2025-11-20 · 746.305(a)(6) · High
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.
Correction date recorded: 2025-12-04
Licensed Center
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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.
Texas HHSC records list 14 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 15, 2026.
The same records list 8 cited deficiencies dated February 4, 2024 to November 20, 2025 (HHSC risk levels: 3 High, 5 Medium High).
Correction status recorded by HHSC: 0 corrected at inspection, 8 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 8 of these citations.
The official HHSC record has the full inspection history and the latest information.
Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.
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 8 cited deficiencies for Primrose School of West Lake Hills in the 3 years before October 10, 2026 (3 High, 5 Medium High).
Records list 14 inspections in this window. Most recent inspection: 2026-09-15.
| Risk weight | Citations |
|---|---|
| High | 3 |
| Medium High | 5 |
| Medium | 0 |
| Medium Low | 0 |
| 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.
2025-11-20 · 746.305(a)(6) · High
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.
Correction date recorded: 2025-12-04
2025-11-20 · 746.3301(i) · Medium High
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.
Correction date recorded: 2025-12-04
2025-11-18 · 746.305(a)(2) · Medium High
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.
Correction date recorded: 2025-11-25
2025-11-20 · 746.3301(i) · Medium High
Nutrition and Food Service - Must not serve identified foods to allergic child
Corrected at inspection: No. Correction date: 2025-12-04. Correction verified: 2025-12-12.
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.
2025-11-20 · 746.305(a)(6) · High
Report Situation Placing Children at Risk
Corrected at inspection: No. Correction date: 2025-12-04. Correction verified: 2025-12-12.
The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm.
2025-11-18 · 746.305(a)(2) · Medium High
AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2025-11-25. Correction verified: 2025-12-12.
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.
2024-08-26 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2024-08-26. Correction verified: 2024-09-06.
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so.
2024-08-26 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-08-26. Correction verified: 2024-09-06.
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.
2024-08-19 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: No. Correction date: 2024-08-19. Correction verified: 2024-08-26.
A child did not have their hands washed after a diaper change, and staff did not direct the child to do so.
2024-08-19 · 746.1301(a)(1)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Orientation
Corrected at inspection: No. Correction date: 2024-08-20. Correction verified: 2024-08-22.
Eight out of the ten staff files reviewed did not have proof of orientation to the center.
2024-02-04 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2024-03-11. Correction verified: 2024-03-13.
A caregiver did not show good judgment when she duct taped a child's shoes to his feet.
2023-10-02 · 746.2421(b) · Medium
Written Feeding Instructions - Review and Update Every 30 Days
Corrected at inspection: No. Correction date: 2023-10-06. Correction verified: 2023-10-13.
Current feeding instructions for four children were not available for review.
2023-10-02 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2023-11-10. Correction verified: 2024-01-02.
The required annual sanitation inspection was not available for review.
2023-10-02 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2023-10-02. Correction verified: 2023-10-13.
One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom.
2022-10-20 · 746.2426 · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2022-10-20. Correction verified: 2022-10-31.
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.
2022-02-07 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2022-02-18. Correction verified: 2022-02-18.
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.
2022-01-11 · 746.707 · Medium
Incident/Illness Report Form Shared with Parent
Corrected at inspection: No. Correction date: 2022-01-21. Correction verified: 2022-01-20.
Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient.
2021-11-18 · 746.4135(b) · Medium
Children's Products- Annual Certification
Corrected at inspection: No. Correction date: 2021-11-24. Correction verified: 2021-12-01.
The Children's Product certificates was last updated on 3-11-2020.
2021-11-18 · 746.3819 · Medium High
Food Allergy Emergency Plan Signed by Parents and Health Care Professional
Corrected at inspection: No. Correction date: 2021-12-03. Correction verified: 2021-12-02.
There were more than one food allergy plan that did not have the parent's signature.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1288211
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.