Hands N Hands Childcare
538 SURREY AVE, San Antonio, TX 78225 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 93
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:30 PM
- Director / administrator
- Amy Trujillo
- Phone
- (210) 332-5771
- Regulated since
- May 30, 2024
- HHSC IDs
- Operation 1463856 · number 1787821
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 2 | 0 | Illness & medication (1), Supervision & ratios (1) |
| 2025 | 3 | 0 | Supervision & ratios (1), Safety & premises (2) |
| 2024 | 7 | 3 | Cleanliness & sanitation (1), Illness & medication (1), Supervision & ratios (1), Safety & premises (1), Staff background & training (2), Other (1) |
| 2023 | 2 | 1 | Safety & premises (1), Other (1) |
Enforcement actions
- Seen Oct 1, 2026 — Conditions on permit (HHSC operation record)
HHSC publishes these as current flags on the operation, not as dated actions. The date shown is when this site first saw the flag. The HHSC Child Care Search has the details.
Inspections, investigations & assessments
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Apr 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 10, 2026 Inspection · Deficiencies cited
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Supervision & ratios
The operation did not notify Childcare Regulation about a change of indoor space.
HHSC 746.301(2) — Notification of Change in Space
HHSC risk weight: Medium. Corrected 2026-02-24. Correction verified 2026-04-17.
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Illness & medication
Four of the five children's files evaluated did not have current immunization records available for review.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2026-03-17. Correction verified 2026-04-17.
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Supervision & ratios
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Oct 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 23, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 13, 2025 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 30, 2025 Inspection · Deficiencies cited
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Safety & premises
An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.
HHSC 746.2415(a)(3) — Prohibited Equipment for Infants - Accordion Safety Gates
HHSC risk weight: Medium High. Corrected 2025-05-30. Correction verified 2025-07-10.
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Safety & premises
Two swings in the after school playground have chains that are not secured per the manufacturer's instructions.
HHSC 746.4601(2) — Safety Requirements for Active Play Equipment - Used According to Manufacturer's Instructions
HHSC risk weight: Medium High. Corrected 2025-05-30. Correction verified 2025-07-10.
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Supervision & ratios
The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.
HHSC 746.5617(a)(3) — Required Equipment in Vehicles - Information About Facility
HHSC risk weight: Medium High. Corrected 2025-06-13. Correction verified 2025-07-10.
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Safety & premises
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Jan 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Nov 25, 2024 Inspection · Deficiencies cited
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Staff background & training
Five out of the nine staff files reviewed during inspection did not have First Aid training.
HHSC 746.1301(a)(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
HHSC risk weight: Medium High. Corrected 2024-12-20. Correction verified 2024-12-20.
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Staff background & training
Five out of nine staff files reviewed did not have CPR training.
HHSC 746.1301(a)(4)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2024-12-20. Correction verified 2024-12-20.
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Safety & premises Serious
Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.
HHSC 746.605(11) — Required Admission Information - Emergency Medical Authorization
HHSC risk weight: High. Corrected 2024-11-25. Correction verified 2024-12-20.
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Illness & medication Serious
Four out of the ten children's files reviewed during inspection did not have immunization's records.
HHSC 746.613(a) — Required Immunizations
HHSC risk weight: High. Corrected 2024-12-20. Correction verified 2024-12-20.
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Staff background & training
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Jul 26, 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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May 29, 2024 Inspection · Deficiencies cited
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Other
Two out the six children's files evaluated did not have signed health statements.
HHSC 746.611(b) — Health Statement on File within 1 Week of Admission
HHSC risk weight: Medium. Corrected 2024-05-31. Correction verified 2024-05-31.
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Other
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Apr 15, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 13, 2024 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
Cleaning solutions were observed underneath the sinks in the school age restrooms and were accessible to children. This was corrected when staff removed the cleaning solutions from restrooms.
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 2024-03-13.
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Cleanliness & sanitation Serious
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Jan 19, 2024 Assessment · Deficiencies cited
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Supervision & ratios
The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2024-01-21. Correction verified 2024-01-29.
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Supervision & ratios
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Oct 30, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 23, 2023 Inspection · Deficiencies cited
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Other
The gate leading out of the playground was broken.
HHSC 746.4305 — Fenced Outdoor Activity Space
HHSC risk weight: Medium High. Corrected 2023-10-30. Correction verified 2023-10-30.
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Safety & premises Serious
At the time of inspection there was a four and a half inch gap under the barrier surrounding the playground platform. The rail going down the steps also has a gap that is over 3 1/2 inches wide.
HHSC 746.4601(3) — Safety Requirements for Active Play Equipment - No Entrapment Openings
HHSC risk weight: High. Corrected 2023-10-30. Correction verified 2023-10-30.
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Other
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, 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.