Little Treehouse Early Learning Center #4

Required Admission Information - Emergency Contact

“Five of the ten Children’s records reviewed did not include all necessary information for emergency contacts listed.”

Rule 746.605(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 17, 2023.

Children’s Records - Immunizations

“Three of the ten children’s files did not include updated immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2023. Correction verified: Aug 17, 2023.

Required Personnel Records - Required Affidavit

“One Staff file did not include the necessary employee affidavit.”

Rule 746.901(4). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 11, 2023. Correction verified: Aug 17, 2023.

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

“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.”

Rule 746.2426(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 22, 2023. Correction verified: Jul 7, 2023.

Floors, ceilings and Walls in Good Repair and Clean

“The carpet in the infant space was observed to have mold.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 15, 2023. Correction verified: Jun 22, 2023.

Prohibited Punishments - Restrictive device for time out

“Children are being placed in a restrictive device (high chair) to discipline the child.”

Rule 746.2805(8). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2023. Correction verified: Jun 7, 2023.

Screen Time Activities - Not Exceed One Hour Daily

“Children in care are being given screen time as an activity for longer than one hour per day.”

Rule 746.2207(c)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 1, 2023. Correction verified: Jun 7, 2023.

Immunization Records, Exceptions, and Exemptions Current

“There was one child file out of the ten children files viewed that did not have an updated immunization record on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 10, 2023. Correction verified: Feb 10, 2023.

Required Admission Information - Physician Information

“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.”

Rule 746.605(11). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 9, 2023. Correction verified: Feb 9, 2023.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“A lagre black trash bag full of garbage was observed in the school age outdoor playground while the children were playing.”

Rule 746.3407(8). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 29, 2022.

Prohibited Punishments - No Harsh, Cruel or Unusual

“It was determined that in December a caregiver forcefully pushed a child to the ground.”

Rule 746.2805. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 4, 2023. Correction verified: Jan 13, 2023.

Maintenance Procedures for Active Play - Hazards Removed or Repaired

“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.”

Rule 746.4751(c). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 11, 2022.

Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

“There was a piece of climbing equipment that did not have 6 inches of loose fill surrounding the structure.”

Rule 746.4907(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2022. Correction verified: Nov 4, 2022.

First Aid Kit - Supplies Not Expired

“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.”

Rule 746.4003(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Oct 11, 2022.

Infant May Not Sleep in a Restrictive Device

“A three month old infant was observed sleeping in a bouncer seat. According to the caregiver, the infant had been asleep for 30 minutes.”

Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2022. Correction verified: Jul 29, 2022.

Responsibilities of Caregivers - Free of other activities

“The infant caregiver was observed using her phone while supervising a group of infants.”

Rule 746.1203(6). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2022. Correction verified: Jul 29, 2022.

Infant Care Area Furnishings and Equipment -Use of Safety Straps

“A three month old infant was observed in a bouncer seat without being strapped in.”

Rule 746.2407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2022. Correction verified: Jul 29, 2022.

Floors, ceilings and Walls in Good Repair and Clean

“The floor in the 3 year old classroom was visibly dirty with several area of dirt around the changing table and sink.”

Rule 746.3407(9). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 12, 2022. Correction verified: Jul 18, 2022.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“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.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 7, 2022.

Responsibilities of Caregivers - Interact positively with children

“It was determined that a caregiver was telling a child to kick themselves instead of kicking others in the classroom.”

Rule 746.1203(7). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 7, 2022.

Screen Time Activities - Not Used During Eating or Rest Times

“It was determined that a caregiver had given a child their cell phone to watch videos to calm the child down during naptime.”

Rule 746.2207(c)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 18, 2022. Correction verified: Sep 7, 2022.

Child/Caregiver Ratio - 18 Months Difference in Age

“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.”

Rule 746.1605. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2022. Correction verified: Sep 7, 2022.

Nutrition and Food Service - Child must not go more than 3 hours

“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.”

Rule 746.3301(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2022. Correction verified: Sep 7, 2022.

Maintenance of Building, Grounds and Equipment

“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.”

Rule 746.3407. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2022. Correction verified: Jul 18, 2022.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“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.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 22, 2021. Correction verified: Dec 6, 2021.

Fenced Outdoor Activity Space -Gates Locked

“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.”

Rule 746.4309. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 15, 2021. Correction verified: Dec 6, 2021.

Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving

“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.”

Rule 745.651(1). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 15, 2021.

Children’s Records - Immunizations

“I observed 3 out of 10 children’s records were missing immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2021. Correction verified: Dec 6, 2021.