Treehouse Childrens Academy

Required Immunizations

“One child’s file reviewed did not have current immunizations in file.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2026. Correction verified: Sep 9, 2026.

Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing

“Based on the evidence obtained during the investigation, a caregiver was left as the primary and only caregiver for a group of children and did not have First Aid training as required within the 90 days of employment and prior to unsupervised access.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 16, 2026. Correction verified: Oct 29, 2026.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on the evidence obtained during the investigation, the staff was unaware of the on-going activities and lacked auditory and visual awareness of a child the staff was responsible for when the child was left outside unsupervised for at least 5 minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 27, 2026. Correction verified: Jun 10, 2026.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on the evidence obtained during the investigation, staff were not aware of a child’s on-going activity and did not have visual or auditory awareness of the children that they were responsible for, as one child was managed to make it out of the gym area and into a playground area and was left unsupervised outside for at least 4 minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 18, 2025. Correction verified: Dec 22, 2025.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on the evidence obtained during the investigation, there was at least two occasions in which staff were not aware of the children’s on-going activity and did not have visual or auditory awareness of children that they were responsible for as one child was left in a classroom and another in the gym area.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2025. Correction verified: Nov 7, 2025.

Report Situation Placing Children at Risk

“Based on the evidence obtained during the investigation, at least two incidents that placed children at risk occurred in which Child Care Regulation was not notified within the 48 hours of the incidents occurring.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2025. Correction verified: Nov 7, 2025.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“Based on the evidence obtained during an investigation, the staff did not complete incident report forms that were required to be completed when children were placed at risk when left unsupervised on two separate occasions.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 24, 2025. Correction verified: Nov 7, 2025.

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

“The last fire inspection was conducted on 6/11/2024 and the most was not available for review.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2025. Correction verified: Sep 5, 2025.

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

“A staff file was reviewed and did not have CPR/First aid training current as it expired on 6/11/2025.”

Rule 746.1301(a)(4)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 15, 2025. Correction verified: Aug 14, 2025.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A food allergy plan that was in file did not have the required parent signature obtained as required. **The parent signature was obtained for this during the inspection and has been filed. This is in compliance.”

Rule 746.3819. Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Mar 31, 2025.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on the evidence obtained during the investigation, the staff that was in charge of a group of children was not aware of two children’s on-going activities and did not have visual or auditory awareness of the children that exited the gym area and exited to a playground area for a short period of time.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2024. Correction verified: Dec 20, 2024.

Required Records Maintained and Made Available - Infant Feeding Instructions

“Based on the evidence obtained during an investigation, the infant feeding instructions were not available for review for three months as required.”

Rule 746.801(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 13, 2024. Correction verified: Dec 20, 2024.

Required Equipment in Vehicles - First-aid Kit

“The vehicles that used for transportation did not have complete first aid kits as they were missing thermometers.**The operation placed thermometers in the first aid kits that were in the vehicles during inspection.”

Rule 746.5617(a)(6). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 13, 2024.

Required Immunizations

“One child file reviewed did not have any immunizations in file for review. One child file reviewed did not have up to date immunizations in file. **The parent provided the operation with immunization records for the child that did not have any immunizations in file at inspection.”

Rule 746.613(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 16, 2024. Correction verified: Sep 9, 2024.

Director Responsibilities - Operate in Compliance

“Based on the evidence obtained during the investigation, staff were not demonstrating that they had the skills, ability, or the training to manage the 2-year-old classroom in a manner that kept the children safe in multiple situations.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2024. Correction verified: Mar 20, 2024.

AP Responsibilities of Employees and Caregivers -Ensure No Child Abused, Neglected, or Exploited

“This standard was found deficient as part of a DFPS Investigation.”

Rule 746.1201(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2024. Correction verified: Mar 20, 2024.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on the evidence obtained during the investigation, staff were not aware of the children’s on-going activity and did not have visual or auditory awareness of children that exited the classroom on various occasions which included an occasion of children running out into the parking lot of the operation where a car was leaving as well as occasions where children being left unsupervised in the playground area or running out of classrooms.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2024. Correction verified: Mar 20, 2024.

Responsibilities of Caregivers - Intervene to ensure each child’s safety

“Based on the evidence obtained during the investigation, staff did not intervene to ensure the children’s safety on numerous occasions when children climbed on top of tables in the classrooms which risked a child being injured.”

Rule 746.1205(a)(5). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2024. Correction verified: Mar 20, 2024.

Report Situation Placing Children at Risk

“Based on the evidence obtained during the investigation, numerous incidents that placed children at risk occurred in which Child Care Regulation was not notified within the 48 hours of the incidents occurring.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2024. Correction verified: Mar 20, 2024.

Parental Communication - Situation that Placed a Child at Risk

“Based on the evidence obtained during the investigation, the operation did not adequately notify parents of each situation in which their child was left unsupervised. Additionally, not all the parents were given all the information related to the situation in which their child was left unsupervised when they were informed.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2024. Correction verified: Mar 20, 2024.

Child/ Caregiver Ratio - 13 or More Children

“Based on the evidence obtained during the investigation, a two year old classroom was over ratio on at least two occasions with one caregiver present and the maximum number of children was more than eleven children.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2024. Correction verified: Mar 20, 2024.

Licensing Incident/Illness Report Form - Situations Placing Children at Risk

“Based on the evidence obtained during an investigation, the staff did not complete incident report forms that were required to be completed when children were placed at risk when left unsupervised during multiple occasions.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 15, 2024. Correction verified: Mar 20, 2024.

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

“There were multiple individuals listed on the operation’s background check list that require to be inactivated using the provider portal account within 7 days of their termination date.”

Rule 745.651(1). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 29, 2023. Correction verified: Jan 9, 2024.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Based on the evidence obtained during the investigation, a child was left unsupervised and the staff was not aware of the child’s on going activity and did not have auditory or visual awareness of the child responsible for.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2024. Correction verified: Feb 7, 2024.

Report Situation Placing Children at Risk

“Based on the evidence obtained during the investigation, a child was left unsupervised by a staff and this was not reported to the Child Care Regulation by the operation.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 24, 2024. Correction verified: Feb 7, 2024.

Diapering Procedures - Wash Infant’s Hands

“I observed several children diapers and thei infant’s hands were not washed.”

Rule 746.3505(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2023. Correction verified: Dec 4, 2023.

Diapering Procedures - Sanitizing Diaper Changing Area

“I observed several diaper changes and the changing table was not sanitized.”

Rule 746.3505(e). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 28, 2023. Correction verified: Dec 4, 2023.