Hearth Record

Little Treehouse Early Learning Center #6

A licensed child care center in San Antonio, Texas 78233

13118 El Sendero St, San Antonio, Texas 78233. (210) 646-8220.

Texas’s own record, on its child care search

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The short answer

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

The last 24 months 12 deficiencies in 4 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?

12 deficiencies cited in the last three years

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

11 inspections on record. The latest, on Sep 14, 2026: 5 deficiencies cited.

Rated High by Texas: Required Equipment in Vehicles - Fire Extinguisher, at the inspection on Sep 25, 2024

Rated High by Texas: Electronic Child Safety Alarm - is equipped in each vehicle, at the inspection on Sep 25, 2024

Source:

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

When those deficiencies happened

12 deficiencies in 4 months of the last 36. Last cited Sep 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

12 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 14, 2026: inspection5 deficiencies

  • Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

    “The loose fill underneath the slides was less than 6 inches. The ends of the slides were lifted and did not touch the bottom as I observed. There was 2.5 inches observed of loose fill.”

    Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 18, 2026. Correction verified: Sep 21, 2026.

  • Written Activity Plan - Outline Daily Activities

    “The Toddler and Preschool classrooms did not have written activity plans posted. They were using lesson plan guides provided by Texas Rising Star.”

    Rule 746.2205(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 28, 2026. Correction verified: Oct 14, 2026.

  • Safety Requirements for Cribs - Label for Each Infant

    “Four of the infant’s cribs were not labeled with their names or any additional information.”

    Rule 746.2409(a)(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 15, 2026. Correction verified: Sep 18, 2026.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “There were two out of three infant feeding scheduels that were not up-to-date and signed by the parent.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2026. Correction verified: Sep 15, 2026.

  • Cots, Beds, Mats Labeled With Child’s Name

    “The napping cots for the toddlers and Pre-K children were not labeled with their names.”

    Rule 746.4503(b). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Sep 14, 2026.

Sep 15, 2025: inspection2 deficiencies

  • First Aid Kit Incomplete - Antiseptic solution or wipes

    “The first aid had expired Anitiseptic wipes.”

    Rule 746.4003(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 19, 2025. Correction verified: Sep 15, 2025.

  • Required Health Statement - Written, dated within past year, indicates child is physically able to participate in operation’s child-care program

    “One out of six files reviewed did not have a health statement on file.”

    Rule 746.611(a)(1). Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2025. Correction verified: Sep 29, 2025.

Sep 4, 2025: report to the state1 deficiency

  • Training Requirements for Employees, Caregivers, and Directors - Pediatric CPR

    “During the investigation, it was found that the staff member who provided first aid was not certified at the time of the injury and had exceeded her ninety days of employment.”

    Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2025. Correction verified: Oct 9, 2025.

May 8, 2025: inspection1 deficiency

  • Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less

    “The loose fill at the base of the sides in the large playground did not meet the required depth of 6 inches; instead, it measured only 1 inch. Additionally, the loose fill at the base of the swings and slide in the small playground was also insufficient, with a depth of just 2 inches.”

    Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 16, 2025. Correction verified: May 27, 2025.

Sep 25, 2024: inspection3 deficiencies

  • Required Equipment in Vehicles - Fire Extinguisher

    “The fire extinguisher was not secured in two of two vans used to transport children.”

    Rule 746.5617(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 30, 2024. Correction verified: Oct 15, 2024.

  • Electronic Child Safety Alarm - is equipped in each vehicle

    “The operation’s ten passenger van did not have an alarm installed on the vehicle.”

    Rule 746.5625(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2024. Correction verified: Oct 15, 2024.

  • Immunization Records, Exceptions, and Exemptions Current

    “Three of ten children’s records reviewed for immunizations did not have current immunizations records on file.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 9, 2024. Correction verified: Oct 15, 2024.

4 deficiencies older than three years
Oct 4, 2023: inspection2 deficiencies

  • Children’s Records - Health Statement

    “Two of ten children’s files audited did not have a current health statement.”

    Rule 746.603(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 18, 2023. Correction verified: Oct 17, 2023.

  • Children’s Records - Immunizations

    “One of ten children’s files audited did not have current vaccinations.”

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

Nov 3, 2022: inspection1 deficiency

  • Immunization Records, Exceptions, and Exemptions Current

    “7 out of the 10 children’s records reviewed were missing updated immunizations.”

    Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2022. Correction verified: Dec 1, 2022.

Dec 22, 2021: inspection1 deficiency

  • Maintenance of Building, Grounds and Equipment

    “Three ceiling fans had accumulated dust. Note. This was immediately corrected at inspection by director.”

    Rule 746.3407. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Dec 22, 2021.

All 14 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Sep 14, 2026Inspection5 deficiencies cited
Aug 8, 2026Report to the stateNo violation found
Sep 15, 2025Inspection2 deficiencies cited
Sep 4, 2025Report to the state1 deficiency cited
Jun 24, 2025InspectionNo violation found
May 27, 2025InspectionNo violation found
May 8, 2025Inspection1 deficiency cited
May 6, 2025Report to the stateNo violation found
Oct 15, 2024InspectionNo violation found
Sep 25, 2024Inspection3 deficiencies cited
Oct 4, 2023Inspection2 deficiencies cited
Nov 3, 2022Inspection1 deficiency cited
Jan 28, 2022InspectionNo violation found
Dec 22, 2021Inspection1 deficiency cited

Is it licensed?

  • Licensed Center, permit issued Dec 11, 2020.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 96 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.
  • 3 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: 4-Star (the highest 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 12.
Source:

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

11 of the 768 in Bexar County, as the source lists them, same ZIP code first
PlaceDeficiencies, 3 years
Toepperwein Road Kindercare18
Country Home Learning Center #5, Ltd8
Live Oak Head Start13
Graciela Morgan10
The Little Engine Learning Center16
Leticia Alvarado5
Bright Kids Daycare & Learning Center #322
Kids-R-Delightful, LLC11
Forest Angel’s Child Daycare3
Ilia WilliamsNot given
Ivonne A Kunz9
Little Treehouse Early Learning Center #6 This child care provider12

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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