Hearth Record

Little Treehouse Early Learning Center #3

A licensed child care center in San Antonio, Texas 78211

5310 Interstate Highway 35 S, San Antonio, Texas 78211. (210) 932-9282.

Texas’s own record, on its child care search

Watch and the shortlist are kept with a free account, on every device. Your watch list. Texas’s own record is on its child care search.

The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 22 deficiencies in 7 months of the last 36. Last cited Sep 2026. Most serious: High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels
Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

22 deficiencies cited in the last three years

The middle of the 768 child care providers in Bexar County had 5.

17 inspections on record. The latest, on Sep 11, 2026: 3 deficiencies cited.

Rated High by Texas: Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions, at the inspection on Mar 5, 2026

Rated High by Texas: AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age, at the inspection on Jul 29, 2025

Rated High by Texas: Activities for Infants - Not in Restrictive Device for more than 15 Minutes, at the inspection on Sep 9, 2024

2 more rated High; all are listed below.

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

22 deficiencies in 7 months of the last 36. Last cited Sep 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

22 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

Sep 11, 2026: inspection3 deficiencies
  • Annual Sanitation Inspection

    “The annual sanitation inspection posted was completed over 12 months ago.”

    Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Oct 1, 2026.

  • Maintenance of Building, Grounds and Equipment

    “The fence in theToddler playground needs repair. The gate leading to the playground also needs repair.”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 25, 2026. Correction verified: Sep 22, 2026.

  • Maintenance Procedures for Active Play - Inspect Daily

    “During the inspection, a large spider was observed on the Toddler playground equipment, creating a potenial safety concern for children.”

    Rule 746.4751(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2026. Correction verified: Sep 22, 2026.

Mar 5, 2026: inspection3 deficiencies
  • Electronic Child Safety Alarm - installed and maintained according to manufacturer’s instructions

    “A van used to transport children did not have the child safety alarm installed.”

    Rule 746.5625(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 2, 2026. Correction verified: Apr 6, 2026.

  • Documented Annual Training- Required Content

    “The caregivers did not have the required trainings on file at the time of inspection.”

    Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2026. Correction verified: Apr 6, 2026.

  • Children’s Records - Immunizations

    “Two out of eight records reviewed did not have current immunizations on file at inspection.”

    Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 19, 2026. Correction verified: Apr 6, 2026.

Jul 29, 2025: inspection3 deficiencies
  • AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age

    “A 10 month old child was observed asleep in a play yard with a boppy pillow. Corrected: The boppy pillow was immediately removed from the play yard.”

    Rule 746.2415(b). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 29, 2025. Correction verified: Aug 14, 2025.

  • Maintenance of Building, Grounds and Equipment

    “Several slats in the wooden fence in the playground were broken. There were several exposed nails due to the broken slats and the broken slats exposed areas that had broken items.”

    Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2025. Correction verified: Aug 14, 2025.

  • Safety Requirements for Wading Pools - Stored Out of Children’s Reach

    “A wading pool was observed not in use and empty but in reach of children.”

    Rule 746.5013(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 29, 2025. Correction verified: Aug 14, 2025.

Apr 4, 2025: inspection6 deficiencies
  • Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

    “Six out of the eight personnel training files evaluated were missing annual training hours.”

    Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 30, 2025. Correction verified: Apr 30, 2025.

  • Training Requirements for Employees, Caregivers, and Directors - Transportation training

    “The director nor the assigned driver had current transportation safety training on file.”

    Rule 746.1301(a)(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 7, 2025. Correction verified: Apr 4, 2025.

  • Posting of Activity Plan

    “Two classrooms did not have a written activity plan/schedule posted in the classroom. This was corrected when the director printed the plan and posted them in the classrooms.”

    Rule 746.2209. Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Apr 4, 2025.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “Two infants did not have updated written feeding instructions.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2025. Correction verified: Apr 11, 2025.

  • Written Operational Policies - Parent Rights

    “Three out of the eight children’s files reviewed did not have signed proof parent recieved Parent Rights form.”

    Rule 746.501(a)(20). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2025. Correction verified: Apr 11, 2025.

  • Required Personnel Records - Required Affidavit (Form 2985)

    “One out of the eight personnel files evaluated did not have a notarized employment affidavit on file.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 11, 2025. Correction verified: Apr 11, 2025.

Sep 9, 2024: inspection3 deficiencies
  • Activities for Infants - Not in Restrictive Device for more than 15 Minutes

    “Based off information gathered, an infant has been left in a non-restrictive device for more than 15 minutes, multiple times.”

    Rule 746.2417(2)(B). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 12, 2024. Correction verified: Sep 20, 2024.

  • Child/Caregiver Ratio - 18 Months Difference in Age

    “The oldest child in a group of children was more than 18 months older than the youngest child in the group. The youngest child was 4 months and the oldest was 4 years old.”

    Rule 746.1605(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2024. Correction verified: Sep 20, 2024.

  • Screen Time Activities - Not Used for Under Two

    “Children under 2 years old were observed watching a movie. Children eating breakfast were also observed having screen time.”

