Little Treehouse Early Learning Center #6

Licensed Center

Provider details

City / County / ZIP: San Antonio / Bexar / 78233
Street address: 13118 El Sendero St
Phone: (210) 646-8220
Capacity: 96
Ages served: Infant, Toddler, Pre-Kindergarten, School
Hours / Days: 06:00 AM-06:30 PM / Mon,Tue,Wed,Thu,Fri
Permit type: Full Permit
Permit issued: December 11, 2020
Operation status:: Active
Corrective action: HHSC lists: No
Adverse action: HHSC lists: No
Temporarily closed: HHSC lists: No

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.

Plain-English summary of cited deficiencies

State records list 12 cited deficiencies dated September 25, 2024 to September 14, 2026 (2 High, 4 Medium High, 5 Medium, 1 Low risk). Correction status: 1 corrected at inspection, 11 with a correction date recorded, 0 with no correction date recorded.

High risk · Electronic Child Safety Alarm - is equipped in each vehicle (746.5625(a))
Cited September 25, 2024 (correction date recorded: October 9, 2024; correction verified October 15, 2024; technical assistance given).
What the record describes: The operation's ten-passenger van did not have an alarm installed.
High risk · Required Equipment in Vehicles - Fire Extinguisher (746.5617(a)(5))
Cited September 25, 2024 (correction date recorded: September 30, 2024; correction verified October 15, 2024; technical assistance given).
What the record describes: The fire extinguishers were not secured in either of the two vans used to transport children.
Medium High risk · Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less (746.4907(a)(1))
Cited September 14, 2026 (correction date recorded: September 18, 2026; correction verified September 21, 2026; technical assistance given); May 8, 2025 (correction date recorded: May 16, 2025; correction verified May 27, 2025; technical assistance given).
What the record describes: Narratives describe loose-fill surfacing under playground equipment that measured less than the required 6 inches deep.
Medium High risk · Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR (746.1301(a)(4)(A))
Cited September 4, 2025 (correction date recorded: October 9, 2025; correction verified October 9, 2025; technical assistance given).
What the record describes: The staff member who provided first aid was not certified at the time of the injury and had been employed for more than ninety days.
Medium High risk · Immunization Records, Exceptions, and Exemptions Current (746.613(b))
Cited September 25, 2024 (correction date recorded: October 9, 2024; correction verified October 15, 2024; technical assistance given).
What the record describes: Three of ten children's records reviewed did not have current immunization records on file.
Medium risk · Cots, Beds, Mats Labeled With Child's Name (746.4503(b))
Cited September 14, 2026 (corrected at inspection).
What the record describes: The napping cots for toddlers and Pre-K children were not labeled with the children's names.
Medium risk · Safety Requirements for Cribs - Label for Each Infant (746.2409(a)(10))
Cited September 14, 2026 (correction date recorded: September 15, 2026; correction verified September 18, 2026).
What the record describes: Four infant cribs were not labeled with the infants' names or any additional information.
Medium risk · Written Activity Plan - Outline Daily Activities (746.2205(a)(2))
Cited September 14, 2026 (correction date recorded: September 28, 2026).
What the record describes: The Toddler and Preschool classrooms did not have written activity plans posted. They were using lesson plan guides provided by Texas Rising Star.
Medium risk · Written Feeding Instructions - Review and Update Every 30 Days (746.2421(b))
Cited September 14, 2026 (correction date recorded: September 16, 2026; correction verified September 15, 2026).
What the record describes: Two of three infant feeding schedules were not up to date and signed by a parent.
Medium risk · First Aid Kit Incomplete - Antiseptic solution or wipes (746.4003(a)(3))
Cited September 15, 2025 (correction date recorded: September 19, 2025; correction verified September 15, 2025; technical assistance given).
What the record describes: The first aid kit contained expired antiseptic wipes.
Low risk · Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program (746.611(a)(1))
Cited September 15, 2025 (correction date recorded: September 29, 2025; correction verified September 29, 2025; technical assistance given).
What the record describes: One of six files reviewed did not have a health statement on file.

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

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 12 cited deficiencies for Little Treehouse Early Learning Center #6 in the 3 years before October 10, 2026 (2 High, 4 Medium High, 5 Medium, 1 Low).

Records list 7 inspections in this window. Most recent inspection: 2026-09-14.

HHSC risk weights of citations
Risk weight	Citations
High	2
Medium High	4
Medium	5
Medium Low	0
Low	1
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.

