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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.
State records list 28 cited deficiencies dated October 13, 2023 to June 11, 2026 (6 High, 18 Medium High, 4 Medium risk). Correction status: 3 corrected at inspection, 25 with a correction date recorded, 0 with no correction date recorded.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
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 28 cited deficiencies for Tree House Christian Learning Center in the 3 years before October 10, 2026 (6 High, 18 Medium High, 4 Medium).
Records list 23 inspections in this window. Most recent inspection: 2026-07-17.
| Risk weight | Citations |
|---|---|
| High | 6 |
| Medium High | 18 |
| Medium | 4 |
| 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.
2026-06-11 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
During the course of the investigation, a caregiver was observed on video clapping and stomping her feet aggressively to redirect the children. The caregiver was also observed getting close to a child?s face in an aggressive manner to redirect them.
Correction date recorded: 2026-07-07
2026-06-11 · 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
Based on the information gathered during the course of the investigation, a caregiver was viewed on the video leaving children alone three times, within a one-and-a-half-minute window.
Correction date recorded: 2026-07-07
2026-06-11 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Based on the information gathered during the course of the investigation, when reviewing the video, a caregiver was on her personal cell phone for over two minutes and on the computer with her back to the children for at least 30 seconds. The caregiver was the only caregiver in…
Correction date recorded: 2026-07-07
2026-06-11 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2026-07-07. Correction verified: 2026-07-17.
Based on the information gathered during the course of the investigation, it was determined that the child did not wash their hands after getting their diaper changed.
2026-06-11 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2026-07-07. Correction verified: 2026-07-17.
Based on the information gathered during the course of the investigation, it was determined that the caregiver did not wash her hands after changing a child?s diaper.
2026-06-11 · 746.2401(4) · Medium High
Basic Requirements for Infants - Prompt Attention to Needs
Corrected at inspection: No. Correction date: 2026-07-07. Correction verified: 2026-07-17.
Based on the information gathered during the course of the investigation, a caregiver was viewed on the cameras walking away from the changing table more than one time, leaving the child on the changing table for a minimum of 37 seconds the first time and then 6 seconds the second time.
2026-06-11 · 746.1003(2) · Medium
Director Responsibilities - Employees Comply with Standards
Corrected at inspection: No. Correction date: 2026-07-07. Correction verified: 2026-07-17.
During the course of the investigation, it was determined that the director failed to ensure compliance with the minimum standards when acting as a classroom caregiver.
2026-06-11 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2026-07-07. Correction verified: 2026-07-17.
Based on the information gathered during the course of the investigation, when reviewing the video, a caregiver was on her personal cell phone for over two minutes and on the computer with her back to the children for at least 30 seconds. The caregiver was the only caregiver in the room.
2026-06-11 · 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: 2026-07-07. Correction verified: 2026-07-17.
Based on the information gathered during the course of the investigation, a caregiver was viewed on the video leaving children alone three times, within a one-and-a-half-minute window.
2026-06-11 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Corrected at inspection: No. Correction date: 2026-07-07. Correction verified: 2026-07-17.
During the course of the investigation, a caregiver was observed on video clapping and stomping her feet aggressively to redirect the children. The caregiver was also observed getting close to a child?s face in an aggressive manner to redirect them.
2026-02-20 · 746.201(4) · Medium High
Designating Director
Corrected at inspection: No. Correction date: 2026-02-27. Correction verified: 2026-02-23.
The proposed center director has not submitted all of the required trainings.
2025-04-23 · 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: 2025-04-23. Correction verified: 2025-04-29.
While a Preschool class was transitioning from the restroom back to the classroom, the teacher failed to account the number of children in her care, resulted in a child being left behind unattended.
2025-03-18 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: Yes. Correction date: 2025-03-18. Correction verified: Not recorded.
A caregiver was observed failing to utilize the four step process between children while diaper changing. This was corrected at inspection when the director explained the full process must be followed.
2025-02-18 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: Yes. Correction date: 2025-02-18. Correction verified: Not recorded.
Lighting during naptime was observed not adequate. Note: This was corrected at inspection when the lights of the hallway were turned on creating sufficient lighting.
2025-02-13 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: Yes. Correction date: 2025-02-13. Correction verified: Not recorded.