    Rule 746.2207(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 9, 2024. Correction verified: Sep 20, 2024.

Sep 6, 2024: report to the state2 deficiencies
  • Prohibited Punishments - No Harsh, Cruel or Unusual

    “Based off evidence gathered, a caregiver has yelled at, grabbed, and hit children as a form of discipline.”

    Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2024. Correction verified: Oct 18, 2024.

  • Prohibited Punishments - Using Inappropriate Long Period of Silence or Inactivity Including Requiring Child to Remain in a Restrictive Device

    “Based off evidence gathered, young children have been expected to sit in chairs and/or remain inactive in the mornings for an inappropriately long period of time, sometimes up to 3 hours.”

    Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 4, 2024. Correction verified: Oct 18, 2024.

Apr 24, 2024: inspection1 deficiency
  • Transportation Safety Training -Director and Employee Complete 2 Hours Annually

    “Two caregivers who transport children did not have current training in transportation safety.”

    Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 1, 2024. Correction verified: May 1, 2024.

Jan 19, 2024: assessment1 deficiency
  • Report Number of Employees

    “The operation failed to submit the number of employees that have left their employment in 2023 by January 15th.”

    Rule 746.303(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2024. Correction verified: Jan 21, 2024.

8 deficiencies older than three years
Aug 1, 2023: inspection5 deficiencies
  • Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

    “Two caregivers are lacking annual training hours. Two infant caregivers did not have current training in SIDS/Shaken Baby Syndrome/Early Brain Development.”

    Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2023. Correction verified: Aug 8, 2023.

  • Training Requirements for Employees, Caregivers, and Directors - Transportation training

    “One of the caregivers who transports children did not have current vehicle safety training on file.”

    Rule 746.1301(a)(7)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2023. Correction verified: Aug 7, 2023.

  • Food Allergy Emergency Plan Signed by Parents and Health Care Professional

    “Two children with diagnosed food allergies did not have a doctor’s signature on their food allergy emergency plans.”

    Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2023. Correction verified: Aug 7, 2023.

  • Immunization Records, Exceptions, and Exemptions Current

    “Three out of the six children’s files evaluated did not have updated immunization records.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2023. Correction verified: Aug 8, 2023.

  • Required Personnel Records - Required Affidavit

    “Two caregivers did not have a notarized employment affidavit on file.”

    Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 8, 2023. Correction verified: Aug 7, 2023.

Oct 12, 2022: inspection3 deficiencies
  • Documented Annual Training - Caregivers of Children Under 24 Months Required

    “Four caregivers who care for children under 24 months do not have current SIDS/Shaken Baby Syndrome/Early Brain Development training.”

    Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2022. Correction verified: Oct 19, 2022.

  • Transportation Safety Training -Director and Employee Complete 2 Hours Annually

    “The director and two employees who transport children do not have current transportation safety training.”

    Rule 746.1316(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 12, 2022. Correction verified: Oct 12, 2022.

  • Documented Annual Training- Required Content

    “Four caregivers do not have current following topics: - Handling, storing, and disposing of hazardous materials -Administering medication -Preventing and responding to emergencies due to food or an allergic reaction”

    Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 19, 2022. Correction verified: Oct 19, 2022.

All 24 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Sep 11, 2026Inspection3 deficiencies cited
Apr 6, 2026InspectionNo violation found
Mar 5, 2026Inspection3 deficiencies cited
Aug 14, 2025InspectionNo violation found
Jul 29, 2025Inspection3 deficiencies cited
Apr 4, 2025Inspection6 deficiencies cited
Dec 17, 2024InspectionNo violation found
Oct 18, 2024InspectionNo violation found
Oct 3, 2024InspectionNo violation found
Sep 20, 2024Report to the stateNo violation found
Sep 20, 2024InspectionNo violation found
Sep 19, 2024Report to the stateNo violation found
Sep 9, 2024Inspection3 deficiencies cited
Sep 6, 2024Report to the state2 deficiencies cited
Jul 15, 2024InspectionNo violation found
Jul 12, 2024Report to the stateNo violation found
May 28, 2024InspectionNo violation found
May 23, 2024Report to the stateNo violation found
Apr 24, 2024Inspection1 deficiency cited
Jan 19, 2024Assessment1 deficiency cited
Oct 11, 2023Report to the stateNo violation found
Aug 7, 2023InspectionNo violation found
Aug 1, 2023Inspection5 deficiencies cited
Oct 12, 2022Inspection3 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Oct 26, 2020.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 83 children.
Source:

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

  • No corrective or adverse action by Texas on record.
  • 6 reports to the state on record; Texas doesn’t publish whether they were .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 2026. Updated daily.

Who does the caring?

  • Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

  • Texas’s open data doesn’t list owners.

How is it rated?

  • Texas Rising Star: 3-Star (the middle of three levels).
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 768 child care providers in Bexar County, the middle value for deficiencies cited in the last three years was 5; this one had 22.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

What the record doesn’t say

  • Texas doesn’t publish whether a complaint was substantiated.
  • Texas rates some paperwork slips as High risk, so read what was actually cited.
  • Texas doesn’t publish staffing levels or owners for individual providers.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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