Hearth Record

Primrose School of West Lake Hills

A licensed child care center in West Lake Hills, Texas 78746

3423 Bee Caves Rd Ste A100, West Lake Hills, Texas 78746. (512) 689-8839.

Texas’s own record, on its child care search

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The short answer

Record last released by Texas HHSC on Nov 5, 2026.

The last 24 months 10 deficiencies in 4 months of the last 36. Last cited Sep 2026. Most serious: High. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Texas’s risk levels
Texas gives each child care deficiency a risk level, by how likely it is to harm a child: Low, Medium Low, Medium, Medium High or High. High is its most serious. Source: Texas Health and Human Services Commission, Child Care Regulation.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

10 deficiencies cited in the last three years

The middle of the 624 child care providers in Travis County had 3.

21 inspections on record. The latest, on Oct 14, 2026: no violation found.

Rated High by Texas: Report Situation Placing Children at Risk, at the report to the state on Nov 20, 2025

Rated High by Texas: Responsibilities of Caregivers - Know number of children responsible for, at the inspection on Aug 26, 2024

Rated High by Texas: Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control, at the report to the state on Feb 4, 2024

Source:

Texas HHSC, deficiencies (non-compliance data) and inspections and investigations. Released Nov 5, 2026. Updated daily.

When those deficiencies happened

10 deficiencies in 4 months of the last 36. Last cited Sep 2026. Most serious: High. The last 3 years, to Nov 5, 2026.

10 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, in Texas’s words

Grouped by visit, newest first, with the risk level Texas gave it, from Low to High.

Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

Sep 11, 2026: report to the state2 deficiencies
  • Nutrition and Food Service - Must not serve identified foods to allergic child

    “A food that a child was known to be allergic to was served to that child.”

    Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2026. Correction verified: Oct 14, 2026.

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

    “No incident report was made about the allergy incident.”

    Rule 746.701(5). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 7, 2026. Correction verified: Oct 14, 2026.

Nov 20, 2025: report to the state2 deficiencies
  • Report Situation Placing Children at Risk

    “The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm.”

    Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 4, 2025. Correction verified: Dec 12, 2025.

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

    “During the investigation, CCR discovered that on 9/10/25, a child in care, with a known nut allergy, was served a muffin containing almond four, that resulted in the child becoming sick.”

    Rule 746.3301(i). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 4, 2025. Correction verified: Dec 12, 2025.

Nov 18, 2025: report to the state1 deficiency
  • AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

    “This investigation concluded that a child, in September of 2024, sustained in injury in care, that required medical treatment, and the operation did not notify CCR, per minimum standards.”

    Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 25, 2025. Correction verified: Dec 12, 2025.

Aug 26, 2024: inspection2 deficiencies
  • Responsibilities of Caregivers - Know number of children responsible for

    “Caregivers did not know the number of children they were responsible for, The two caregivers initially reported having seven children but actually had six, which was only realized after the discrepancy was pointed out.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2024. Correction verified: Sep 6, 2024.

  • Children Handwashing After Toileting or Diapering

    “A child did not have their hands washed after a diaper change, and staff did not direct the child to do so.”

    Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 26, 2024. Correction verified: Sep 6, 2024.

Aug 19, 2024: inspection2 deficiencies
  • Training Requirements for Employees, Caregivers, and Directors - Orientation

    “Eight out of the ten staff files reviewed did not have proof of orientation to the center.”

    Rule 746.1301(a)(1)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 20, 2024. Correction verified: Aug 22, 2024.

  • Children Handwashing After Toileting or Diapering

    “A child did not have their hands washed after a diaper change, and staff did not direct the child to do so.”

    Rule 746.3417(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 19, 2024. Correction verified: Aug 26, 2024.

Feb 4, 2024: report to the state1 deficiency
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “A caregiver did not show good judgment when she duct taped a child’s shoes to his feet.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 11, 2024. Correction verified: Mar 13, 2024.

8 deficiencies older than three years
Oct 2, 2023: inspection3 deficiencies
  • Responsibilities of Caregivers - Know number of children responsible for

    “One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom.”

    Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 2, 2023. Correction verified: Oct 13, 2023.

  • Annual Sanitation Inspection

    “The required annual sanitation inspection was not available for review.”

    Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 10, 2023. Correction verified: Jan 2, 2024.

  • Written Feeding Instructions - Review and Update Every 30 Days

    “Current feeding instructions for four children were not available for review.”

