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Hands N Hands Childcare
4217 CLARK AVE, San Antonio TX 78223-2217 · License #1682546 · Licensed Center
Contact
- Director
- Cassandra Estrada
- Phone
- (210) 600-4116
- Website
- Add via profile claim
- Address
- 4217 CLARK AVE, San Antonio TX 78223-2217 · Directions
Hours
Care & schedule
When they operate
Ages served
- Accepts child care subsidy
- Licensed for 88 children
How this facility compares
Violations per inspection, 3-yrInspection history & violations
Source: Texas HHSC Child Care Regulation- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
Questions to ask on your tour
Generated from this facility's specific inspection record
- 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?
- 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?
- 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