Ivy Kids at Summer Lake Ranch

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 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.”

Rule 746.1205(a)(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 11, 2026.

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.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 17, 2025. Correction verified: Nov 25, 2025.

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.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 21, 2024. Correction verified: Jul 3, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“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.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2024. Correction verified: Jun 21, 2024.

Smoke Detectors Testing

“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.”

Rule 746.5319. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2024. Correction verified: Jun 5, 2024.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“Observed toys that were placed in the hand washing sink in the Infant B classroom.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 11, 2024. Correction verified: Jun 21, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“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.”

Rule 746.3819. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 4, 2024.

Medication No Longer Used

“Observed 2 expired Epi-Pens during the inspection. They both expired in April 2024.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 4, 2024. Correction verified: Jun 21, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver did not know the correct number of children they were responsible for during the follow up inspection.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2024. Correction verified: Jun 4, 2024.

Prohibited Punishments - Grabbing and Pulling

“Caregivers were observed grabbing children by the arm during the follow up inspection.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 21, 2024. Correction verified: Jun 4, 2024.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“During the investigation initiation, I observed a caregiver alone in a classroom supervising children which goes against the provisional status in place.”

Rule 745.635(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2024. Correction verified: May 16, 2024.

Prohibited Punishments - Humiliating, Rejecting, Yelling

“During the walk through I observed a caregiver yelling at a child in care during the transition time in the restroom before nap time.”

Rule 746.2805(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2024. Correction verified: May 16, 2024.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“During the investigation initiation the center director and two caregivers did not have current and up to date first aid training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2024. Correction verified: May 10, 2024.

Each Caregiver and the Director Must Have Current Training in pediatric CPR

“During the investigation initiation the director, and two caregivers did not have current and up to date CPR training.”

Rule 746.1315(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2024. Correction verified: May 10, 2024.

Diaper Changing Steps- Cleanse Child with Individual Cloths

“Based on the information gathered a caregiver failed at promptly and properly changing a child`s diaper in care, causing a diaper rash.”

Rule 746.3501(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 7, 2024. Correction verified: Jun 14, 2024.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“A caregiver did not practice good judgment when picking a child up by one arm.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 9, 2024. Correction verified: May 21, 2024.

Children Handwashing After Toileting or Diapering

“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.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 26, 2024.

Written Feeding Instructions - Review and Update Every 30 Days

“2 infant feeding instruction forms were not reviewed and updated within the last30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 5, 2024. Correction verified: Mar 27, 2024.

Medication No Longer Used

“An Epi Pen was observed and had expired in December 2023. Note: The provider has given the Epi Pen back to the parent.”

Rule 746.3809. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 26, 2024.