Tivy Child Development Center
CORNER OF TIVY AND 3RD ST, Kerrville, TX 78028 · Kerr County
Program
- Type
- Licensed center
- Licensed capacity
- 56
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-04:30 PM
- Director / administrator
- Eloree Parker
- Phone
- (830) 257-2246
- Regulated since
- Aug 12, 2005
- HHSC IDs
- Operation 275252 · number 850613
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 6 | 0 | Staff background & training (4), Other (2) |
| 2025 | 18 | 10 | Supervision & ratios (6), Safety & premises (4), Food & allergies (2), Staff background & training (4), Other (2) |
| 2024 | 6 | 6 | Supervision & ratios (6) |
| 2022 | 24 | 4 | Supervision & ratios (4), Safety & premises (4), Staff background & training (8), Records & paperwork (6), Other (2) |
Inspections, investigations & assessments
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May 14, 2026 Inspection · Deficiencies cited
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Staff background & training
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
HHSC 746.1301(a)(2)(A) — Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
HHSC risk weight: Medium High. Corrected 2026-05-27. Correction verified 2026-05-29.
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Staff background & training
One caregiver hired November 2025 did not have a CPR certificate on file.
HHSC 746.1301(a)(4)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2026-05-27. Correction verified 2026-05-29.
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Other
A child enrolled in March of 2025 did not have a health statement on file.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2026-05-22. Correction verified 2026-05-29.
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Staff background & training
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May 14, 2026 Inspection · Deficiencies cited
-
Staff background & training
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
HHSC 746.1301(a)(2)(A) — Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
HHSC risk weight: Medium High. Corrected 2026-05-27. Correction verified 2026-05-29.
-
Staff background & training
One caregiver hired November 2025 did not have a CPR certificate on file.
HHSC 746.1301(a)(4)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2026-05-27. Correction verified 2026-05-29.
-
Other
A child enrolled in March of 2025 did not have a health statement on file.
HHSC 746.611(a)(3) — Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
HHSC risk weight: Medium. Corrected 2026-05-22. Correction verified 2026-05-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jan 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 6, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Nov 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Nov 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Nov 17, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Children were permitted to open a secured door to the day care area during pick up time while outside on the porch. An infant caregiver stopped to talk with other caregivers while taking children outside to the porch, closing the exit door, leaving the children unattended for an unknown length of time.
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 2025-12-16. Correction verified 2026-01-06.
-
Food & allergies Serious
During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.
HHSC 746.2419(3) — Requirements for Feeding Infants - Never Prop Bottles
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2026-01-06.
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Safety & premises Serious
During the investigation, it was determined that a caregiver utilizes blankets with children under the age of 12 months to assist the children in falling asleep by covering their heads.
HHSC 746.2429 — Covering Infant's Head or Crib
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2026-01-06.
-
Supervision & ratios Serious
The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2026-01-06.
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Other Serious
Parents were not notified that their children were outside unattended for an undetermined amount of time.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2026-01-06.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
-
Nov 17, 2025 Report · Deficiencies cited
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Supervision & ratios Serious
Children were permitted to open a secured door to the day care area during pick up time while outside on the porch. An infant caregiver stopped to talk with other caregivers while taking children outside to the porch, closing the exit door, leaving the children unattended for an unknown length of time.
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 2025-12-16. Correction verified 2026-01-06.
-
Food & allergies Serious
During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.
HHSC 746.2419(3) — Requirements for Feeding Infants - Never Prop Bottles
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2026-01-06.
-
Safety & premises Serious
During the investigation, it was determined that a caregiver utilizes blankets with children under the age of 12 months to assist the children in falling asleep by covering their heads.
HHSC 746.2429 — Covering Infant's Head or Crib
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2026-01-06.
-
Supervision & ratios Serious
The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2026-01-06.
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Other Serious
Parents were not notified that their children were outside unattended for an undetermined amount of time.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: High. Corrected 2025-12-16. Correction verified 2026-01-06.
