Little Treehouse Early Learning Center #4

Summary of the record

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 23 cited deficiencies for Little Treehouse Early Learning Center #4 in the 3 years before October 10, 2026 (9 High, 10 Medium High, 3 Medium, 1 Medium Low).

Records list 27 inspections in this window. Most recent inspection: 2026-08-27.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (51)

• 2026-03-31 · 746.1205(a)(3) · Medium High

  Responsibilities of Caregivers - Know children's names and ages

  Corrected at inspection: No. Correction date: 2026-03-31. Correction verified: 2026-04-20.

  Three caregivers from different classes were unable to provide ages of children in their class.

• 2025-04-16 · 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: 2025-05-05. Correction verified: 2025-05-16.

  Through an investigation, it was determined that proper supervision was not practiced when a child was left unattended on the playground. The child was returned indoors unharmed.

• 2025-03-10 · 746.4907(a)(1) · Medium High

  Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

  Corrected at inspection: No. Correction date: 2025-03-17. Correction verified: 2025-03-18.

  The composite structure did not have the required six inches of loose-fill around the structure.

• 2025-03-10 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: No. Correction date: 2025-03-17. Correction verified: 2025-03-18.

  The active play space had protruding railroad ties from a wooden barrier that posed a risk of injury.

• 2025-01-10 · 746.1003(3) · High

  Director Responsibilities - Employee Assignments

  Corrected at inspection: No. Correction date: 2025-03-03. Correction verified: 2025-03-10.

  Through an investigation, it was determined that director's responsibilities were not being met when a staff member was placed in a classroom where they could not perform all job duties and meet the children's care requirements.

• 2024-10-17 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-12-03. Correction verified: 2024-12-16.

  It was a determined during the investigation that a situation where a child was left unattended on the playground was not reported to CCR staff.

• 2024-10-17 · 746.2807 · Medium High

  Employees Discipline Own Children

  Corrected at inspection: No. Correction date: 2024-12-03. Correction verified: 2024-12-16.

  It was determined in the investigation that a caregiver was using prohibited punishment to discipline their own child while being present during operating hours of the child care operation.

• 2024-06-04 · 745.635(3) · High

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

  Corrected at inspection: No. Correction date: 2024-06-04. Correction verified: 2024-06-18.

  An individual with a provisional background check was left in charge of a group of children. Noted: This was corrected during the inspection when an additional caregiver was added to the group.

• 2024-06-04 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2024-06-04. Correction verified: 2024-06-18.

  In a group with a specified age of 12-17 months, there was one caregiver with seven infants. Noted: an additional caregiver was added to the group during the inspection.

• 2024-04-25 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: No. Correction date: 2024-05-21. Correction verified: 2024-05-21.

  The fence surrounding the playground was not maintained and two children were able to elope.

• 2024-04-11 · 745.635(3) · High

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

  Corrected at inspection: No. Correction date: 2024-05-31. Correction verified: 2024-06-04.

  It was determined during the investigation process that a caregiver with a provisional background check was allowed to transport children without another caregiver present.

• 2024-03-15 · 745.635(3) · High

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

  Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-03-25.

  An individual with a provisional background check was obsered to be alone with children.

• 2024-03-15 · 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: 2024-03-15. Correction verified: 2024-03-25.

  There were five children unsupervised in a room.

• 2024-03-05 · 746.1605(1) · Medium High

  Child/Caregiver Ratio - 18 Months Difference in Age

  Corrected at inspection: No. Correction date: 2024-04-12. Correction verified: 2024-04-23.

  During the investigation process, it was determined that infants (0-17 months) were being combined with children greater than 18 months older than them.

• 2024-03-05 · 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: 2024-04-12. Correction verified: 2024-04-23.

  During the investigation process it was determined that after being made aware that a child sought medical attention for an incident that occurred while the child was in care, that a report was not made to Child Care Regulation (CCR).

• 2024-03-05 · 746.701(1) · Medium

  Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization

  Corrected at inspection: No. Correction date: 2024-04-12. Correction verified: 2024-04-23.

  During the investigation process, it was determined that an incident report was not completed for an incident occurred while the child was in care and had to seek medical attention.

• 2024-03-05 · 746.1615 · Medium

  Child/Caregiver Ratio - Opening/Closing

  Corrected at inspection: No. Correction date: 2024-04-12. Correction verified: 2024-04-23.

  During the investigation process, it was determined that children, of all ages, were being grouped together for two hours at a time from 6:00-8:00 AM and being grouped again in the afternoon from 5:30-6:30 PM.

• 2024-02-13 · 746.5319 · High

  Smoke Detectors Testing

  Corrected at inspection: Yes. Correction date: 2024-02-13. Correction verified: Not recorded.

  The operation did not have documented tests of the smoke detectors in 2023 and January 2024. Noted: This was corrected during inspection when the smoke detectors were tested.

• 2024-02-13 · 746.5537(a)(2) · Medium High

  Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly

  Corrected at inspection: Yes. Correction date: 2024-02-13. Correction verified: Not recorded.

