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Tivy Child Development Center

Child care center · CORNER OF TIVY AND 3RD ST, Kerrville, TX 78028 · License 850613

0Compliance score
Poor

Capacity 56. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (216)

SeverityDateStandard / narrativeCorrected
4 746.5101(b) - Annual Fire Inspection - Conducted by Fire Marshal
A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Parents were not notified that their children were outside unattended for an undetermined amount of time.
5 746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.
4 746.5103 - Documentation of Fire Inspection
A copy of the operation's most current fire inspection was not available for review during the inspection.
4 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
5 746.1203(4) - Responsibilities of Caregivers- Supervision of Children
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.
1 746.603(a)(6) - Children's Records - Vision and Hearing Screening
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.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.
5 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
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.
5 746.305(a)(6) - Report Situation Placing Children at Risk
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.
5 746.1205(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
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.
4 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
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.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
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.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
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.
4 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
One caregiver hired November 2025 did not have a CPR certificate on file.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
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.
5 746.1205(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
A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.
4 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
The operation did not notify the parent of a situation that place their child at risk until the following day.
4 746.1301(6)(A) - Training Requirements for Directors 30- Annual 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.
4 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual 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.
3 746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
A child enrolled in March of 2025 did not have a health statement on file.
4 746.605(6) - Required Admission Information - Emergency Contact
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.
Yes
5 746.2429 - Covering Infant's Head or Crib
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.
3 746.603(a)(3) - Children's Records - Health Statement
3 out fo 6 child files did not have a healthcare provider statement on file.
4 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual 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.
1 746.603(a)(6) - Children's Records - Vision and Hearing Screening
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.
4 746.1301(6)(A) - Training Requirements for Directors 30- Annual 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
5 746.1203(4) - Responsibilities of Caregivers- Supervision of Children
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.
4 746.605(6) - Required Admission Information - Emergency Contact
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.
Yes
4 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
One caregiver hired November 2025 did not have a CPR certificate on file.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Parents were not notified that their children were outside unattended for an undetermined amount of time.
4 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
5 746.1205(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
A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
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.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.
4 746.5103 - Documentation of Fire Inspection
A copy of the operation's most current fire inspection was not available for review during the inspection.
4 746.1301(6)(A) - Training Requirements for Directors 30- Annual 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
4 746.5101(b) - Annual Fire Inspection - Conducted by Fire Marshal
A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.
5 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
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.
5 746.305(a)(6) - Report Situation Placing Children at Risk
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.
5 746.1205(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
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.
4 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual 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.
5 746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.
4 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
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.
1 746.603(a)(6) - Children's Records - Vision and Hearing Screening
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.
3 746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
A child enrolled in March of 2025 did not have a health statement on file.
5 746.2429 - Covering Infant's Head or Crib
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.
3 746.603(a)(3) - Children's Records - Health Statement
3 out fo 6 child files did not have a healthcare provider statement on file.
4 746.1301(6)(A) - Training Requirements for Directors 30- Annual 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.
1 746.603(a)(6) - Children's Records - Vision and Hearing Screening
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.
4 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
The operation did not notify the parent of a situation that place their child at risk until the following day.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
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.
4 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual 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.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
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.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
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.
3 746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
A child enrolled in March of 2025 did not have a health statement on file.
5 746.1205(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
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.
4 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
The operation did not notify the parent of a situation that place their child at risk until the following day.
1 746.603(a)(6) - Children's Records - Vision and Hearing Screening
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.
4 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
4 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
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.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
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.
3 746.603(a)(3) - Children's Records - Health Statement
3 out fo 6 child files did not have a healthcare provider statement on file.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
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.
1 746.603(a)(6) - Children's Records - Vision and Hearing Screening
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.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Parents were not notified that their children were outside unattended for an undetermined amount of time.
5 746.1205(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
A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.
4 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual 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.
5 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
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.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.
4 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual 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.
4 746.5103 - Documentation of Fire Inspection
A copy of the operation's most current fire inspection was not available for review during the inspection.
5 746.305(a)(6) - Report Situation Placing Children at Risk
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.
5 746.2429 - Covering Infant's Head or Crib
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.
4 746.1301(6)(A) - Training Requirements for Directors 30- Annual 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.
4 746.605(6) - Required Admission Information - Emergency Contact
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.
Yes
4 746.1301(6)(A) - Training Requirements for Directors 30- Annual 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
5 746.1203(4) - Responsibilities of Caregivers- Supervision of Children
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.
5 746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.
4 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
One caregiver hired November 2025 did not have a CPR certificate on file.
4 746.5101(b) - Annual Fire Inspection - Conducted by Fire Marshal
A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.
5 746.1205(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
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.
4 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
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.
1 746.603(a)(6) - Children's Records - Vision and Hearing Screening
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.
3 746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
A child enrolled in March of 2025 did not have a health statement on file.
3 746.603(a)(3) - Children's Records - Health Statement
3 out fo 6 child files did not have a healthcare provider statement on file.
5 746.2429 - Covering Infant's Head or Crib
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.
4 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
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.
4 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Parents were not notified that their children were outside unattended for an undetermined amount of time.
4 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
One caregiver hired November 2025 did not have a CPR certificate on file.
5 746.1203(4) - Responsibilities of Caregivers- Supervision of Children
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.
4 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
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.
5 746.305(a)(6) - Report Situation Placing Children at Risk
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.
5 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
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.
5 746.305(a)(6) - Report Situation Placing Children at Risk
The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.
4 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
The operation did not notify the parent of a situation that place their child at risk until the following day.
5 746.1205(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
A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.
4 746.1301(6)(A) - Training Requirements for Directors 30- Annual 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.
1 746.603(a)(6) - Children's Records - Vision and Hearing Screening
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.

Severity 5 = most serious. Source: official state record.

Inspections (64)

64 inspection record(s) on file from TX-HHSC.

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