Home TX San Antonio Hands N Hands Childcare

Hands N Hands Childcare

4217 CLARK AVE, San Antonio TX 78223-2217 · License #1682546 · Licensed Center

Full Permit
Capacity 88 childrenAges 0 mo – 13 yrLast inspected Jun 3, 2026
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Contact

Director
Cassandra Estrada
Website
Add via profile claim
Address
4217 CLARK AVE, San Antonio TX 78223-2217 · Directions

Hours

Mon06:00 AM-06:00 PM
Tue06:00 AM-06:00 PM
Wed06:00 AM-06:00 PM
Thu06:00 AM-06:00 PM
Fri06:00 AM-06:00 PM
SatClosed
SunClosed

Care & schedule

When they operate

School Age CareBefore School CareMeals ProvidedAfter School CareSnacks ProvidedDrop-In CarePart Time CareTransportation to/from SchoolField Trips

Ages served

InfantsToddlersPre-KSchool-age
  • Accepts child care subsidy
  • Licensed for 88 children
13
Violations, past 3 yrs
From inspections (not complaints)
9
High-risk violations
Serious / high-risk non-compliance
0
Substantiated complaints
Published by Texas HHSC
16
Inspections, past 3 yrs
Monitoring & assessments

How this facility compares

Violations per inspection, 3-yr
This facility
0.8
Texas average
0.8

Inspection history & violations

Source: Texas HHSC Child Care Regulation
Jun 3, 2026 — Inspection
No violations cited · view state record
Clean
Dec 3, 2025 — Inspection
No violations cited · view state record
Clean
Nov 20, 2025 — Inspection
No violations cited · view state record
Clean
Nov 13, 2025 — Inspection
No violations cited · view state record
Clean
Oct 30, 2025 — Inspection
1 violation cited · view state record
1 violation
  • Medium

    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.

    Corrected by Nov 20, 2025

Oct 24, 2025 — Inspection
No violations cited · view state record
Clean
Oct 17, 2025 — Inspection
No violations cited · view state record
Clean
Nov 6, 2024 — Inspection
1 violation cited · view state record
1 violation
  • Medium

    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 by Nov 6, 2024

Sep 30, 2024 — Inspection
No violations cited · view state record
Clean
Sep 10, 2024 — Inspection
2 violations cited · view state record
2 violations
  • Medium High

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

    There were five ceiling tiles missing in the operation.

    Corrected by Sep 24, 2024

  • High

    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.

    Corrected by Sep 10, 2024

Jul 23, 2024 — Inspection
No violations cited · view state record
Clean
Jul 9, 2024 — Inspection
1 violation cited · view state record
1 violation
  • Medium High

    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.

    Corrected by Jul 9, 2024

Feb 8, 2024 — Inspection
No violations cited · view state record
Clean
Jan 26, 2024 — Inspection
1 violation cited · view state record
1 violation
  • Medium High

    746.3401(a) · Annual Sanitation Inspection

    The available health inspection posted was last conducted on 12.1.22.

    Corrected by Mar 26, 2024

Nov 13, 2023 — Inspection
7 violations cited · view state record
7 violations
  • Medium High

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

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

    Corrected by Jan 5, 2024

  • Medium

    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.

    Corrected by Nov 20, 2023

  • Medium High

    746.5619 · Plan to Handle Transportation Emergencies

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

    Corrected by Nov 20, 2023

  • Medium

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

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

    Corrected by Feb 1, 2024

  • Medium High

    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.

    Corrected by Nov 20, 2023

  • Medium High

    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.

    Corrected by Jan 1, 2024

  • Medium High

    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.

    Corrected by Nov 20, 2023

Jul 11, 2023 — Inspection
No violations cited · view state record
Clean
Jun 30, 2023 — Inspection
4 violations cited · view state record
4 violations
  • Medium High

    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.

    Corrected by Jun 30, 2023

  • Medium High

    746.3401(a) · Annual Sanitation Inspection

    The health inspection was last conducted on 5.12.22.

    Corrected by Jul 31, 2023

  • High

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

    The fire inspection was last conducted on 5.16.22.

    Corrected by Jul 31, 2023

  • Medium High

    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.

    Corrected by Jun 30, 2023

Apr 4, 2023 — Inspection
5 violations cited · view state record
5 violations
  • High

    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 by Apr 4, 2023

  • Medium

    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.

    Corrected by May 4, 2023

  • Medium High

    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 by Apr 4, 2023

  • Medium High

    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 by Apr 4, 2023

  • Medium High

    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 by Apr 4, 2023

Mar 28, 2023 — Inspection
No violations cited · view state record
Clean
Feb 6, 2023 — Inspection
No violations cited · view state record
Clean

Questions to ask on your tour

Generated from this facility's specific inspection record

  1. 1The Oct 30, 2025 inspection noted: “Three out of five children's files reviewed did not have current immunization records available for review.” — what has changed since then?
  2. 2The Nov 6, 2024 inspection noted: “The posted Children's Products Annual Certification was expired. This was corrected at inspection when the Director completed a current form.” — what has changed since then?
  3. 3The Sep 10, 2024 inspection noted: “There were five ceiling tiles missing in the operation.” — what has changed since then?

Data synced from Texas HHSC Child Care Regulation · Source records · Report an error