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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 12 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 11, 2026.
The same records list 6 cited deficiencies dated March 1, 2024 to May 21, 2026 (HHSC risk levels: 4 High, 1 Medium High, 1 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 6 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 6 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 6 cited deficiencies for Primrose School at Rancho Sienna in the 3 years before October 10, 2026 (4 High, 1 Medium High, 1 Medium).
Records list 12 inspections in this window. Most recent inspection: 2026-09-11.
| Risk weight | Citations |
|---|---|
| High | 4 |
| Medium High | 1 |
| Medium | 1 |
| 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.
2026-05-21 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
During an inspection, a caregiver was observed in a classroom with children that did not have a background check submitted. This was corrected when the caregiver left the operation.
Correction date recorded: 2026-05-21
2025-07-09 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Two children did not have current immunization records.
Correction date recorded: 2025-07-18
2025-07-09 · 746.3803(b) · Medium High
Medication Authorization Expires on First Anniversary
Correction date recorded: 2025-07-30
2026-05-21 · 745.621(a)(2) · High
AP Initial background checks submitted - At the time you hire someone
Corrected at inspection: No. Correction date: 2026-05-21. Correction verified: 2026-05-22.
During an inspection, a caregiver was observed in a classroom with children that did not have a background check submitted. This was corrected when the caregiver left the operation.
2025-07-09 · 746.3803(b) · Medium High
Medication Authorization Expires on First Anniversary
Corrected at inspection: No. Correction date: 2025-07-30. Correction verified: 2025-08-08.
No narrative recorded.
2025-07-09 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2025-07-18. Correction verified: 2025-07-18.
Two children did not have current immunization records.
2024-03-11 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2024-03-11. Correction verified: 2024-03-19.
Observed two classrooms that did not know how many children that they had in care. One classroom stated that they had 15 children but actually had 16 children in care. Another classroom caregiver stated that they did not know how many children they had in the classroom, Licensing counted the children and there was 17 children.
2024-03-01 · 746.2427(a) · High
AP Must Place Infants in Face up Sleeping Position or Must Have Completed and Signed Sleep Exception Form for the Infant
Corrected at inspection: No. Correction date: 2024-03-01. Correction verified: 2024-03-11.
Observed a caregiver place a sleeping infant on their stomach in the crib. I spoke to the caregiver about always laying infants on their backs and if the infant can roll to their stomachs then they can leave them in that position. The infant was turned around on their back. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.
2024-03-01 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2024-03-01. Correction verified: 2024-03-11.
I observed two infant classrooms that had infants sleeping in bouncy seats. One classroom had one infant sleeping in a bouncy and the teacher got up and removed the infant as they seen licensing walk in the room. The second classroom had two infants sleeping in bouncy seats. I asked the caregivers to place the infants in their cribs and this was completed during inspection. I explained to all infant caregivers that infants cannot sleep in bouncy seats and that they are used for play and not sleeping.
2023-10-04 · 746.5101(a) · High
Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
Corrected at inspection: No. Correction date: 2023-10-06. Correction verified: 2023-10-17.
The last fire inspection was completed on 4/14/2022. The operation has scheduled an inspection for 4/15/2023.
2023-05-30 · 746.603(a)(1) · Medium
Children's Records - Enrollment Agreement
Corrected at inspection: No. Correction date: 2023-05-30. Correction verified: 2023-06-08.
Observed a child in care under the age of 14 years old at the operation without being enrolled at the operation. This was corrected when the child left the operation.
2023-05-30 · 745.621(a)(7) · High
AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
Corrected at inspection: Yes. Correction date: 2023-05-30. Correction verified: Not recorded.
Observed a person over the age of 14 in a classroom with access to the children in care without a cleared background check.This was corrected when the person left the operation and a background check was put in. An administrative penalty will be recommended as a result of this citation, per HRC ?42.078.
2022-03-30 · 746.1203(2) · High
Responsibilities of Caregivers - Know Group Responsible For
Corrected at inspection: No. Correction date: 2022-03-30. Correction verified: 2022-04-07.
During my walk through, a caregiver stated that there were 21 children present in the classroom, but there were 25 children in the classroom.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1389967
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.