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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 12 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 18, 2026.
The same records list 13 cited deficiencies dated October 29, 2023 to August 20, 2026 (HHSC risk levels: 5 High, 4 Medium High, 4 Medium).
Correction status recorded by HHSC: 1 corrected at inspection, 12 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 12 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 13 cited deficiencies for The Climbing Tree in the 3 years before October 10, 2026 (5 High, 4 Medium High, 4 Medium).
Records list 12 inspections in this window. Most recent inspection: 2026-09-18.
| Risk weight | Citations |
|---|---|
| High | 5 |
| Medium High | 4 |
| 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.
2026-08-20 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
This standard was tasked as part of the investigation and found to be deficient. It was determined that the operation did not report an injury of a child that required medical attention to CCR.
Correction date recorded: 2026-09-17
2026-08-20 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
This standard was tasked as part of the investigation and found to be deficient. It was determined that a caregiver did not demonstrate good judgment while engaging with a child at the operation.
Correction date recorded: 2026-09-17
2026-08-07 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
It was revealed that the caregiver forcefully pulled and grabbed a child by the arm.
Correction date recorded: 2026-09-04
2026-08-20 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-09-17. Correction verified: 2026-09-18.
This standard was tasked as part of the investigation and found to be deficient. It was determined that a caregiver did not demonstrate good judgment while engaging with a child at the operation.
2026-08-20 · 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: 2026-09-17. Correction verified: 2026-09-18.
This standard was tasked as part of the investigation and found to be deficient. It was determined that the operation did not report an injury of a child that required medical attention to CCR.
2026-08-07 · 746.2805(3) · High
Prohibited Punishments - Grabbing and Pulling
Corrected at inspection: No. Correction date: 2026-09-04. Correction verified: 2026-09-18.
It was revealed that the caregiver forcefully pulled and grabbed a child by the arm.
2026-07-02 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2026-08-28. Correction verified: 2026-09-04.
Based on information obtained during the investigation, the operation did not follow the child's documented feeding instructions.
2025-09-29 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2025-10-10. Correction verified: 2025-10-10.
The annual sanitation inspection was expired.
2025-02-25 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2025-04-30. Correction verified: 2025-05-12.
One child epi pen was expired.
2025-02-25 · 746.3503(a) · Medium High
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Corrected at inspection: Yes. Correction date: 2025-02-25. Correction verified: Not recorded.
The changing mat in the two year old classroom was ripped. Note: changing mat was replaced during this inspectiion.
2023-11-29 · 746.701(1) · Medium
Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
Corrected at inspection: No. Correction date: 2023-12-28. Correction verified: 2024-01-04.
The incident/illness report form was not completed within 48 hours of the incident.
2023-11-28 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-12-01. Correction verified: 2023-12-01.
One infant did have current infant feeding.
2023-10-29 · 746.1201(4) · High
AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited
Corrected at inspection: No. Correction date: 2023-12-29. Correction verified: 2024-01-04.
Based on the findings from a DFPS investigation, one caregiver was found Reason To Believe for Physical Abuse and another caregiver was found Reason To Believe for Neglectful Supervision.
2023-10-29 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-12-29. Correction verified: 2024-01-04.
Based on the findings from a DFPS investigation caregivers did not demonstrate good judgement when not asking for assistance when needed which resulted in a child being abused as well as a caregiver not intervening when the abuse occurred.
2023-10-29 · 746.2805(1) · High
Prohibited Punishments - Corporal Punishment
Corrected at inspection: No. Correction date: 2023-12-29. Correction verified: 2024-01-04.
Based on the findings from a DFPS investigation, corporal punishment was used on a child in care when the caregiver picked up a child by one arm in an aggressive manner and resulted in physical abuse.
2023-10-29 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2023-12-29. Correction verified: 2024-01-04.
Based on the findings from a DFPS investigation, an incident report was not written informing the parents that the incident occurred.
2021-12-06 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2022-01-03. Correction verified: 2021-12-31.
One of the caregivers had completed CPR training through online instruction and did not attend a class.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=147357
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.