Hands N Hands Childcare
Does Hands N Hands Childcare have a state child-care violation history?
Texas HHSC records list 35 child-care citations for Hands N Hands Childcare in SAN ANTONIO, TX. The state assigns each cited standard a risk level; for this facility, 9 are recorded at the High level and 15 at Medium High, with the remainder at Medium, Medium Low, or Low. Each entry below reproduces the standard Texas cited and the state's own description of what was found.
These are licensing-record findings, not a judgment about any child or family. The dates shown are the dates Texas recorded a correction as verified — they are not inspection dates, and the record may lag the state's current file. This page reflects the published record as of its last update and is not a complete history; the authoritative source is Texas HHSC.
Texas HHSC recorded 9 High-risk citations at this facility.
Risk levels below are Texas HHSC's own labels, shown verbatim.
- High
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.
- High
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.
- High
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.
Show 32 earlier citations
- High
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
The fire inspection was last conducted on 5.16.22.
- High
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.
- High
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.
- High
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.
- High
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.
- High
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.
- Medium High
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
There were five ceiling tiles missing in the operation.
- Medium High
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.
- Medium High
746.3401(a) - Annual Sanitation Inspection
The available health inspection posted was last conducted on 12.1.22.
- Medium High
746.3803(a)(1) - Medication Authorization - Signed and Dated
A written, signed and dated medication authorization was not available for review for one child.
- Medium High
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.
- Medium High
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.
- Medium High
746.5619 - Plan to Handle Transportation Emergencies
A written procedure on how to handle transportation emergencies was not available for review.
- Medium High
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.
- Medium High
746.3401(a) - Annual Sanitation Inspection
The health inspection was last conducted on 5.12.22.
- Medium High
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.
- Medium High
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.
- Medium High
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.
- Medium High
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.
- Medium High
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.
- Medium High
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.
- Medium
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.
- Medium
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.
- Medium
746.603(a)(4) - Children's Records - Immunizations
One of the eight children files didn't have a current immunization record.
- Medium
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.
- Medium
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.
- Medium
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.
- Medium
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.
- Medium
746.201(7) - Operation Open to Parents At All Times
Based on the information received parents are not allowed to enter the operation.
- Medium Low
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.
- Medium Low
746.901(4) - Required Personnel Records - Required Affidavit
Three out of eight employee records reviewed were missing the required affidavit for employment.
- Medium Low
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.
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- Texas HHSC CCR — https://data.texas.gov
Compiled from public Texas Health and Human Services Commission (HHSC) Child-Care Licensing records. To flag a discrepancy, write to records@daycaredossier.com.