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Supervision & ratios Serious
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Sep 24, 2025 Inspection · Deficiencies cited
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Staff background & training
Five caregiver did not have a CPR certificate on file. Two of the five caregivers are outside of their first 90 days of hire. Two of the five caregivers' certificates expired 4/24 and 6/25. One caregiver was within their first 90 days of hire and a caregiver with a current CPR certificate is present.
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 2025-10-03. Correction verified 2025-10-15.
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Staff background & training
Two out of five caregivers past their 90 days of hire did not have a first aid certificate on file. Two out of five caregivers had expired first aid certificates from 4/24 and 6/25. Two of the caregivers without first aid training are assigned in the same classroom and have direct supervision of the children.
HHSC 746.1301(a)(4)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2025-10-03. Correction verified 2025-10-14.
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Supervision & ratios
A copy of the operation's most current fire inspection was not available for review during the inspection.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2025-10-03. Correction verified 2025-10-01.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
-
Sep 24, 2025 Inspection · Deficiencies cited
-
Staff background & training
Five caregiver did not have a CPR certificate on file. Two of the five caregivers are outside of their first 90 days of hire. Two of the five caregivers' certificates expired 4/24 and 6/25. One caregiver was within their first 90 days of hire and a caregiver with a current CPR certificate is present.
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 2025-10-03. Correction verified 2025-10-15.
-
Staff background & training
Two out of five caregivers past their 90 days of hire did not have a first aid certificate on file. Two out of five caregivers had expired first aid certificates from 4/24 and 6/25. Two of the caregivers without first aid training are assigned in the same classroom and have direct supervision of the children.
HHSC 746.1301(a)(4)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
HHSC risk weight: Medium High. Corrected 2025-10-03. Correction verified 2025-10-14.
-
Supervision & ratios
A copy of the operation's most current fire inspection was not available for review during the inspection.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2025-10-03. Correction verified 2025-10-01.
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Staff background & training
-
Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Aug 25, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 15, 2025 Report · Deficiencies cited
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Safety & premises
A caregiver failed to ensure an infant was strapped in a highchair that contained a five-point harness resulting in the infant being able to lean forward and fall out of the highchair.
HHSC 746.2407 — Infant Care Area Furnishings and Equipment -Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2025-09-08. Correction verified 2025-09-24.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Aug 15, 2025 Report · Deficiencies cited
-
Safety & premises
A caregiver failed to ensure an infant was strapped in a highchair that contained a five-point harness resulting in the infant being able to lean forward and fall out of the highchair.
HHSC 746.2407 — Infant Care Area Furnishings and Equipment -Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2025-09-08. Correction verified 2025-09-24.
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Safety & premises
-
Apr 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jan 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 14, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Apr 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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Mar 7, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.
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 2024-04-01. Correction verified 2024-04-16.
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Supervision & ratios Serious
The operation did not report to Child Care Regulation within 48 hours that a classroom of 10 two year old children was left without adult supervision for approximately 2-3 minutes. The report was made five days after the incident occurred.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-04-01. Correction verified 2024-04-16.
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Supervision & ratios Serious
Parents were notified of a situation that placed their children at potential risk by being left unattended without adult supervision for approximately 2-3 minutes five days after the incident occurred.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: High. Corrected 2024-04-01. Correction verified 2024-04-16.
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Supervision & ratios Serious
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Mar 4, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.
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 2024-04-01. Correction verified 2024-04-16.
-
Supervision & ratios Serious
The operation did not report to Child Care Regulation within 48 hours that a classroom of 10 two year old children was left without adult supervision for approximately 2-3 minutes. The report was made five days after the incident occurred.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-04-01. Correction verified 2024-04-16.
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Supervision & ratios Serious
Parents were notified of a situation that placed their children at potential risk by being left unattended without adult supervision for approximately 2-3 minutes five days after the incident occurred.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: High. Corrected 2024-04-01. Correction verified 2024-04-16.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
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May 2, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 12, 2022 Inspection · Deficiencies cited
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Staff background & training
Caregivers completed all missing child development training hours. THIS IS A RECITE: 1 caregiver was missing training in topic areas: preventing and controlling the spread of communicable diseases, administering medication.
