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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 12 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated July 13, 2026.
The same records list 1 cited deficiency dated June 1, 2026 (HHSC risk levels: 1 High).
Correction status recorded by HHSC: 0 corrected at inspection, 1 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 1 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.
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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 1 cited deficiency for Tree House Childrens Academy on 19th in the 3 years before October 10, 2026 (1 High).
Records list 12 inspections in this window. Most recent inspection: 2026-07-13.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 0 |
| 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.
2026-06-01 · 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
During the investigation it was found that a caregiver was not supervising a child appropriately, resulting in the child being injured.
Correction date recorded: 2026-06-30
2026-06-01 · 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: 2026-06-30. Correction verified: 2026-07-13.
During the investigation it was found that a caregiver was not supervising a child appropriately, resulting in the child being injured.
2023-07-10 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2023-07-11. Correction verified: 2023-07-11.
2 out of 2 records reviewed was missing the parents signature.
2023-02-04 · 746.1013(a)(2) · Medium
Director's Absence - Caregiver in Charge Knows Responsibilities
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-03-08.
It was found during the investigation that at the time of the gas leak the person left in charge of the facility did not follow/know all the steps outlined in their Emergency Preparedness Plan. It was found that the planned evacuation routes for each class were not followed and instead of evacuating to the planned evacuation site stated in their Emergency Preparedness Plan they evacuated to the playground. It was also found that the gates on the playground were locked, and the employees present at the time of the evacuation did not know the location of the keys to unlock the gates therefore they were unable to exit through the playground gates.
2023-02-04 · 746.5202(3) · Medium High
Emergency Preparedness Plan - Essential Documentation
Corrected at inspection: No. Correction date: 2023-03-07. Correction verified: 2023-03-08.
It was found during the investigation that the operation staff did not evacuate with the authorization for emergency care documents for each child in care.
2023-02-04 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-03-02. Correction verified: 2023-03-08.
Based on evidence obtained during the investigation it was found that the person in charge of the operation at the time of the incident did not use good judgement by reentering the building after they were told to evacuate the building by a gas company professional and allowing parents and children to reenter the building without receiving clearance from the gas company professionals to reenter.
2023-02-04 · 746.601(c) · Medium
Provide Access to Children's Records - Licensing
Corrected at inspection: No. Correction date: 2023-02-08. Correction verified: 2023-02-08.
The facility did not have 3 of 14 records avialble for review during in the inspection.
2022-09-06 · 746.901(2) · Medium
Required Personnel Records- Meets Requirements
Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-09-20.
2 out of 10 records reviewed did not have verification that the caregivers meet the education requirements.
2022-09-06 · 746.4405 · Medium
Location of Handwashing Sink
Corrected at inspection: Yes. Correction date: 2022-09-06. Correction verified: Not recorded.
During the walk through of a classroom it was it was found the children did not have soap for hand washing and caregiver stated they had not had soap all morning and was using hand sanitizer to wash the children's hands.
2022-05-28 · 746.2805 · High
Prohibited Punishments - No Harsh, Cruel or Unusual
Corrected at inspection: No. Correction date: 2022-06-01. Correction verified: 2022-06-10.
Per caregiver interviews it was found that a caregiver inappropriately disciplined a child by grabbing the child's shirt and yanking them.
2022-04-11 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2022-04-22. Correction verified: 2022-04-22.
During the investigation, it was determined that the staff was aware of a child receiving medical attention after sustaining an injury while in care, but did not report to Child Care Licensing within two days of becoming notified.
2022-03-21 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2022-04-21. Correction verified: 2022-04-22.
During the investigation, it was determined that the staff was aware of a child receiving medical attention after sustaining an injury while in care, but did not report to Child Care Licensing within two days of becoming notified.
2021-10-14 · 746.4907(d) · Medium High
Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Corrected at inspection: No. Correction date: 2021-10-14. Correction verified: 2021-10-20.
It was found during the inspection loose fill was not being maintained at the required depth around climbing structures and at the end of the slides.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1131068
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.