Official record · Texas HHSC Child Care Regulation · Synced August 29, 2026 View on the state portal ↗

Tivy Child Development Center

Licensed Center · Kerrville, Kerr County, TX · Operation No. 850613

Tivy Child Development Center holds a Full Permit issued August 12, 2005. In the state's 60-month public window it has 14 inspections on record with 27 cited deficiencies. The records below are republished verbatim from the Texas HHSC database.

License details
License status
Full Permit
Issued
August 12, 2005
Operation type
Licensed Center
Total capacity
56 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Address
Corner Of Tivy And 3rd St, Kerrville, TX 78028
The 60-month record
14
Inspections
0
Assessments
2
Self reports
27
Deficiencies
Deficiencies by the agency's own weight: High 10 · Medium High 13 · Medium 2 · Medium Low 0 · Low 2. These are the state's precomputed counts, republished as-is.
Inspection history
DateActivityDeficiencies cited
May 14, 2026 Inspection 3
Jan 6, 2026 Inspection 0
Nov 19, 2025 Inspection 0
Nov 17, 2025 Report 5
Sep 24, 2025 Inspection 3
Aug 25, 2025 Inspection 0
Aug 15, 2025 Report 1
Apr 14, 2025 Inspection 0
Jan 14, 2025 Inspection 0
Apr 16, 2024 Inspection 0
Mar 7, 2024 Inspection 0
Mar 4, 2024 Report 3
May 2, 2023 Inspection 0
Sep 12, 2022 Inspection 3
Aug 17, 2022 Inspection 6
May 9, 2022 Inspection 0
Apr 1, 2022 Inspection 0
Mar 30, 2022 Report 3
Deficiency records
May 14, 2026 Standard § 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Medium High
Verbatim from the agency record
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
Corrected: May 27, 2026
May 14, 2026 Standard § 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
Medium
Verbatim from the agency record
A child enrolled in March of 2025 did not have a health statement on file.
Corrected: May 22, 2026
May 14, 2026 Standard § 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Medium High
Verbatim from the agency record
One caregiver hired November 2025 did not have a CPR certificate on file.
Corrected: May 27, 2026
November 17, 2025 Standard § 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
High
Verbatim from the agency record
Parents were not notified that their children were outside unattended for an undetermined amount of time.
Corrected: December 16, 2025
November 17, 2025 Standard § 746.305(a)(6) - Report Situation Placing Children at Risk
High
Verbatim from the agency record
The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.
Corrected: December 16, 2025
November 17, 2025 Standard § 746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles
High
Verbatim from the agency record
During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.
Corrected: December 16, 2025
November 17, 2025 Standard § 746.2429 - Covering Infant's Head or Crib
High
Verbatim from the agency record
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.
Corrected: December 16, 2025
November 17, 2025 Standard § 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
High
Verbatim from the agency record
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.
Corrected: December 16, 2025
September 24, 2025 Standard § 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Medium High
Verbatim from the agency record
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.
Corrected: October 3, 2025
September 24, 2025 Standard § 746.5103 - Documentation of Fire Inspection
Medium High
Verbatim from the agency record
A copy of the operation's most current fire inspection was not available for review during the inspection.
Corrected: October 3, 2025
September 24, 2025 Standard § 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Medium High
Verbatim from the agency record
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.
Corrected: October 3, 2025
August 15, 2025 Standard § 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
Medium High
Verbatim from the agency record
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.
Corrected: September 8, 2025
March 4, 2024 Standard § 746.305(a)(6) - Report Situation Placing Children at Risk
High
Verbatim from the agency record
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.
Corrected: April 1, 2024
March 4, 2024 Standard § 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
High
Verbatim from the agency record
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.
Corrected: April 1, 2024
March 4, 2024 Standard § 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
High
Verbatim from the agency record
A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.
Corrected: April 1, 2024
September 12, 2022 Standard § 746.1301(6)(A) - Training Requirements for Directors 30- Annual Training
Medium High
Verbatim from the agency record
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
Corrected: September 23, 2022
September 12, 2022 Standard § 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
Medium High
Verbatim from the agency record
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.
Corrected: September 23, 2022
September 12, 2022 Standard § 746.603(a)(6) - Children's Records - Vision and Hearing Screening
Low
Verbatim from the agency record
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.
Corrected: September 23, 2022
August 17, 2022 Standard § 746.603(a)(6) - Children's Records - Vision and Hearing Screening
Low
Verbatim from the agency record
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.
Corrected: September 2, 2022
August 17, 2022 Standard § 746.5101(b) - Annual Fire Inspection - Conducted by Fire Marshal
Medium High
Verbatim from the agency record
A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.
Corrected: August 26, 2022
August 17, 2022 Standard § 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training
Medium High
Verbatim from the agency record
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.
Corrected: September 2, 2022
August 17, 2022 Standard § 746.1301(6)(A) - Training Requirements for Directors 30- Annual Training
Medium High
Verbatim from the agency record
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.
Corrected: September 2, 2022
August 17, 2022 Standard § 746.605(6) - Required Admission Information - Emergency Contact
Medium High
Verbatim from the agency record
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.
Corrected: August 17, 2022
August 17, 2022 Standard § 746.603(a)(3) - Children's Records - Health Statement
Medium
Verbatim from the agency record
3 out fo 6 child files did not have a healthcare provider statement on file.
Corrected: August 26, 2022
March 30, 2022 Standard § 746.1203(4) - Responsibilities of Caregivers- Supervision of Children
High
Verbatim from the agency record
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.
Corrected: April 25, 2022
March 30, 2022 Standard § 746.1203(2) - Responsibilities of Caregivers - Know Group Responsible For
High
Verbatim from the agency record
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.
Corrected: April 25, 2022
March 30, 2022 Standard § 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Medium High
Verbatim from the agency record
The operation did not notify the parent of a situation that place their child at risk until the following day.
Corrected: April 25, 2022
About these records

These records come from the Texas Health and Human Services Commission database and cover the state's 60-month public window. Records synced from the agency on August 29, 2026. They reflect the agency's database as of that date; recent inspections may not appear yet, so verify current status with the agency or on the official record ↗. Facility operators can request a review through our corrections process.

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