Licensed child care center · public record
Tivy Child Development Center
Kerrville, Texas. The state’s inspection record for this operation, from Texas Health and Human Services Child Care Regulation, in plain English.
The operation
- Type
- Licensed child care center
- State permit
- Full Permit, issued August 12, 2005
- Capacity
- 56 children
- Ages served
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- Mon, Tue, Wed, Thu, Fri · 07:00 AM-04:30 PM
- Accepts child care subsidies
- Yes
- Conditions on the permit
- No
- Corrective action listed
- No
- Adverse action listed
- No
- Temporarily closed
- No
- State operation number
- 850613
Where
Corner Of Tivy And 3rd St
Kerrville, TX 78028
Deficiencies by risk level
The state’s own summary counts for this operation, as published in the HHSC operations file.
Citations on the record
Each standard the state found not met, newest first, with its risk level and when it was corrected. Showing the newest 25 of 27.
| Inspection | Risk | Standard |
|---|---|---|
| May 14, 2026 | Medium High | 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR State’s note: “One caregiver hired November 2025 did not have a CPR certificate on file.” |
| May 14, 2026 | Medium High | 746.1301(a)(2)(A) - Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training State’s note: “Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.” |
| May 14, 2026 | Medium | 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 State’s note: “A child enrolled in March of 2025 did not have a health statement on file.” |
| November 17, 2025 | High | 746.2429 - Covering Infant's Head or Crib State’s note: “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.” |
| November 17, 2025 | High | 746.305(a)(6) - Report Situation Placing Children at Risk State’s note: “The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.” |
| November 17, 2025 | High | 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 State’s note: “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.” |
| November 17, 2025 | High | 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk State’s note: “Parents were not notified that their children were outside unattended for an undetermined amount of time.” |
| November 17, 2025 | High | 746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles State’s note: “During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.” |
| September 24, 2025 | Medium High | 746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing State’s note: “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.” |
| September 24, 2025 | Medium High | 746.1301(a)(4)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR State’s note: “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.” |
| September 24, 2025 | Medium High | 746.5103 - Documentation of Fire Inspection State’s note: “A copy of the operation's most current fire inspection was not available for review during the inspection.” |
| August 15, 2025 | Medium High | 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps State’s note: “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.” |
| March 4, 2024 | High | 746.305(a)(6) - Report Situation Placing Children at Risk State’s note: “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.” |
| March 4, 2024 | High | 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk State’s note: “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.” |
| March 4, 2024 | High | 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 State’s note: “A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.” |
| September 12, 2022 | Medium High | 746.1301(6)(A) - Training Requirements for Directors 30- Annual Training State’s note: “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” |
| September 12, 2022 | Low | 746.603(a)(6) - Children's Records - Vision and Hearing Screening State’s note: “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.” |
| September 12, 2022 | Medium High | 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training State’s note: “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.” |
| August 17, 2022 | Low | 746.603(a)(6) - Children's Records - Vision and Hearing Screening State’s note: “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.” |
| August 17, 2022 | Medium High | 746.5101(b) - Annual Fire Inspection - Conducted by Fire Marshal State’s note: “A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.” |
| August 17, 2022 | Medium High | 746.1301(5)(A) - Training Requirements for Employees and Caregivers - 24 Annual Training State’s note: “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.” |
| August 17, 2022 | Medium High | 746.1301(6)(A) - Training Requirements for Directors 30- Annual Training State’s note: “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.” |
| August 17, 2022 | Medium | 746.603(a)(3) - Children's Records - Health Statement State’s note: “3 out fo 6 child files did not have a healthcare provider statement on file.” |
| August 17, 2022 | Medium High | 746.605(6) - Required Admission Information - Emergency Contact State’s note: “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.” |
| March 30, 2022 | Medium High | 746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk State’s note: “The operation did not notify the parent of a situation that place their child at risk until the following day.” |
Recent inspections and visits
- May 14, 2026 Inspection · deficiency found: Yes
- January 6, 2026 Inspection · deficiency found: No
- November 19, 2025 Inspection · deficiency found: No
- November 17, 2025 Report · deficiency found: Yes
- September 24, 2025 Inspection · deficiency found: Yes
- August 25, 2025 Inspection · deficiency found: No
- August 15, 2025 Report · deficiency found: Yes
- April 14, 2025 Inspection · deficiency found: No
- January 14, 2025 Inspection · deficiency found: No
- April 16, 2024 Inspection · deficiency found: No
- March 7, 2024 Inspection · deficiency found: No
- March 4, 2024 Report · deficiency found: Yes
- May 2, 2023 Inspection · deficiency found: No
- September 12, 2022 Inspection · deficiency found: Yes
- August 17, 2022 Inspection · deficiency found: Yes
How many times has the state inspected Tivy Child Development Center?
Texas HHSC's file lists 7 inspections in the last two years, the most recent on May 14, 2026. 4 of the inspections and other visits in that period are marked as having found a deficiency.
Does Tivy Child Development Center have deficiencies on its record?
The state's summary for this operation lists 27: 10 high-risk, 13 medium-high-risk, 2 medium-risk, 2 low-risk. Each one is listed below with its date and whether it was corrected.
Is this a rating?
No. This page shows the State of Texas's own public records, summarized. It is not a rating, a review or our opinion. Ask the operation or HHSC about anything here.
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