2026-09-04 · 746.613(a) · High
Required Immunizations
One child's file reviewed did not have current immunizations in file.
Correction date recorded: 2026-09-21
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 35 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated October 6, 2026.
The same records list 26 cited deficiencies dated November 28, 2023 to September 4, 2026 (HHSC risk levels: 17 High, 5 Medium High, 4 Medium).
Correction status recorded by HHSC: 2 corrected at inspection, 24 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 24 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 26 cited deficiencies for Treehouse Childrens Academy in the 3 years before October 10, 2026 (17 High, 5 Medium High, 4 Medium).
Records list 35 inspections in this window. Most recent inspection: 2026-10-06.
| Risk weight | Citations |
|---|---|
| High | 17 |
| Medium High | 5 |
| 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.
2026-09-04 · 746.613(a) · High
Required Immunizations
One child's file reviewed did not have current immunizations in file.
Correction date recorded: 2026-09-21
2026-04-28 · 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 evidence obtained during the investigation, the staff was unaware of the on-going activities and lacked auditory and visual awareness of a child the staff was responsible for when the child was left outside unsupervised for at least 5 minutes.
Correction date recorded: 2026-05-27
2025-11-19 · 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
Based on the evidence obtained during the investigation, staff were not aware of a child's on-going activity and did not have visual or auditory awareness of the children that they were responsible for, as one child was managed to make it out of the gym area and into a…
Correction date recorded: 2025-12-18
2026-09-04 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2026-09-21. Correction verified: 2026-09-09.
One child's file reviewed did not have current immunizations in file.
2026-04-28 · 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: 2026-05-27. Correction verified: 2026-06-10.
Based on the evidence obtained during the investigation, the staff was unaware of the on-going activities and lacked auditory and visual awareness of a child the staff was responsible for when the child was left outside unsupervised for at least 5 minutes.
2025-11-19 · 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: 2025-12-18. Correction verified: 2025-12-22.
Based on the evidence obtained during the investigation, staff were not aware of a child's on-going activity and did not have visual or auditory awareness of the children that they were responsible for, as one child was managed to make it out of the gym area and into a playground area and was left unsupervised outside for at least 4 minutes.
2025-10-02 · 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: 2025-10-24. Correction verified: 2025-11-07.
Based on the evidence obtained during the investigation, there was at least two occasions in which staff were not aware of the children's on-going activity and did not have visual or auditory awareness of children that they were responsible for as one child was left in a classroom and another in the gym area.
2025-10-02 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-11-07.
Based on the evidence obtained during the investigation, at least two incidents that placed children at risk occurred in which Child Care Regulation was not notified within the 48 hours of the incidents occurring.
2025-10-02 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2025-10-24. Correction verified: 2025-11-07.
Based on the evidence obtained during an investigation, the staff did not complete incident report forms that were required to be completed when children were placed at risk when left unsupervised on two separate occasions.
2025-08-13 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2025-08-22. Correction verified: 2025-09-05.
The last fire inspection was conducted on 6/11/2024 and the most was not available for review.
2025-08-13 · 746.1301(a)(4)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR
Corrected at inspection: No. Correction date: 2025-08-15. Correction verified: 2025-08-14.
A staff file was reviewed and did not have CPR/First aid training current as it expired on 6/11/2025.
2025-03-31 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: Yes. Correction date: 2025-03-31. Correction verified: Not recorded.
A food allergy plan that was in file did not have the required parent signature obtained as required. **The parent signature was obtained for this during the inspection and has been filed. This is in compliance.
2024-11-15 · 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: 2024-12-13. Correction verified: 2024-12-20.
Based on the evidence obtained during the investigation, the staff that was in charge of a group of children was not aware of two children's on-going activities and did not have visual or auditory awareness of the children that exited the gym area and exited to a playground area for a short period of time.
2024-11-15 · 746.801(2) · Medium
Required Records Maintained and Made Available - Infant Feeding Instructions
Corrected at inspection: No. Correction date: 2024-12-13. Correction verified: 2024-12-20.
Based on the evidence obtained during an investigation, the infant feeding instructions were not available for review for three months as required.
2024-08-13 · 746.5617(a)(6) · High
Required Equipment in Vehicles - First-aid Kit
Corrected at inspection: Yes. Correction date: 2024-08-13. Correction verified: Not recorded.
The vehicles that used for transportation did not have complete first aid kits as they were missing thermometers.**The operation placed thermometers in the first aid kits that were in the vehicles during inspection.
