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

Birnham Woods Elementary YMCA

Licensed Center · Spring, Montgomery County, TX · Operation No. 1038706

Birnham Woods Elementary YMCA holds a Full Permit issued February 16, 2010. In the state's 60-month public window it has 12 inspections on record with 16 cited deficiencies. The records below are republished verbatim from the Texas HHSC database.

License details
License status
Full Permit
Issued
February 16, 2010
Operation type
Licensed Center
Total capacity
70 children
Ages served
School
Address
31150 Birnham Woods Dr, Spring, TX 77386-7067
The 60-month record
12
Inspections
0
Assessments
0
Self reports
16
Deficiencies
Deficiencies by the agency's own weight: High 7 · Medium High 4 · Medium 5 · Medium Low 0 · Low 0. These are the state's precomputed counts, republished as-is.
Inspection history
DateActivityDeficiencies cited
Oct 24, 2025 Inspection 0
Sep 26, 2025 Inspection 1
Oct 3, 2024 Inspection 0
Dec 5, 2023 Inspection 0
Nov 17, 2023 Inspection 1
Nov 1, 2023 Inspection 3
Oct 18, 2023 Inspection 3
Oct 18, 2022 Inspection 1
Jul 21, 2022 Inspection 1
Jul 8, 2022 Inspection 1
Jun 24, 2022 Report 2
Oct 27, 2021 Inspection 0
Oct 19, 2021 Inspection 3
Deficiency records
September 26, 2025 Standard § 744.303(4) - Report Change in Director
Medium High
Verbatim from the agency record
The site director present at todays inspection is not the designated site director CCR has on file. No notification or submission of a new site director has been provided to CCR and the previously designated site director is no longer serving in that role.
Corrected: October 10, 2025
November 17, 2023 Standard § 744.1205(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
During the follow-up inspection, the site director was observed greeting parents with their children which is outside of the gym area to sign their child out for the day. Licensing was waiting outside with the parent when the site director arrived with the children. Upon entrance of the gym 9 children ages 5 -10 years old were observed unsupervised engaged in various activities. A second caregiver was outside with a group of children on the playground.
Corrected: November 17, 2023
November 1, 2023 Standard § 744.1601 - Child/ Caregiver Ratio
Medium High
Verbatim from the agency record
Upon arrival, two caregivers were observed with a total of 42 children, 5-9 years of age. The children were observed in an open gym area, and outdoor area. At 4:13PM, a total of 33 children were observed in care with two staff. At 4:18PM, a total of 29 children, 5-9 years of age were observed with Staff B.
Corrected: November 3, 2023
November 1, 2023 Standard § 744.1309(a)(2) - Documented Annual Training-15 Hours Required Site Director
Medium
Verbatim from the agency record
During the follow-up inspection, the training topics were not available for Licensing. A total of 8 out of the required 15 training hours were observed for the Site Director. The Site Director did not obtain training topics related to the Health and Safety audit. The Site Director lacked training topics related to emergency preparedness, administering medication, and/or handling, storing, and disposing of hazardous materials.
Corrected: December 4, 2023
November 1, 2023 Standard § 744.1205(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
Two staff were observed during the follow-up inspection with a total of 42 children. Staff A was observed retrieving children from outdoors for parent pick-up, leaving the children indoors unattended. Staff A walked out of the gym area to the entry door in order for parents/guardians to sign their child out for the day. A total of 23 children were left unattended while Staff B was outside. Staff B was observed walking into the gym area/building, leaving two children outdoors unattended to finish their snack. Licensing staff witnessed several supervision incidents during the follow-up inspection.
Corrected: November 2, 2023
October 18, 2023 Standard § 744.1601 - Child/ Caregiver Ratio
Medium High
Verbatim from the agency record
Upon arrival, two caregivers were observed with a total of 41 children, 5-9 years of age. The children were observed in an open gym. At 4:36 PM, a total of 36 children were observed. At 5:11PM, a total of 20 children were observed.
Corrected: October 20, 2023
October 18, 2023 Standard § 744.1309(a)(2) - Documented Annual Training-15 Hours Required Site Director
Medium
Verbatim from the agency record
A total of 8 out of the required 15 training hours were observed for the Site Director. The Site Director did not obtain training topics related to the Health and Safety audit. The Site Director lacked training topics related to emergency preparedness, administering medication, and/or handling, storing, and disposing of hazardous materials.
Corrected: October 27, 2023
October 18, 2023 Standard § 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
High
Verbatim from the agency record
One staff observed in care did not have an active background check in the CLASS system.
Corrected: October 18, 2023
October 18, 2022 Standard § 744.603(a) - Children's Records Maintained
Medium
Verbatim from the agency record
I evaluated the enrollment records for 6 children. I observed the following: 1. Two records were missing an address for the emergency contact person. 2. Two files were missing complete contact information for the child's physician.
Corrected: October 25, 2022
July 21, 2022 Standard § 744.1203(4) - Responsibilities of Caregivers- Supervision of Children
High
Verbatim from the agency record
During the follow-up inspection to evaluate supervision of children, school-age children were observed entering the gymnasium without caregivers present. The children were in the gym for approximately 5 minutes before a caregiver came into the building.
Corrected: July 21, 2022
July 8, 2022 Standard § 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
High
Verbatim from the agency record
I observed a caregiver working with children whose background check results is still pending.
Corrected: July 8, 2022
June 24, 2022 Standard § 744.1203(4) - Responsibilities of Caregivers- Supervision of Children
High
Verbatim from the agency record
Interviews were conducted and procedures were evaluated. It was determined that school-age children were unsupervised in the restroom.
Corrected: July 18, 2022
June 24, 2022 Standard § 744.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk
Medium High
Verbatim from the agency record
Interviews were conducted. It was determined that the parents were not notified of an incident involving their child until the day after the incident.
Corrected: July 18, 2022
October 19, 2021 Standard § 744.1203(4) - Responsibilities of Caregivers- Supervision of Children
High
Verbatim from the agency record
During the inspection, I observed three different instances where children were not properly supervised while playing on the playground.
Corrected: October 19, 2021
October 19, 2021 Standard § 744.3113(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Medium
Verbatim from the agency record
I did not observe documentation of a playground maintenance checklist having been completed for the month of September.
Corrected: October 26, 2021
October 19, 2021 Standard § 744.2753(a) - First Aid Kit - Incomplete Kit
Medium
Verbatim from the agency record
I observed that the first aid kit did not contain tweezers.
Corrected: October 26, 2021
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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