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
Nearby daycaresLicensing and inspection recordRun this daycare? Claim this listing
- 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
| Sunday | Closed |
|---|---|
| Monday | 6:00 AM to 6:30 PM |
| Tuesday | 6:00 AM to 6:30 PM |
| WednesdayToday | 6:00 AM to 6:30 PM |
| Thursday | 6:00 AM to 6:30 PM |
| Friday | 6:00 AM to 6:30 PM |
| Saturday | Closed |
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
538 Surrey Ave, San Antonio, TX 78225 · Bexar County · 5 licensed daycares in 78225
Capacity rank 2 of 5 in this ZIP · Open past 6:30 PM, one of 1 in 78225
Nearest daycares
- Carino Child Care Center0.3 mi · Licensed center · Infant, Toddler, Preschool, School age
- San Antonio Cottage Child Dev. Center0.4 mi · Licensed center · Toddler, Preschool, School age
- Y School Age Graebner Elementary0.4 mi · Licensed center · Preschool, School age
- Head Start-avance San Antonio @ Fenley Center0.5 mi · Licensed center · Toddler, Preschool, School age
- Avance Hisd-school Based Family Program0.5 mi · Licensed center · Infant, Toddler, Preschool
- Avance-ehs Early Education Center @ Fenley0.5 mi · Licensed center · Infant, Toddler, Preschool
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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
- 746.603(a)(4)Texas HHSC risk level: Medium
- 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
- 746.5617(a)(3)Texas HHSC risk level: Medium High
- 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
- 746.605(11)Texas HHSC risk level: High
- 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
- 746.611(b)Texas HHSC risk level: Medium
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.
- Source: Texas HHSC, as of Aug 16, 2026
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