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 6 cited deficiencies dated November 5, 2025 to May 13, 2026 (3 High, 1 Medium High, 1 Medium, 1 Medium Low risk). Correction status: 2 corrected at inspection, 4 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 April 2, 2026 (corrected at inspection; technical assistance given). What the record describes: A caregiver who previously had an eligible background check was present in a classroom without an active background check.
High risk · Critical Injury - Contact EMS After Ensuring Supervision of Group (746.3607(1)) Cited January 26, 2026 (correction date recorded: February 10, 2026; correction verified February 25, 2026; technical assistance given). What the record describes: The operation did not contact Emergency Medical Services after an injury caused deep lacerations to two fingers that required immediate treatment.
High risk · Responsibilities of Caregivers - Know number of children responsible for (746.1205(a)(2)) Cited November 5, 2025 (correction date recorded: November 5, 2025; correction verified November 18, 2025; technical assistance given). What the record describes: A caregiver said she had 13 children in care when 14 children were present.
Medium High risk · CPR Training and Recertification Adhere to Guidelines-skill based (746.1315(b)(1)) Cited November 5, 2025 (correction date recorded: November 21, 2025; correction verified November 20, 2025; technical assistance given). What the record describes: A staff member's CPR certification lacked the in-person portion of the course.
Medium risk · Written Feeding Instructions - Review and Update Every 30 Days (746.2421(b)) Cited November 5, 2025 (correction date recorded: November 7, 2025; correction verified November 18, 2025; technical assistance given). What the record describes: One infant's feeding schedule had not been updated since July, and another's had not been updated since September.
Medium Low risk · Required Personnel Records - Required Affidavit (Form 2912) (746.901(5)) Cited May 13, 2026 (corrected at inspection). What the record describes: One of ten staff records reviewed did not have a pre-employment affidavit on file.
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 6 cited deficiencies for Primrose School at Bulverde Road in the 3 years before October 10, 2026 (3 High, 1 Medium High, 1 Medium, 1 Medium Low).
Records list 9 inspections in this window. Most recent inspection: 2026-05-13.
HHSC risk weights of citations
Risk weight
Citations
High
3
Medium High
1
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
A caregiver, who previously had an eligible background check, was present in the classroom without an active background check. Note: This was corrected at inspection when the caregiver was removed from the classroom and their background check was resubmitted.
Critical Injury - Contact EMS After Ensuring Supervision of Group
It was determined through an investigation that after an injury that resulted in deep lacerations to two fingers, which required immediate treatment, Emergency Medical Services were not contacted by the operation.
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: Yes. Correction date: 2026-04-02. Correction verified: Not recorded.
A caregiver, who previously had an eligible background check, was present in the classroom without an active background check. Note: This was corrected at inspection when the caregiver was removed from the classroom and their background check was resubmitted.
Critical Injury - Contact EMS After Ensuring Supervision of Group
Corrected at inspection: No. Correction date: 2026-02-10. Correction verified: 2026-02-25.
It was determined through an investigation that after an injury that resulted in deep lacerations to two fingers, which required immediate treatment, Emergency Medical Services were not contacted by the operation.
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2025-11-05. Correction verified: 2025-11-18.
During the walkthrough, a caregiver stated she had 13 children in care when there were 14 children present.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1452923
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.