  Carbon monoxide detectors were not tested in the year of 2023 and in January 2024. Noted: this was corrected during inspection when the carbon monoxide detectors were tested and documented.

• 2024-02-13 · 746.501(a)(24) · High

  Written Operational Policies - Emergency Preparedness Plans

  Corrected at inspection: No. Correction date: 2024-02-20. Correction verified: 2024-02-20.

  The operation did not have an emergency prepardness plan for review.

• 2024-02-13 · 746.401(9) · Medium Low

  Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name

  Corrected at inspection: Yes. Correction date: 2024-02-13. Correction verified: Not recorded.

  There was not a current employee list posted. Noted: This was correct during inspection when a current employee list was created and posted.

• 2024-02-13 · 746.5205(4) · Medium

  Documentation of Drills

  Corrected at inspection: Yes. Correction date: 2024-02-13. Correction verified: Not recorded.

  The operation did not have a documented fire drill for the months of November and December 2023. The operation also only had one Shelter in place drill docuemnted for 2023. Noted: Moving forward the operation will make sure that all drills are documented.

• 2024-02-13 · 746.5307(a) · Medium High

  Inspect Fire Extinguishers Monthly

  Corrected at inspection: Yes. Correction date: 2024-02-13. Correction verified: Not recorded.

  Fire extinguishers should be inspected by a designated staff member frequently, but minimally once a month. These inspections should be documented. Noted: This was corrected during inspection when the fire extinguishers were inspected.

• 2023-08-04 · 746.605(6) · Medium High

  Required Admission Information - Emergency Contact

  Corrected at inspection: No. Correction date: 2023-08-11. Correction verified: 2023-08-17.

  Five of the ten Children's records reviewed did not include all necessary information for emergency contacts listed.

• 2023-08-04 · 746.603(a)(4) · Medium

  Children's Records - Immunizations

  Corrected at inspection: No. Correction date: 2023-08-18. Correction verified: 2023-08-17.

  Three of the ten children's files did not include updated immunization records.

• 2023-08-04 · 746.901(4) · Medium Low

  Required Personnel Records - Required Affidavit

  Corrected at inspection: No. Correction date: 2023-08-11. Correction verified: 2023-08-17.

  One Staff file did not include the necessary employee affidavit.

• 2023-06-22 · 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: 2023-06-22. Correction verified: 2023-07-07.

  An infant was observed to be sleeping in a restrictive device while also being wrapped in a blanket. Noted: This was corrected as inspection when the child was removed and placed in a play yard.

• 2023-06-08 · 746.3407(9) · Medium High

  Floors, ceilings and Walls in Good Repair and Clean

  Corrected at inspection: No. Correction date: 2023-06-15. Correction verified: 2023-06-22.

  The carpet in the infant space was observed to have mold.

• 2023-04-24 · 746.2805(8) · High

  Prohibited Punishments - Restrictive device for time out

  Corrected at inspection: No. Correction date: 2023-06-01. Correction verified: 2023-06-07.

  Children are being placed in a restrictive device (high chair) to discipline the child.

• 2023-04-24 · 746.2207(c)(3) · Medium

  Screen Time Activities - Not Exceed One Hour Daily

  Corrected at inspection: No. Correction date: 2023-06-01. Correction verified: 2023-06-07.

  Children in care are being given screen time as an activity for longer than one hour per day.

• 2023-02-02 · 746.605(11) · Medium

  Required Admission Information - Physician Information

  Corrected at inspection: No. Correction date: 2023-02-09. Correction verified: 2023-02-09.

  There was one child file out of the ten that were viewed that did not have the name, address, and phone number of the child's health care physician.

• 2023-02-02 · 746.613(b) · Medium High

  Immunization Records, Exceptions, and Exemptions Current

  Corrected at inspection: No. Correction date: 2023-02-10. Correction verified: 2023-02-10.

  There was one child file out of the ten children files viewed that did not have an updated immunization record on file.

• 2022-12-29 · 746.3407(8) · Medium High

  Garbage Inaccessible to Children; Maintained in Sanitary Manner

  Corrected at inspection: Yes. Correction date: 2022-12-29. Correction verified: Not recorded.

  A lagre black trash bag full of garbage was observed in the school age outdoor playground while the children were playing.

• 2022-12-08 · 746.2805 · High

  Prohibited Punishments - No Harsh, Cruel or Unusual

  Corrected at inspection: No. Correction date: 2023-01-04. Correction verified: 2023-01-13.

  It was determined that in December a caregiver forcefully pushed a child to the ground.

• 2022-10-11 · 746.4751(c) · Medium High

  Maintenance Procedures for Active Play - Hazards Removed or Repaired

  Corrected at inspection: Yes. Correction date: 2022-10-11. Correction verified: Not recorded.

  There was a tunnel that the children can climb through that was broken on top of the tunnel on the pre-K through School Age playground. Note: The director quickly removed the tunnel out of the outdoor play space.

• 2022-10-11 · 746.4003(b) · Medium

  First Aid Kit - Supplies Not Expired

  Corrected at inspection: Yes. Correction date: 2022-10-11. Correction verified: Not recorded.

