Hearth Record

Tivy Child Development Center

A licensed child care center in Kerrville, Texas 78028

Corner of Tivy and 3rd St, Kerrville, Texas 78028. (830) 257-2246.

Texas’s own record, on its child care search

Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on its child care search.

The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 15 deficiencies in 5 months of the last 36. Last cited May 2026. Most serious: High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels
Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

15 deficiencies cited in the last three years

The middle of the 14 child care providers in Kerr County had 11.5.

14 inspections on record. The latest, on May 14, 2026: 3 deficiencies cited.

Rated High by Texas: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity, at the report to the state on Nov 17, 2025

Rated High by Texas: Requirements for Feeding Infants - Never Prop Bottles, at the report to the state on Nov 17, 2025

Rated High by Texas: Covering Infant’s Head or Crib, at the report to the state on Nov 17, 2025

5 more rated High; all are listed below.

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

15 deficiencies in 5 months of the last 36. Last cited May 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

15 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

May 14, 2026: inspection3 deficiencies
  • 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.”

    Rule 746.1301(a)(2)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2026. Correction verified: May 29, 2026.

  • Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

    “One caregiver hired November 2025 did not have a CPR certificate on file.”

    Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2026. Correction verified: May 29, 2026.

  • 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.”

    Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 22, 2026. Correction verified: May 29, 2026.

Nov 17, 2025: report to the state5 deficiencies
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “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.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Jan 6, 2026.

  • Requirements for Feeding Infants - Never Prop Bottles

    “During the investigation, it was determined that a caregiver props bottles using blankets, rags or boppy pillows while feeding.”

    Rule 746.2419(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Jan 6, 2026.

  • Covering Infant’s Head or Crib

    “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.”

    Rule 746.2429. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Jan 6, 2026.

  • Report Situation Placing Children at Risk

    “The operation failed to inform Child Care Regulation that two infants were left unattended outside within 24 hours of the incident.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Jan 6, 2026.

  • Parental Communication - Situation that Placed a Child at Risk

    “Parents were not notified that their children were outside unattended for an undetermined amount of time.”

    Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 16, 2025. Correction verified: Jan 6, 2026.

Sep 24, 2025: inspection3 deficiencies
  • Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

    “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.”

    Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 3, 2025. Correction verified: Oct 15, 2025.

  • Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

    “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.”

    Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 3, 2025. Correction verified: Oct 14, 2025.

  • Documentation of Fire Inspection

    “A copy of the operation’s most current fire inspection was not available for review during the inspection.”

    Rule 746.5103. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 3, 2025. Correction verified: Oct 1, 2025.

Aug 15, 2025: report to the state1 deficiency
  • Infant Care Area Furnishings and Equipment -Use of Safety Straps

    “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.”

    Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 8, 2025. Correction verified: Sep 24, 2025.

Mar 4, 2024: report to the state3 deficiencies
  • Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

    “A classroom of 10 two year olds was left without adult supervision for approximately 2-3 minutes.”

    Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 1, 2024. Correction verified: Apr 16, 2024.

  • Report Situation Placing Children at Risk

    “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.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 1, 2024. Correction verified: Apr 16, 2024.

  • Parental Communication - Situation that Placed a Child at Risk

    “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.”

    Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 1, 2024. Correction verified: Apr 16, 2024.

12 deficiencies older than three years
Sep 12, 2022: inspection3 deficiencies
  • Training Requirements for Employees and Caregivers - 24 Annual Training

    “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.”

    Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2022. Correction verified: Sep 16, 2022.

  • Training Requirements for Directors 30- Annual Training

    “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”

    Rule 746.1301(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2022. Correction verified: Oct 4, 2022.

  • Children’s Records - Vision and Hearing Screening

    “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.”

    Rule 746.603(a)(6). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2022. Correction verified: Oct 5, 2022.

Aug 17, 2022: inspection6 deficiencies
  • Training Requirements for Employees and Caregivers - 24 Annual Training

    “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.”

    Rule 746.1301(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 12, 2022.

  • Training Requirements for Directors 30- Annual Training

    “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.”

    Rule 746.1301(6)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 12, 2022.

  • Annual Fire Inspection - Conducted by Fire Marshal

    “A current fire inspection was not available for review. The last posted fire inspection was dated 9/14/2020.”

    Rule 746.5101(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2022. Correction verified: Aug 24, 2022.

  • Required Admission Information - Emergency Contact

    “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.”

    Rule 746.605(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 17, 2022.

  • Children’s Records - Health Statement

    “3 out fo 6 child files did not have a healthcare provider statement on file.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2022. Correction verified: Sep 12, 2022.

  • Children’s Records - Vision and Hearing Screening

    “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.”

    Rule 746.603(a)(6). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 2, 2022. Correction verified: Sep 12, 2022.

Mar 30, 2022: report to the state3 deficiencies
  • Responsibilities of Caregivers - Know Group Responsible For

    “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.”

    Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2022. Correction verified: May 9, 2022.

  • Responsibilities of Caregivers- Supervision of Children

    “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.”

    Rule 746.1203(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2022. Correction verified: May 9, 2022.

  • Parental Communication - Situation that Placed a Child at Risk

    “The operation did not notify the parent of a situation that place their child at risk until the following day.”

    Rule 746.307(b)(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 25, 2022. Correction verified: May 9, 2022.

All 18 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
May 14, 2026Inspection3 deficiencies cited
Jan 6, 2026InspectionNo violation found
Nov 19, 2025InspectionNo violation found
Nov 17, 2025Report to the state5 deficiencies cited
Sep 24, 2025Inspection3 deficiencies cited
Aug 25, 2025InspectionNo violation found
Aug 15, 2025Report to the state1 deficiency cited
Apr 14, 2025InspectionNo violation found
Jan 14, 2025InspectionNo violation found
Apr 16, 2024InspectionNo violation found
Mar 7, 2024InspectionNo violation found
Mar 4, 2024Report to the state3 deficiencies cited
May 2, 2023InspectionNo violation found
Sep 12, 2022Inspection3 deficiencies cited
Aug 17, 2022Inspection6 deficiencies cited
May 9, 2022InspectionNo violation found
Apr 1, 2022InspectionNo violation found
Mar 30, 2022Report to the state3 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Aug 12, 2005.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 56 children.
Source:

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

  • No corrective or adverse action by Texas on record.
  • 4 reports to the state on record; Texas doesn’t publish whether they were .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 2026. Updated daily.

Who does the caring?

  • Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

  • Texas’s open data doesn’t list owners.

How is it rated?

  • Texas Rising Star: 3-Star (the middle of three levels).
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 14 child care providers in Kerr County, the middle value for deficiencies cited in the last three years was 11.5; this one had 15.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

What the record doesn’t say

  • Texas doesn’t publish whether a complaint was substantiated.
  • Texas rates some paperwork slips as High risk, so read what was actually cited.
  • Texas doesn’t publish staffing levels or owners for individual providers.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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