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Pulling inspections, violations, and complaints.
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Pulling inspections, violations, and complaints.
Home › TX › San Antonio › Hands N Hands Childcare
4217 CLARK AVE, San Antonio TX 78223-2217 · License #1682546 · Center · Licensed Center
When they operate
Ages served
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 Corrected by Nov 20, 2025
Category: health medication. Marked corrected in the state record.
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.
Disposition: Deficiency Cited
Disposition: No Deficiencies Cited
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.
Disposition: Deficiency Cited
Disposition: No Deficiencies Cited
Disposition: No Deficiencies Cited
Disposition: No Deficiencies Cited
Disposition: No Deficiencies Cited
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.
Disposition: Deficiency Cited
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.
Generated from this facility's specific inspection record
Data synced from Texas HHSC Child Care Regulation on Jul 10, 2026 · Source records · Report an error
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 Corrected by Nov 6, 2024
Marked corrected in the state record.
746.3407(9) · Floors, ceilings and Walls in Good Repair and Clean
There were five ceiling tiles missing in the operation.
Corrected Corrected by Sep 24, 2024
Marked corrected in the state record.
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 Corrected by Sep 10, 2024
Marked corrected in the state record.
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 Corrected by Jul 9, 2024
Marked corrected in the state record.
746.3401(a) · Annual Sanitation Inspection
The available health inspection posted was last conducted on 12.1.22.
Corrected Corrected by Mar 26, 2024
Category: physical safety. Marked corrected in the state record.
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 Corrected by Jan 5, 2024
Category: health medication. Marked corrected in the state record.
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 Corrected by Nov 20, 2023
Category: recordkeeping. Marked corrected in the state record.
746.5619 · Plan to Handle Transportation Emergencies
A written procedure on how to handle transportation emergencies was not available for review.
Corrected Corrected by Nov 20, 2023
Category: transportation. Marked corrected in the state record.
746.603(a)(4) · Children's Records - Immunizations
One of the eight children files didn't have a current immunization record.
Corrected Corrected by Feb 1, 2024
Category: health medication. Marked corrected in the state record.
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 Corrected by Nov 20, 2023
Marked corrected in the state record.
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 Corrected by Jan 1, 2024
Category: recordkeeping. Marked corrected in the state record.
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 Corrected by Nov 20, 2023
Category: transportation. Marked corrected in the state record.
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 Corrected by Jun 30, 2023
Marked corrected in the state record.
746.3401(a) · Annual Sanitation Inspection
The health inspection was last conducted on 5.12.22.
Corrected Corrected by Jul 31, 2023
Category: physical safety. Marked corrected in the state record.
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 Corrected by Jul 31, 2023
Category: physical safety. Marked corrected in the state record.
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 Corrected by Jun 30, 2023
Category: ratio. Marked corrected in the state record.
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 Corrected by Apr 4, 2023
Category: transportation. Marked corrected in the state record.
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 Corrected by May 4, 2023
Category: health medication. Marked corrected in the state record.
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 Corrected by Apr 4, 2023
Marked corrected in the state record.
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 Corrected by Apr 4, 2023
Category: physical safety. Marked corrected in the state record.
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 Corrected by Apr 4, 2023
Category: health medication. Marked corrected in the state record.
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.
Corrected Corrected by Nov 16, 2022
Category: recordkeeping. Marked corrected in the state record.
746.901(4) · Required Personnel Records - Required Affidavit
Three out of eight employee records reviewed were missing the required affidavit for employment.
Corrected Corrected by Nov 9, 2022
Category: recordkeeping. Marked corrected in the state record.
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.
Corrected Corrected by Mar 10, 2022
Category: physical safety. Marked corrected in the state record.
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 Corrected by Mar 10, 2022
Category: physical safety. Marked corrected in the state record.
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.
Corrected Corrected by Mar 4, 2022
Category: recordkeeping. Marked corrected in the state record.
Disposition: Deficiency Cited
Disposition: No Deficiencies Cited
Disposition: No Deficiencies Cited
Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.
Disposition: Deficiency Cited
Based on the information received parents are not allowed to enter the operation.
Disposition: Deficiency Cited
During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.
Disposition: Deficiency Cited
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.
Disposition: Deficiency Cited
Disposition: No Deficiencies Cited