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Hands N Hands Childcare

Child care center · 4217 CLARK AVE, San Antonio, TX 78223-2217 · License 1682546

0Compliance score
Poor

Capacity 88. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (280)

SeverityDateStandard / narrativeCorrected
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.
Yes
5 746.1205(a)(1) - 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.
4 746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
One of the two staff transporting didn't have training available for review.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was last conducted on 5.16.22.
5 746.1205(a)(1) - 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.
3 746.4135(b) - 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.
Yes
4 746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over
In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.
Yes
3 746.603(a)(4) - Children's Records - Immunizations
One of the eight children files didn't have a current immunization record.
4 746.3803(a)(1) - Medication Authorization - Signed and Dated
A written, signed and dated medication authorization was not available for review for one child.
2 746.303(b) - Report Number of Employees
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
The toddler caregiver was seen on her cell phone during nap time. Note, corrected at inspection after talking to the caregiver and director about no personal cell phone usage while in the classroom.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Annual first inspection had not been updated since 10/19/2020.
4 746.5619 - Plan to Handle Transportation Emergencies
A written procedure on how to handle transportation emergencies was not available for review.
3 746.603(a)(4) - Children's Records - Immunizations
Three out of five children's files reviewed did not have current immunization records available for review.
3 746.201(7) - Operation Open to Parents At All Times
Based on the information received parents are not allowed to enter the operation.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
The toddler teacher was observed with six children SAG of 12-17 months which made the teacher over by one child. NOTE: This was corrected when the youngest child was moved to the infant classroom.
3 746.307(c) - Parental Notification of Less Serious Injuries
Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.
2 746.901(4) - Required Personnel Records - Required Affidavit
Three out of eight employee records reviewed were missing the required affidavit for employment.
3 746.603(a)(4) - Children's Records - Immunizations
Two of the eight children did not have shot records available for review. In addition to one of the eight children missing medical authorization information. NOTE: One of the two shot records was provided.
4 746.3401(a) - Annual Sanitation Inspection
The available health inspection posted was last conducted on 12.1.22.
4 746.3701 - Safety - Areas Free From Hazards
On the changing table of the toddler classroom a Lysol spray can was observed accessible to the children. In addition to diaper cream on the changing table in the infant classroom. NOTE: This was corrected at inspection when it was removed.
Yes
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the information gathered, and interviews conducted the operation staff did not demonstrate good judgment by not assisting in the basic care with toileting for a child who was partially toilet trained.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There were five ceiling tiles missing in the operation.
3 746.603(a) - Children's Records Maintained
Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.
5 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.
Yes
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A person was present at the operation without a cleared background check and responsible for children prior to the operation receiving the eligibility letter. NOTE: This has been corrected by caregiver being removed from operation.
4 746.605(13) - Required Admission Information - Special Needs Statement
Six out of the eight children files were missing special care information. One of the eight children files were missing food allergy information. One of the eight children files were missing emergency authorization care information. One of the eight children files were missing emergency contact address.
3 746.901(2) - Required Personnel Records- Meets Requirements
Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.
4 746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
The school age teacher was unaware of the name of the youngest and oldest of the group. NOTE: This was corrected at inspection when a name to face was conducted.
4 746.3501(6) - Diaper Changing Steps-Supplies Kept Out of Child's Reach
Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.
Yes
5 746.5607(e) - 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.
2 746.307(e) - Parental Notification of Infestation
Based on the information gathered, and interviews conducted during this investigation parents were not notified in writing within 48 hours about the outbreak of lice.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Four of the eight staff files were missing First aid and CPR training.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 5.12.22.
3 746.4135(b) - 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.
Yes
5 746.5607(e) - 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.
4 746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
One of the two staff transporting didn't have training available for review.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was last conducted on 5.16.22.
4 746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over
In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.
Yes
4 746.3501(6) - Diaper Changing Steps-Supplies Kept Out of Child's Reach
Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.
Yes
2 746.901(4) - Required Personnel Records - Required Affidavit
Three out of eight employee records reviewed were missing the required affidavit for employment.
5 746.1205(a)(1) - 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.
4 746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
The school age teacher was unaware of the name of the youngest and oldest of the group. NOTE: This was corrected at inspection when a name to face was conducted.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the information gathered, and interviews conducted the operation staff did not demonstrate good judgment by not assisting in the basic care with toileting for a child who was partially toilet trained.
2 746.307(e) - Parental Notification of Infestation
Based on the information gathered, and interviews conducted during this investigation parents were not notified in writing within 48 hours about the outbreak of lice.
3 746.603(a) - Children's Records Maintained
Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.
3 746.307(c) - Parental Notification of Less Serious Injuries
Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.
5 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.
Yes
3 746.201(7) - Operation Open to Parents At All Times
Based on the information received parents are not allowed to enter the operation.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Annual first inspection had not been updated since 10/19/2020.
4 746.3701 - Safety - Areas Free From Hazards
On the changing table of the toddler classroom a Lysol spray can was observed accessible to the children. In addition to diaper cream on the changing table in the infant classroom. NOTE: This was corrected at inspection when it was removed.
