Little Treehouse Early Learning Center #4
5440 BABCOCK RD STE 100, San Antonio, TX 78240 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 141
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:00 AM-06:30 PM
- Director / administrator
- Amanda Hanson
- Phone
- (210) 973-7354
- Regulated since
- Nov 19, 2020
- HHSC IDs
- Operation 1350391 · number 1704598
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 1 | 1 | Other (1) |
| 2025 | 4 | 4 | Supervision & ratios (1), Safety & premises (2), Other (1) |
| 2024 | 18 | 14 | Illness & medication (1), Supervision & ratios (8), Safety & premises (2), Staff background & training (3), Records & paperwork (2), Other (2) |
| 2023 | 9 | 5 | Cleanliness & sanitation (1), Illness & medication (2), Discipline & child guidance (1), Safety & premises (2), Records & paperwork (1), Other (2) |
| 2022 | 15 | 13 | Cleanliness & sanitation (2), Supervision & ratios (2), Discipline & child guidance (1), Safety & premises (4), Food & allergies (1), Other (5) |
| 2021 | 4 | 2 | Illness & medication (1), Supervision & ratios (1), Safety & premises (1), Staff background & training (1) |
Inspections, investigations & assessments
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Aug 27, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 31, 2026 Inspection · Deficiencies cited
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Other Serious
Three caregivers from different classes were unable to provide ages of children in their class.
HHSC 746.1205(a)(3) — Responsibilities of Caregivers - Know children's names and ages
HHSC risk weight: Medium High. Corrected 2026-03-31. Correction verified 2026-04-20.
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Other Serious
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Mar 25, 2026 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 12, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 13, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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May 16, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 16, 2025 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
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.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2025-05-05. Correction verified 2025-05-16.
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Supervision & ratios Serious
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Apr 8, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 18, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 10, 2025 Inspection · Deficiencies cited
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Safety & premises Serious
The active play space had protruding railroad ties from a wooden barrier that posed a risk of injury.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2025-03-17. Correction verified 2025-03-18.
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Safety & premises Serious
The composite structure did not have the required six inches of loose-fill around the structure.
HHSC 746.4907(a)(1) — Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
HHSC risk weight: Medium High. Corrected 2025-03-17. Correction verified 2025-03-18.
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Safety & premises Serious
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Feb 5, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 22, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Jan 11, 2025 Report · No deficiencies cited
No violations cited on this visit.
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Jan 10, 2025 Report · Deficiencies cited
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Other Serious
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.
HHSC 746.1003(3) — Director Responsibilities - Employee Assignments
HHSC risk weight: High. Corrected 2025-03-03. Correction verified 2025-03-10.
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Other Serious
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Dec 17, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 16, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 22, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 17, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
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.
HHSC 746.2807 — Employees Discipline Own Children
HHSC risk weight: Medium High. Corrected 2024-12-03. Correction verified 2024-12-16.
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Records & paperwork Serious
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.
HHSC 746.305(a)(6) — Report Situation Placing Children at Risk
HHSC risk weight: High. Corrected 2024-12-03. Correction verified 2024-12-16.
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Supervision & ratios Serious
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Jul 24, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 16, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 21, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
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.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2024-06-04. Correction verified 2024-06-18.
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Supervision & ratios Serious
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.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2024-06-04. Correction verified 2024-06-18.
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Staff background & training Serious
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May 30, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 25, 2024 Report · Deficiencies cited (self-report)
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Safety & premises Serious
The fence surrounding the playground was not maintained and two children were able to elope.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2024-05-21. Correction verified 2024-05-21.
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Safety & premises Serious
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Apr 23, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 11, 2024 Report · Deficiencies cited
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Staff background & training Serious
It was determined during the investigation process that a caregiver with a provisional background check was allowed to transport children without another caregiver present.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2024-05-31. Correction verified 2024-06-04.
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Staff background & training Serious
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Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 15, 2024 Inspection · Deficiencies cited
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Staff background & training Serious
An individual with a provisional background check was obsered to be alone with children.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected 2024-03-15. Correction verified 2024-03-25.
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Supervision & ratios Serious
There were five children unsupervised in a room.
HHSC 746.1205(a)(4) — Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
HHSC risk weight: High. Corrected 2024-03-15. Correction verified 2024-03-25.
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Staff background & training Serious
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Mar 5, 2024 Report · Deficiencies cited
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Supervision & ratios Serious
During the investigation process, it was determined that infants (0-17 months) were being combined with children greater than 18 months older than them.
HHSC 746.1605(1) — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2024-04-12. Correction verified 2024-04-23.
