Ivy Kids @ Birnham Woods

Summary of the record

This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.

Texas Health and Human Services records list 9 cited deficiencies for Ivy Kids @ Birnham Woods in the 3 years before October 10, 2026 (3 High, 3 Medium High, 3 Medium).

Records list 16 inspections in this window. Most recent inspection: 2026-02-05.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (29)

• 2025-03-21 · 746.2401(3) · Medium High

  Basic Requirements for Infants - Holding and Comforting

  Corrected at inspection: No. Correction date: 2025-04-16. Correction verified: 2025-04-24.

  During the investigation, video footage showed that a caregiver did not hold and comfort a crying infant.

• 2025-03-21 · 746.2905(1) · Medium

  Children Not Required to Sleep - May Not Force Child to Sleep

  Corrected at inspection: No. Correction date: 2025-04-16. Correction verified: 2025-04-24.

  During the investigation, video footage showed that a caregiver forced a child to sleep.

• 2025-03-13 · 746.2207(c)(5) · Medium

  Screen Time Activities - Does not include Advertising or Violence

  Corrected at inspection: No. Correction date: 2025-03-13. Correction verified: 2025-03-17.

  During the inspection, three children were observed playing a video game that involved violence and a weapon.

• 2025-03-13 · 746.1205(a)(2) · High

  Responsibilities of Caregivers - Know number of children responsible for

  Corrected at inspection: No. Correction date: 2025-03-13. Correction verified: 2025-03-20.

  During the inspection, in one classroom, a caregiver stated there were 27 children in the class, the other caregiver stated there were 26 children in the class, however 24 children were present.

• 2025-03-12 · 746.2805(3) · High

  Prohibited Punishments - Grabbing and Pulling

  Corrected at inspection: No. Correction date: 2025-04-10. Correction verified: 2025-04-24.

  Based on video footage observed during the investigation, it was found that a caregiver grabbed the arm of a child while in care.

• 2025-03-12 · 746.2805(5) · High

  Prohibited Punishments - Humiliating, Rejecting, Yelling

  Corrected at inspection: No. Correction date: 2025-04-10. Correction verified: 2025-04-24.

  Based on video footage observed during the investigation, it was found that a caregiver yelled at a child.

• 2024-12-17 · 746.613(b) · Medium High

  Immunization Records, Exceptions, and Exemptions Current

  Corrected at inspection: No. Correction date: 2024-12-31. Correction verified: 2025-01-21.

  Two children's files did not have the updated immunization records.

• 2024-04-18 · 746.3313(2) · Medium

  Daily Menus - May Rotate if Keep Record of Dates Menus Used

  Corrected at inspection: Yes. Correction date: 2024-04-18. Correction verified: Not recorded.

  The menu stated the children were having animal crackers and carrots for snack but the children were served pretzels and carrots for snack. Note: The substitution was noted during the inspection.

• 2024-04-18 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: Yes. Correction date: 2024-04-18. Correction verified: Not recorded.

  In the Bridge classroom there was a child size couch that was torn and as a result could not be properly sanitized. Also the peel material from the couch posed a hazard to the children. Note: The couch was removed during the inspection.

• 2023-08-31 · 746.3415(4) · Medium High

  Employee Handwashing After Diapering a Child

  Corrected at inspection: No. Correction date: 2023-08-31. Correction verified: 2023-09-07.

  Based on information received from DFPS a caregiver did not wash their hands after changing several diapers.

• 2023-08-31 · 746.3417(3) · Medium High

  Children Handwashing After Toileting or Diapering

  Corrected at inspection: No. Correction date: 2023-08-31. Correction verified: 2023-09-07.

  Based on information received from DFPS several children did not wash their hands after a caregiver changed their diapers.

• 2023-07-13 · 746.1205(a)(5) · High

  Responsibilities of Caregivers - Intervene to ensure each child's safety

  Corrected at inspection: No. Correction date: 2023-08-31. Correction verified: 2023-09-07.

  Based on the findings of a DFPS investigation, a caregiver did not intervene when necessary to ensure the safety of children in the classroom.

• 2023-06-06 · 746.1205(a)(4) · High

  Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

  Corrected at inspection: No. Correction date: 2023-06-21. Correction verified: 2023-06-21.

  A child was left alone unsupervised in a classroom when the class transitioned from the classroom to the cafe for lunch. The child was alone for approximately seven minutes.

• 2022-11-07 · 746.3805(b)(3) · Medium High

  Administering Medication - Not After Expiration date

  Corrected at inspection: Yes. Correction date: 2022-11-07. Correction verified: Not recorded.

  I observed a bottle of children's Benadryl that expired in October of 2022. NOTE: This was corrected during the inspection.

• 2022-09-20 · 746.1315(b)(1) · Medium High

  CPR Training and Recertification Adhere to Guidelines-skill based

  Corrected at inspection: No. Correction date: 2022-10-04. Correction verified: 2022-09-28.

