Primrose School at Alamo Ranch

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

“During the investigation, it was determined that a 4-year-old child was left unattended in the classroom for approximately 20 minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 26, 2026. Correction verified: Jul 1, 2026.

CPR Training and Recertification Adhere to Guidelines-skill based

“One caregiver had completed CPR training online.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 13, 2026. Correction verified: Mar 5, 2026.

Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee

“Two employees did not have completed and signed orientation statements. Note: This was CORRECTED AT INSPECTION when the director pulled the caregivers from their classrooms to give them orientation.”

Rule 746.1329(d). Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 24, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“During the walkthrough, two caregivers in two classrooms provided inaccurate head counts of the children in their care. Note: This was corrected when the caregivers recounted the children.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 5, 2025. Correction verified: Sep 17, 2025.

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

“During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.”

Rule 746.1301(a)(3)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 17, 2025. Correction verified: Sep 22, 2025.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“One out of the ten children’s records reviewed during inspection still does not have a health statement.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 29, 2024. Correction verified: Nov 21, 2024.

Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement

“Two out of the ten children’s records reviewed during inspection did not have a health statement.”

Rule 746.611(a)(3). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 23, 2024. Correction verified: Nov 5, 2024.

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

“A two-year-old child was left unsupervised in the classroom for 20 minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 30, 2024. Correction verified: Jun 21, 2024.

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

“Based on the investigation conducted, it was determined that an incident report was not generated for the incident that may have placed a child at risk. A two year old stepped out of the playground onto the sidewalk of the parking lot.”

Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: May 29, 2024. Correction verified: Jun 21, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“A child with a noted food allergy does not have a completed Food Allergy Emergency on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 29, 2024. Correction verified: Apr 3, 2024.

Immunization Records, Exceptions, and Exemptions Current

“2 children’s records needed updated shot records, 1 additional child’s record had no immunization or exemption on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 29, 2024. Correction verified: Apr 3, 2024.

Written Feeding Instructions - Review and Update Every 30 Days

“5 infant feeding schedules had not been updated in the last 30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 8, 2024. Correction verified: Apr 29, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“One child with a diagnosed food allergy did not have a food allergy emergency plan on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2024. Correction verified: Mar 4, 2024.

Immunization Records, Exceptions, and Exemptions Current

“4 children’s records needed updated shot records, 1 additional child’s record had no immunization or exemption on file.”

Rule 746.613(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 1, 2024. Correction verified: Mar 4, 2024.

Written Feeding Instructions - Review and Update Every 30 Days

“2 infant feeding schedules had not been reviewed/updated in the last 30 days.”

Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 12, 2024. Correction verified: Mar 4, 2024.