Official record · Texas HHSC Child Care Regulation · Synced August 29, 2026 View on the state portal ↗

Little Treehouse Early Learning Center #4

Licensed Center · San Antonio, Bexar County, TX · Operation No. 1704598

Little Treehouse Early Learning Center #4 holds a Full Permit issued November 19, 2020. In the state's 60-month public window it has 47 inspections on record with 51 cited deficiencies. The records below are republished verbatim from the Texas HHSC database.

License details
License status
Full Permit
Issued
November 19, 2020
Operation type
Licensed Center
Total capacity
141 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Address
5440 Babcock Rd Ste 100, San Antonio, TX 78240-3946
The 60-month record
47
Inspections
1
Assessments
5
Self reports
51
Deficiencies
Deficiencies by the agency's own weight: High 15 · Medium High 24 · Medium 10 · Medium Low 2 · Low 0. These are the state's precomputed counts, republished as-is.
Inspection history
DateActivityDeficiencies cited
Aug 27, 2026 Inspection 0
Apr 20, 2026 Inspection 0
Mar 31, 2026 Inspection 1
Mar 25, 2026 Report 0
Mar 12, 2026 Inspection 0
Nov 13, 2025 Inspection 0
Aug 11, 2025 Inspection 0
May 22, 2025 Inspection 0
May 16, 2025 Inspection 0
Apr 17, 2025 Inspection 0
Apr 16, 2025 Report 1
Apr 8, 2025 Inspection 0
Mar 18, 2025 Inspection 0
Mar 10, 2025 Inspection 2
Feb 5, 2025 Inspection 0
Jan 22, 2025 Inspection 0
Jan 10, 2025 Report 0
Jan 10, 2025 Report 1
Dec 17, 2024 Inspection 0
Dec 16, 2024 Inspection 0
Oct 22, 2024 Inspection 0
Oct 17, 2024 Report 2
Jul 24, 2024 Inspection 0
Jul 16, 2024 Report 0
Jul 2, 2024 Inspection 0
Jun 21, 2024 Report 0
Jun 18, 2024 Inspection 0
Jun 4, 2024 Inspection 2
May 30, 2024 Inspection 0
Apr 29, 2024 Inspection 0
Apr 25, 2024 Report 1
Apr 23, 2024 Inspection 0
Apr 11, 2024 Report 1
Mar 25, 2024 Inspection 0
Mar 15, 2024 Inspection 2
Mar 5, 2024 Report 4
Feb 13, 2024 Inspection 6
Sep 21, 2023 Inspection 0
Sep 18, 2023 Report 0
Aug 17, 2023 Inspection 0
Aug 4, 2023 Inspection 3
Jul 7, 2023 Inspection 0
Jun 22, 2023 Inspection 1
Jun 8, 2023 Inspection 1
May 1, 2023 Inspection 0
Apr 24, 2023 Report 2
Feb 2, 2023 Inspection 2
Jan 13, 2023 Inspection 0
Dec 29, 2022 Inspection 1
Dec 9, 2022 Inspection 0
Dec 8, 2022 Report 1
Nov 4, 2022 Inspection 0
Oct 11, 2022 Inspection 3
Sep 7, 2022 Inspection 0
Aug 5, 2022 Inspection 0
Jul 29, 2022 Inspection 0
Jul 25, 2022 Report 0
Jul 19, 2022 Inspection 0
Jul 12, 2022 Inspection 4
Jul 8, 2022 Report 0
Jul 7, 2022 Report 0
Jul 7, 2022 Report 3
Jun 29, 2022 Report 3
Dec 6, 2021 Inspection 0
Nov 22, 2021 Assessment 1
Nov 15, 2021 Inspection 3
Deficiency records
March 31, 2026 Standard § 746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
Medium High
Verbatim from the agency record
Three caregivers from different classes were unable to provide ages of children in their class.
Corrected: March 31, 2026
April 16, 2025 Standard § 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
High
Verbatim from the agency record
Through an investigation, it was determined that proper supervision was not practiced when a child was left unattended on the playground. The child was returned indoors unharmed.
Corrected: May 5, 2025
March 10, 2025 Standard § 746.3407 - Maintenance of Building, Grounds and Equipment
Medium High
Verbatim from the agency record
The active play space had protruding railroad ties from a wooden barrier that posed a risk of injury.
Corrected: March 17, 2025
March 10, 2025 Standard § 746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Medium High
Verbatim from the agency record
The composite structure did not have the required six inches of loose-fill around the structure.
Corrected: March 17, 2025
January 10, 2025 Standard § 746.1003(3) - Director Responsibilities - Employee Assignments
High
Verbatim from the agency record
Through an investigation, it was determined that director's responsibilities were not being met when a staff member was placed in a classroom where they could not perform all job duties and meet the children's care requirements.
Corrected: March 3, 2025
October 17, 2024 Standard § 746.305(a)(6) - Report Situation Placing Children at Risk
High
Verbatim from the agency record
It was a determined during the investigation that a situation where a child was left unattended on the playground was not reported to CCR staff.
Corrected: December 3, 2024
October 17, 2024 Standard § 746.2807 - Employees Discipline Own Children
Medium High
Verbatim from the agency record
It was determined in the investigation that a caregiver was using prohibited punishment to discipline their own child while being present during operating hours of the child care operation.
Corrected: December 3, 2024
June 4, 2024 Standard § 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
High
Verbatim from the agency record
An individual with a provisional background check was left in charge of a group of children. Noted: This was corrected during the inspection when an additional caregiver was added to the group.
Corrected: June 4, 2024
June 4, 2024 Standard § 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Medium High
Verbatim from the agency record
In a group with a specified age of 12-17 months, there was one caregiver with seven infants. Noted: an additional caregiver was added to the group during the inspection.
Corrected: June 4, 2024
April 25, 2024 Standard § 746.3407 - Maintenance of Building, Grounds and Equipment
Medium High
Verbatim from the agency record
The fence surrounding the playground was not maintained and two children were able to elope.
Corrected: May 21, 2024
