Texas › San Antonio › Primrose School at Alamo Ranch

Primrose School at Alamo Ranch

Child care center · 11161 WESTWOOD LOOP, San Antonio, TX 78253-6533 · License 1650405

0Compliance score
Poor

Capacity 226. InfantToddlerPre-KindergartenSchool

Violation history (160)

Severity	Date	Standard / narrative	Corrected
5	—	746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months The operation has not had a fire inspection conducted since 2020.	—
4	—	746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.	—
1	—	746.1329(d) - 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.	Yes
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 5 infant feeding schedules had not been updated in the last 30 days.	—
5	—	746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A two-year-old child was left unsupervised in the classroom for 20 minutes.	—
5	—	746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for 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.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 2 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 2 infant feeding schedules had not been reviewed/updated in the last 30 days.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 4 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement One out of the ten children's records reviewed during inspection still does not have a health statement.	—
3	—	746.4135(c) - Children's Products-Posting of CPSC website The required Consumer Product Safety Commission form has not been completed within the last year.	—
2	—	746.303(b) - Report Number of Employees 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.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child with a diagnosed food allergy did not have a food allergy emergency plan on file.	—
3	—	746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk 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.	—
5	—	746.1205(a)(4) - 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.	—
3	—	746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist The operation did not have monthly maintenance checklists for review during inspection.	—
4	—	746.5307(a) - Inspect Fire Extinguishers Monthly Fire extinguishers were not checked monthly.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement Two out of the ten children's records reviewed during inspection did not have a health statement.	—
4	—	746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based One caregiver had completed CPR training online.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A child with a noted food allergy does not have a completed Food Allergy Emergency on file.	—
3	—	746.4135(c) - Children's Products-Posting of CPSC website The required Consumer Product Safety Commission form has not been completed within the last year.	—
5	—	746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A two-year-old child was left unsupervised in the classroom for 20 minutes.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child with a diagnosed food allergy did not have a food allergy emergency plan on file.	—
3	—	746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk 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.	—
2	—	746.303(b) - Report Number of Employees 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.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 2 infant feeding schedules had not been reviewed/updated in the last 30 days.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 5 infant feeding schedules had not been updated in the last 30 days.	—
5	—	746.1205(a)(4) - 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.	—
4	—	746.5307(a) - Inspect Fire Extinguishers Monthly Fire extinguishers were not checked monthly.	—
1	—	746.1329(d) - 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.	Yes
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement One out of the ten children's records reviewed during inspection still does not have a health statement.	—
4	—	746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based One caregiver had completed CPR training online.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A child with a noted food allergy does not have a completed Food Allergy Emergency on file.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 4 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
5	—	746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for 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.	—
3	—	746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist The operation did not have monthly maintenance checklists for review during inspection.	—
4	—	746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.	—
5	—	746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months The operation has not had a fire inspection conducted since 2020.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement Two out of the ten children's records reviewed during inspection did not have a health statement.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 2 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
3	—	746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist The operation did not have monthly maintenance checklists for review during inspection.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 4 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
3	—	746.4135(c) - Children's Products-Posting of CPSC website The required Consumer Product Safety Commission form has not been completed within the last year.	—
5	—	746.1205(a)(4) - 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.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 2 infant feeding schedules had not been reviewed/updated in the last 30 days.	—
4	—	746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.	—
2	—	746.303(b) - Report Number of Employees 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.	—
4	—	746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based One caregiver had completed CPR training online.	—
5	—	746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A two-year-old child was left unsupervised in the classroom for 20 minutes.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child with a diagnosed food allergy did not have a food allergy emergency plan on file.	—
3	—	746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk 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.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 2 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A child with a noted food allergy does not have a completed Food Allergy Emergency on file.	—
4	—	746.5307(a) - Inspect Fire Extinguishers Monthly Fire extinguishers were not checked monthly.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement Two out of the ten children's records reviewed during inspection did not have a health statement.	—
1	—	746.1329(d) - 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.	Yes
5	—	746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months The operation has not had a fire inspection conducted since 2020.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 5 infant feeding schedules had not been updated in the last 30 days.	—
5	—	746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for 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.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement One out of the ten children's records reviewed during inspection still does not have a health statement.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 2 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
3	—	746.4135(c) - Children's Products-Posting of CPSC website The required Consumer Product Safety Commission form has not been completed within the last year.	—
3	—	746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist The operation did not have monthly maintenance checklists for review during inspection.	—
4	—	746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based One caregiver had completed CPR training online.	—
5	—	746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months The operation has not had a fire inspection conducted since 2020.	—
2	—	746.303(b) - Report Number of Employees 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.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 4 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
5	—	746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A two-year-old child was left unsupervised in the classroom for 20 minutes.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement One out of the ten children's records reviewed during inspection still does not have a health statement.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child with a diagnosed food allergy did not have a food allergy emergency plan on file.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 2 infant feeding schedules had not been reviewed/updated in the last 30 days.	—
4	—	746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.	—
5	—	746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for 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.	—
4	—	746.5307(a) - Inspect Fire Extinguishers Monthly Fire extinguishers were not checked monthly.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 5 infant feeding schedules had not been updated in the last 30 days.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A child with a noted food allergy does not have a completed Food Allergy Emergency on file.	—
5	—	746.1205(a)(4) - 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.	—
1	—	746.1329(d) - 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.	Yes
3	—	746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk 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.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement Two out of the ten children's records reviewed during inspection did not have a health statement.	—
3	—	746.4135(c) - Children's Products-Posting of CPSC website The required Consumer Product Safety Commission form has not been completed within the last year.	—
5	—	746.1205(a)(4) - 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.	—
4	—	746.1301(a)(3)(A) - Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional One child with a diagnosed food allergy did not have a food allergy emergency plan on file.	—
5	—	746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for 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.	—
2	—	746.303(b) - Report Number of Employees 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.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 2 infant feeding schedules had not been reviewed/updated in the last 30 days.	—
3	—	746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days 5 infant feeding schedules had not been updated in the last 30 days.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement One out of the ten children's records reviewed during inspection still does not have a health statement.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 4 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
4	—	746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional A child with a noted food allergy does not have a completed Food Allergy Emergency on file.	—
5	—	746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months The operation has not had a fire inspection conducted since 2020.	—
3	—	746.611(a)(3) - Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement Two out of the ten children's records reviewed during inspection did not have a health statement.	—
4	—	746.5307(a) - Inspect Fire Extinguishers Monthly Fire extinguishers were not checked monthly.	—
4	—	746.613(b) - Immunization Records, Exceptions, and Exemptions Current 2 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.	—
3	—	746.4751(b) - Maintenance Procedures for Active Play - Monthly Maintenance Checklist The operation did not have monthly maintenance checklists for review during inspection.	—
3	—	746.701(5) - Licensing Incident/Illness Report Form - Situations Placing Children at Risk 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.	—
1	—	746.1329(d) - 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.	Yes
4	—	746.1315(b)(1) - CPR Training and Recertification Adhere to Guidelines-skill based One caregiver had completed CPR training online.	—
5	—	746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity A two-year-old child was left unsupervised in the classroom for 20 minutes.	—

Severity 5 = most serious. Source: official state record.

Inspections (96)

96 inspection record(s) on file from TX-HHSC.

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