DaycareIndex

Licensed center · San Antonio, TX

Hands N Hands Childcare

  • Infant · Toddler · Preschool · School age
  • Closed now · opens tomorrow 6:00 AM
  • Capacity 93
  • Accepts child care assistance
  • School transportation
  • Drop-in care

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538 Surrey Ave
San Antonio, TX 78225 Map and directions
Hours
6:00 AM to 6:30 PM
Days
Mon to Fri
Ages
Infants to school age
Capacity
93 children
Meals
Meals and snacks provided
Nearby
11 other daycares within a mile

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

Hours

Closed now · opens tomorrow 6:00 AM

Hours on file with the state

Hours by day of the week
SundayClosed
Monday6:00 AM to 6:30 PM
Tuesday6:00 AM to 6:30 PM
WednesdayToday6:00 AM to 6:30 PM
Thursday6:00 AM to 6:30 PM
Friday6:00 AM to 6:30 PM
SaturdayClosed

Ages, programs and features

Ages served

  • Infants
  • Toddlers
  • Preschool
  • School age

Programs and features on the state record

  • Licensed for 93 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

Location and nearby daycares

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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
1787821
Permit type
Licensed center
Licensed since
May 2024
Adverse action on record
No
Conditions on permit
Yes
Corrective action
No

Inspection history

15 inspections on record, most recent Apr 17, 2026. 7 of 19 visits and reports cited a standard. 3 self-reported incidents, listed separately below.

  • Apr 17, 2026InspectionNo standards cited
  • Feb 10, 2026Inspection2 standards cited
    • 746.603(a)(4)Texas HHSC risk level: Medium

      Children's Records - Immunizations

      Four of the five children's files evaluated did not have current immunization records available for review.

      Corrected Mar 17, 2026 · Technical assistance given

    • 746.301(2)Texas HHSC risk level: Medium

      Notification of Change in Space

      The operation did not notify Childcare Regulation about a change of indoor space.

      Corrected Feb 24, 2026 · Technical assistance given

  • Oct 6, 2025InspectionNo standards cited
  • Sep 23, 2025Self-reported incidentNo standards cited
  • Aug 25, 2025InspectionNo standards cited
  • Aug 13, 2025Self-reported incidentNo standards cited
  • Jul 10, 2025InspectionNo standards cited
  • May 30, 2025Inspection3 standards cited
    • 746.5617(a)(3)Texas HHSC risk level: Medium High

      Required Equipment in Vehicles - Information About Facility

      The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.

      Corrected Jun 13, 2025 · Technical assistance given

    • 746.4601(2)Texas HHSC risk level: Medium High

      Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions

      Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.

      Corrected May 30, 2025 · Technical assistance given

    • 746.2415(a)(3)Texas HHSC risk level: Medium High

      Prohibited Equipment for Infants - Accordion Safety Gates

      An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.

      Corrected May 30, 2025 · Technical assistance given

  • Jan 13, 2025InspectionNo standards cited
  • Dec 16, 2024Self-reported incidentNo standards cited
  • Nov 25, 2024Inspection4 standards cited
    • 746.605(11)Texas HHSC risk level: High

      Required Admission Information - Emergency Medical Authorization

      Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.

      Corrected Nov 25, 2024 · Technical assistance given

    • 746.613(a)Texas HHSC risk level: High

      Required Immunizations

      Four out of the ten children's files reviewed during inspection did not have immunization's records.

      Corrected Dec 20, 2024 · Technical assistance given

    • 746.1301(a)(4)(A)Texas HHSC risk level: Medium High

      Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

      Five out of nine staff files reviewed did not have CPR training.

      Corrected Dec 20, 2024 · Technical assistance given

    • 746.1301(a)(3)(A)Texas HHSC risk level: Medium High

      Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

      Five out of the nine staff files reviewed during inspection did not have First Aid training.

      Corrected Dec 20, 2024 · Technical assistance given

  • Jul 26, 2024InspectionNo standards cited
  • May 29, 2024InspectionNo standards cited
  • May 29, 2024Inspection1 standard cited
    • 746.611(b)Texas HHSC risk level: Medium

      Health Statement on File within 1 Week of Admission

      Two out the six children's files evaluated did not have signed health statements.

      Corrected May 31, 2024 · Technical assistance given

Cited standards by risk level

14 standards cited across 15 inspections, most recently Apr 17, 2026. All 14 shown are recorded as corrected.

  • High429%
  • Medium High643%
  • Medium321%
  • Medium Low17%
  • Low0
Visits with nothing cited
9 of 15 shown
Corrected at the visit
1 of 14 findings, 13 more corrected later
Most recent citation
Feb 10, 2026, 1 clean visit 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.

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