April 11, 2024 Standard § 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
High
Verbatim from the agency record
It was determined during the investigation process that a caregiver with a provisional background check was allowed to transport children without another caregiver present.
Corrected: May 31, 2024
March 15, 2024 Standard § 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
High
Verbatim from the agency record
There were five children unsupervised in a room.
Corrected: March 15, 2024
March 15, 2024 Standard § 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
High
Verbatim from the agency record
An individual with a provisional background check was obsered to be alone with children.
Corrected: March 15, 2024
March 5, 2024 Standard § 746.701(1) - Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
Medium
Verbatim from the agency record
During the investigation process, it was determined that an incident report was not completed for an incident occurred while the child was in care and had to seek medical attention.
Corrected: April 12, 2024
March 5, 2024 Standard § 746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Medium High
Verbatim from the agency record
During the investigation process it was determined that after being made aware that a child sought medical attention for an incident that occurred while the child was in care, that a report was not made to Child Care Regulation (CCR).
Corrected: April 12, 2024
March 5, 2024 Standard § 746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
Medium High
Verbatim from the agency record
During the investigation process, it was determined that infants (0-17 months) were being combined with children greater than 18 months older than them.
Corrected: April 12, 2024
March 5, 2024 Standard § 746.1615 - Child/Caregiver Ratio - Opening/Closing
Medium
Verbatim from the agency record
During the investigation process, it was determined that children, of all ages, were being grouped together for two hours at a time from 6:00-8:00 AM and being grouped again in the afternoon from 5:30-6:30 PM.
Corrected: April 12, 2024
February 13, 2024 Standard § 746.401(9) - Posting Requirements - List entitled "Current Employees"--sized at least 81/2 X 11 inches, printed legibly, include employee first and last name
Medium Low
Verbatim from the agency record
There was not a current employee list posted. Noted: This was correct during inspection when a current employee list was created and posted.
Corrected: February 13, 2024
February 13, 2024 Standard § 746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Medium High
Verbatim from the agency record
Carbon monoxide detectors were not tested in the year of 2023 and in January 2024. Noted: this was corrected during inspection when the carbon monoxide detectors were tested and documented.
Corrected: February 13, 2024
February 13, 2024 Standard § 746.5319 - Smoke Detectors Testing
High
Verbatim from the agency record
The operation did not have documented tests of the smoke detectors in 2023 and January 2024. Noted: This was corrected during inspection when the smoke detectors were tested.
Corrected: February 13, 2024
February 13, 2024 Standard § 746.5307(a) - Inspect Fire Extinguishers Monthly
Medium High
Verbatim from the agency record
Fire extinguishers should be inspected by a designated staff member frequently, but minimally once a month. These inspections should be documented. Noted: This was corrected during inspection when the fire extinguishers were inspected.
Corrected: February 13, 2024
February 13, 2024 Standard § 746.5205(4) - Documentation of Drills
Medium
Verbatim from the agency record
The operation did not have a documented fire drill for the months of November and December 2023. The operation also only had one Shelter in place drill docuemnted for 2023. Noted: Moving forward the operation will make sure that all drills are documented.
Corrected: February 13, 2024
February 13, 2024 Standard § 746.501(a)(24) - Written Operational Policies - Emergency Preparedness Plans
High
Verbatim from the agency record
The operation did not have an emergency prepardness plan for review.
Corrected: February 20, 2024
August 4, 2023 Standard § 746.603(a)(4) - Children's Records - Immunizations
Medium
Verbatim from the agency record
Three of the ten children's files did not include updated immunization records.
Corrected: August 18, 2023
August 4, 2023 Standard § 746.901(4) - Required Personnel Records - Required Affidavit
Medium Low
Verbatim from the agency record
One Staff file did not include the necessary employee affidavit.
Corrected: August 11, 2023
August 4, 2023 Standard § 746.605(6) - Required Admission Information - Emergency Contact
Medium High
Verbatim from the agency record
Five of the ten Children's records reviewed did not include all necessary information for emergency contacts listed.
Corrected: August 11, 2023
June 22, 2023 Standard § 746.2426(a)(2) - 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
High
Verbatim from the agency record
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.
Corrected: June 22, 2023
June 8, 2023 Standard § 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Medium High
Verbatim from the agency record
The carpet in the infant space was observed to have mold.
Corrected: June 15, 2023
April 24, 2023 Standard § 746.2805(8) - Prohibited Punishments - Restrictive device for time out
High
Verbatim from the agency record
Children are being placed in a restrictive device (high chair) to discipline the child.
Corrected: June 1, 2023
April 24, 2023 Standard § 746.2207(c)(3) - Screen Time Activities - Not Exceed One Hour Daily
