Primrose School at Sonoma Ranch

Diapering Procedures - Wash Infant’s Hands

“A caregiver in the older infant classroom did not wash the infant’s hands after diapering. Note, this was corrected when I informed the staff after they had placed the infant on the booster seat that the infant needed their hands to be washed. Caregiver picked up the infant and took them over to the sink where they washed the infant’s hands.”

Rule 746.3505(b). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 24, 2026.

Training Requirements for Employees, Caregivers, and Directors - 24 Annual training

“Nine out of the ten staff files reviewed did not have training hours in all required topics from the last full year of employment.”

Rule 746.1301(a)(5)(A). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 28, 2026. Correction verified: Mar 2, 2026.

Children’s Records - Immunizations

“During the inspection, two children’s immunization records were not current. Note: administration was able to obtain one record during the inspection”

Rule 746.603(a)(4). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 27, 2026. Correction verified: Feb 26, 2026.

Required Personnel Records - signed dated statement that employee received operational policies

“Ten out of the ten staff files did not have signed acknowledgment of receiving Operational Policies.”

Rule 746.901(7)(A). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 25, 2026. Correction verified: Feb 27, 2026.

Required Personnel Records - Required Affidavit (Form 2985)

“One out of ten staff files did not have a notarized Affidavit for Applicants for Employment with a Licensed Operation. NOTE: This was corrected at inspection when the staff member provided the notarized document.”

Rule 746.901(4). Medium Low, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Feb 11, 2026.

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

“Based on the information gathered, a child was left unsupervised outside for approximately one minute. Note: Prior to inspection; caregiver’s were reprimanded.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jan 7, 2026. Correction verified: Jan 20, 2026.

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 confirmed that a child exited the back door of a classroom to the playground and went unnoticed by caregivers for approximately 2-5 minutes.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 17, 2025. Correction verified: Oct 22, 2025.

Prohibited Punishments - Grabbing and Pulling

“During the walkthrough, a caregiver was observed grabbing a child by the arm during a transition.”

Rule 746.2805(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 3, 2025. Correction verified: Sep 9, 2025.

Medication No Longer Used

“Two children with medication kept at the operation expired in 11/2024, 1/2025 and 7/2025.”

Rule 746.3809. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 27, 2025. Correction verified: Sep 3, 2025.

Responsibilities of Caregivers - Share Information with Incoming Caregivers

“Caregiver failed to share information regarding a child’s injury to the closing caregiver.”

Rule 746.1203(10). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2025. Correction verified: Mar 19, 2025.

AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

“The operation did not contact a child’s parent to report a possible injury that required medical intervention after the child reported being hurt and showed signs of a possible injury.”

Rule 746.307(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Feb 24, 2025. Correction verified: Mar 19, 2025.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“A caregiver with an inactive background check from 3/2023 had direct access to children in care. NOTE: The caregiver was asked to leave the operaton and a background check was submitted by the opertion.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 2, 2024. Correction verified: Dec 3, 2024.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“Two allergy plans on file did not contain the parent signature on the form.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Dec 3, 2024. Correction verified: Dec 9, 2024.

Responsibilities of Caregivers - Know number of children responsible for

“A caregiver failed to conduct a proper name to face count when arriving outside at the playground, therefore a child was left inside unattended.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 23, 2024. Correction verified: Jun 4, 2024.