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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.
Texas HHSC records list 9 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated May 14, 2026.
The same records list 15 cited deficiencies dated March 4, 2024 to May 14, 2026 (HHSC risk levels: 8 High, 6 Medium High, 1 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 15 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 15 of these citations.
The official HHSC record has the full inspection history and the latest information.
Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.
View the official state record · Report an issue with this page
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 15 cited deficiencies for Tivy Child Development Center in the 3 years before October 10, 2026 (8 High, 6 Medium High, 1 Medium).
Records list 9 inspections in this window. Most recent inspection: 2026-05-14.
| Risk weight | Citations |
|---|---|
| High | 8 |
| Medium High | 6 |
| Medium | 1 |
| 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.
2026-05-14 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
Correction date recorded: 2026-05-27
2026-05-14 · 746.611(a)(3) · Medium
Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
A child enrolled in March of 2025 did not have a health statement on file.
Correction date recorded: 2026-05-22
2026-05-14 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
One caregiver hired November 2025 did not have a CPR certificate on file.
Correction date recorded: 2026-05-27
2026-05-14 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2026-05-27. Correction verified: 2026-05-29.
One caregiver hired November 2025 did not have a CPR certificate on file.
2026-05-14 · 746.611(a)(3) · Medium
Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Corrected at inspection: No. Correction date: 2026-05-22. Correction verified: 2026-05-29.
A child enrolled in March of 2025 did not have a health statement on file.
2026-05-14 · 746.1301(a)(2)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pre-Service Training
Corrected at inspection: No. Correction date: 2026-05-27. Correction verified: 2026-05-29.
Three caregivers that did not have documented 2 years of work experience had not completed their pre-service training hours.
2025-11-17 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2025-12-16. Correction verified: 2026-01-06.
The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.
2025-11-17 · 746.2419(3) · High
Requirements for Feeding Infants - Never Prop Bottles
Corrected at inspection: No. Correction date: 2025-12-16. Correction verified: 2026-01-06.
During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.
2025-11-17 · 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: 2025-12-16. Correction verified: 2026-01-06.
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.
2025-11-17 · 746.2429 · High
Covering Infant's Head or Crib
Corrected at inspection: No. Correction date: 2025-12-16. Correction verified: 2026-01-06.
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.
2025-11-17 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2025-12-16. Correction verified: 2026-01-06.
Parents were not notified that their children were outside unattended for an undetermined amount of time.
2025-09-24 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2025-10-03. Correction verified: 2025-10-15.
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.
2025-09-24 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2025-10-03. Correction verified: 2025-10-14.
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.
2025-09-24 · 746.5103 · Medium High
Documentation of Fire Inspection
Corrected at inspection: No. Correction date: 2025-10-03. Correction verified: 2025-10-01.
A copy of the operation's most current fire inspection was not available for review during the inspection.
2025-08-15 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2025-09-08. Correction verified: 2025-09-24.
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.
2024-03-04 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2024-04-01. Correction verified: 2024-04-16.
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.
2024-03-04 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-04-01. Correction verified: 2024-04-16.
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.
2024-03-04 · 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: 2024-04-01. Correction verified: 2024-04-16.
A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.
2022-09-12 · 746.1301(6)(A) · Medium High
Training Requirements for Directors 30- Annual Training
Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-10-04.
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
2022-09-12 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-09-16.
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.
2022-09-12 · 746.603(a)(6) · Low
Children's Records - Vision and Hearing Screening
Corrected at inspection: No. Correction date: 2022-09-23. Correction verified: 2022-10-05.
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.
2022-08-17 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2022-08-26. Correction verified: 2022-09-12.
3 out fo 6 child files did not have a healthcare provider statement on file.
2022-08-17 · 746.1301(5)(A) · Medium High
Training Requirements for Employees and Caregivers - 24 Annual Training
Corrected at inspection: No. Correction date: 2022-09-02. Correction verified: 2022-09-12.
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.
2022-08-17 · 746.603(a)(6) · Low
Children's Records - Vision and Hearing Screening
Corrected at inspection: No. Correction date: 2022-09-02. Correction verified: 2022-09-12.
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.
2022-08-17 · 746.5101(b) · Medium High
Annual Fire Inspection - Conducted by Fire Marshal
Corrected at inspection: No. Correction date: 2022-08-26. Correction verified: 2022-08-24.
A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.
2022-08-17 · 746.1301(6)(A) · Medium High
Training Requirements for Directors 30- Annual Training
Corrected at inspection: No. Correction date: 2022-09-02. Correction verified: 2022-09-12.
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.
2022-08-17 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: Yes. Correction date: 2022-08-17. Correction verified: Not recorded.
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.
2022-03-30 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2022-04-25. Correction verified: 2022-05-09.
Caregivers did not provide adequate supervision to the children while on the playground. A child, age 2 1/2 years, was left on the playground unattended for approximately 3 minutes. The child was found by another caregiver and returned to the building unharmed.
2022-03-30 · 746.307(b)(4) · Medium High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2022-04-25. Correction verified: 2022-05-09.
The operation did not notify the parent of a situation that place their child at risk until the following day.
2022-03-30 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-04-25. Correction verified: 2022-05-09.
Caregivers did not properly count the children in care resulting in a 2 1/2 year old child being left outside on the playground alone.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=275252
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.