    Rule 746.2421(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 6, 2023. Correction verified: Oct 13, 2023.

Oct 20, 2022: inspection1 deficiency
  • Infant May Not Sleep in a Restrictive Device

    “During the walk through of the infant classroom two infants were observed sleeping in restrictive devices. This was corrected when the caregiver moved the infants to cribs.”

    Rule 746.2426. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 20, 2022. Correction verified: Oct 31, 2022.

Feb 7, 2022: report to the state1 deficiency
  • Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

    “Based on evidence obtained during the investigation, good judgment was not being used by a caregiver when a bottle was not checked before being given to a child. This was corrected immediately after the incident when caregivers received write ups, and retraining was provided for all infant staff.”

    Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 18, 2022. Correction verified: Feb 18, 2022.

Jan 11, 2022: report to the state1 deficiency
  • Incident/Illness Report Form Shared with Parent

    “Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient.”

    Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 21, 2022. Correction verified: Jan 20, 2022.

Nov 18, 2021: inspection2 deficiencies
  • Food Allergy Emergency Plan Signed by Parents and Health Care Professional

    “There were more than one food allergy plan that did not have the parent’s signature.”

    Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2021. Correction verified: Dec 2, 2021.

  • Children’s Products- Annual Certification

    “The Children’s Product certificates was last updated on 3-11-2020.”

    Rule 746.4135(b). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 24, 2021. Correction verified: Dec 1, 2021.

All 29 visits on record
Inspections, investigations and reports to the state
DateVisitWhat the record says
Oct 14, 2026InspectionNo violation found
Sep 15, 2026InspectionNo violation found
Sep 11, 2026Report to the state2 deficiencies cited
May 28, 2026InspectionNo violation found
May 11, 2026InspectionNo violation found
Apr 2, 2026InspectionNo violation found
Mar 31, 2026Report to the stateOutcome pending
Dec 12, 2025InspectionNo violation found
Nov 24, 2025InspectionNo violation found
Nov 20, 2025Report to the state2 deficiencies cited
Nov 18, 2025InspectionNo violation found
Nov 18, 2025Report to the state1 deficiency cited
Nov 10, 2025Report to the stateNo violation found
Aug 7, 2025InspectionNo violation found
Jun 25, 2025InspectionNo violation found
Sep 6, 2024InspectionNo violation found
Aug 26, 2024Inspection2 deficiencies cited
Aug 19, 2024Inspection2 deficiencies cited
Mar 13, 2024InspectionNo violation found
Feb 4, 2024Report to the state1 deficiency cited
Oct 13, 2023InspectionNo violation found
Oct 2, 2023Inspection3 deficiencies cited
Oct 31, 2022InspectionNo violation found
Oct 20, 2022Inspection1 deficiency cited
Feb 11, 2022InspectionNo violation found
Feb 7, 2022Report to the state1 deficiency cited
Jan 19, 2022InspectionNo violation found
Jan 11, 2022Report to the state1 deficiency cited
Nov 18, 2021Inspection2 deficiencies cited

Is it licensed?

  • Licensed Center, permit issued Mar 15, 2018.
  • Accepts state child care subsidies.
  • Licensed for ages: Infant, Toddler, Pre-Kindergarten, School.
  • Capacity: 162 children.
Source:

Texas HHSC, child care operations. Released Nov 5, 2026. Updated daily.

Has Texas acted against it?

  • No corrective or adverse action by Texas on record.
  • 8 reports to the state on record; Texas doesn’t publish whether they were .
Source:

Texas HHSC, child care operations and inspections and investigations. Released Nov 5, 2026. Updated daily.

Who does the caring?

  • Texas doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.

Who owns it?

  • Texas’s open data doesn’t list owners.

How is it rated?

  • Texas Rising Star: 4-Star (the highest of three levels).
Source:

Texas Workforce Commission, subsidy providers and Texas Rising Star. Released Nov 5, 2026. Updated daily.

How does it compare nearby?

  • Among 624 child care providers in Travis County, the middle value for deficiencies cited in the last three years was 3; this one had 10.
Source:

Texas HHSC, deficiencies (non-compliance data). Released Nov 5, 2026. Updated daily.

What the record doesn’t say

  • Texas doesn’t publish whether a complaint was substantiated.
  • Texas rates some paperwork slips as High risk, so read what was actually cited.
  • Texas doesn’t publish staffing levels or owners for individual providers.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: Texas HHSC or Texas Workforce Commission. Texas’s own record is on its child care search. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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