  There was expired hydrogen peroxide in the first aid kits located in the center and on the transportation vehicle. The expiration date stated November 2020. Note: This was corrected at inspection when the director bought some new hydrogen peroxide and placed them in the two first aid kits.

• 2022-10-11 · 746.4907(d) · Medium High

  Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

  Corrected at inspection: No. Correction date: 2022-11-01. Correction verified: 2022-11-04.

  There was a piece of climbing equipment that did not have 6 inches of loose fill surrounding the structure.

• 2022-07-12 · 746.2407 · Medium High

  Infant Care Area Furnishings and Equipment -Use of Safety Straps

  Corrected at inspection: No. Correction date: 2022-07-12. Correction verified: 2022-07-29.

  A three month old infant was observed in a bouncer seat without being strapped in.

• 2022-07-12 · 746.2426 · High

  Infant May Not Sleep in a Restrictive Device

  Corrected at inspection: No. Correction date: 2022-07-12. Correction verified: 2022-07-29.

  A three month old infant was observed sleeping in a bouncer seat. According to the caregiver, the infant had been asleep for 30 minutes.

• 2022-07-12 · 746.3407(9) · Medium High

  Floors, ceilings and Walls in Good Repair and Clean

  Corrected at inspection: No. Correction date: 2022-07-12. Correction verified: 2022-07-18.

  The floor in the 3 year old classroom was visibly dirty with several area of dirt around the changing table and sink.

• 2022-07-12 · 746.1203(6) · Medium High

  Responsibilities of Caregivers - Free of other activities

  Corrected at inspection: No. Correction date: 2022-07-12. Correction verified: 2022-07-29.

  The infant caregiver was observed using her phone while supervising a group of infants.

• 2022-07-07 · 746.1203(7) · Medium High

  Responsibilities of Caregivers - Interact positively with children

  Corrected at inspection: No. Correction date: 2022-08-18. Correction verified: 2022-09-07.

  It was determined that a caregiver was telling a child to kick themselves instead of kicking others in the classroom.

• 2022-07-07 · 746.2207(c)(4) · Medium

  Screen Time Activities - Not Used During Eating or Rest Times

  Corrected at inspection: No. Correction date: 2022-08-18. Correction verified: 2022-09-07.

  It was determined that a caregiver had given a child their cell phone to watch videos to calm the child down during naptime.

• 2022-07-07 · 746.1201(1) · High

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

  Corrected at inspection: No. Correction date: 2022-08-18. Correction verified: 2022-09-07.

  It was determined that a caregiver did not present good judgement when a hot tray was placed on a shelf accessible to children, as a result the child was burned.

• 2022-06-29 · 746.3407 · Medium High

  Maintenance of Building, Grounds and Equipment

  Corrected at inspection: No. Correction date: 2022-07-18. Correction verified: 2022-07-18.

  The door to the indoor gym had a hole at the bottom of it. Weed prevention tarp on the toddler playground had come up through the loose-fill creating a tripping hazard. The fence on the school age playground is separating from the building creating an approximately 11 inch gap which can become an entrapment hazard.

• 2022-06-29 · 746.3301(d) · Medium High

  Nutrition and Food Service - Child must not go more than 3 hours

  Corrected at inspection: No. Correction date: 2022-08-04. Correction verified: 2022-09-07.

  During the course of the investigation, it was determined that children are only provided one snack in the afternoon. Children that stay later are not provided an additional snack.

• 2022-06-29 · 746.1605 · Medium High

  Child/Caregiver Ratio - 18 Months Difference in Age

  Corrected at inspection: No. Correction date: 2022-08-04. Correction verified: 2022-09-07.

  During the course of the investigation, it was determine that a school-age child around 8 years of age is allowed to help in the infant room making the oldest child in care more than 18 months older that the youngest child in the infant room.

• 2021-11-22 · 746.5101(a) · High

  Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

  Corrected at inspection: No. Correction date: 2021-11-22. Correction verified: 2021-12-06.

  The operation's annual fire inspection was not completed timely. The last fire inspection was conducted on 06/11/2020. Note: The operation applied for their annual fire inspection on 11/16/2021.

• 2021-11-15 · 745.651(1) · Medium

  Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

  Corrected at inspection: Yes. Correction date: 2021-11-15. Correction verified: Not recorded.

  A background check for two people no longer employed with the operation was not inactivated within seven days. Note: This was corrected at inspection as the background check was inactivated during inspection.

• 2021-11-15 · 746.603(a)(4) · Medium

  Children's Records - Immunizations

  Corrected at inspection: No. Correction date: 2021-12-13. Correction verified: 2021-12-06.

  I observed 3 out of 10 children's records were missing immunization records.

• 2021-11-15 · 746.4309 · Medium High

  Fenced Outdoor Activity Space -Gates Locked

  Corrected at inspection: No. Correction date: 2021-11-15. Correction verified: 2021-12-06.

  The gate that leads to the front of the building from the playground were locked and keys were not easily accessible for caregivers in the event of an emergency evacuation.