Primrose School of Round Rock

Summary of the record

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 46 cited deficiencies for Primrose School of Round Rock in the 3 years before October 10, 2026 (27 High, 9 Medium High, 10 Medium).

Records list 21 inspections in this window. Most recent inspection: 2026-03-03.

HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.

Recent citations in the summary window

Full citation history from HHSC (49)

• 2026-02-26 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2026-02-26. Correction verified: 2026-03-03.

  One classroom was not in compliance with the child/caregiver ratio. The classroom had a specified age group of 12-17 months, requiring 1 caregiver with up to 5 infants. There were 6 infants with 1 caregiver. This was corrected when another caregiver went into the classroom.

• 2025-10-06 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2025-11-04. Correction verified: 2025-11-06.

  Information obtained in an investigation show that while the operation self-reported, they did not do so within the required two-day time period when they left a voicemail but did not call the statewide hot line for after-hours reporting.

• 2025-10-06 · 746.1205(a)(4) · High

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

  Corrected at inspection: No. Correction date: 2025-11-04. Correction verified: 2025-11-06.

  Information obtained through a self-reported investigation shows that a child was left unsupervised in their classroom for between 15-20 minutes.

• 2025-04-10 · 746.3417(3) · Medium High

  Children Handwashing After Toileting or Diapering

  Corrected at inspection: No. Correction date: 2025-04-10. Correction verified: 2025-04-16.

  A child was observed not washing her hands after having her diaper changed.

• 2025-04-10 · 746.3415(4) · Medium High

  Employee Handwashing After Diapering a Child

  Corrected at inspection: No. Correction date: 2025-04-10. Correction verified: 2025-04-16.

  A caregiver was observed not washing her hands after diapering a child.

• 2024-11-19 · 746.501(a)(28) · Medium

  Written Operational Policies - Vaccine Preventable Diseases

  Corrected at inspection: No. Correction date: 2024-11-29. Correction verified: 2024-11-22.

  The operational policies were missing employee vaccination policies.

• 2024-11-19 · 746.1316(a) · Medium High

  Transportation Safety Training -Director and Employee Complete 2 Hours Annually

  Corrected at inspection: No. Correction date: 2024-11-22. Correction verified: 2024-11-20.

  The director did not have current annual transportation training.

• 2024-11-19 · 746.501(a)(23) · Medium

  Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website

  Corrected at inspection: No. Correction date: 2024-11-29. Correction verified: 2024-11-22.

  The operational policies were missing information on how parents may access Minimum Standards online, the Texas Abuse and Neglect Hotline, and the HHSC website.

• 2024-10-24 · 746.707 · Medium

  Incident/Illness Report Form Shared with Parent

  Corrected at inspection: No. Correction date: 2024-11-29. Correction verified: 2024-11-25.

  Information obtained through the investigation shows that the operation failed to provide incident reports to parents within 48 hours when children received injuries while in care. Incident reports were created but not signed by the parents.

• 2024-10-15 · 746.1205(a)(2) · High

  Responsibilities of Caregivers - Know number of children responsible for

  Corrected at inspection: No. Correction date: 2024-10-15. Correction verified: 2024-10-28.

  Two caregivers stated the wrong number of children they were responsible for when they were asked twice. This was corrected at inspection when the caregivers gave the correct number of children after it was pointed out there was one more child in the room than they had originally stated.

• 2024-10-11 · 746.1205(a)(4) · High

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

  Corrected at inspection: No. Correction date: 2024-11-08. Correction verified: 2024-11-13.

  Information obtained through the investigation shows that a child was left unsupervised outside for between 30 and 45 minutes.

• 2024-10-11 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-11-08. Correction verified: 2024-11-12.

  Information obtained through the investigation shows that the operation failed to notify Child Care Regulation when a child was left unsupervised outside for between 30 and 45 minutes.

• 2024-10-11 · 746.307(b)(4) · High

  Parental Communication - Situation that Placed a Child at Risk

  Corrected at inspection: No. Correction date: 2024-11-08. Correction verified: 2024-11-14.

  Information obtained through the investigation shows that the operation failed to notify the parent when their child was left unsupervised outside for between 30 and 45 minutes.

• 2024-10-11 · 746.707 · Medium

  Incident/Illness Report Form Shared with Parent

  Corrected at inspection: No. Correction date: 2024-11-08. Correction verified: 2024-11-14.

  Information obtained through the investigation shows that the operation failed to provide an incident report to the parent when their child was left unsupervised outside for between 30 and 45 minutes.

• 2024-10-07 · 746.1601 · Medium High

  Child/ Caregiver Ratio - 13 or More Children

  Corrected at inspection: No. Correction date: 2024-11-01. Correction verified: 2024-11-13.

  It was found during a self-reported investigation that a caregiver was out of ratio by 7 children when a second caregiver briefly stepped away. The director stated the operation has ordered walkie talkies for caregivers to use when outside.

