Find a program / Texas / San Antonio / Little Treehouse Early Learning Center #4
Childcare center · San Antonio, TX
Little Treehouse Early Learning Center #4
A licensed child care center in San Antonio, Texas, with its state inspection history from Texas Health and Human Services (HHSC).
Program details
Program type: Licensed child care center
Address: 5440 BABCOCK RD STE 100, San Antonio, TX 78240
County: Bexar County
Phone: (210) 973-7354
Licensed to serve: Infant, Toddler, Pre-Kindergarten, School
Licensed capacity: 141 children
State ID (HHSC operation number): 1704598
Permit: Full Permit, issued November 19, 2020
On corrective action (HHSC): No
On adverse action (HHSC): No
Corrective action and adverse action are formal steps Texas HHSC can take on a permit. The official record explains any that apply.
View the official record on Texas HHSC's child care search (or search operation number 1704598 on the search page).
Inspection history
From November 12, 2023 to November 12, 2026
- 28 inspections
- 10 investigations
- 23 citations from these visits (risk level: High 9, Medium High 10, Medium 3, Medium Low 1)
A citation means an inspector found a rule wasn't met at the time of the visit; many are corrected the same day. Read the official record for details.
Below is every visit in the state's files from November 15, 2021 to October 20, 2026, newest first: 67 visits and 51 citations in all, so the totals can be higher than the 3-year counts above. An investigation is a visit to look into a report or complaint; many find no citations. Risk level is the level Texas HHSC assigns to each rule, from low to high, as published. Technical assistance means the inspector gave guidance on the rule. The state's file does not say whether the "correct-by" date is a deadline or the day the problem was fixed, so it can fall after the verified date or in the future.
October 20, 2026 · Inspection · No citations
August 27, 2026 · Inspection · No citations
April 20, 2026 · Inspection · No citations
March 31, 2026 · Inspection · 1 citation
746.1205(a)(3) - Responsibilities of Caregivers - Know children's names and ages
Risk level: Medium High · Correct-by date in the state file: March 31, 2026 · Correction verified: April 20, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Three caregivers from different classes were unable to provide ages of children in their class.
March 25, 2026 · Investigation (the program reported it to the state) · No citations
March 12, 2026 · Inspection · No citations
November 13, 2025 · Inspection · No citations
August 11, 2025 · Inspection · No citations
May 22, 2025 · Inspection · No citations
May 16, 2025 · Inspection · No citations
April 17, 2025 · Inspection · No citations
April 16, 2025 · Investigation (the program reported it to the state) · 1 citation
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
Risk level: High · Correct-by date in the state file: May 5, 2025 · Correction verified: May 16, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
April 8, 2025 · Inspection · No citations
March 18, 2025 · Inspection · No citations
March 10, 2025 · Inspection · 2 citations
746.4907(a)(1) - Installation and Maintenance of Loose-fill Surfacing - Six Inches if Equipment 5 Ft or Less
Risk level: Medium High · Correct-by date in the state file: March 17, 2025 · Correction verified: March 18, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The composite structure did not have the required six inches of loose-fill around the structure.
746.3407 - Maintenance of Building, Grounds and Equipment
Risk level: Medium High · Correct-by date in the state file: March 17, 2025 · Correction verified: March 18, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The active play space had protruding railroad ties from a wooden barrier that posed a risk of injury.
February 5, 2025 · Inspection · No citations
January 22, 2025 · Inspection · No citations
January 10, 2025 · Investigation · No citations
January 10, 2025 · Investigation · 1 citation
746.1003(3) - Director Responsibilities - Employee Assignments
Risk level: High · Correct-by date in the state file: March 3, 2025 · Correction verified: March 10, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
December 17, 2024 · Inspection · No citations
December 16, 2024 · Inspection · No citations
October 22, 2024 · Inspection · No citations
October 17, 2024 · Investigation · 2 citations
746.305(a)(6) - Report Situation Placing Children at Risk
Risk level: High · Correct-by date in the state file: December 3, 2024 · Correction verified: December 16, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.2807 - Employees Discipline Own Children
Risk level: Medium High · Correct-by date in the state file: December 3, 2024 · Correction verified: December 16, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
July 24, 2024 · Inspection · No citations
July 16, 2024 · Investigation (the program reported it to the state) · No citations
July 2, 2024 · Inspection · No citations
June 21, 2024 · Investigation · No citations
June 18, 2024 · Inspection · No citations
June 4, 2024 · Inspection · 2 citations
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Risk level: High · Correct-by date in the state file: June 4, 2024 · Correction verified: June 18, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Risk level: Medium High · Correct-by date in the state file: June 4, 2024 · Correction verified: June 18, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
May 30, 2024 · Inspection · No citations
April 29, 2024 · Inspection · No citations
April 25, 2024 · Investigation (the program reported it to the state) · 1 citation
746.3407 - Maintenance of Building, Grounds and Equipment
Risk level: Medium High · Correct-by date in the state file: May 21, 2024 · Correction verified: May 21, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The fence surrounding the playground was not maintained and two children were able to elope.