Recent citations in the summary window

2026-09-14 · 746.4503(b) · Medium

Cots, Beds, Mats Labeled With Child's Name

The napping cots for the toddlers and Pre-K children were not labeled with their names.

Corrected at inspection

2026-09-14 · 746.2409(a)(10) · Medium

Safety Requirements for Cribs - Label for Each Infant

Four of the infant's cribs were not labeled with their names or any additional information.

Correction date recorded: 2026-09-15

2026-09-14 · 746.2205(a)(2) · Medium

Written Activity Plan - Outline Daily Activities

The Toddler and Preschool classrooms did not have written activity plans posted. They were using lesson plan guides provided by Texas Rising Star.

Correction date recorded: 2026-09-28

Full citation history from HHSC (16)

2026-09-14 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2026-09-16. Correction verified: 2026-09-15.
There were two out of three infant feeding scheduels that were not up-to-date and signed by the parent.
2026-09-14 · 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: 2026-09-18. Correction verified: 2026-09-21.
The loose fill underneath the slides was less than 6 inches. The ends of the slides were lifted and did not touch the bottom as I observed. There was 2.5 inches observed of loose fill.
2026-09-14 · 746.2205(a)(2) · Medium
Written Activity Plan - Outline Daily Activities
Corrected at inspection: No. Correction date: 2026-09-28. Correction verified: Not recorded.
The Toddler and Preschool classrooms did not have written activity plans posted. They were using lesson plan guides provided by Texas Rising Star.
2026-09-14 · 746.2409(a)(10) · Medium
Safety Requirements for Cribs - Label for Each Infant
Corrected at inspection: No. Correction date: 2026-09-15. Correction verified: 2026-09-18.
Four of the infant's cribs were not labeled with their names or any additional information.
2026-09-14 · 746.4503(b) · Medium
Cots, Beds, Mats Labeled With Child's Name
Corrected at inspection: Yes. Correction date: 2026-09-14. Correction verified: Not recorded.
The napping cots for the toddlers and Pre-K children were not labeled with their names.
2025-09-15 · 746.4003(a)(3) · Medium
First Aid Kit Incomplete - Antiseptic solution or wipes
Corrected at inspection: No. Correction date: 2025-09-19. Correction verified: 2025-09-15.
The first aid had expired Anitiseptic wipes.
2025-09-15 · 746.611(a)(1) · Low
Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation's child-care program
Corrected at inspection: No. Correction date: 2025-09-29. Correction verified: 2025-09-29.
One out of six files reviewed did not have a health statement on file.
2025-09-04 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2025-10-09. Correction verified: 2025-10-09.
During the investigation, it was found that the staff member who provided first aid was not certified at the time of the injury and had exceeded her ninety days of employment.
2025-05-08 · 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: 2025-05-16. Correction verified: 2025-05-27.
The loose fill at the base of the sides in the large playground did not meet the required depth of 6 inches; instead, it measured only 1 inch. Additionally, the loose fill at the base of the swings and slide in the small playground was also insufficient, with a depth of just 2 inches.
2024-09-25 · 746.5625(a) · High
Electronic Child Safety Alarm - is equipped in each vehicle
Corrected at inspection: No. Correction date: 2024-10-09. Correction verified: 2024-10-15.
The operation's ten passenger van did not have an alarm installed on the vehicle.
2024-09-25 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2024-10-09. Correction verified: 2024-10-15.
Three of ten children's records reviewed for immunizations did not have current immunizations records on file.
2024-09-25 · 746.5617(a)(5) · High
Required Equipment in Vehicles - Fire Extinguisher
Corrected at inspection: No. Correction date: 2024-09-30. Correction verified: 2024-10-15.
The fire extinguisher was not secured in two of two vans used to transport children.
2023-10-04 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2023-10-18. Correction verified: 2023-10-17.
One of ten children's files audited did not have current vaccinations.
2023-10-04 · 746.603(a)(3) · Medium
Children's Records - Health Statement
Corrected at inspection: No. Correction date: 2023-10-18. Correction verified: 2023-10-17.
Two of ten children's files audited did not have a current health statement.
2022-11-03 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2022-12-03. Correction verified: 2022-12-01.
7 out of the 10 children's records reviewed were missing updated immunizations.
2021-12-22 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: Yes. Correction date: 2021-12-22. Correction verified: Not recorded.
Three ceiling fans had accumulated dust. Note. This was immediately corrected at inspection by director.

Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1350394

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.