• 2024-10-02 · 746.3805(b)(3) · Medium High

  Administering Medication - Not After Expiration date

  Corrected at inspection: No. Correction date: 2024-11-08. Correction verified: 2024-11-12.

  It was found during an investigation that the operation had expired epinephrine auto injectors for two children with an allergy and an expired antihistamine medication for another child with an allergy. There was evidence to suggest during the investigation that a child?s epinephrine auto injector was lost by the operation.

• 2024-10-02 · 746.1309(e) · Medium

  Documented Annual Training- Required Content

  Corrected at inspection: No. Correction date: 2024-11-15. Correction verified: 2024-11-13.

  At the time of investigation inspection, the director was unable to provide Child Care Regulation with the required food allergy training.

• 2024-10-02 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-10-31. Correction verified: 2024-12-18.

  Information obtained through the investigation shows that the operation failed to notify Child Care Regulation when a child was left unsupervised in their classroom.

• 2024-10-02 · 746.307(b)(4) · High

  Parental Communication - Situation that Placed a Child at Risk

  Corrected at inspection: No. Correction date: 2024-10-31. Correction verified: 2024-12-18.

  Information obtained through the investigation shows that the operation failed to notify the parent when their child was left unsupervised in their classroom.

• 2024-10-02 · 746.707 · Medium

  Incident/Illness Report Form Shared with Parent

  Corrected at inspection: No. Correction date: 2024-10-31. Correction verified: 2024-11-12.

  Information obtained through the investigation shows that the operation failed to provide an incident report to the parent when their child was left unsupervised in their classroom.

• 2024-10-02 · 746.1205(a)(4) · High

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

  Corrected at inspection: No. Correction date: 2024-10-31. Correction verified: 2024-11-13.

  Information obtained through the investigation shows that a child was left unsupervised in their classroom.

• 2024-09-27 · 746.307(b)(4) · High

  Parental Communication - Situation that Placed a Child at Risk

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that the operation did not immediately notify the parent of a child who was placed at risk when a child was found unsupervised in their classroom after the rest of the class transitioned outside. The parent was notified 7 days after the incident occurred after the operation was instructed to do so by Child Care Regulation.

• 2024-09-27 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that the operation failed to notify Child Care Regulation of situations that placed children at risk when a child was found unsupervised in their classroom after the rest of the class transitioned outside.

• 2024-09-27 · 746.1205(a)(4) · High

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

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that a child was found unsupervised in their classroom after the rest of the class transitioned outside.

• 2024-09-27 · 746.707 · Medium

  Incident/Illness Report Form Shared with Parent

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that the operation failed to provide an incident report to the parent within 48 hours when a child was found unsupervised in their classroom after the rest of the class transitioned outside. The incident report was provided to the parent 7 days after the incident occurred after the operation was instructed to do so by Child Care Regulation.

• 2024-09-26 · 746.1205(a)(4) · High

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

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that a child was found unsupervised while in the bathroom while the rest of the child's class was outside.

• 2024-09-26 · 746.707 · Medium

  Incident/Illness Report Form Shared with Parent

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that the operation failed to provide an incident report when a child was found unsupervised while in the bathroom while the rest of the child's class was outside.

• 2024-09-26 · 746.307(b)(4) · High

  Parental Communication - Situation that Placed a Child at Risk

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that the operation did not notify the parents of a child who was placed at risk when the child found unsupervised in the bathroom while the rest of the child's class was outside.

• 2024-09-26 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-10-25. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that the operation failed to notify Child Care Regulation of situations that placed children at risk when a child was found unsupervised while in the bathroom while the rest of the child's class was outside.

• 2024-09-24 · 746.1205(a)(4) · High

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

  Corrected at inspection: No. Correction date: 2024-10-23. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that a child left their class and went to another outdoor area during a transition without the caregivers? knowledge. Information obtained through the investigation shows that two children were unsupervised when they were found outside close to closing time.

• 2024-09-24 · 746.307(b)(4) · High

  Parental Communication - Situation that Placed a Child at Risk

  Corrected at inspection: No. Correction date: 2024-10-23. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that the operation did not notify the parents of a child who was placed at risk when a child left their class and went to another outdoor area during a transition without the caregivers? knowledge. The operation did not notify the parents of two children when they were found outside close to closing time.

• 2024-09-24 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-10-23. Correction verified: 2024-10-28.

  Information obtained through the investigation shows that the operation failed to notify Child Care Regulation of situations that placed children at risk when a child left their class and went to another outdoor area during a transition without the caregivers? knowledge. The operation failed to notify Child Care Regulation when two children were found outside close to closing time.

• 2024-09-20 · 745.641 · High

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

  Corrected at inspection: No. Correction date: 2024-09-20. Correction verified: 2024-09-20.

  An employee was present at the operation and had access to children without receiving a background check eligibility letter.

• 2024-09-17 · 746.2805(5) · High

  Prohibited Punishments - Humiliating, Rejecting, Yelling

  Corrected at inspection: No. Correction date: 2024-10-22. Correction verified: 2024-10-28.

