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Child care center 

Hands N Hands Childcare

4217 Clark Ave, San Antonio, TX 782233.3· 6 reviews
licensed capacity
88
open each week
5 days
a week, county median
$171
year first permitted
2019

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Licensed by the stateInspection record

About

About Hands N Hands Childcare

Hands N Hands Childcare is a licensed child care center in San Antonio, Texas. The state has permitted it since April 30, 2019, for up to 88 children, serving infants, toddlers, preschoolers and school-age children.

It is open Monday to Friday, 6:00 AM to 6:00 PM.

Texas Health and Human Services, Child Care Regulation made 25 visits in the last 3 years and cited 17 rules across 10 of them. The visit list, in the state's words, is below.

InfantsSchool-ageAccepts child care subsidyOpens before 7 AM

Ages served: infants, toddlers, preschoolers and school-age children

From the state license
Ask when you call: rates, current openings, staff-to-child ratio and teacher qualifications.
Type
Child care center
Ages
Infants, toddlers, preschoolers and school-age children
Hours today
6:00 AM to 6:00 PM
Licensed capacity
88 children

Hours

Hours

MondayToday6:00 AM to 6:00 PM
Tuesday6:00 AM to 6:00 PM
Wednesday6:00 AM to 6:00 PM
Thursday6:00 AM to 6:00 PM
Friday6:00 AM to 6:00 PM
SaturdayNot listed
SundayNot listed
From the state license

Programs

Programs and care

AgesInfants, toddlers, preschoolers and school-age childrenFrom the state license
Child care subsidyAccepts state child care subsidiesFrom the state license
Licensed capacity88 childrenFrom the state license
A daycare without an item may still offer it; ask.

Cost

Tuition and costs

Hands N Hands Childcare has not listed its tuition. For comparison, full-time infant care at a child care center in Bexar County has a median price of $171 a week (U.S. Department of Labor, 2022).

Ask the daycare for its ratesIt has not listed its tuition. The county medians below are a starting point.
Bexar County medians, full time, per week

Infant

Center$171
Home daycare$154

Toddler

Center$160
Home daycare$148

Preschool

Center$156
Home daycare$146

School age

Center$149
Home daycare$139

County median full-time prices at centers and home daycares, U.S. Department of Labor, National Database of Childcare Prices, 2022 (the latest year). Not this daycare's rates; prices have risen since.

State record

Inspection reports for Hands N Hands Childcare

License

Status
Licensed and operating
License type
Full Permit
Capacity
88 children
Ages
Infants, toddlers, preschoolers and school-age children
Permit issued
2019
License number
#1682546
See the state's record

Summary

25 visits in the last 3 years · Last visit Sep 22, 2026: no rules cited

Rules cited on 10 of 25 visits · 17 rules in all · 17 corrected

  • Health, medication and illness 5
  • Records and paperwork 3
  • Supervision and ratios 3
  • Transportation 2
  • Staff training and qualifications 2
  • Safety and hazards 1
  • Building, equipment and play areas 1

For comparison: 78% of Texas daycares had at least one rule cited in the last 3 years; the typical daycare had 3.

A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.

Own this daycare? Add your response to the state record

See all 43 visits
  1. Sep 22, 2026InspectionNo rules cited
  2. Aug 22, 2026VisitNo rules cited
  3. Aug 20, 2026InspectionNo rules cited
  4. Aug 19, 2026Complaint investigation1 rule cited
    • Records and paperworkMedium High risk

      746.2431 - 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.”

      The state verified the correction on Sep 22, 2026

  5. Aug 17, 2026Inspection1 rule cited
    • Health, medication and illnessMedium High risk

      746.613(b) - Immunization Records, Exceptions, and Exemptions Current

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

      The state verified the correction on Sep 14, 2026

  6. Jun 3, 2026InspectionNo rules cited
  7. Dec 3, 2025InspectionNo rules cited
  8. Nov 20, 2025InspectionNo rules cited
  9. Nov 13, 2025InspectionNo rules cited
  10. Nov 12, 2025Visit1 rule cited
    • Supervision and ratiosHigh risk

      746.1205(a)(1) - 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.”

