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State records list 19 cited deficiencies dated March 26, 2024 to February 11, 2026 (9 High, 7 Medium High, 3 Medium risk). Correction status: 4 corrected at inspection, 15 with a correction date recorded, 0 with no correction date recorded.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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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 19 cited deficiencies for Ivy Kids at Summer Lake Ranch in the 3 years before October 10, 2026 (9 High, 7 Medium High, 3 Medium).
Records list 19 inspections in this window. Most recent inspection: 2026-06-10.
| Risk weight | Citations |
|---|---|
| High | 9 |
| Medium High | 7 |
| Medium | 3 |
| Medium Low | 0 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
2026-02-11 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
The caregiver in the infant classroom provided incorrect ages for each child present in the classroom. The infant caregiver and school age caregiver provided ages for children who were not present during the inspection. Both caregivers had detailed rosters they could refer to…
Corrected at inspection
2025-09-19 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During the investigation a child in care soiled her clothing, the operation provided the child with donated clothing that was too big and exposed the child?s body.
Correction date recorded: 2025-11-17
2024-06-21 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Caregivers did not know the correct number of children they were responsible for in the Toddlers, Pre-K 2 and Pre-School B classrooms during the follow up inspection.
Correction date recorded: 2024-06-21
2026-02-11 · 746.1205(a)(3) · Medium High
Responsibilities of Caregivers - Know children's names and ages
Corrected at inspection: Yes. Correction date: 2026-02-11. Correction verified: Not recorded.
The caregiver in the infant classroom provided incorrect ages for each child present in the classroom. The infant caregiver and school age caregiver provided ages for children who were not present during the inspection. Both caregivers had detailed rosters they could refer to that provides the children DOB and age. The age on the roster included years and months. This was corrected when the director instructed the caregiver to refer to their roster.
2025-09-19 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2025-11-17. Correction verified: 2025-11-25.
During the investigation a child in care soiled her clothing, the operation provided the child with donated clothing that was too big and exposed the child?s body.
2024-06-21 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-06-21. Correction verified: 2024-07-03.
Caregivers did not know the correct number of children they were responsible for in the Toddlers, Pre-K 2 and Pre-School B classrooms during the follow up inspection.
2024-06-04 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: No. Correction date: 2024-06-04. Correction verified: 2024-06-21.
Observed 2 expired Epi-Pens during the inspection. They both expired in April 2024.
2024-06-04 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Corrected at inspection: No. Correction date: 2024-06-11. Correction verified: 2024-06-21.
Observed toys that were placed in the hand washing sink in the Infant B classroom.
2024-06-04 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: Yes. Correction date: 2024-06-04. Correction verified: Not recorded.
Two Food Allergy Emergancy Plans were incomplete as they did not include the signature from the parent. Note: Parents signed the food allergy plans during the inspection.
2024-06-04 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-06-04. Correction verified: 2024-06-21.
A caregiver did not know the correct number of children they were responsible for during the follow up inspection. The caregiver stated there were 8 infants were there 9 infants in the room.
2024-06-04 · 746.5319 · High
Smoke Detectors Testing
Corrected at inspection: No. Correction date: 2024-06-07. Correction verified: 2024-06-05.
There was no documentation showing the smoke and carbon monoxide detectors have been tested monthly as the dates were missing and the name of who tested the detectors was missing.
2024-05-21 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-06-04.
Caregivers were observed grabbing children by the arm during the follow up inspection.
2024-05-21 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-06-04.
A caregiver did not know the correct number of children they were responsible for during the follow up inspection.
2024-05-09 · 746.1315(b) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric CPR
Corrected at inspection: No. Correction date: 2024-05-09. Correction verified: 2024-05-10.
During the investigation initiation the director, and two caregivers did not have current and up to date CPR training.
2024-05-09 · 746.2805(5) · High
Prohibited Punishments - Humiliating, Rejecting, Yelling
Corrected at inspection: No. Correction date: 2024-05-09. Correction verified: 2024-05-16.
During the walk through I observed a caregiver yelling at a child in care during the transition time in the restroom before nap time.
2024-05-09 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: No. Correction date: 2024-05-09. Correction verified: 2024-05-16.
During the investigation initiation, I observed a caregiver alone in a classroom supervising children which goes against the provisional status in place.
2024-05-09 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2024-05-09. Correction verified: 2024-05-10.
During the investigation initiation the center director and two caregivers did not have current and up to date first aid training.
2024-04-30 · 746.3501(2) · Medium High
Diaper Changing Steps- Cleanse Child with Individual Cloths
Corrected at inspection: No. Correction date: 2024-06-07. Correction verified: 2024-06-14.
Based on the information gathered a caregiver failed at promptly and properly changing a child`s diaper in care, causing a diaper rash.
2024-03-27 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-05-09. Correction verified: 2024-05-21.
A caregiver did not practice good judgment when picking a child up by one arm.
2024-03-26 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2024-03-26. Correction verified: Not recorded.
A caregiver did not have a child's hands washed after diapering. Note: This was corrected at inspection when the caregiver went and had the child wash their hands.
2024-03-26 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-04-05. Correction verified: 2024-03-27.
2 infant feeding instruction forms were not reviewed and updated within the last30 days.
2024-03-26 · 746.3809 · Medium
Medication No Longer Used
Corrected at inspection: Yes. Correction date: 2024-03-26. Correction verified: Not recorded.
An Epi Pen was observed and had expired in December 2023. Note: The provider has given the Epi Pen back to the parent.
2023-08-14 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2023-10-09. Correction verified: 2023-10-30.
The director did not follow up with the owner's request for the caregiver to notify parent of a minor injury the caregiver caused.
2023-08-14 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2023-10-09. Correction verified: 2023-10-30.
The Department of Family and Protective Services found abuse occurred in regard to this investigation.
2023-08-14 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2023-10-09. Correction verified: 2023-10-30.
This standard has been evaluated and found to be deficient according to Minimum Standards. A caregiver grabbed a child by the face causing scratches.
2023-07-07 · 746.1309(d) · Medium High
Documented Annual Training - Caregivers of Children Under 24 Months Required
Corrected at inspection: No. Correction date: 2023-07-10. Correction verified: 2023-07-10.
One caregiver was lacking current training for children under two years of age. The caregiver was working in the infant room.
2023-05-04 · 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: 2023-06-26. Correction verified: 2023-07-07.
This standard was evaluated regarding a self-report received. Evidence supports a child in care was left unsupervised and was able to walk into a classroom alone for approximately 6 minutes. No injuries were received.
2022-09-19 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2022-10-13. Correction verified: 2022-10-13.
Based on information received during the investigation there is sufficient evidence to support that the incident was not reported in the required time frame.
2022-09-19 · 746.1203(4) · High
Responsibilities of Caregivers - Supervision of Children
Corrected at inspection: No. Correction date: 2022-10-13. Correction verified: 2022-11-09.
Based on information obtained during the investigation there is a sufficient amount of evidence to conclude that a child did exit the playground through a gate.
2022-03-17 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-05-16. Correction verified: 2022-06-01.
Based on the information obtained, it is determined that there is evidence to support that the operation failed to supervise the infants in care that caused a child to be injured.
2022-01-28 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2022-02-25. Correction verified: 2022-03-07.
Based on the information obtained, it is determined that there is evidence to support that the operation caregiver in the pre-k classroom used an inappropriate method to discipline a child.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1302173
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.