Treehouse Childrens Academy

Documentation of Fire Inspection

“The records for the fire marshall was not avaliable for review.”

Rule 746.5103. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2026. Correction verified: Sep 24, 2026.

Required Records Storage - Training Records

“Staff training record was not avaliable to review.”

Rule 746.803(b). Medium Low, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2026. Correction verified: Sep 24, 2026.

Children’s Records - Immunizations

“11 of the 80 records reviewed were missing updated immunization records.”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Aug 25, 2026.

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

“Based on the evidence obtained during the investigation, a caregiver did not use good judgement when they picked a child up by an arm resulting in the child’s elbow becoming dislocated.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 14, 2026. Correction verified: Sep 29, 2026.

Child/ Caregiver Ratio - 13 or More Children

“A classroom was observed over ratio as there was one caregiver and 26 children with the specified age group being 3 years old. The classroom was over ratio by 11 children as the max number is 15 children for that specified age group.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 31, 2026. Correction verified: Aug 4, 2026.

Required Records Maintained and Made Available - Safety Documentation for Emergency Drills, Fire Extinguishers, & Smoke Detectors

“The operation did not have documentation of the fire drills, lock down drills, or the severe weather drills.”

Rule 746.801(10). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 9, 2026. Correction verified: Feb 3, 2026.

Nutrition and Food Service - Must not serve identified foods to allergic child

“A child was fed food that was listed on the admission record as a food allergy.”

Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2025. Correction verified: Oct 7, 2025.

Required Admission Information-Child’s allergies and Completed Food Allergy Plan

“The operation did not have the required food allergy plan, for a child with listed food allergies on the admission record, upon enrollment or even 2 months after child was in care.”

Rule 746.605(15). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 29, 2025. Correction verified: Oct 7, 2025.

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

“Children were running out of the room and unsupervised in the hall, unused classrooms and conference room for a short period of time.”

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

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

“The last fire inspection was completed in 5-22-2024 and has not been completed within the 12 month requirement.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 5, 2025. Correction verified: Sep 8, 2025.

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

“A caregiver failed to use good judgement when preparing two bottles at one time and she fed the wrong breast milk to the wrong child.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 12, 2025.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“Based on the information obtained, the handwashing sink in the infant room was being used to rinse bottles, and a filtered water facet, that is connected to the same handwashing sink, is being used in food preparation to fill bottles for formula.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 7, 2025. Correction verified: Mar 12, 2025.