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Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
State records list 15 cited deficiencies dated February 5, 2024 to June 4, 2026 (3 High, 6 Medium High, 5 Medium, 1 Low risk). Correction status: 1 corrected at inspection, 14 with a correction date recorded, 0 with no correction date recorded.
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.
View the official state record · Report an issue with this page
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 15 cited deficiencies for Primrose School at Alamo Ranch in the 3 years before October 10, 2026 (3 High, 6 Medium High, 5 Medium, 1 Low).
Records list 13 inspections in this window. Most recent inspection: 2026-07-01.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 6 |
| Medium | 5 |
| Medium Low | 0 |
| Low | 1 |
| 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.
2026-06-04 · 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
During the investigation, it was determined that a 4-year-old child was left unattended in the classroom for approximately 20 minutes.
Correction date recorded: 2026-06-26
2026-02-24 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
One caregiver had completed CPR training online.
Correction date recorded: 2026-03-13
2026-02-24 · 746.1329(d) · Low
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.
Corrected at inspection
2026-06-04 · 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: 2026-06-26. Correction verified: 2026-07-01.
During the investigation, it was determined that a 4-year-old child was left unattended in the classroom for approximately 20 minutes.
2026-02-24 · 746.1329(d) · Low
Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee
Corrected at inspection: Yes. Correction date: 2026-02-24. Correction verified: Not recorded.
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.
2026-02-24 · 746.1315(b)(1) · Medium High
CPR Training and Recertification Adhere to Guidelines-skill based
Corrected at inspection: No. Correction date: 2026-03-13. Correction verified: 2026-03-05.
One caregiver had completed CPR training online.
2025-09-05 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2025-09-05. Correction verified: 2025-09-17.
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.
2025-08-25 · 746.1301(a)(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
Corrected at inspection: No. Correction date: 2025-09-17. Correction verified: 2025-09-22.
During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.
2024-11-05 · 746.611(a)(3) · Medium
Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Corrected at inspection: No. Correction date: 2024-11-29. Correction verified: 2024-11-21.
One out of the ten children's records reviewed during inspection still does not have a health statement.
2024-09-23 · 746.611(a)(3) · Medium
Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement
Corrected at inspection: No. Correction date: 2024-10-23. Correction verified: 2024-11-05.
Two out of the ten children's records reviewed during inspection did not have a health statement.
2024-05-01 · 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: 2024-05-30. Correction verified: 2024-06-21.
A two-year-old child was left unsupervised in the classroom for 20 minutes.
2024-04-04 · 746.701(5) · Medium
Licensing Incident/Illness Report Form - Situations Placing Children at Risk
Corrected at inspection: No. Correction date: 2024-05-29. Correction verified: 2024-06-21.
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.
2024-03-04 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2024-03-29. Correction verified: 2024-04-03.
2 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.
2024-03-04 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-03-08. Correction verified: 2024-04-29.
5 infant feeding schedules had not been updated in the last 30 days.
2024-03-04 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-03-29. Correction verified: 2024-04-03.
A child with a noted food allergy does not have a completed Food Allergy Emergency on file.
2024-02-05 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2024-03-01. Correction verified: 2024-03-04.
One child with a diagnosed food allergy did not have a food allergy emergency plan on file.
2024-02-05 · 746.613(b) · Medium High
Immunization Records, Exceptions, and Exemptions Current
Corrected at inspection: No. Correction date: 2024-03-01. Correction verified: 2024-03-04.
4 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.
2024-02-05 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2024-02-12. Correction verified: 2024-03-04.
2 infant feeding schedules had not been reviewed/updated in the last 30 days.
2022-02-25 · 746.303(b) · Medium Low
Report Number of Employees
Corrected at inspection: No. Correction date: 2022-02-28. Correction verified: 2022-02-28.
A review of the Employees Who Left Employment in 2021 data from February 23, 2022, revealed that the center had not reported the number of employees who left employment in 2021 by February 22,2022, as required.
2022-02-18 · 746.5307(a) · Medium High
Inspect Fire Extinguishers Monthly
Corrected at inspection: No. Correction date: 2022-02-25. Correction verified: 2022-03-04.
Fire extinguishers were not checked monthly.
2022-02-18 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2022-04-29. Correction verified: 2022-03-31.
The operation has not had a fire inspection conducted since 2020.
2022-02-18 · 746.4751(b) · Medium
Maintenance Procedures for Active Play - Monthly Maintenance Checklist
Corrected at inspection: No. Correction date: 2022-03-11. Correction verified: 2022-03-04.
The operation did not have monthly maintenance checklists for review during inspection.
2022-02-18 · 746.4135(c) · Medium
Children's Products-Posting of CPSC website
Corrected at inspection: No. Correction date: 2022-03-04. Correction verified: 2022-03-04.
The required Consumer Product Safety Commission form has not been completed within the last year.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1274543
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.
Provider data fetched: October 10, 2026.