Primrose School at Alamo Ranch, San Antonio, TX

The Essentials

Summary

Across 27 licensing visits from February 2022 to July 2026, HHSC cited 20 deficiencies at Primrose School at Alamo Ranch; 20 have a recorded correction.

Visits: 27; 2022–2026, inspections, investigations and assessments
Deficiencies: 20; Standards cited by HHSC inspectors
Corrected: 20; Of 20 deficiencies, with a recorded correction date
Investigations: 7; Licensing investigations, whatever prompted them

Deficiencies by Year

Deficiencies
Of which, high risk

* Partial year, through October 31, 2026.

Deficiencies by year
Year	Visits	Deficiencies	Of which, high risk
2021	0	0	0
2022	5	5	1
2023	3	0	0
2024	10	10	1
2025	5	2	1
2026	4	3	1

What the Record Shows

20 of 20 deficiencies have a recorded correction date.
HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.
7 visits in this window included an investigation. HHSC publishes what an investigation cited, not what the report to it alleged.
The latest inspection, July 1, 2026, recorded no deficiencies.

What to Ask About

Citation 746.1205(a)(4), Cited in Two Visits
Citation 746.2421(b), Cited in Two Visits
Citation 746.3819, Cited in Two Visits
Citation 746.611(a)(3), Cited in Two Visits
Immunization Records, Exceptions, and Exemptions Current, Cited in Two Visits

Report at a Glance

Facility: Primrose School at Alamo Ranch
Address: 11161 Westwood Loop, San Antonio, TX 78253
Operation Number: TX-1650405
License Type: Licensed child care center
Licensed Capacity: 226 children
Permit: Full Permit
Ages Served: infants, toddlers, pre-kindergarten, school age
Hours: Mon–Fri, 6:30 a.m.–6 p.m.
Record Window: November 1, 2021 to October 31, 2026

Chronology

Inspection History

Every visit in the record window, newest first. A deficiency is a licensing standard Texas inspectors found was not met. HHSC publishes what an investigation cited, not what the report to it alleged.

Jul 12026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110684
Jun 52026
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110683
Jun 42026
Investigation
1 deficiency
Opened on a report the operation made itself.
- 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 activityHigh riskCorrected Jun 26, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223108
Feb 242026
Inspection
2 deficiencies
- 746.1315(b)(1)CPR Training and Recertification Adhere to Guidelines-skill basedMedium-high riskCorrected Mar 13, 2026
- 746.1329(d)Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employeeLow riskCorrected Feb 24, 2026
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110682
Sep 172025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110681
Sep 52025
Inspection
1 deficiency
- 746.1205(a)(2)Responsibilities of Caregivers - Know number of children responsible forHigh riskCorrected Sep 5, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110680
Aug 252025
Investigation
1 deficiency
Opened on a report the operation made itself.
- 746.1301(a)(3)(A)Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue BreathingMedium-high riskCorrected Sep 17, 2025
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223107
May 192025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110679
Mar 112025
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110678
Nov 52024
Assessment
1 deficiency
- 746.611(a)(3)Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statementMedium riskCorrected Nov 29, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905252707
Sep 232024
Inspection
1 deficiency
- 746.611(a)(3)Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statementMedium riskCorrected Oct 23, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110677
Jun 212024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110676
May 22024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110675
May 12024
Investigation
1 deficiency
Opened on a report the operation made itself.
- 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 activityHigh riskCorrected May 30, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223106
Apr 42024
Investigation
1 deficiency
- 746.701(5)Licensing Incident/Illness Report Form - Situations Placing Children at RiskMedium riskCorrected May 29, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223105
Mar 252024
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110674
Mar 222024
Investigation
No deficiencies
Opened on a report the operation made itself.
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223104
Mar 42024
Inspection
3 deficiencies
- 746.3819Food Allergy Emergency Plan Signed by Parents and Health Care ProfessionalMedium-high riskCorrected Mar 29, 2024
- 746.2421(b)Written Feeding Instructions - Review and Update Every 30 DaysMedium riskCorrected Mar 8, 2024
- 746.613(b)Immunization Records, Exceptions, and Exemptions CurrentMedium-high riskCorrected Mar 29, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110673
Feb 52024
Inspection
3 deficiencies
- 746.3819Food Allergy Emergency Plan Signed by Parents and Health Care ProfessionalMedium-high riskCorrected Mar 1, 2024
- 746.2421(b)Written Feeding Instructions - Review and Update Every 30 DaysMedium riskCorrected Feb 12, 2024
- 746.613(b)Immunization Records, Exceptions, and Exemptions CurrentMedium-high riskCorrected Mar 1, 2024
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110672
Mar 132023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110671
Mar 72023
Investigation
No deficiencies
Opened on a report the operation made itself.
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223103
Feb 162023
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110670
Jul 222022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110669
Jun 72022
Investigation
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905223102
Mar 42022
Inspection
No deficiencies
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110668
Feb 252022
Assessment
1 deficiency
- 746.303(b)Report Number of EmployeesMedium-low riskCorrected Feb 28, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905252706
Feb 182022
Inspection
4 deficiencies
- 746.5101(a)Annual Fire Inspection - Before Initial Permit Issued and Every 12 MonthsHigh riskCorrected Apr 29, 2022
- 746.5307(a)Inspect Fire Extinguishers MonthlyMedium-high riskCorrected Feb 25, 2022
- 746.4751(b)Maintenance Procedures for Active Play - Monthly Maintenance ChecklistMedium riskCorrected Mar 11, 2022
- 746.4135(c)Children's Products-Posting of CPSC websiteMedium riskCorrected Mar 4, 2022
Source: Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x), 905110667

Texas gives every licensing standard one of five risk levels, from low to high, by how likely a deficiency is to harm a child.