  I did not observe documentation that the in-person portion for CPR was completed.

• 2022-09-20 · 746.901(6)(A) · Medium

  Required Personnel Records-signed dated statement that employee received child care center's operational policies

  Corrected at inspection: Yes. Correction date: 2022-09-20. Correction verified: Not recorded.

  I did not observe documentation that a caregiver gad completed orientation and received the center's operational policies. NOTE: This was corrected during the inspection.

• 2022-08-16 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2022-09-14. Correction verified: 2022-09-14.

  Interviews were conducted and procedures were evaluated. It was determined that the operation did not report to Child Care Regulation an incident involving a 4 yr. old running out of the classroom and the operation.

• 2022-08-04 · 746.1201(4) · High

  AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

  Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-13.

  During a recent A/N investigation, it was determined that a caregiver placed a bib over the face of a crying infant.

• 2022-08-04 · 746.201(5) · Medium High

  Reporting Suspected Abuse, Neglect, Exploitation

  Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-13.

  The operation did not report the suspected abuse of a child to HHSC - Child Care Regulation. The operation was aware of the incident where a caregiver placed a bib over the face of the infant.

• 2022-08-04 · 746.2805(7) · High

  Prohibited Punishments - Using Harsh, Abusive or Profane Language

  Corrected at inspection: No. Correction date: 2022-10-07. Correction verified: 2022-10-13.

  During an A/N investigation, it was determined that a caregiver became frustrated with an infant child and used profane language.

• 2022-07-28 · 746.1203(2) · High

  Responsibilities of Caregivers - Know Group Responsible For

  Corrected at inspection: No. Correction date: 2022-07-28. Correction verified: 2022-08-02.

  When asked how many children were in the group, a caregiver for school-age children didn't know the correct number.

• 2022-07-28 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2022-07-28. Correction verified: 2022-08-02.

  I observed a caregiver supervising 16 three and four yr. old children. The median age of the group was 3 years and the required child/caregiver ratio for three year olds is 1 caregiver with 15 children. NOTE: This was corrected during the inspection.

• 2022-07-05 · 746.1203(2) · High

  Responsibilities of Caregivers - Know Group Responsible For

  Corrected at inspection: No. Correction date: 2022-07-08. Correction verified: 2022-07-12.

  During the walk-through inspection, a caregiver stated that there were 40 children in the group, but when I counted, there were only 35.

• 2022-07-05 · 746.1203(4) · High

  Responsibilities of Caregivers - Supervision of Children

  Corrected at inspection: No. Correction date: 2022-07-27. Correction verified: 2022-07-28.

  Interviews were conducted and operation procedures were evaluated. It was determined that a preschool child was left alone on the playground when the class transitioned back inside to the classroom.

• 2022-04-28 · 746.2805(2) · High

  Prohibited Punishments - Associated with Food, Naps, or Toilet Training

  Corrected at inspection: Yes. Correction date: 2022-05-25. Correction verified: Not recorded.

  Interviews were conducted and surveillance tape was reviewed. It was determined that a caregiver placed two 3 yr. old children in the restroom during naptime as a disciplinary measure. NOTE: The caregiver was terminated.

• 2022-03-28 · 746.1201(4) · High

  AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

  Corrected at inspection: No. Correction date: 2022-04-27. Correction verified: 2022-05-02.

  During an A/N investigation conducted by DFPS, it was determined that a 21 month old toddler left the playground through a gate that was not properly secured and was found in the parking lot of the operation. It was determined that the gate was not checked by the caregivers upon entering the playground with the group of children. It was also determined that the caregivers were sitting and could not see all areas of the playground. It was also determined that the caregivers did not account for the children in their group and were not aware that the child was no longer with the group.

• 2022-01-31 · 746.1203(4) · High

  Responsibilities of Caregivers- Supervision of Children

  Corrected at inspection: No. Correction date: 2022-02-25. Correction verified: 2022-03-01.

  Interviews were conducted and the operation's emergency procedures were evaluated. It was determined that a 6 month old infant was left in the classroom without adult supervision during a fire drill.

• 2022-01-31 · 746.1203(2) · High

  Responsibilities of Caregivers - Know Group Responsible For

  Corrected at inspection: No. Correction date: 2022-02-01. Correction verified: 2022-02-08.

  Caregivers were interviewed and procedures were evaluated. It was determined that an infant child was left in the building during a fire drill due to caregivers not verifying the children in the group before exiting the building. During the inspection today, I asked a caregiver how many children in her room and she said 15 children but there were 16 children in the group.

• 2021-11-12 · 746.1203(4) · High

  Responsibilities of Caregivers- Supervision of Children

  Corrected at inspection: No. Correction date: 2021-12-03. Correction verified: 2021-12-09.

  Interviews were conducted and procedures were evaluated. It was determined that a preschool-age child was left alone in a classroom when a caregiver did not follow the operation's procedure for transitioning children.