      The state verified the correction on Dec 3, 2025

Show 33 earlier visits
  1. Oct 30, 2025Inspection1 rule cited
    • Health, medication and illnessMedium risk

      746.603(a)(4) - Children's Records - Immunizations

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

      The state verified the correction on Dec 23, 2025

  2. Oct 24, 2025InspectionNo rules cited
  3. Oct 17, 2025InspectionNo rules cited
  4. Oct 16, 2025VisitNo rules cited
  5. Nov 6, 2024Inspection1 rule cited
    • Safety and hazardsMedium risk

      746.4135(b) - 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.”

      Corrected during the visit

  6. Sep 30, 2024InspectionNo rules cited
  7. Sep 10, 2024Inspection2 rules cited
    • Building, equipment and play areasMedium High risk

      746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean

      “There were five ceiling tiles missing in the operation.”

      The state verified the correction on Sep 30, 2024

    • Supervision and ratiosHigh risk

      746.1205(a)(1) - 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.”

      The state verified the correction on Sep 30, 2024

  8. Sep 6, 2024Complaint investigation1 rule cited
    • TransportationHigh risk

      746.5607(e) - 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.”

      The state verified the correction on Sep 30, 2024

  9. Jul 23, 2024InspectionNo rules cited
  10. Jul 9, 2024Inspection1 rule cited
    • Supervision and ratiosMedium High risk

      746.1203(3)(D) - 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.”

      The state verified the correction on Jul 23, 2024

  11. Jun 14, 2024VisitNo rules cited
  12. Feb 8, 2024InspectionNo rules cited
  13. Jan 26, 2024Inspection1 rule cited
    • Health, medication and illnessMedium High risk

      746.3401(a) - Annual Sanitation Inspection

      “The available health inspection posted was last conducted on 12.1.22.”

      The state verified the correction on Mar 14, 2024

  14. Jan 24, 2024VisitNo rules cited
  15. Nov 13, 2023Inspection7 rules cited
    • Health, medication and illnessMedium risk

      746.603(a)(4) - Children's Records - Immunizations

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

      The state verified the correction on Jan 23, 2024

    • Records and paperworkMedium High risk

      746.605(13) - 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.”

      The state verified the correction on Nov 15, 2023

    • Staff training and qualificationsMedium High risk

      746.1315(a) - 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.”

      The state verified the correction on Dec 11, 2023

    • Health, medication and illnessMedium High risk

      746.3803(a)(1) - Medication Authorization - Signed and Dated

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

      The state verified the correction on Jan 8, 2024

    • TransportationMedium High risk

      746.5619 - Plan to Handle Transportation Emergencies

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

      The state verified the correction on Nov 15, 2023

    • Records and paperworkMedium risk

      746.901(2) - Required Personnel Records- Meets Requirements

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

      The state verified the correction on Nov 27, 2023

    • Staff training and qualificationsMedium High risk

      746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually

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

      The state verified the correction on Nov 15, 2023

  16. Jul 11, 2023InspectionNo rules cited
  17. Jun 30, 2023Inspection4 rules cited
    • Safety and hazardsHigh risk

      746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

      “The fire inspection was last conducted on 5.16.22.”

      The state verified the correction on Jul 25, 2023

    • Health, medication and illnessMedium High risk

      746.3401(a) - Annual Sanitation Inspection

      “The health inspection was last conducted on 5.12.22.”

      The state verified the correction on Aug 11, 2023

    • Supervision and ratiosMedium High risk

      746.1601 - 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.”

      The state verified the correction on Jul 11, 2023

    • Supervision and ratiosMedium High risk

      746.1205(a)(3) - 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.”

      The state verified the correction on Jul 11, 2023

  18. Jun 23, 2023VisitNo rules cited
  19. Apr 4, 2023Inspection5 rules cited
    • TransportationHigh risk

      746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information

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

      Corrected during the visit

    • Safety and hazardsMedium High risk

      746.5537(a)(2) - 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.”

      Corrected during the visit

    • Safety and hazardsMedium High risk

      746.3701 - 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.”

      Corrected during the visit

    • Health, medication and illnessMedium risk

      746.603(a)(4) - 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.”

      The state verified the correction on Apr 12, 2023

    • Health, medication and illnessMedium High risk

      746.3501(6) - 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.”