2024-08-13 · 746.613(a) · High
Required Immunizations
Corrected at inspection: No. Correction date: 2024-09-16. Correction verified: 2024-09-09.
One child file reviewed did not have any immunizations in file for review. One child file reviewed did not have up to date immunizations in file. **The parent provided the operation with immunization records for the child that did not have any immunizations in file at inspection.
2024-01-23 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-03-20.
This standard was found deficient as part of a DFPS Investigation.
2024-01-23 · 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: 2024-03-15. Correction verified: 2024-03-20.
Based on the evidence obtained during the investigation, staff were not aware of the children's on-going activity and did not have visual or auditory awareness of children that exited the classroom on various occasions which included an occasion of children running out into the parking lot of the operation where a car was leaving as well as occasions where children being left unsupervised in the playground area or running out of classrooms.
2024-01-23 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-03-20.
Based on the evidence obtained during the investigation, a two year old classroom was over ratio on at least two occasions with one caregiver present and the maximum number of children was more than eleven children.
2024-01-23 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-03-20.
Based on the evidence obtained during the investigation, staff were not demonstrating that they had the skills, ability, or the training to manage the 2-year-old classroom in a manner that kept the children safe in multiple situations.
2024-01-23 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-03-20.
Based on the evidence obtained during an investigation, the staff did not complete incident report forms that were required to be completed when children were placed at risk when left unsupervised during multiple occasions.
2024-01-23 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-03-20.
Based on the evidence obtained during the investigation, numerous incidents that placed children at risk occurred in which Child Care Regulation was not notified within the 48 hours of the incidents occurring.
2024-01-23 · 746.1205(a)(5) · High
Responsibilities of Caregivers - Intervene to ensure each child's safety
Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-03-20.
Based on the evidence obtained during the investigation, staff did not intervene to ensure the children's safety on numerous occasions when children climbed on top of tables in the classrooms which risked a child being injured.
2024-01-23 · 746.307(b)(4) · High
Parental Communication - Situation that Placed a Child at Risk
Corrected at inspection: No. Correction date: 2024-03-15. Correction verified: 2024-03-20.
Based on the evidence obtained during the investigation, the operation did not adequately notify parents of each situation in which their child was left unsupervised. Additionally, not all the parents were given all the information related to the situation in which their child was left unsupervised when they were informed.
2023-12-29 · 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: No. Correction date: 2023-12-29. Correction verified: 2024-01-09.
There were multiple individuals listed on the operation's background check list that require to be inactivated using the provider portal account within 7 days of their termination date.
2023-12-28 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-01-24. Correction verified: 2024-02-07.
Based on the evidence obtained during the investigation, a child was left unsupervised by a staff and this was not reported to the Child Care Regulation by the operation.
2023-12-28 · 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: 2024-01-24. Correction verified: 2024-02-07.
Based on the evidence obtained during the investigation, a child was left unsupervised and the staff was not aware of the child's on going activity and did not have auditory or visual awareness of the child responsible for.
2023-11-28 · 746.3505(b) · Medium High
Diapering Procedures - Wash Infant's Hands
Corrected at inspection: No. Correction date: 2023-11-28. Correction verified: 2023-12-04.
I observed several children diapers and thei infant's hands were not washed.
2023-11-28 · 746.3505(e) · Medium High
Diapering Procedures - Sanitizing Diaper Changing Area
Corrected at inspection: No. Correction date: 2023-11-28. Correction verified: 2023-12-04.
I observed several diaper changes and the changing table was not sanitized.
2023-05-10 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: Yes. Correction date: 2023-05-10. Correction verified: Not recorded.
2 of the 4 allergy plans were missing the parent signature.
2022-06-20 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-07-13. Correction verified: 2022-07-25.
Based on the preponderance of evidence, it was found that a caregiver did not use good judgment when yanking children by their arms, forcing a child's head down on her pillow, pushing a child with her foot, and pulling a nap mat out from under a child.
2022-04-04 · 746.4501(b) · Medium
Chairs - Safety Straps Used if Required by Manufacturer
Corrected at inspection: No. Correction date: 2022-04-15. Correction verified: 2022-04-20.
Children between the ages of 12 months and 17 months were placed in bucket seats that did not have accompanying safety straps installed.
2022-04-04 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-04-13. Correction verified: 2022-04-12.
The last fire inspection conducted was 2/4/2021.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1364356
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.