HHSC 746.1301(5)(A) — Training Requirements for Employees and Caregivers - 24 Annual Training
HHSC risk weight: Medium High. Corrected 2022-09-23. Correction verified 2022-09-16.
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Staff background & training
THIS IS A RECITE: The director completed 2 out of 6 required annual training hours covering child development. The director did not have documentation of completing annual training administering medication, and handling, storing, and disposing of hazardous materials. NOTE: Compled training on communicable disease was on file
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-09-23. Correction verified 2022-10-04.
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Records & paperwork
THIS IS A RECITE: Prior vision and hearing records could not be located from former Nurse who performed the tests. 2 children 4 yrs, 11 mos and one child was 4 years, 5 mos of age, did not contain copies of hearing/vision screening results on file.
HHSC 746.603(a)(6) — Children's Records - Vision and Hearing Screening
HHSC risk weight: Low. Corrected 2022-09-23. Correction verified 2022-10-05.
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Staff background & training
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Sep 12, 2022 Inspection · Deficiencies cited
-
Staff background & training
Caregivers completed all missing child development training hours. THIS IS A RECITE: 1 caregiver was missing training in topic areas: preventing and controlling the spread of communicable diseases, administering medication.
HHSC 746.1301(5)(A) — Training Requirements for Employees and Caregivers - 24 Annual Training
HHSC risk weight: Medium High. Corrected 2022-09-23. Correction verified 2022-09-16.
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Staff background & training
THIS IS A RECITE: The director completed 2 out of 6 required annual training hours covering child development. The director did not have documentation of completing annual training administering medication, and handling, storing, and disposing of hazardous materials. NOTE: Compled training on communicable disease was on file
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-09-23. Correction verified 2022-10-04.
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Records & paperwork
THIS IS A RECITE: Prior vision and hearing records could not be located from former Nurse who performed the tests. 2 children 4 yrs, 11 mos and one child was 4 years, 5 mos of age, did not contain copies of hearing/vision screening results on file.
HHSC 746.603(a)(6) — Children's Records - Vision and Hearing Screening
HHSC risk weight: Low. Corrected 2022-09-23. Correction verified 2022-10-05.
HHSC inspection history · no longer published by HHSC; kept here
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Staff background & training
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Aug 17, 2022 Inspection · Deficiencies cited
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Staff background & training
3 out of 6 staff training files evaluated completed 3 out of 6 annual training hours in child development. 3 caregivers also were missing training in topic areas: preventing and controlling the spread of communicable diseases, administering medication, and handling, storing, and disposing of hazardous matrials.
HHSC 746.1301(5)(A) — Training Requirements for Employees and Caregivers - 24 Annual Training
HHSC risk weight: Medium High. Corrected 2022-09-02. Correction verified 2022-09-12.
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Staff background & training
The director did not have documentation of completing annual training in child development and preventing and controlling the spread of communicable diseases, administering medication, and handling, storing, and disposing of hazardous matrials.
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-09-02. Correction verified 2022-09-12.
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Safety & premises
A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.
HHSC 746.5101(b) — Annual Fire Inspection - Conducted by Fire Marshal
HHSC risk weight: Medium High. Corrected 2022-08-26. Correction verified 2022-08-24.
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Records & paperwork
3 out fo 6 child files did not have a healthcare provider statement on file.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-08-26. Correction verified 2022-09-12.
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Records & paperwork
2 out of 6 child files reviewed did not contain copies of hearing/vision screening results on file. One child was 4 yrs, 11 mos and one child was 4 years, 5 mos of age.
HHSC 746.603(a)(6) — Children's Records - Vision and Hearing Screening
HHSC risk weight: Low. Corrected 2022-09-02. Correction verified 2022-09-12.
