Primrose School of West Lake Hills

746.305(a)(6) - Report Situation Placing Children at Risk · High

The operation, failed to notify CCR, within two days, of an incident that placed a child at risk of harm.

746.3301(i) - Nutrition and Food Service - Must not serve identified foods to allergic child · Medium High

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.

746.305(a)(2) - AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization · Medium High

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.

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium High

A child did not have their hands washed after a diaper change, and staff did not direct the child to do so.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

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.

746.1301(a)(1)(A) - Training Requirements for Employees, Caregivers, and Directors - Orientation · Medium High

Eight out of the ten staff files reviewed did not have proof of orientation to the center.

746.3417(3) - Children Handwashing After Toileting or Diapering · Medium High

A child did not have their hands washed after a diaper change, and staff did not direct the child to do so.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

A caregiver did not show good judgment when she duct taped a child's shoes to his feet.

746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days · Medium

Current feeding instructions for four children were not available for review.

746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for · High

One class reported that they had 6 children in care. When counted there are at total of seven children in the classroom.

746.3401(a) - Annual Sanitation Inspection · Medium High

The required annual sanitation inspection was not available for review.

746.2426 - Infant May Not Sleep in a Restrictive Device · High

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.

746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control · High

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.

746.707 - Incident/Illness Report Form Shared with Parent · Medium

Based on evidence obtained during the investigation, the standard for sharing the illness report within 48 hours, has been found deficient.

746.3819 - Food Allergy Emergency Plan Signed by Parents and Health Care Professional · Medium High

There were more than one food allergy plan that did not have the parent's signature.

746.4135(b) - Children's Products- Annual Certification · Medium

The Children's Product certificates was last updated on 3-11-2020.