Hands N Hands Childcare
Licensed child-care center in San Antonio, TX 78223 · Texas operation #1682546
Record summary
1 high-risk · 4 total
1 high-risk citation in the last 24 months (4 citations in all, from 10 inspections and 4 investigations); last inspection Sep 22, 2026.
0 of 4 citations were corrected while the inspector was there.
Counted from the state's records from Nov 12, 2024 to Nov 12, 2026. This is a count, not a grade: bigger centers get more visits, and one visit can produce several citations. How we summarize.
Details
- Address
- 4217 Clark Ave, San Antonio, TX 78223
- Phone
- (210) 600-4116
- Ages served
- Infants, Toddlers, Pre-K, School age
- Hours
- Mon to Fri, 6:00 AM to 6:00 PM
- Licensed capacity
- 88 children
- Child care subsidy
- Yes, accepts subsidies (such as Workforce Solutions CCS)
- Type
- Licensed child-care center
- Permit
- Full Permit since Apr 30, 2019
- Director
- Cassandra Estrada
- Programs
- School Age Care, Before School Care, Meals Provided, After School Care, Snacks Provided, Drop-In Care, Part Time Care, Transportation to/from School, Field Trips
Texas age groups: infants are under 18 months, toddlers 18 months to 3 years, pre-kindergarten 3 and 4 years (age when the school year starts), school age 5 and older and in kindergarten or above. Openings and tuition are not in the state data: call to ask.
Inspection history, last 24 months
Sep 22, 2026: Inspection
No citations.
Aug 22, 2026: Investigation of a report
No citations.
Aug 20, 2026: Inspection
No citations.
Aug 19, 2026: Investigation of a report
1 citation.
Medium-high risk The operation must share the infant's daily report with the parent.
State rule 746.2431 (minimum standards for child-care centers): "Infant Daily Report - Share with Parent"
Inspector's note: During the course of the investigation, it was determined that infant daily reports were not being shared with parents.
Corrected Sep 11, 2026, verified by the state Sep 22, 2026. The inspector gave technical assistance (advice on how to comply).
Aug 17, 2026: Inspection
1 citation.
Medium-high risk Immunization records, exceptions and exemptions must be current.
State rule 746.613(b) (minimum standards for child-care centers): "Immunization Records, Exceptions, and Exemptions Current"
Inspector's note: Two of the four children's immunizations were not updated at the time of inspection.
Corrected Sep 17, 2026, verified by the state Sep 14, 2026. The inspector gave technical assistance (advice on how to comply).
Jun 3, 2026: Inspection
No citations.
Dec 3, 2025: Inspection
No citations.
Nov 20, 2025: Inspection
No citations.
Nov 13, 2025: Inspection
No citations.
Nov 12, 2025: Investigation of a self-report
1 citation.
High risk Each caregiver must know which children they are responsible for.
State rule 746.1205(a)(1) (minimum standards for child-care centers): "Responsibilities of Caregivers - Know children responsible for"
Inspector's note: 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, verified by the state Dec 3, 2025. The inspector gave technical assistance (advice on how to comply).
Oct 30, 2025: Inspection
1 citation.
Medium risk Each child's file must hold current immunization records.
State rule 746.603(a)(4) (minimum standards for child-care centers): "Children's Records - Immunizations"
Inspector's note: Three out of five children's files reviewed did not have current immunization records available for review.
Corrected Nov 20, 2025, verified by the state Dec 23, 2025. The inspector gave technical assistance (advice on how to comply).
Oct 24, 2025: Inspection
No citations.
Oct 17, 2025: Inspection
No citations.
Oct 16, 2025: Investigation of a self-report
No citations.
In the year before that (Nov 12, 2023 to Nov 12, 2024): 11 visits and 13 citations. Older history is on the official record.
What the risk levels mean
Texas gives every rule a weight from High to Low, based on the risk to children when it is broken. A citation is one rule found not met at one visit. How to read a Texas inspection report.
- High risk: breaking it can put a child in immediate danger (for example supervision, ratios, safe sleep, background checks, prohibited punishment).
- Medium-high risk: a real safety or health concern, but usually less immediate (for example hazards in a room, missing medical or allergy information, required training).
- Medium risk: important for health and safety over time (for example records, drills, equipment upkeep).
- Medium-low risk: mostly paperwork or reporting that supports safety.
- Low risk: administrative requirements with little direct risk to children.
Official record
The full record, including older history, is on the state's site: Hands N Hands Childcare on Search Texas Child Care. Texas operation #1682546.
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