DaycareIndex

Licensed center · San Antonio, TX

Hands N Hands Childcare

  • Infant · Toddler · Preschool · School age
  • Closed now · opens 6:00 AM today
  • Capacity 88
  • Accepts child care assistance
  • School transportation
  • Drop-in care

Nearby daycaresLicensing and inspection recordRun this daycare? Claim this listing

4217 Clark Ave
San Antonio, TX 78223 Map and directions
Hours
6:00 AM to 6:00 PM
Days
Mon to Fri
Ages
Infants to school age
Capacity
88 children
Meals
Meals and snacks provided
Nearby
8 other daycares within a mile

Licensing information from Texas Health and Human Services, as of Aug 16, 2026

Hours

Closed now · opens 6:00 AM today

Hours on file with the state

Hours by day of the week
SundayClosed
Monday6:00 AM to 6:00 PM
Tuesday6:00 AM to 6:00 PM
Wednesday6:00 AM to 6:00 PM
ThursdayToday6:00 AM to 6:00 PM
Friday6:00 AM to 6:00 PM
SaturdayClosed

Ages, programs and features

Ages served

  • Infants
  • Toddlers
  • Preschool
  • School age

Programs and features on the state record

  • Licensed for 88 children
  • Accepts child care assistance
  • School-age care
  • Before-school care
  • Meals provided
  • After-school care
  • Snacks provided
  • Drop-in care
  • Part-time care
  • Transportation to and from school
  • Field trips

Location and nearby daycares

What families say

No reviews yet. Been here? Write the first review.

Licensing and inspection record

Published by Texas Health and Human Services, as of Aug 16, 2026. Shown as the state records it.

Permit
On the state’s list of current permits, Aug 16, 2026
Operation number
1682546
Permit type
Licensed center
Licensed since
April 2019
Adverse action on record
No
Conditions on permit
No
Corrective action
No

Inspection history

26 inspections on record, most recent Jun 3, 2026. 16 of 40 visits and reports cited a standard. 13 self-reported incidents, listed separately below.

  • Jun 3, 2026InspectionNo standards cited
  • Dec 3, 2025InspectionNo standards cited
  • Nov 20, 2025InspectionNo standards cited
  • Nov 13, 2025InspectionNo standards cited
  • Nov 12, 2025Self-reported incident1 standard cited
    • 746.1205(a)(1)Texas HHSC risk level: High

      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.

      Corrected Nov 25, 2025 · Technical assistance given

  • Oct 30, 2025Inspection1 standard cited
    • 746.603(a)(4)Texas HHSC risk level: Medium

      Children's Records - Immunizations

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

      Corrected Nov 20, 2025 · Technical assistance given

  • Oct 24, 2025InspectionNo standards cited
  • Oct 17, 2025InspectionNo standards cited
  • Oct 16, 2025Self-reported incidentNo standards cited
  • Nov 6, 2024Inspection1 standard cited
    • 746.4135(b)Texas HHSC risk level: Medium

      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 Nov 6, 2024, at the inspection · Technical assistance given

  • Sep 30, 2024InspectionNo standards cited
  • Sep 10, 2024Inspection2 standards cited
    • 746.3407(9)Texas HHSC risk level: Medium High

      Floors, ceilings and Walls in Good Repair and Clean

      There were five ceiling tiles missing in the operation.

      Corrected Sep 24, 2024 · Technical assistance given

    • 746.1205(a)(1)Texas HHSC risk level: High

      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 Sep 10, 2024 · Technical assistance given

  • Sep 6, 2024Self-reported incident1 standard cited
    • 746.5607(e)Texas HHSC risk level: High

      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.

      Corrected Sep 17, 2024 · Technical assistance given

  • Jul 23, 2024InspectionNo standards cited

Cited standards by risk level

35 standards cited across 26 inspections, most recently Jun 3, 2026. All 35 shown are recorded as corrected.

  • High926%
  • Medium High1543%
  • Medium823%
  • Medium Low39%
  • Low0
Visits with nothing cited
16 of 26 shown
Corrected at the visit
6 of 35 findings, 29 more corrected later
Most recent citation
Nov 12, 2025, 4 clean visits since

Risk levels are Texas HHSC’s own classification of each standard, not a rating by Daycare Index. What the levels mean. Counts cover every inspection on the state record; the visits listed above are the most recent.

Before you visit: questions to ask on a tour · all parent guides