2026-06-03 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
During the course of the investigation, it was determined that a caregiver grabbed and pulled a child by the hand.
Correction date recorded: 2026-07-17
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Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
State records list 10 cited deficiencies dated October 12, 2023 to June 3, 2026 (2 High, 8 Medium High risk). Correction status: 0 corrected at inspection, 10 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 10 cited deficiencies for Ivy Kids of Alamo Ranch in the 3 years before October 10, 2026 (2 High, 8 Medium High).
Records list 19 inspections in this window. Most recent inspection: 2026-09-30.
| Risk weight | Citations |
|---|---|
| High | 2 |
| Medium High | 8 |
| Medium | 0 |
| 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.
2026-06-03 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
During the course of the investigation, it was determined that a caregiver grabbed and pulled a child by the hand.
Correction date recorded: 2026-07-17
2026-06-03 · 746.1203(10) · Medium High
Responsibilities of Caregivers - Share Information with Incoming Caregivers
During the course of the investigation, it was determined that a caregiver did not notify incoming caregivers of a child?s injury.
Correction date recorded: 2026-07-17
2026-06-03 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
During the course of the investigation, it was determined that a caregiver did not demonstrate good judgement when they failed to comfort and administer first aid to an injured child.
Correction date recorded: 2026-07-17
2026-06-03 · 746.307(b)(1) · Medium High
AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-22.
During the course of the investigation, it was determined that the operation did not notify parents of an injury that required medical attention.
2026-06-03 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-22.
During the course of the investigation, it was determined that a caregiver did not demonstrate good judgement when they failed to comfort and administer first aid to an injured child.
2026-06-03 · 746.1203(10) · Medium High
Responsibilities of Caregivers - Share Information with Incoming Caregivers
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-22.
During the course of the investigation, it was determined that a caregiver did not notify incoming caregivers of a child?s injury.
2026-06-03 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-22.
During the course of the investigation, it was determined that a caregiver grabbed and pulled a child by the hand.
2026-05-28 · 746.5401 · Medium High
Requirement of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2026-06-24. Correction verified: 2026-07-15.
Information gathered for this investigation determined that the operation was responsible for obtaining a gas leak inspection when initial permit was provided and coordinating one every two years to ensure compliance with proper assessments of the gas system.
2026-05-28 · 746.5405 · Medium High
Documentation of Gas Leak Inspection
Corrected at inspection: No. Correction date: 2026-06-24. Correction verified: 2026-07-15.
There was no gas leak inspection report conducted when the operation initially opened or when the operation had to contact the fire department regarding a gas smell within the building or even after that situation.
2026-05-28 · 746.5403(a) · Medium High
Gas Leak Inspection - Natural Gas
Corrected at inspection: No. Correction date: 2026-06-05. Correction verified: 2026-06-01.
The gas inspection has not been conducted.
2025-06-18 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2025-07-09. Correction verified: 2025-07-23.
A child with a diagnosed food allergy was served food that contained the allergen, causing a reaction.
2024-01-12 · 746.307(b)(2) · Medium High
AP Parental Communication - Sign or Symptoms Requiring Hospitalization
Corrected at inspection: No. Correction date: 2024-02-28. Correction verified: 2024-03-07.
During the course of the investigation, it was verified that parents of a child who displayed symptoms of a seizure were not immediately notified of the event, but were notified hours later at their regular pick up time, resulting in a delay in the child receiving medical evaluation and treatment.
2023-10-12 · 746.1203(5) · Medium High
Responsibilities of Caregivers - Interact positively with children
Corrected at inspection: No. Correction date: 2023-11-28. Correction verified: 2023-12-06.
A caregiver is not interacting with the children in a positive manner by leading the children by the arm or wrist.
2023-07-20 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
Corrected at inspection: No. Correction date: 2023-07-20. Correction verified: 2023-07-31.
A pre-k classroom was briefly left unsupervised for a minute when a caregiver stepped out of the classroom.
2023-03-20 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2023-04-28. Correction verified: 2023-05-10.
A child experienced an allergic reaction after being served an identified food they are allergic to.
2023-03-20 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-04-28. Correction verified: 2023-05-10.
Caregivers did not exercise good judgement when failing to review the food allergy posting in the classroom resulting in a child having an allergic reaction.
2022-05-24 · 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: 2022-06-06. Correction verified: 2022-06-21.
A caregiver in the child's classroom did not have current First Aid training at the time of the incident.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1377913
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.