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Supervision & ratios
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.
HHSC 746.1615 — Child/Caregiver Ratio - Opening/Closing
HHSC risk weight: Medium. Corrected 2024-04-12. Correction verified 2024-04-23.
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Records & paperwork Serious
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).
HHSC 746.305(a)(2) — AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2024-04-12. Correction verified 2024-04-23.
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Illness & medication
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.
HHSC 746.701(1) — Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
HHSC risk weight: Medium. Corrected 2024-04-12. Correction verified 2024-04-23.
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Supervision & ratios Serious
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Feb 13, 2024 Inspection · Deficiencies cited
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Other
There was not a current employee list posted. Noted: This was correct during inspection when a current employee list was created and posted.
HHSC 746.401(9) — Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
HHSC risk weight: Medium Low. Corrected at inspection. Corrected 2024-02-13.
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Supervision & ratios Serious
The operation did not have an emergency prepardness plan for review.
HHSC 746.501(a)(24) — Written Operational Policies - Emergency Preparedness Plans
HHSC risk weight: High. Corrected 2024-02-20. Correction verified 2024-02-20.
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Supervision & ratios
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.
HHSC 746.5205(4) — Documentation of Drills
HHSC risk weight: Medium. Corrected at inspection. Corrected 2024-02-13.
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Safety & premises Serious
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.
HHSC 746.5307(a) — Inspect Fire Extinguishers Monthly
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-02-13.
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Supervision & ratios Serious
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.
HHSC 746.5319 — Smoke Detectors Testing
HHSC risk weight: High. Corrected at inspection. Corrected 2024-02-13.
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Other Serious
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.
HHSC 746.5537(a)(2) — Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2024-02-13.
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Other
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Sep 21, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 18, 2023 Report · No deficiencies cited
No violations cited on this visit.
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Aug 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 4, 2023 Inspection · Deficiencies cited
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Illness & medication
Three of the ten children's files did not include updated immunization records.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2023-08-18. Correction verified 2023-08-17.
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Safety & premises Serious
Five of the ten Children's records reviewed did not include all necessary information for emergency contacts listed.
HHSC 746.605(6) — Required Admission Information - Emergency Contact
HHSC risk weight: Medium High. Corrected 2023-08-11. Correction verified 2023-08-17.
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Records & paperwork
One Staff file did not include the necessary employee affidavit.
HHSC 746.901(4) — Required Personnel Records - Required Affidavit
HHSC risk weight: Medium Low. Corrected 2023-08-11. Correction verified 2023-08-17.
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Illness & medication
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Jul 7, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 22, 2023 Inspection · Deficiencies cited
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Safety & premises Serious
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.
HHSC 746.2426(a)(2) — 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
HHSC risk weight: High. Corrected 2023-06-22. Correction verified 2023-07-07.
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Safety & premises Serious
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Jun 8, 2023 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
The carpet in the infant space was observed to have mold.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2023-06-15. Correction verified 2023-06-22.
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Cleanliness & sanitation Serious
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May 1, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 24, 2023 Report · Deficiencies cited
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Other
Children in care are being given screen time as an activity for longer than one hour per day.
HHSC 746.2207(c)(3) — Screen Time Activities - Not Exceed One Hour Daily
HHSC risk weight: Medium. Corrected 2023-06-01. Correction verified 2023-06-07.
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Discipline & child guidance Serious
Children are being placed in a restrictive device (high chair) to discipline the child.
HHSC 746.2805(8) — Prohibited Punishments - Restrictive device for time out
HHSC risk weight: High. Corrected 2023-06-01. Correction verified 2023-06-07.
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Other
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Feb 2, 2023 Inspection · Deficiencies cited
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Other
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.
HHSC 746.605(11) — Required Admission Information - Physician Information
HHSC risk weight: Medium. Corrected 2023-02-09. Correction verified 2023-02-09.
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Illness & medication Serious
There was one child file out of the ten children files viewed that did not have an updated immunization record on file.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2023-02-10. Correction verified 2023-02-10.
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Other
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Jan 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 29, 2022 Inspection · Deficiencies cited
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Cleanliness & sanitation Serious
A lagre black trash bag full of garbage was observed in the school age outdoor playground while the children were playing.
HHSC 746.3407(8) — Garbage Inaccessible to Children; Maintained in Sanitary Manner
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-12-29.
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Cleanliness & sanitation Serious
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Dec 9, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Dec 8, 2022 Report · Deficiencies cited
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Discipline & child guidance Serious
It was determined that in December a caregiver forcefully pushed a child to the ground.
