Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
Plain-English summary of cited deficiencies
State records list 4 cited deficiencies dated July 10, 2024 to May 19, 2025 (2 High, 1 Medium, 1 Medium Low risk). Correction status: 1 corrected at inspection, 3 with a correction date recorded, 0 with no correction date recorded.
High risk · AP Background check results - Must receive notification prior to allowing subject to be present at your operation (745.641) Cited May 19, 2025 (correction date recorded: May 19, 2025; correction verified June 2, 2025; technical assistance given); August 6, 2024 (corrected at inspection; technical assistance given). What the record describes: Narratives describe staff being present at the operation without background checks.
Medium risk · Medication No Longer Used (746.3809) Cited July 10, 2024 (correction date recorded: July 15, 2024; correction verified July 15, 2024). What the record describes: Antihistamines required by the food allergy plans for four children were not kept at the operation.
Medium Low risk · Personnel Record Storage - Training Records (746.907(b)) Cited July 10, 2024 (correction date recorded: July 31, 2024; correction verified August 6, 2024; technical assistance given). What the record describes: Training records from previous years for center staff were not kept at the operation.
Counts, dates, risk levels and correction status come directly from the state data. The plain-English descriptions were written automatically from the inspectors' narratives and checked against them by a second automated reviewer; they cover citations dated October 11, 2023 to October 11, 2026. They may contain errors; the official record is authoritative.
This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 4 cited deficiencies for Primrose of Prestonwood in the 3 years before October 10, 2026 (2 High, 1 Medium, 1 Medium Low).
Records list 7 inspections in this window. Most recent inspection: 2026-04-23.
HHSC risk weights of citations
Risk weight
Citations
High
2
Medium High
0
Medium
1
Medium Low
1
Low
0
Unknown
0
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
One caregiver was present at the operation without a background check ran. This was corrected at inspection when the caregiver left the operation and a background check was ran.
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: Yes. Correction date: 2024-08-06. Correction verified: Not recorded.
One caregiver was present at the operation without a background check ran. This was corrected at inspection when the caregiver left the operation and a background check was ran.
AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
Corrected at inspection: No. Correction date: 2023-07-27. Correction verified: 2023-08-09.
During the inspection, two infants were observed using sleep sacks as blankets while sleeping in their cribs. The sleep sacks were not on the children. This was corrected at the inspection when the sleep sacks were removed from the cribs.
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2023-07-18. Correction verified: 2023-07-27.
Two staff were present at the operation without a cleared background check. This was corrected during the inspection when the caregivers were removed from the classrooms.
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-07-18. Correction verified: 2023-07-27.
Two child with a severe allergy did not have an epi-pen or other medication on file. This standard was reviewed as part of a follow up on investigation number 3006890 and found to be in compliance as the operation has provided verbal counseling for staff involved.
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2023-07-10. Correction verified: 2023-07-17.
This standard was reviewed as part of an investigation and found non-compliant. It was discovered that two staff had a confrontation in the classroom while they had children in care.
Not Under the Influence of Alcohol or Controlled Substance
Corrected at inspection: No. Correction date: 2022-09-30. Correction verified: 2022-10-05.
This standard was evaluated in regard to an investigation and a violation was found. A caregiver consumed controlled substances during her lunch break and came back to the classroom. This caregiver was observed by the other caregivers to be under the influence of a controlled substance.
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: Yes. Correction date: 2022-08-04. Correction verified: Not recorded.
A caregiver was providing direct care to the children prior to submitting background check request. Another two caregivers were providing direct care to children with pending background check. The BGC request was submitted during the inspection and three caregivers left the operation.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1058168
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.