April 23, 2024 · Inspection · No citations
April 11, 2024 · Investigation · 1 citation
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Risk level: High · Correct-by date in the state file: May 31, 2024 · Correction verified: June 4, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
It was determined during the investigation process that a caregiver with a provisional background check was allowed to transport children without another caregiver present.
March 25, 2024 · Inspection · No citations
March 15, 2024 · Inspection · 2 citations
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Risk level: High · Correct-by date in the state file: March 15, 2024 · Correction verified: March 25, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
An individual with a provisional background check was obsered to be alone with children.
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
Risk level: High · Correct-by date in the state file: March 15, 2024 · Correction verified: March 25, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
There were five children unsupervised in a room.
March 5, 2024 · Investigation · 4 citations
746.1605(1) - Child/Caregiver Ratio - 18 Months Difference in Age
Risk level: Medium High · Correct-by date in the state file: April 12, 2024 · Correction verified: April 23, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
During the investigation process, it was determined that infants (0-17 months) were being combined with children greater than 18 months older than them.
746.1615 - Child/Caregiver Ratio - Opening/Closing
Risk level: Medium · Correct-by date in the state file: April 12, 2024 · Correction verified: April 23, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.701(1) - Licensing Incident/Illness Report Form - Injuries Requiring Medical Treatment or Hospitalization
Risk level: Medium · Correct-by date in the state file: April 12, 2024 · Correction verified: April 23, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Risk level: Medium High · Correct-by date in the state file: April 12, 2024 · Correction verified: April 23, 2024 · Inspector gave guidance (technical assistance): Yes
The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.
February 13, 2024 · Inspection · 6 citations
746.5319 - Smoke Detectors Testing
Risk level: High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.5307(a) - Inspect Fire Extinguishers Monthly
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.5537(a)(2) - Electronic or Battery-Operated Carbon Monoxide Detector-Check All Detectors Monthly
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
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
Risk level: Medium Low · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
There was not a current employee list posted. Noted: This was correct during inspection when a current employee list was created and posted.
746.501(a)(24) - Written Operational Policies - Emergency Preparedness Plans
Risk level: High · Correct-by date in the state file: February 20, 2024 · Correction verified: February 20, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The operation did not have an emergency prepardness plan for review.
746.5205(4) - Documentation of Drills
Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
September 21, 2023 · Inspection · No citations
September 18, 2023 · Investigation · No citations
August 17, 2023 · Inspection · No citations
August 4, 2023 · Inspection · 3 citations
746.901(4) - Required Personnel Records - Required Affidavit
Risk level: Medium Low · Correct-by date in the state file: August 11, 2023 · Correction verified: August 17, 2023 · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
One Staff file did not include the necessary employee affidavit.
746.603(a)(4) - Children's Records - Immunizations
Risk level: Medium · Correct-by date in the state file: August 18, 2023 · Correction verified: August 17, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Three of the ten children's files did not include updated immunization records.
746.605(6) - Required Admission Information - Emergency Contact
Risk level: Medium High · Correct-by date in the state file: August 11, 2023 · Correction verified: August 17, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Five of the ten Children's records reviewed did not include all necessary information for emergency contacts listed.
July 7, 2023 · Inspection · No citations
June 22, 2023 · Inspection · 1 citation
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
Risk level: High · Correct-by date in the state file: June 22, 2023 · Correction verified: July 7, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
June 8, 2023 · Inspection · 1 citation
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Risk level: Medium High · Correct-by date in the state file: June 15, 2023 · Correction verified: June 22, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The carpet in the infant space was observed to have mold.
May 1, 2023 · Inspection · No citations
April 24, 2023 · Investigation · 2 citations
746.2805(8) - Prohibited Punishments - Restrictive device for time out
Risk level: High · Correct-by date in the state file: June 1, 2023 · Correction verified: June 7, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Children are being placed in a restrictive device (high chair) to discipline the child.
746.2207(c)(3) - Screen Time Activities - Not Exceed One Hour Daily
Risk level: Medium · Correct-by date in the state file: June 1, 2023 · Correction verified: June 7, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Children in care are being given screen time as an activity for longer than one hour per day.
February 2, 2023 · Inspection · 2 citations
746.613(b) - Immunization Records, Exceptions, and Exemptions Current
Risk level: Medium High · Correct-by date in the state file: February 10, 2023 · Correction verified: February 10, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
There was one child file out of the ten children files viewed that did not have an updated immunization record on file.
746.605(11) - Required Admission Information - Physician Information
Risk level: Medium · Correct-by date in the state file: February 9, 2023 · Correction verified: February 9, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
January 13, 2023 · Inspection · No citations
December 29, 2022 · Inspection · 1 citation
746.3407(8) - Garbage Inaccessible to Children; Maintained in Sanitary Manner
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A lagre black trash bag full of garbage was observed in the school age outdoor playground while the children were playing.