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

1
Citation 746.1205(a)(4), Cited in Two Visits
HHSC inspectors cited 746.1205(a)(4) in May 2024 and June 2026. The agency describes it this way: Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity. The most serious of these was recorded at high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
222222222223232324242424242424242424252525252526262626746.1205(a)(4) across all 27 visits, oldest to newest
2
Citation 746.2421(b), Cited in Two Visits
HHSC inspectors cited 746.2421(b) in February 2024 and March 2024. The agency describes it this way: Written Feeding Instructions - Review and Update Every 30 Days. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
222222222223232324242424242424242424252525252526262626746.2421(b) across all 27 visits, oldest to newest
3
Citation 746.3819, Cited in Two Visits
HHSC inspectors cited 746.3819 in February 2024 and March 2024. The agency describes it this way: Food Allergy Emergency Plan Signed by Parents and Health Care Professional. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
222222222223232324242424242424242424252525252526262626746.3819 across all 27 visits, oldest to newest
4
Citation 746.611(a)(3), Cited in Two Visits
HHSC inspectors cited 746.611(a)(3) in September 2024 and November 2024. The agency describes it this way: Health Statement parent sign - Dated within past yr, name/address health care professional, states child can participate. Follow by signed statement. None rose above medium risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
222222222223232324242424242424242424252525252526262626746.611(a)(3) across all 27 visits, oldest to newest
5
Immunization Records, Exceptions, and Exemptions Current, Cited in Two Visits
HHSC inspectors cited 746.613(b) in February 2024 and March 2024. The agency describes it this way: Immunization Records, Exceptions, and Exemptions Current. None rose above medium-high risk. Each citation has a recorded correction, and a repeat after correction is worth a direct question.
222222222223232324242424242424242424252525252526262626746.613(b) across all 27 visits, oldest to newest

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

01
What changed after 746.1205(a)(4) was cited, and how do you check it now?
Citation 746.1205(a)(4): cited in two visits, including high-risk standards.
02
What changed after 746.2421(b) was cited, and how do you check it now?
Citation 746.2421(b): cited in two visits, most seriously at medium risk.
03
What changed after 746.3819 was cited, and how do you check it now?
Citation 746.3819: cited in two visits, most seriously at medium-high risk.
04
What changed after 746.611(a)(3) was cited, and how do you check it now?
Citation 746.611(a)(3): cited in two visits, most seriously at medium risk.
05
What changed after 746.613(b) was cited, and how do you check it now?
Immunization Records, Exceptions, and Exemptions Current: cited in two visits, most seriously at medium-high risk.
06
What is the ratio in the room my child would join, and how is every child accounted for at nap time, pickup and on the playground?
Ratios change through the day, so they are worth counting yourself on a visit.
07
Has the center ever been under corrective or adverse action, and what changed afterward?
HHSC’s files name no enforcement action in this window. They say whether a program is under corrective or adverse action, not what the action was.

The Evidence

Sources and Coverage

Program details, licensing visits and the deficiencies cited at each are published by the Texas Health and Human Services Commission's Child Care Regulation in its daily files on data.texas.gov.

Child Care Licensing operations (data.texas.gov)
Texas Health and Human Services Commission, Child Care Regulation · 1650405
Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110667
Visit Feb 18, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905252706
Visit Feb 25, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110668
Visit Mar 4, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905223102
Visit Jun 7, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110669
Visit Jul 22, 2022 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110670
Visit Feb 16, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905223103
Visit Mar 7, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110671
Visit Mar 13, 2023 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110672
Visit Feb 5, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110673
Visit Mar 4, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905223104
Visit Mar 22, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110674
Visit Mar 25, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905223105
Visit Apr 4, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905223106
Visit May 1, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110675
Visit May 2, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110676
Visit Jun 21, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110677
Visit Sep 23, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905252707
Visit Nov 5, 2024 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110678
Visit Mar 11, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110679
Visit May 19, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905223107
Visit Aug 25, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110680
Visit Sep 5, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110681
Visit Sep 17, 2025 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110682
Visit Feb 24, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905223108
Visit Jun 4, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110683
Visit Jun 5, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗
Inspection, investigation or assessment, with the deficiencies cited (data.texas.gov: m5q4-3y3d and tqgd-mf4x)
Texas Health and Human Services Commission, Child Care Regulation · 905110684
Visit Jul 1, 2026 · Published Oct 31, 2026 · Retrieved Nov 1, 2026
View Dataset ↗

Coverage

Record windowNovember 1, 2021 – October 31, 2026

This record is HHSC's list of operations as of October 2026, with the inspections, investigations and assessments in HHSC's files, which run from November 2021.
Listed family homes (one caregiver with up to three unrelated children, listed with HHSC but not inspected on a schedule) are not in this record.
HHSC's narrative for each deficiency is left out because it can name children, parents and staff; the rule cited, its risk level and the correction dates are kept.

What This Report Cannot Tell You

Inspector narratives: Published by HHSC but left out of this record because they can name people.
Enforcement actions: HHSC's files say whether an operation is under corrective or adverse action, not what the action was.
Complaints not investigated: Reports HHSC screened out without an investigation are not published.
Staff qualifications and turnover: Not part of the published licensing record.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.