  There was sufficient evidence that a caregiver yelled at children as a form of discipline.

• 2024-09-17 · 746.1203(3)(D) · Medium High

  Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

  Corrected at inspection: No. Correction date: 2024-10-22. Correction verified: 2024-10-28.

  A caregiver used her personal phone as well as the operations iPad for personal use.

• 2024-09-17 · 746.1201(1) · High

  Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

  Corrected at inspection: No. Correction date: 2024-10-22. Correction verified: 2024-10-28.

  A caregiver used an iPad to lightly bop children on the head.

• 2024-09-08 · 746.307(b)(4) · High

  Parental Communication - Situation that Placed a Child at Risk

  Corrected at inspection: No. Correction date: 2024-10-07. Correction verified: 2024-10-10.

  Information obtained throughout the investigation shows that the operation did not notify the parents of a child who was placed at risk when they were left unsupervised on two separate occasions, in their classroom and outside. While the child was left unsupervised outside, their hand was stuck in the door. The operation failed to notify the parents of a child who was placed at risk when a caregiver used prohibited punishment on the child.

• 2024-09-08 · 746.1201(5) · High

  Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation

  Corrected at inspection: No. Correction date: 2024-10-07. Correction verified: 2024-10-10.

  Information obtained throughout the investigation shows that the operation failed to report suspected abuse to the Department of Family Protective Services.

• 2024-09-08 · 746.1205(a)(4) · High

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

  Corrected at inspection: No. Correction date: 2024-10-07. Correction verified: 2024-10-10.

  Information obtained throughout the investigation shows that a child was left unsupervised on two separate occasions, in their classroom and outside. While the child was unsupervised outside, their hand was stuck in the door.

• 2024-09-08 · 746.3301(h) · Medium High

  Nutrition and Food Service - Food not a reward

  Corrected at inspection: No. Correction date: 2024-10-07. Correction verified: 2024-10-10.

  Information obtained throughout the investigation shows that a caregiver bribed children with candy so that they would behave.

• 2024-09-08 · 746.3501(1) · Medium High

  Diaper Changing Steps- Prompt

  Corrected at inspection: No. Correction date: 2024-10-07. Correction verified: 2024-10-10.

  Information obtained throughout the investigation shows that a caregiver failed to promptly change wet or soiled diapers, causing children to have diaper rashes.

• 2024-09-08 · 746.707 · Medium

  Incident/Illness Report Form Shared with Parent

  Corrected at inspection: No. Correction date: 2024-10-07. Correction verified: 2024-10-15.

  Information obtained throughout the investigation shows that the operation failed to provide incident reports for three incidents. A child was left unsupervised on two separate occasions, in their classroom and outside. While the child was left unsupervised outside, their hand was stuck in the door. A caregiver used prohibited punishment on a child.

• 2024-09-08 · 746.2805(1) · High

  Prohibited Punishments - Corporal Punishment

  Corrected at inspection: No. Correction date: 2024-10-07. Correction verified: 2024-10-10.

  Information obtained throughout the investigation shows that a caregiver hit a child on the head and pushed a child's head onto their naptime cot.

• 2024-09-08 · 746.305(a)(6) · High

  Report Situation Placing Children at Risk

  Corrected at inspection: No. Correction date: 2024-10-07. Correction verified: 2024-10-10.

  Information obtained throughout the investigation shows that the operation failed to notify Child Care Regulation of situations that placed children at risk when a child was left unsupervised on two separate occasions, in their classroom and outside. While the child was left unsupervised outside, their hand was stuck in the door. The operation failed to notify Child Care Regulation of a situation that placed a child at risk when a caregiver used prohibited punishment on the child.

• 2024-08-29 · 746.707 · Medium

  Incident/Illness Report Form Shared with Parent

  Corrected at inspection: No. Correction date: 2024-10-24. Correction verified: 2024-12-30.

  An incident report was not shared or given to the parent when the incident occurred.

• 2023-11-01 · 746.2419(3) · High

  Requirements for Feeding Infants - Never Prop Bottles

  Corrected at inspection: No. Correction date: 2023-11-30. Correction verified: 2023-12-14.

  Bottles are propped up for infants occasionally during feedings.

• 2023-03-07 · 746.5101(a) · High

  Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

  Corrected at inspection: No. Correction date: 2023-03-21. Correction verified: 2023-03-23.

  The operation last fire inspection was done 8/16/21.

• 2023-03-07 · 746.4907(d) · Medium High

  Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained

  Corrected at inspection: No. Correction date: 2023-03-21. Correction verified: 2023-03-27.

  It was observed that the loose fill depth was not 6 inches below required 6 inches

• 2022-03-15 · 746.603(a)(4) · Medium

  Children's Records - Immunizations

  Corrected at inspection: No. Correction date: 2022-03-29. Correction verified: 2022-03-21.

  One out of ten children's files reviewed were missing immunization records.