2026-09-17 · 746.901(6) · Medium
Required Personnel Records -Training Hours
Health / Safety related training certificates for four out of six staff files reviewed were not available at the time of inspection.
Correction date recorded: 2026-10-01
Licensed Center
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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 8 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated October 2, 2026.
The same records list 19 cited deficiencies dated November 21, 2023 to September 17, 2026 (HHSC risk levels: 3 High, 8 Medium High, 8 Medium).
Correction status recorded by HHSC: 1 corrected at inspection, 18 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 18 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 19 cited deficiencies for A+ Appletree Academy in the 3 years before October 10, 2026 (3 High, 8 Medium High, 8 Medium).
Records list 8 inspections in this window. Most recent inspection: 2026-10-02.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 8 |
| Medium | 8 |
| 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.
2026-09-17 · 746.901(6) · Medium
Required Personnel Records -Training Hours
Health / Safety related training certificates for four out of six staff files reviewed were not available at the time of inspection.
Correction date recorded: 2026-10-01
2026-09-17 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
Emergency plan for a child with a food allergy was not available for review at the time of inspection.
Correction date recorded: 2026-09-24
2026-09-17 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
A caregiver was present at operation and providing care for children without prior background check eligibility notice. Note: This was corrected at inspection when caregiver left building.
Corrected at inspection
2026-09-17 · 746.5607(b) · Medium High
Child Passenger Safety Seat System - Not expired or damaged in accident
Corrected at inspection: No. Correction date: 2026-09-17. Correction verified: 2026-09-18.
There are two expired car seats in the transportation vehicle; one expired 2024 and the second on 02/2026.
2026-09-17 · 746.801(10) · Medium
Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors
Corrected at inspection: No. Correction date: 2026-09-24. Correction verified: 2026-10-02.
Emergency practices documentation for this year (2026) was not available for review at the time of inspection.
2026-09-17 · 746.5531 · High
Child-Care Center Must be Equipped with a Working Carbon Monoxide (CO) Detection System
Corrected at inspection: No. Correction date: 2026-09-18. Correction verified: 2026-09-25.
The carbon monoxide detector installed at the operation is not working.
2026-09-17 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2026-09-24. Correction verified: 2026-10-02.
One of the playground canopies is broken.
2026-09-17 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2026-09-17. Correction verified: 2026-10-02.
One caregiver was providing care for 5 chilidren ges 3mo, 6mo, 10mo, 11mo and 14mo. Classroom was over ratio by one child.
2026-09-17 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
Corrected at inspection: Yes. Correction date: 2026-09-17. Correction verified: Not recorded.
A caregiver was present at operation and providing care for children without prior background check eligibility notice. Note: This was corrected at inspection when caregiver left building.
2026-09-17 · 746.605(15) · Medium High
Required Admission Information-Child's allergies and Completed Food Allergy Plan
Corrected at inspection: No. Correction date: 2026-09-24. Correction verified: 2026-10-02.
Emergency plan for a child with a food allergy was not available for review at the time of inspection.
2026-09-17 · 746.901(6) · Medium
Required Personnel Records -Training Hours
Corrected at inspection: No. Correction date: 2026-10-01. Correction verified: 2026-10-02.
Health / Safety related training certificates for four out of six staff files reviewed were not available at the time of inspection.
2025-10-02 · 746.1309(e) · Medium
Documented Annual Training- Required Content
Corrected at inspection: No. Correction date: 2025-10-16. Correction verified: 2025-10-14.
Four out of six staff files reviewed are missing trainings on the following topics: -Hazardous Materials; -Administering Medications; -Emergency Preparedness; and -Building and Physical Premises Safety.
2025-09-19 · 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: 2025-10-24. Correction verified: 2025-11-04.
Based on the information obtained during the DFPS investigation, it was determined that operation failed to timely report to CCR an incident that took place at operation which required a child to receive medical treatment.
2024-11-14 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2024-11-18. Correction verified: 2024-11-22.
The operational policies reviewed were missing information on the promotion of indoor and outdoor physical activity that is consistent with Subchapter F of the minimum standards (relating to Developmental Activities and Activity Plan); the policies must include: (A) The benefits of physical activity and outdoor play; (B) The duration of physical activity at the operation, both indoor and outdoor; (C) The type of physical activity (structured and unstructured) that children may engage in at the operation; (D) Each setting in which the physical activity program will take place; (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities; (F) The criteria the operation will use to determine when extreme weather conditions pose a significant health risk that prohibits or limits outdoor play; and (G) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play.
2024-11-14 · 746.1311(e) · Medium
Director Annual Training - Additional required topics
Corrected at inspection: No. Correction date: 2024-11-18. Correction verified: 2024-11-18.
The director was missing annual training for training year 3/22/2023-3/21/2024 on the following topics: 1. Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and 2.Handling, storing, and disposing of hazardous materials including compliance with 746.3425 of this chapter (relating to Must caregivers wear gloves when handling blood or bodily fluids containing blood?).
2024-11-14 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2024-11-18. Correction verified: 2024-11-26.
The personnel records for two caregivers were not available for review at the operation during the inspection.
2024-11-14 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2024-11-14. Correction verified: 2024-11-26.
The lighting in the infant room during naptime was not adequate and did not allow visual supervision of all children in the room.
2024-11-14 · 746.2426(a)(2) · High
Infant May Not Sleep in a Restrictive Device - Remove the infant from the device and place the infant in a crib as soon as possible
Corrected at inspection: No. Correction date: 2024-11-14. Correction verified: 2024-11-26.
Two infants in the infant room were observed asleep on swings for an undetermined amount of time.
2023-11-21 · 746.801(3) · Medium
Required Records Maintained and Made Available - Personnel and Training Records
Corrected at inspection: No. Correction date: 2023-11-30. Correction verified: 2023-12-07.
A caregiver's record was not available for review at the operation during the inspection. A second caregiver's training record was not available for review during the inspection.
2023-11-21 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-11-21. Correction verified: 2023-12-07.
Child/caregiver ratios were not met in the infant room when a caregiver was caring for five infants. The ages of the children in the group were a 4 month old, 7 month old, 9 month old, 14 month old, and 19 month old. According to the ratio chart the maximum number of children one caregiver may supervise is 4. The group was out of ratio by one child.
2023-11-21 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-11-22. Correction verified: 2023-11-22.
The feeding instructions available for review were not current for three infants who are not yet ready for table food. Two of the feeding instruction forms had a date of 8/28/2023, and a third form had a date of 9/26/2023.
2023-11-21 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2023-11-27. Correction verified: 2023-12-07.
The grass in the outdoor playground was not maintained.
2022-12-15 · 746.801(5) · Medium
Required Records Maintained and Made Available - Employees' Attendance
Corrected at inspection: No. Correction date: 2022-12-16. Correction verified: 2022-12-16.
There were no time sheets available for one of the directors.
2022-12-15 · 746.5625(b) · High
Electronic Child Safety Alarm - installed and maintained according to manufacturer's instructions
Corrected at inspection: No. Correction date: 2022-12-19. Correction verified: 2022-12-19.
The electronic child safety alarm in the transportation vehicle was not maintained. When testing the electronic child safety alarm there was no sound indicating the alarm was working properly.
2021-12-17 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2021-12-24. Correction verified: 2021-12-17.
1 of 4 children's immunization records reviewed was not current.
2021-12-17 · 746.1316(a) · Medium High
Transportation Safety Training -Director and Employee Complete 2 Hours Annually
Corrected at inspection: No. Correction date: 2021-12-24. Correction verified: 2021-12-17.
One of two directors was not current on transportation safety training.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1272657
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.