December 9, 2022 · Inspection · No citations
December 8, 2022 · Investigation · 1 citation
746.2805 - Prohibited Punishments - No Harsh, Cruel or Unusual
Risk level: High · Correct-by date in the state file: January 4, 2023 · Correction verified: January 13, 2023 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
It was determined that in December a caregiver forcefully pushed a child to the ground.
November 4, 2022 · Inspection · No citations
October 11, 2022 · Inspection · 3 citations
746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained
Risk level: Medium High · Correct-by date in the state file: November 1, 2022 · Correction verified: November 4, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
There was a piece of climbing equipment that did not have 6 inches of loose fill surrounding the structure.
746.4751(c) - Maintenance Procedures for Active Play - Hazards Removed or Repaired
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.
746.4003(b) - First Aid Kit - Supplies Not Expired
Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
September 7, 2022 · Inspection · No citations
August 5, 2022 · Inspection · No citations
July 29, 2022 · Inspection · No citations
July 25, 2022 · Investigation (the program reported it to the state) · No citations
July 19, 2022 · Inspection · No citations
July 12, 2022 · Inspection · 4 citations
746.1203(6) - Responsibilities of Caregivers - Free of other activities
Risk level: Medium High · Correct-by date in the state file: July 12, 2022 · Correction verified: July 29, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The infant caregiver was observed using her phone while supervising a group of infants.
746.2426 - Infant May Not Sleep in a Restrictive Device
Risk level: High · Correct-by date in the state file: July 12, 2022 · Correction verified: July 29, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A three month old infant was observed sleeping in a bouncer seat. According to the caregiver, the infant had been asleep for 30 minutes.
746.2407 - Infant Care Area Furnishings and Equipment -Use of Safety Straps
Risk level: Medium High · Correct-by date in the state file: July 12, 2022 · Correction verified: July 29, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A three month old infant was observed in a bouncer seat without being strapped in.
746.3407(9) - Floors, ceilings and Walls in Good Repair and Clean
Risk level: Medium High · Correct-by date in the state file: July 12, 2022 · Correction verified: July 18, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The floor in the 3 year old classroom was visibly dirty with several area of dirt around the changing table and sink.
July 8, 2022 · Investigation · No citations
July 7, 2022 · Investigation · No citations
July 7, 2022 · Investigation · 3 citations
746.2207(c)(4) - Screen Time Activities - Not Used During Eating or Rest Times
Risk level: Medium · Correct-by date in the state file: August 18, 2022 · Correction verified: September 7, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
It was determined that a caregiver had given a child their cell phone to watch videos to calm the child down during naptime.
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Risk level: High · Correct-by date in the state file: August 18, 2022 · Correction verified: September 7, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1203(7) - Responsibilities of Caregivers - Interact positively with children
Risk level: Medium High · Correct-by date in the state file: August 18, 2022 · Correction verified: September 7, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
It was determined that a caregiver was telling a child to kick themselves instead of kicking others in the classroom.
June 29, 2022 · Investigation · 3 citations
746.3407 - Maintenance of Building, Grounds and Equipment
Risk level: Medium High · Correct-by date in the state file: July 18, 2022 · Correction verified: July 18, 2022 · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
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.
746.3301(d) - Nutrition and Food Service - Child must not go more than 3 hours
Risk level: Medium High · Correct-by date in the state file: August 4, 2022 · Correction verified: September 7, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1605 - Child/Caregiver Ratio - 18 Months Difference in Age
Risk level: Medium High · Correct-by date in the state file: August 4, 2022 · Correction verified: September 7, 2022 · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
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.
December 6, 2021 · Inspection · No citations
November 22, 2021 · Assessment · 1 citation
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Risk level: High · Correct-by date in the state file: November 22, 2021 · Correction verified: December 6, 2021 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
November 15, 2021 · Inspection · 3 citations
746.603(a)(4) - Children's Records - Immunizations
Risk level: Medium · Correct-by date in the state file: December 13, 2021 · Correction verified: December 6, 2021 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
I observed 3 out of 10 children's records were missing immunization records.
745.651(1) - Background Check Validation - You must inactivate a subject who is no longer associated with your operation within 7 days of leaving
Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
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.
746.4309 - Fenced Outdoor Activity Space -Gates Locked
Risk level: Medium High · Correct-by date in the state file: November 15, 2021 · Correction verified: December 6, 2021 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
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Sources
- HHSC CCL Daycare and Residential Operations Data: program details.
- HHSC CCL Inspection Investigation Assessment Data: visit dates and types.
- HHSC CCL Non-Compliance Data: citations, risk levels, corrections and inspector's notes.
All three are published by the Texas Health and Human Services Commission, Child Care Licensing, on data.texas.gov under CC0 1.0. State files updated November 12, 2026. We show the state's text as published, except that we restore apostrophes the files print as "?". Program details last checked October 21, 2026.