Hands 'n' Hands Childcare And Learning Center
875 HOT WELLS BLVD, San Antonio, TX 78223 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 133
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:00 PM
- Director / administrator
- Cynthia Puente
- Phone
- (210) 532-3396
- Regulated since
- Aug 25, 2005
- HHSC IDs
- Operation 254152 · number 840816
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Supervision & ratios (1), Records & paperwork (1) |
| 2025 | 1 | 1 | Safety & premises (1) |
| 2023 | 12 | 10 | Supervision & ratios (5), Safety & premises (3), Other (4) |
| 2022 | 5 | 3 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (1), Safety & premises (2) |
| 2021 | 3 | 3 | Cleanliness & sanitation (1), Safety & premises (1), Other (1) |
Inspections, investigations & assessments
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Jul 20, 2026 Inspection · Deficiencies cited
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Supervision & ratios
A written parent rights policy was unavailable in the Operational Policy at the time of inspection. NOTE: This was corrected when Form 2987 was used.
HHSC 746.501(a)(20) — Written Operational Policies - Parent Rights
HHSC risk weight: Medium. Corrected at inspection. Corrected 2026-07-20.
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Records & paperwork
One of the ten children was missing a healthcare statement at the time of inspection.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2026-08-20. Correction verified 2026-07-27.
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Supervision & ratios
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Oct 31, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 3, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 15, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 14, 2025 Inspection · Deficiencies cited
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Safety & premises Serious
The picnic table on the playground has a cracked tabletop and poses a safety hazard.Note: This was corrected at inspection when the table was removed from the playground.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-08-14.
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Safety & premises Serious
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Apr 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 8, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Dec 9, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 27, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Oct 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 26, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 25, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jan 4, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 27, 2023 Inspection · Deficiencies cited
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Supervision & ratios
The operation only had 2 out 4 lock down drills and 1 out of 4 shelter-in-place drills completed on emergency drills documentation.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected 2023-12-31. Correction verified 2023-12-28.
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Safety & premises Serious
The preschool class did not have a posted emergency evacuation diagram in their classroom. This was corrected when the diagram was posted back in the room after it was accidentally removed by maintenance.
HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-11-27.
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Supervision & ratios
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Sep 6, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Aug 24, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 14, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 13, 2023 Report · Deficiencies cited
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Other Serious
Based on the evidence gathered, caregivers did not know which children they were responsible for after children from another classroom were brought to their classroom.
HHSC 746.1205(a)(1) — Responsibilities of Caregivers - Know children responsible for
HHSC risk weight: High. Corrected 2023-08-11. Correction verified 2023-08-24.
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Supervision & ratios Serious
Based on the evidence gathered, supervision was not appropriate when a toddler wandered away from a classroom unsupervised and was found in the operation's parking lot by another parent.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2023-08-11. Correction verified 2023-08-24.
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Supervision & ratios Serious
Based on the evidence gathered, the operation did not report to Child Care Regulation that a toddler had wandered away from a classroom unsupervised and was found in a parking lot by another parent.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2023-08-11. Correction verified 2023-08-24.
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Supervision & ratios Serious
Based on the evidence gathered, the operation did not immediately notify the parent of a toddler who had wandered away from a classroom unsupervised and was found in the parking lot by another parent.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: High. Corrected 2023-08-11. Correction verified 2023-08-24.
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Other Serious
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Jun 28, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 20, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Jun 15, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 1, 2023 Inspection · Deficiencies cited
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Safety & premises Serious
There is a wide opening between the fence and gate that encloses the threes outdoor play area.
HHSC 746.4601(3) — Safety Requirements for Active Play Equipment - No Entrapment Openings
HHSC risk weight: High. Corrected 2023-06-30. Correction verified 2023-06-15.
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Other Serious
The climbing playground structure in the three's outdoor area does not have the appropriate surfacing installed underneath it.
HHSC 746.4901(a) — Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing
HHSC risk weight: Medium High. Corrected 2023-07-21. Correction verified 2023-08-17.
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Other Serious
Two individual climbing slide structures did not have the appropriate depth of surfacing underneath. This was corrected when the director removed both slides from the playground.
HHSC 746.4907(d) — Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-01.
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Safety & premises Serious
Two classrooms did not have emergency evacuation diagrams posted.
HHSC 746.5207(b) — Emergency Evacuation and Relocation Diagram - Posted in Each Room
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2023-06-01.
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Other Serious
A classroom door leading into the fenced in playground does not open correctly from the inside or outside. The door gets stuck half way when you push or pull it open.
HHSC 746.5209(b) — Doors to Fenced Area Easily Opened By Children
HHSC risk weight: High. Corrected 2023-06-15. Correction verified 2023-06-15.
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Safety & premises Serious
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May 24, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Feb 9, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 31, 2023 Report · Deficiencies cited
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Supervision & ratios
A deficiency was cited when the operation could not provide a signed incident report.
HHSC 746.307(c) — Parental Notification of Less Serious Injuries
HHSC risk weight: Medium. Corrected 2023-03-10. Correction verified 2023-03-23.
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Supervision & ratios
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Nov 30, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
There were cleaning supplies located underneath the sink, in an unlocked cabinet, in the Pre-K bathroom. Note: This was corrected at inspection when the director removed the cleaning supplies and put them up on a high shelf, where children can not access to the cleaning supplies.
HHSC 746.3407(12) — Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children
HHSC risk weight: High. Corrected at inspection. Corrected 2022-11-30.
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Safety & premises
There were two vans meant to transport children that did not have complete first Aid kits available for review. One van was missing band aids, and the other van was missing band aids, and tweezers. Note: This was corrected at inspection when the director put band aids in the first van's first aid kit, and put band aids and tweezers in the second van's first aid kit.
HHSC 746.4003(a) — First Aid Kit - Incomplete Kit
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-11-30.
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Safety & premises Serious
The swings on the after-school playground had big screws that were protruding out of the pole that the swings were attached to. Additionally, the swing seats were cracked, and their chains were twisted.
HHSC 746.4601(4) — Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
HHSC risk weight: High. Corrected 2022-12-16. Correction verified 2022-12-13.
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Supervision & ratios
There were two children files out of the twelve that were viewed that did not have a health statement signed by a health care professional, available for review.
HHSC 746.611(a)(1) — Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
HHSC risk weight: Low. Corrected 2023-01-03. Correction verified 2022-12-27.
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Illness & medication Serious
There was one child file out of the twelve files viewed that did not have an updated immunization record available for review. Note: This was corrected at inspection when an updated immunization record was placed in the child's file.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-11-30.
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Cleanliness & sanitation Serious
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Nov 10, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 16, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 14, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 15, 2021 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
One caregiver in the infant room failed to wash the child's hands after changing the diaper.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected 2021-12-15. Correction verified 2022-01-14.
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Safety & premises Serious
There was no current annual fire inspection report available during inspection.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2022-01-01. Correction verified 2022-01-14.
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Cleanliness & sanitation Serious
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Dec 3, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 22, 2021 Inspection · Deficiencies cited
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Other Serious
In the school age classroom there was one television found to be sitting on a table, The television was not achored or secured. The television was accessible to children. The television was removed and put into storage during insepction.
HHSC 746.3701(9) — Safety - Televisions Anchored to Prevent Tip Over
HHSC risk weight: Medium High. Corrected 2021-11-22. Correction verified 2021-12-03.
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Other Serious
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Nov 11, 2021 Report · No deficiencies cited
No violations cited on this visit.
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.