Tree House Early Learning Academy

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

“The bottom dirt of the outside play area use zones were observed. Six inch or required mulch was not provided.”

Rule 746.4907(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 24, 2023. Correction verified: Apr 4, 2023.

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

“Based on the information obtained during the investigation, children are placed in highchairs for discipline.”

Rule 746.2805(10). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 16, 2023.

Responsibilities of Caregivers - Share Information with Incoming Caregivers

“The caregiver in charge of a child who received minor scratches while in their care failed to notify the incoming caregivers of child’s injuries and provide information of how the injuries happened.”

Rule 746.1203(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 10, 2023. Correction verified: Mar 20, 2023.

Responsibilities of Caregivers - Know Group Responsible For

“A caregiver responsible for 9 children (22m-3y) did not know the number of children present in their classroom. Another caregiver responsible for 8 children (2y) also did not know the number of children present in their classroom.”

Rule 746.1203(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 23, 2022. Correction verified: Oct 6, 2022.

Children’s Records - Admission Information

“Two of three children records evaluated were missing the following from their admission forms as specified in subchapter 746.605: (3)Date of the child s admission to the child-care center; (6)Address of another responsible individual (friend or relative) who should be contacted in an emergency when the parent cannot be reached; 13) A statement of the child s special care needs. This includes, but is not limited to, allergies, existing illness, previous serious illness and injuries, hospitalizations during the past 12 months, and any medications prescribed for continuous, long-term use.”

Rule 746.603(a)(2). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2022. Correction verified: Feb 28, 2022.

Safety - Bodies of Water Inaccessible to Children

“Observed a sand table filled with water and accessible to the children on the operation’s playground. There were children between the ages of 2 and 5 years old playing on the playground. Note: This was corrected during the inspection by placing a top over the body of water, making the water inaccessible to children.”

Rule 746.3701(8). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 30, 2021.

Requirements for Feeding Infants - Label Bottles/Cups

“An infant bottles were not labeled with the child’s first and last name. Note: This was corrected during the inspection.”

Rule 746.2419(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 30, 2021.

Requirements for Feeding Infants - Other Use of Handwashing Sink

“I observed a caregiver in the infant room rinse a child’s bottle in the sink that is used for handwashing.”

Rule 746.2419(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 30, 2021. Correction verified: Dec 6, 2021.