Yes
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Four of the eight staff files were missing First aid and CPR training.
4 746.605(13) - Required Admission Information - Special Needs Statement
Six out of the eight children files were missing special care information. One of the eight children files were missing food allergy information. One of the eight children files were missing emergency authorization care information. One of the eight children files were missing emergency contact address.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.
3 746.901(2) - Required Personnel Records- Meets Requirements
Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
The toddler teacher was observed with six children SAG of 12-17 months which made the teacher over by one child. NOTE: This was corrected when the youngest child was moved to the infant classroom.
4 746.3803(a)(1) - Medication Authorization - Signed and Dated
A written, signed and dated medication authorization was not available for review for one child.
4 746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
The toddler caregiver was seen on her cell phone during nap time. Note, corrected at inspection after talking to the caregiver and director about no personal cell phone usage while in the classroom.
5 746.1205(a)(1) - 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.
4 746.3401(a) - Annual Sanitation Inspection
The available health inspection posted was last conducted on 12.1.22.
2 746.303(b) - Report Number of Employees
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A person was present at the operation without a cleared background check and responsible for children prior to the operation receiving the eligibility letter. NOTE: This has been corrected by caregiver being removed from operation.
4 746.5619 - Plan to Handle Transportation Emergencies
A written procedure on how to handle transportation emergencies was not available for review.
3 746.603(a)(4) - Children's Records - Immunizations
Three out of five children's files reviewed did not have current immunization records available for review.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 5.12.22.
3 746.603(a)(4) - Children's Records - Immunizations
One of the eight children files didn't have a current immunization record.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.
Yes
3 746.603(a)(4) - Children's Records - Immunizations
Two of the eight children did not have shot records available for review. In addition to one of the eight children missing medical authorization information. NOTE: One of the two shot records was provided.
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There were five ceiling tiles missing in the operation.
3 746.201(7) - Operation Open to Parents At All Times
Based on the information received parents are not allowed to enter the operation.
4 746.3401(a) - Annual Sanitation Inspection
The available health inspection posted was last conducted on 12.1.22.
4 746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 5.12.22.
3 746.603(a)(4) - Children's Records - Immunizations
Three out of five children's files reviewed did not have current immunization records available for review.
3 746.901(2) - Required Personnel Records- Meets Requirements
Five of the eight staff files were missing education qualifications. Three of the eight staff files were missing affidavits.
4 746.3803(a)(1) - Medication Authorization - Signed and Dated
A written, signed and dated medication authorization was not available for review for one child.
4 746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over
In the school age classroom a Tv was not anchored. This was corrected at inspection when director removed TV from the classroom.
Yes
4 746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Four of the eight staff files were missing First aid and CPR training.
3 746.4135(b) - 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.
Yes
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Annual first inspection had not been updated since 10/19/2020.
5 746.5617(a)(2) - Required Equipment in Vehicles - Emergency Medical Information
Emergency medical information for 7 children were not available for review. NOTE: This was corrected at inspection.
Yes
3 746.603(a)(4) - Children's Records - Immunizations
One of the eight children files didn't have a current immunization record.
3 746.307(c) - Parental Notification of Less Serious Injuries
Based on the information received, parents were not notified of less serious injuries such as scratches during pick up time.
4 746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually
One of the two staff transporting didn't have training available for review.
3 746.201(7) - Operation Open to Parents At All Times
Based on the information received parents are not allowed to enter the operation.
2 746.303(b) - Report Number of Employees
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22, 2022, as required.
4 746.3501(6) - Diaper Changing Steps-Supplies Kept Out of Child's Reach
Diaper changing supplies in the toddler and two infant classrooms were observed accessible in the children cubbies. NOTE: This was corrected at inspection.
Yes
4 746.5619 - Plan to Handle Transportation Emergencies
A written procedure on how to handle transportation emergencies was not available for review.
5 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was last conducted on 5.16.22.
5 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Based on the information gathered, and interviews conducted the operation staff did not demonstrate good judgment by not assisting in the basic care with toileting for a child who was partially toilet trained.
3 746.603(a) - Children's Records Maintained
Four out of eight children's records reviewed were missing required information including emergency contact information and healthcare provider statements.
2 746.307(e) - Parental Notification of Infestation
Based on the information gathered, and interviews conducted during this investigation parents were not notified in writing within 48 hours about the outbreak of lice.
5 746.5607(e) - 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.
4 746.605(13) - Required Admission Information - Special Needs Statement
Six out of the eight children files were missing special care information. One of the eight children files were missing food allergy information. One of the eight children files were missing emergency authorization care information. One of the eight children files were missing emergency contact address.
5 746.1205(a)(1) - 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.
5 746.1205(a)(1) - 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.
4 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Documentation for the carbon monoxide, extinguisher and smoke detectors were not documented for January, February and March. NOTE: This was corrected at inspection.
Yes
4 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There were five ceiling tiles missing in the operation.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
During the investigation a caregiver in direct care of children had not received required background check eligibility notifications.
5 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
A person was present at the operation without a cleared background check and responsible for children prior to the operation receiving the eligibility letter. NOTE: This has been corrected by caregiver being removed from operation.

Severity 5 = most serious. Source: official state record.

Inspections (128)

128 inspection record(s) on file from TX-HHSC.

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