Hands N Hands Childcare

Notification of Change in Space

“The operation did not notify Childcare Regulation about a change of indoor space.”

Rule 746.301(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2026. Correction verified: Apr 17, 2026.

Children’s Records - Immunizations

“Four of the five children’s files evaluated did not have current immunization records available for review.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 17, 2026. Correction verified: Apr 17, 2026.

Prohibited Equipment for Infants - Accordion Safety Gates

“An accordion gate was used in the infant room to block entry. Note: This was corrected at inspection when it was removed.”

Rule 746.2415(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2025. Correction verified: Jul 10, 2025.

Safety Requirements for Active Play Equipment - Used According to Manufacturer’s Instructions

“Two swings in the after school playground have chains that are not secured per the manufacturer’s instructions.”

Rule 746.4601(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2025. Correction verified: Jul 10, 2025.

Required Equipment in Vehicles - Information About Facility

“The two vehicles used for transportation do not have the name or phone number of the operation clearly visible on the vehicles.”

Rule 746.5617(a)(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 13, 2025. Correction verified: Jul 10, 2025.

Required Admission Information - Emergency Medical Authorization

“Three out of the ten children records reviewed during inspection did not contain the authorization medical authorization information.”

Rule 746.605(11). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 25, 2024. Correction verified: Dec 20, 2024.

Required Immunizations

“Four out of the ten children’s files reviewed during inspection did not have immunization’s records.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2024. Correction verified: Dec 20, 2024.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“Five out of the nine staff files reviewed during inspection did not have First Aid training.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2024. Correction verified: Dec 20, 2024.

Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

“Five out of nine staff files reviewed did not have CPR training.”

Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 20, 2024. Correction verified: Dec 20, 2024.

Health Statement on File within 1 Week of Admission

“Two out the six children’s files evaluated did not have signed health statements.”

Rule 746.611(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 31, 2024. Correction verified: May 31, 2024.

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

“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.”

Rule 746.3407(12). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 13, 2024.

Report Number of Employees

“The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.”

Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2024. Correction verified: Jan 29, 2024.