      Corrected during the visit

  20. Mar 28, 2023InspectionNo rules cited
  21. Mar 23, 2023VisitNo rules cited
  22. Feb 15, 2023Complaint investigation2 rules cited
    • Records and paperworkMedium Low risk

      746.307(e) - 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.”

      The state verified the correction on Apr 4, 2023

    • Discipline and child guidanceHigh risk

      746.1201(1) - 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.”

      The state verified the correction on Apr 4, 2023

  23. Feb 6, 2023InspectionNo rules cited
  24. Jan 28, 2023VisitNo rules cited
  25. Nov 2, 2022Inspection2 rules cited
    • Records and paperworkMedium risk

      746.603(a) - Children's Records Maintained

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

      The state verified the correction on Nov 17, 2022

    • Records and paperworkMedium Low risk

      746.901(4) - Required Personnel Records - Required Affidavit

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

      The state verified the correction on Nov 9, 2022

  26. Aug 30, 2022InspectionNo rules cited
  27. Aug 25, 2022VisitNo rules cited
  28. Jul 19, 2022InspectionNo rules cited
  29. Jun 6, 2022Complaint investigation3 rules cited
    • Background checksHigh risk

      745.641 - 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.”

      The state verified the correction on Jul 19, 2022

    • Records and paperworkMedium risk

      746.307(c) - 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.”

      The state verified the correction on Jul 19, 2022

    • Other rulesMedium risk

      746.201(7) - Operation Open to Parents At All Times

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

      The state verified the correction on Jul 19, 2022

  30. Mar 10, 2022Inspection2 rules cited
    • Safety and hazardsMedium High risk

      746.3701(9) - 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.”

      Corrected during the visit

    • Safety and hazardsHigh risk

      746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

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

      The state verified the correction on Mar 21, 2022

  31. Mar 1, 2022Visit1 rule cited
    • Records and paperworkMedium Low risk

      746.303(b) - 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.”

      The state verified the correction on Mar 7, 2022

  32. Oct 5, 2021InspectionNo rules cited
  33. Sep 24, 2021Complaint investigation1 rule cited
    • Background checksHigh risk

      745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation

      “A person was present at the operation without a cleared background check and responsible for children prior to the operation receiving the eligibility letter. NOTE: This has been corrected by caregiver being removed from operation.”

      The state verified the correction on Oct 21, 2021

Copied from Texas Health and Human Services, Child Care Regulation on October 1, 2026; the state's records start around Sep 2021. Rule wording, severity and dates are the state's.

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FAQ

Questions about Hands N Hands Childcare

Is Hands N Hands Childcare licensed?

Yes. Texas Health and Human Services, Child Care Regulation lists it as licensed and operating, with a permit issued April 30, 2019.

When was Hands N Hands Childcare last inspected?

Texas Health and Human Services, Child Care Regulation lists the most recent visit on September 22, 2026, with no rules cited. It lists 25 visits in the last 3 years.

Has Hands N Hands Childcare had rules cited by the state?

Yes. Inspectors cited 17 rules across 10 of 25 visits in the last 3 years; 17 show a correction in the state record. For comparison: 78% of Texas daycares had at least one rule cited in the last 3 years; the typical daycare had 3. A cited rule is what an inspector found on the day of a visit. It is not a rating of the daycare today.

How many children can Hands N Hands Childcare care for?

88, the licensed capacity on the state record. It is licensed to serve infants, toddlers, preschoolers and school-age children.

Does Hands N Hands Childcare accept child care subsidies?

Yes. The state record says it accepts child care subsidies.

What are Hands N Hands Childcare's hours?

Monday to Friday, 6:00 AM to 6:00 PM. These are the hours on the state record. Holiday hours can differ.

How much does Hands N Hands Childcare cost?

It has not listed its tuition. Call (210) 600-4116 to ask.

What is Hands N Hands Childcare's phone number?

(210) 600-4116.

Where is Hands N Hands Childcare?

4217 Clark Ave, San Antonio, TX 78223. The nearest other daycare we list is The Children's Garden, A Place to Bloom, 0.2 miles away.

Sources: Texas Health and Human Services, Child Care Regulation (license and visits) · U.S. Department of Labor, 2022 (county prices).