacity 102 - [The Children's Garden, a Place to Bloom](https://www.kinfield.site/facility/tx-hhsc-554172) — 0.39 km, capacity 56 - [Smart Ducklings Daycare](https://www.kinfield.site/facility/tx-hhsc-1347081) — 0.5 km, capacity 97 - [Hands 'N' Hands Childcare and Learning Center](https://www.kinfield.site/facility/tx-hhsc-254152) — 0.53 km, capacity 133 - [Wee Friends Preschool & Day Care](https://www.kinfield.site/facility/tx-hhsc-237669) — 1.27 km, capacity 37 - [Learning With Grace Educational Child Care](https://www.kinfield.site/facility/tx-hhsc-1118904) — 1.3 km, capacity 63 ## Sources - tx_hhsc_operations record 1318541 (verified, retrieved 2026-11-05): https://data.texas.gov/resource/bc5r-88dy.json?operation_id=1318541 - us_census_geocoder record 4217 CLARK AVE|SAN ANTONIO|TX|78223 (verified, retrieved 2026-11-05): https://geocoding.geo.census.gov/geocoder/ - tx_twc_subsidy_providers record 1682546 (verified, retrieved 2026-11-06): https://data.texas.gov/resource/wmur-pmzc.json?state_id=1682546 - tx_twc_ccs_facilities record row-zzxm-tfe9.puiy (historical, retrieved 2026-11-06): https://data.texas.gov/resource/bsvz-ncuc.json?state_id=1682546 - tx_tda_cacfp_centers record 02107-1510 (verified, retrieved 2026-11-06): https://data.texas.gov/resource/py3b-tqc9.json?cesiteid=02107-1510 --- Source page: https://www.kinfield.site/facility/tx-hhsc-1318541 · Kinfield — Childcare Intelligence. Facts come from public regulator records; historical inspection data is labelled. Missing data never means no issue exists.