Hands N Hands Childcare

Fire Extinguishers Serviced

“Two fire extinguishers on transportation vehicles have not been serviced in over a year. One extinguisher was last serviced in 2024 and the other was serviced in August 2025.”

Rule 746.5307(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2026.

Immunization Records, Exceptions, and Exemptions Current

“Three out of ten children recrods evaluated did not have current immunizations on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 13, 2026.

Prohibited Punishments - Corporal Punishment

“A caregiver utilized corporal punishment in the classroom.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 31, 2026. Correction verified: Sep 8, 2026.

CPR Training and Recertification Adhere to Guidelines-skill based

“Two out of ten employee records evaluated had CPR training that did not meet the in-person requirement.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Mar 31, 2026.

Active Play Surfacing In Use Zones - Loose Fill or Unitary Surfacing

“There was a slide without any loose-fill in the outdoor play area. The slide was on top of a carpet and a cement slab. The slide was approximately 3 feet tall. This was corrected at inspection when the slide structure was removed from the play area.”

Rule 746.4901(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 17, 2026.

Immunization Records, Exceptions, and Exemptions Current

“Three out of ten children’s records evaluated were lacking up to date or current immunizations.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Mar 31, 2026.

Health Statement on File within 1 Week of Admission

“Five out of ten children’s records evaluated were lacking a complete health statement.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Apr 20, 2026.

Required Personnel Records -Training Hours

“Six out of ten employee records were not fully available to be reviewed during the inspection because part of the records had been removed from the operation. Those records missing include: two out of ten were lacking training certificates for CPR/First Aid. Four out of ten employee records evaluated were lacking training certificates for the topics of handling hazardous materials, food allergies, etc.”

Rule 746.901(6). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 31, 2026. Correction verified: Apr 29, 2026.

Parental Notification of Less Serious Injuries

“Based on information gathered during the investigation, it was determined that the operation did not notify parents of less serious injuries on more than one occasion.”

Rule 746.307(c). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 3, 2025. Correction verified: Mar 11, 2025.

Mark Cleaning Supplies, Toxic Materials; Keep Separate from Food and Inaccessible to Children

“A spray bottle with bleach water was left on the floor near a toilet in the toddler restroom. This was corrected at inspection when it was addressed and the cleaning product was removed and stored out of reach of children.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 18, 2024.

Infant Care Area Furnishings and Equipment - Hand-washing Sink

“An infant room did not have working water in the handwashing sink. This was corrected at inspection when the portable sink in the infant room was refilled with water and it was verified that it was working.”

Rule 746.2405(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 16, 2024.

Maintenance of Building, Grounds and Equipment

“The restroom in the toddler room had various items present including a chair directly behind the sink, an easel/chalkboard, there were items blocking access to the toilets, and there were various cleaning supplies in a bin on the floor near the restroom (this area was being blocked off with a chair). This was corrected at inspection when the portable sink in the toddler room was refilled with water. Extra staff was also in the process of cleaning the restroom and removing the items that do not belong in the restroom.”

Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 16, 2024.

Children Handwashing After Toileting or Diapering

“A caregiver changed the diaper to two children. The children did not wash their hands prior to returning to the classroom activities. This was corrected at inspection when it was addressed with the caregiver and the children’s hands were washed.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 16, 2024.

Diapering Procedures - Use Disposable Gloves

“A caregiver did not wash their hands after changing their gloves in between diapering. This was corrected when it was addressed with the caregiver.”

Rule 746.3505(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 16, 2024.

Cots, Beds, Mats Labeled With Child’s Name

“The nap mats in the toddler room are labled with a number however there is no child assignment map to specify which mat is assigned to each child. This was corrected at inspection when a nap mat chart was completed and available in the classroom.”

Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 16, 2024.

Documentation of Drills

“There is no documented fire drill for the month of August 2024. This was corrected at inspection when the August fire drill was documented.”

Rule 746.5205(4). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 16, 2024.

Responsibilities of Caregivers - Know children’s names and ages

“Three caregivers were unable say the ages of the youngest or oldest child in their care. The children’s list they had was inaccurate.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 6, 2024. Correction verified: Jun 14, 2024.

Report Change in Director

“The director’s last day was May 24, 2024. Corrected at inspection: The operation’s main page was updated during the inspection.”

Rule 746.303(a)(4). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 6, 2024.

Safety - Bodies of Water Inaccessible to Children

“A play table was observed full of water in the playground area accessbile to kids.”

Rule 746.3701(9). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2024. Correction verified: Mar 20, 2024.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“The fire inspection was last conducted on 01/30/23.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 3, 2024. Correction verified: Apr 3, 2024.

Required Admission Information - Special Needs Statement

“Four out of ten children’s files that were reviewed did not have an answer for the special needs section.”

Rule 746.605(13). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2024. Correction verified: Mar 22, 2024.

Immunization Records, Exceptions, and Exemptions Current

“Ten files were reviewed. One was lacking an immunization on file and the other needed to be updated.-”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 27, 2024. Correction verified: Mar 25, 2024.

Posting Requirements - Activity Plans for each group of children in the child care center

“The toddler classroom did not have an activity plan posted and two other rooms had an outdated activity plan. Corrected at inspection: The activity plans were updated and posted.”

Rule 746.401(5). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 20, 2024.

Posting Requirements - Daily menu, including all snacks and meals served by the child care center

“The menu posted on the main board with all the required postings was outdated it was from August of 2023. Corrected at inspection: The recent menu was posted.”

Rule 746.401(6). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 20, 2024.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“Four out of ten children’s files reviewed did not have the doctor name or address under the health statement option #4.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 22, 2024. Correction verified: Mar 22, 2024.