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Safety & premises
3 out of 6 child files evaluated did not contain an address for the emeregency contact person listed on the child's enrollment form. NOTE: Emergency address information was obtained during the inspection from parents and information was updated in the files.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-08-17.
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Staff background & training
-
Aug 17, 2022 Inspection · Deficiencies cited
-
Staff background & training
3 out of 6 staff training files evaluated completed 3 out of 6 annual training hours in child development. 3 caregivers also were missing training in topic areas: preventing and controlling the spread of communicable diseases, administering medication, and handling, storing, and disposing of hazardous matrials.
HHSC 746.1301(5)(A) — Training Requirements for Employees and Caregivers - 24 Annual Training
HHSC risk weight: Medium High. Corrected 2022-09-02. Correction verified 2022-09-12.
-
Staff background & training
The director did not have documentation of completing annual training in child development and preventing and controlling the spread of communicable diseases, administering medication, and handling, storing, and disposing of hazardous matrials.
HHSC 746.1301(6)(A) — Training Requirements for Directors 30- Annual Training
HHSC risk weight: Medium High. Corrected 2022-09-02. Correction verified 2022-09-12.
-
Safety & premises
A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.
HHSC 746.5101(b) — Annual Fire Inspection - Conducted by Fire Marshal
HHSC risk weight: Medium High. Corrected 2022-08-26. Correction verified 2022-08-24.
-
Records & paperwork
3 out fo 6 child files did not have a healthcare provider statement on file.
HHSC 746.603(a)(3) — Children's Records - Health Statement
HHSC risk weight: Medium. Corrected 2022-08-26. Correction verified 2022-09-12.
-
Records & paperwork
2 out of 6 child files reviewed did not contain copies of hearing/vision screening results on file. One child was 4 yrs, 11 mos and one child was 4 years, 5 mos of age.
HHSC 746.603(a)(6) — Children's Records - Vision and Hearing Screening
HHSC risk weight: Low. Corrected 2022-09-02. Correction verified 2022-09-12.
-
Safety & premises
3 out of 6 child files evaluated did not contain an address for the emeregency contact person listed on the child's enrollment form. NOTE: Emergency address information was obtained during the inspection from parents and information was updated in the files.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-08-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
May 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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May 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 1, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 30, 2022 Report · Deficiencies cited (self-report)
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Other Serious
Caregivers did not properly count the children in care resulting in a 2 1/2 year old child being left outside on the playground alone.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2022-04-25. Correction verified 2022-05-09.
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Supervision & ratios Serious
Caregivers did not provide adequate supervision to the children while on the playground. A child, age 2 1/2 years, was left on the playground unattended for approximately 3 minutes. The child was found by another caregiver and returned to the building unharmed.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-04-25. Correction verified 2022-05-09.
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Supervision & ratios
The operation did not notify the parent of a situation that place their child at risk until the following day.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: Medium High. Corrected 2022-04-25. Correction verified 2022-05-09.
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Other Serious
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Mar 30, 2022 Report · Deficiencies cited (self-report)
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Other Serious
Caregivers did not properly count the children in care resulting in a 2 1/2 year old child being left outside on the playground alone.
HHSC 746.1203(2) — Responsibilities of Caregivers - Know Group Responsible For
HHSC risk weight: High. Corrected 2022-04-25. Correction verified 2022-05-09.
-
Supervision & ratios Serious
Caregivers did not provide adequate supervision to the children while on the playground. A child, age 2 1/2 years, was left on the playground unattended for approximately 3 minutes. The child was found by another caregiver and returned to the building unharmed.
HHSC 746.1203(4) — Responsibilities of Caregivers- Supervision of Children
HHSC risk weight: High. Corrected 2022-04-25. Correction verified 2022-05-09.
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Supervision & ratios
The operation did not notify the parent of a situation that place their child at risk until the following day.
HHSC 746.307(b)(4) — Parental Communication - Situation that Placed a Child at Risk
HHSC risk weight: Medium High. Corrected 2022-04-25. Correction verified 2022-05-09.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
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.