Three bottles and one sippy cup in the infant room were not labeled with the child's name. This was corrected at inspection when the infant caregiver labeled the bottles and cup.
2025-02-13 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-02-28. Correction verified: 2025-03-03.
A child enrolled with diagnosed food allergies did not have a food allergy emergency action plan on file.
2025-01-06 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2025-01-20. Correction verified: 2025-01-07.
Of the five infants required to have an infant feeding schedule, ( not ready for table food) only two infants feeding schedules were available/provided for review.
2024-12-03 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2024-12-03. Correction verified: 2024-12-17.
The infant caregiver was observed on their cell phone and wearing a headset while caring for infants as they napped.
2024-12-03 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-12-03. Correction verified: 2024-12-17.
During a follow up inspection. The infant room was observed with only one caregiver supervising seven infants aged five to twelve months. NOTE: This was corrected during the inspection when another caregiver returned from her lunch break.
2024-11-25 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-17.
One of eight children's files did not have an address listed for the emergency contact.
2024-11-25 · 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: 2024-12-13. Correction verified: 2024-12-17.
Two caregivers did not have current First Aid certifications. A third caregiver did not have a current CPR or First Aid certification in her personnel file.
2024-11-25 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2024-11-25. Correction verified: 2024-12-03.
The Director failed to utilize tools provided by Child Care Regulation for observing staff monthly, resulting in non-compliance at the time of review.
2024-11-25 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-01-03. Correction verified: 2025-01-07.
Four of eight children's files did not have up-to-date immunization records. Four of eight children's files did not include a signed physician's statement.
2024-07-22 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2024-08-05. Correction verified: 2024-08-06.
The last fire inspection was conducted on 7/20/23. A fire inspection has not been conducted since. The fire inspection is overdue.
2024-07-22 · 746.5205(1) · Medium High
Fire Drill Monthly - Exit in 3 Minutes
Corrected at inspection: No. Correction date: 2024-08-05. Correction verified: 2024-08-06.
There was no fire drill documented as conducted in months of April and May/2024.
2024-03-18 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2024-04-08. Correction verified: 2024-04-08.
Two of the eight files reviewed did not have a current immunization record.
2024-03-18 · 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: 2024-04-08. Correction verified: 2024-03-18.
Two of six caregivers were not current with their First Aid certification.
2024-03-07 · 746.2407 · Medium High
Infant Care Area Furnishings and Equipment -Use of Safety Straps
Corrected at inspection: No. Correction date: 2024-03-07. Correction verified: 2024-03-18.
Toddlers (5) sitting around a table with built in seats, four children were not fastened in with the safety straps.
2024-03-07 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2024-03-07. Correction verified: 2024-03-18.
A caregiver did not wash a toddlers hands after changing their diaper.
2024-03-07 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-03-07. Correction verified: 2024-03-18.
A caregiver gave the incorrect number of children in her care.
2023-10-13 · 746.2411(2)(A) · High
Safety Requirements for Play Yards - Snug Fitting, Firm, Flat Mattress Designed for Use in Play Yard and No Extra Pads
Corrected at inspection: No. Correction date: 2023-10-13. Correction verified: 2023-10-23.
Two play yards had infants (12 and 13 months old) sleeping in them with a nap mat with the pillow and blanket attached.
2023-07-19 · 746.2401(6) · High
Basic Requirements for Infants - Free from Choking Objects That May Cause Choking in Infants or Toddlers
Corrected at inspection: No. Correction date: 2023-07-19. Correction verified: 2023-08-02.
Three of four infants in the infant area were wearing pacifier leash/holders. NOTE: This was corrected as the caregiver took each off of the infants.
2023-07-19 · 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: 2023-07-19. Correction verified: 2023-08-02.
A child was observed in the restroom alone. The restroom is located right next to an exit door.
2023-07-19 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2023-08-09. Correction verified: 2023-07-28.
The health inspection has not been conducted and expired as of 5/9/2023. There is an inspection scheduled on 7/27/23.
2023-05-22 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2023-07-07. Correction verified: 2023-07-19.
During a DFPS investigation, a caregiver was heard threatening a child of being spanked when they get home.
2023-04-11 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2023-04-11. Correction verified: 2023-04-18.