Medium
Verbatim from the agency record
Children in care are being given screen time as an activity for longer than one hour per day.
Corrected: June 1, 2023
February 2, 2023 Standard § 746.605(11) - Required Admission Information - Physician Information
Medium
Verbatim from the agency record
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.
Corrected: February 9, 2023
February 2, 2023 Standard § 746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Medium High
Verbatim from the agency record
There was one child file out of the ten children files viewed that did not have an updated immunization record on file.
Corrected: February 10, 2023
December 29, 2022 Standard § 746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Medium High
Verbatim from the agency record
A lagre black trash bag full of garbage was observed in the school age outdoor playground while the children were playing.
Corrected: December 29, 2022
December 8, 2022 Standard § 746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
High
Verbatim from the agency record
It was determined that in December a caregiver forcefully pushed a child to the ground.
Corrected: January 4, 2023
October 11, 2022 Standard § 746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired
Medium High
Verbatim from the agency record
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.
Corrected: October 11, 2022
October 11, 2022 Standard § 746.4003(b) - First Aid Kit - Supplies Not Expired
Medium
Verbatim from the agency record
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.
Corrected: October 11, 2022
October 11, 2022 Standard § 746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Medium High
Verbatim from the agency record
There was a piece of climbing equipment that did not have 6 inches of loose fill surrounding the structure.
Corrected: November 1, 2022
July 12, 2022 Standard § 746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Medium High
Verbatim from the agency record
The floor in the 3 year old classroom was visibly dirty with several area of dirt around the changing table and sink.
Corrected: July 12, 2022
July 12, 2022 Standard § 746.2426 - Infant May Not Sleep in a Restrictive Device
High
Verbatim from the agency record
A three month old infant was observed sleeping in a bouncer seat. According to the caregiver, the infant had been asleep for 30 minutes.
Corrected: July 12, 2022
July 12, 2022 Standard § 746.1203(6) - Responsibilities of Caregivers - Free of other activities
Medium High
Verbatim from the agency record
The infant caregiver was observed using her phone while supervising a group of infants.
Corrected: July 12, 2022
July 12, 2022 Standard § 746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
Medium High
Verbatim from the agency record
A three month old infant was observed in a bouncer seat without being strapped in.
Corrected: July 12, 2022
July 7, 2022 Standard § 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
High
Verbatim from the agency record
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.
Corrected: August 18, 2022
July 7, 2022 Standard § 746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times
Medium
Verbatim from the agency record
It was determined that a caregiver had given a child their cell phone to watch videos to calm the child down during naptime.
Corrected: August 18, 2022
July 7, 2022 Standard § 746.1203(7) - Responsibilities of Caregivers - Interact positively with children
Medium High
Verbatim from the agency record
It was determined that a caregiver was telling a child to kick themselves instead of kicking others in the classroom.
Corrected: August 18, 2022
June 29, 2022 Standard § 746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
Medium High
Verbatim from the agency record
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.
Corrected: August 4, 2022
June 29, 2022 Standard § 746.3301(d) - Nutrition and Food Service - Child must not go more than 3 hours
Medium High
Verbatim from the agency record
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.
Corrected: August 4, 2022
June 29, 2022 Standard § 746.3407 - Maintenance of Building, Grounds and Equipment
Medium High
Verbatim from the agency record
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.
Corrected: July 18, 2022
November 22, 2021 Standard § 746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
High
Verbatim from the agency record
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.
Corrected: November 22, 2021
November 15, 2021 Standard § 746.603(a)(4) - Children's Records - Immunizations
Medium
Verbatim from the agency record
I observed 3 out of 10 children's records were missing immunization records.
Corrected: December 13, 2021
November 15, 2021 Standard § 746.4309 - Fenced Outdoor Activity Space -Gates Locked
Medium High
Verbatim from the agency record
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.
Corrected: November 15, 2021
November 15, 2021 Standard § 745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Medium
Verbatim from the agency record
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.
Corrected: November 15, 2021
About these records

These records come from the Texas Health and Human Services Commission database and cover the state's 60-month public window. Records synced from the agency on August 29, 2026. They reflect the agency's database as of that date; recent inspections may not appear yet, so verify current status with the agency or on the official record ↗. Facility operators can request a review through our corrections process.

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