Texas Daycare Check

Hands N Hands Childcare

Licensed child-care center in San Antonio, TX 78225 · Texas operation #1787821

Record summary

2 high-risk · 9 total

2 high-risk citations in the last 24 months (9 citations in all, from 8 inspections and 3 investigations); last inspection Apr 17, 2026.

0 of 9 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.

Call (210) 332-5771Directions

Details

Address
538 Surrey Ave, San Antonio, TX 78225
Phone
(210) 332-5771
Ages served
Infants, Toddlers, Pre-K, School age
Hours
Mon to Fri, 6:00 AM to 6:30 PM
Licensed capacity
93 children
Child care subsidy
Yes, accepts subsidies (such as Workforce Solutions CCS)
Type
Licensed child-care center
Permit
Full Permit since May 30, 2024; the permit has conditions
Director
Amy Trujillo
Programs
School Age Care, Before School Care, Meals Provided, After School Care, Snacks Provided, Drop-In Care, Part Time Care, Transportation to/from School

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

Apr 17, 2026: Inspection

No citations.

Feb 10, 2026: Inspection

2 citations.

Medium risk The operation must notify the state about a change in its space.

State rule 746.301(2) (minimum standards for child-care centers): "Notification of Change in Space"

Inspector's note: The operation did not notify Childcare Regulation about a change of indoor space.

Corrected Feb 24, 2026, verified by the state Apr 17, 2026. The inspector gave technical assistance (advice on how to comply).

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

Corrected Mar 17, 2026, verified by the state Apr 17, 2026. The inspector gave technical assistance (advice on how to comply).

Oct 6, 2025: Inspection

No citations.

Sep 23, 2025: Investigation of a report

No citations.

Aug 25, 2025: Inspection

No citations.

Aug 13, 2025: Investigation of a self-report

No citations.

Jul 10, 2025: Inspection

No citations.

May 30, 2025: Inspection

3 citations.

Medium-high risk Some equipment, such as baby walkers, is prohibited for infants.

State rule 746.2415(a)(3) (minimum standards for child-care centers): "Prohibited Equipment for Infants - Accordion Safety Gates"

Inspector's note: 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, verified by the state Jul 10, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Active-play equipment must be used according to the manufacturer's instructions.

State rule 746.4601(2) (minimum standards for child-care centers): "Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions"

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

Corrected May 30, 2025, verified by the state Jul 10, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Vehicles used to transport children must carry information about the facility.

State rule 746.5617(a)(3) (minimum standards for child-care centers): "Required Equipment in Vehicles - Information About Facility"

Inspector's note: 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, verified by the state Jul 10, 2025. The inspector gave technical assistance (advice on how to comply).

Jan 13, 2025: Inspection

No citations.

Dec 16, 2024: Investigation of a report

No citations.

Nov 25, 2024: Inspection

4 citations.

High risk Each child's file must hold an emergency medical authorization.

State rule 746.605(11) (minimum standards for child-care centers): "Required Admission Information - Emergency Medical Authorization"

Inspector's note: Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.

Corrected Nov 25, 2024, verified by the state Dec 20, 2024. The inspector gave technical assistance (advice on how to comply).

High risk Children must have the immunizations the state requires.

State rule 746.613(a) (minimum standards for child-care centers): "Required Immunizations"

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

Corrected Dec 20, 2024, verified by the state Dec 20, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Employees, caregivers and directors must have pediatric first aid training (with rescue breathing and choking).

State rule 746.1301(a)(3)(A) (minimum standards for child-care centers): "Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing"

Inspector's note: Five out of the nine staff files reviewed during inspection did not have First Aid training.

Corrected Dec 20, 2024, verified by the state Dec 20, 2024. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Employees, caregivers and directors must have pediatric CPR training.

State rule 746.1301(a)(4)(A) (minimum standards for child-care centers): "Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR"

Inspector's note: Five out of nine staff files reviewed did not have CPR training.

Corrected Dec 20, 2024, verified by the state Dec 20, 2024. The inspector gave technical assistance (advice on how to comply).

In the year before that (Nov 12, 2023 to Nov 12, 2024): 6 visits and 3 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.

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 #1787821.

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