The infant room was left with 6 infants to one caregiver during lunch time.
2023-04-11 · 746.1315(a) · Medium High
Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Corrected at inspection: No. Correction date: 2023-05-11. Correction verified: 2023-05-17.
Three of nine staff did not have a current CPR card on file.
2023-04-11 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-05-11. Correction verified: 2023-05-05.
Two of four children did not have updated immunization records on file.
2023-04-11 · 746.2405(4) · Medium High
Infant Care Area Furnishings and Equipment - Hand-washing Sink
Corrected at inspection: No. Correction date: 2023-04-30. Correction verified: 2023-04-26.
The infant room did not have hand washing sink in the classroom. There is a portable sink in the classroom but is not set up for use.
2023-04-11 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2023-04-30. Correction verified: 2023-05-07.
Three of nine employee files did not have an employee affidavit. One of nine staff did not have verification of their annual training hours in file.
2023-04-11 · 746.2209 · Medium
Posting of Activity Plan
Corrected at inspection: No. Correction date: 2023-04-30. Correction verified: 2023-05-19.
Three of the five classrooms at the operation did not have a daily activity schedule available.
2023-04-11 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2023-04-11. Correction verified: Not recorded.
An infant had her diaper changed and caregiver did not wash her hands. This was corrected when the caregiver took the child to the restroom to wash their hands.
2023-04-07 · 746.1203(3)(D) · Medium High
Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games
Corrected at inspection: No. Correction date: 2023-06-05. Correction verified: 2023-06-20.
During an investigation, it has been determined that the use of cell phones while supervising children; which takes their attention from the children in care.
2022-05-06 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2022-05-20. Correction verified: 2022-05-13.
Operation did not have current health inspection.
2022-05-06 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2022-05-06. Correction verified: 2022-05-27.
The operation cook, has not had a background check submitted, Has been employed since October.
2022-05-06 · 746.605(12) · High
Required Admission Information - Emergency Medical Authorization
Corrected at inspection: No. Correction date: 2022-05-20. Correction verified: 2022-05-27.
Four of five children's records did not have addresses listed for any emergency contacts.
2022-05-06 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-05-20. Correction verified: 2022-05-13.
Operation did not have current fire inspection.
2022-05-06 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2022-05-20. Correction verified: 2022-05-27.
Two of five children's records did not have health statements included in their files. Two of five files did not have current immunization records in their files.
2022-05-06 · 746.901 · Medium
Required Personnel Records
Corrected at inspection: No. Correction date: 2022-06-10. Correction verified: 2022-06-28.
Operation did not have employee records available for review.
2022-05-06 · 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: 2022-06-24. Correction verified: 2022-06-28.
During inspection, it was observed the operation do not keep record of monthly safety drills and/or smoke detector/carbon monoxide drills. The operation does not keep a long of maintenance checks for grounds, facility, or playground.
2022-01-26 · 746.2203(b) · Medium
Written Activity Plans - Plan Followed by Caregiver
Corrected at inspection: No. Correction date: 2022-01-26. Correction verified: 2022-02-09.
The toddler classroom did not have current written activity plan posted.
2022-01-26 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2022-01-26. Correction verified: 2022-02-09.
Reviewing the immunizations records one child was missing two of the required shots for their age.
2021-11-08 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2021-11-15. Correction verified: 2021-11-23.
Floors in the boys and girls restroom had been cleaned. Floors had stains and two out of five toilets and urinals had be been flushed.
2021-11-08 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: No. Correction date: 2021-11-08. Correction verified: 2021-11-23.
Caregivers allowed Children between ages of 12- 23 months to watch tv. The children watched TV for about one hour before caregiver turn it off.
2021-11-08 · 745.621(a)(3) · High
AP Initial background checks submitted - At the time you contract with someone who requires a background check
Corrected at inspection: No. Correction date: 2021-11-08. Correction verified: 2021-11-23.
Operation allowed staff member to present with children without submitting an initial background check.
2021-11-08 · 746.1203(4) · High
Responsibilities of Caregivers- Supervision of Children
Corrected at inspection: No. Correction date: 2021-11-08. Correction verified: 2021-11-23.
Caregiver was observed sleeping while children were in care. Another staff member had to wake the caregiver up to properly supervise the children.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1343805
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.