HHSC 746.2805 — Prohibited Punishments - No Harsh, Cruel or Unusual
HHSC risk weight: High. Corrected 2023-01-04. Correction verified 2023-01-13.
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Discipline & child guidance Serious
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Nov 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Oct 11, 2022 Inspection · Deficiencies cited
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Supervision & ratios
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.
HHSC 746.4003(b) — First Aid Kit - Supplies Not Expired
HHSC risk weight: Medium. Corrected at inspection. Corrected 2022-10-11.
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Safety & premises Serious
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.
HHSC 746.4751(c) — Maintenance Procedures for Active Play - Hazards Removed or Repaired
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2022-10-11.
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Safety & premises Serious
There was a piece of climbing equipment that did not have 6 inches of loose fill surrounding the structure.
HHSC 746.4907(d) — Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
HHSC risk weight: Medium High. Corrected 2022-11-01. Correction verified 2022-11-04.
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Supervision & ratios
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Sep 7, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Aug 5, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 29, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2022 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Jul 19, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 12, 2022 Inspection · Deficiencies cited
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Other Serious
The infant caregiver was observed using her phone while supervising a group of infants.
HHSC 746.1203(6) — Responsibilities of Caregivers - Free of other activities
HHSC risk weight: Medium High. Corrected 2022-07-12. Correction verified 2022-07-29.
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Safety & premises Serious
A three month old infant was observed in a bouncer seat without being strapped in.
HHSC 746.2407 — Infant Care Area Furnishings and Equipment -Use of Safety Straps
HHSC risk weight: Medium High. Corrected 2022-07-12. Correction verified 2022-07-29.
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Other Serious
A three month old infant was observed sleeping in a bouncer seat. According to the caregiver, the infant had been asleep for 30 minutes.
HHSC 746.2426 — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2022-07-12. Correction verified 2022-07-29.
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Cleanliness & sanitation Serious
The floor in the 3 year old classroom was visibly dirty with several area of dirt around the changing table and sink.
HHSC 746.3407(9) — Floors, ceilings and Walls in Good Repair and Clean
HHSC risk weight: Medium High. Corrected 2022-07-12. Correction verified 2022-07-18.
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Other Serious
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Jul 8, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Jul 7, 2022 Report · Deficiencies cited
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Other Serious
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.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2022-08-18. Correction verified 2022-09-07.
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Other Serious
It was determined that a caregiver was telling a child to kick themselves instead of kicking others in the classroom.
HHSC 746.1203(7) — Responsibilities of Caregivers - Interact positively with children
HHSC risk weight: Medium High. Corrected 2022-08-18. Correction verified 2022-09-07.
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Other
It was determined that a caregiver had given a child their cell phone to watch videos to calm the child down during naptime.
HHSC 746.2207(c)(4) — Screen Time Activities - Not Used During Eating or Rest Times
HHSC risk weight: Medium. Corrected 2022-08-18. Correction verified 2022-09-07.
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Other Serious
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Jun 29, 2022 Report · Deficiencies cited
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Supervision & ratios Serious
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.
HHSC 746.1605 — Child/Caregiver Ratio - 18 Months Difference in Age
HHSC risk weight: Medium High. Corrected 2022-08-04. Correction verified 2022-09-07.
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Food & allergies Serious
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.
HHSC 746.3301(d) — Nutrition and Food Service - Child must not go more than 3 hours
HHSC risk weight: Medium High. Corrected 2022-08-04. Correction verified 2022-09-07.
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Safety & premises Serious
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.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2022-07-18. Correction verified 2022-07-18.
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Supervision & ratios Serious
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Dec 6, 2021 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 22, 2021 Assessment · Deficiencies cited
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Supervision & ratios Serious
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.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2021-11-22. Correction verified 2021-12-06.
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Supervision & ratios Serious
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Nov 15, 2021 Inspection · Deficiencies cited
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Staff background & training
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.
HHSC 745.651(1) — Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
HHSC risk weight: Medium. Corrected at inspection. Corrected 2021-11-15.
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Safety & premises Serious
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.
HHSC 746.4309 — Fenced Outdoor Activity Space -Gates Locked
HHSC risk weight: Medium High. Corrected 2021-11-15. Correction verified 2021-12-06.
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Illness & medication
I observed 3 out of 10 children's records were missing immunization records.
HHSC 746.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2021-12-13. Correction verified 2021-12-06.
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Staff background & training
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, via Child Care Regulation datasets on data.texas.gov. Last read Oct 4, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.