Primrose School of Round Rock

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

One classroom was not in compliance with the child/caregiver ratio. The classroom had a specified age group of 12-17 months, requiring 1 caregiver with up to 5 infants. There were 6 infants with 1 caregiver. This was corrected when another caregiver went into the classroom.

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 · High

Information obtained through a self-reported investigation shows that a child was left unsupervised in their classroom for between 15-20 minutes.

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

Information obtained in an investigation show that while the operation self-reported, they did not do so within the required two-day time period when they left a voicemail but did not call the statewide hot line for after-hours reporting.

746.3415(4) - Employee Handwashing After Diapering a Child · Medium High

A caregiver was observed not washing her hands after diapering a child.

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

A child was observed not washing her hands after having her diaper changed.

746.1316(a) - Transportation Safety Training -Director and Employee Complete 2 Hours Annually · Medium High

The director did not have current annual transportation training.

746.501(a)(23) - Written Operational Policies - Procedures parents access minimum standards online, TX A/N hotline, and HHSC website · Medium

The operational policies were missing information on how parents may access Minimum Standards online, the Texas Abuse and Neglect Hotline, and the HHSC website.

746.501(a)(28) - Written Operational Policies - Vaccine Preventable Diseases · Medium

The operational policies were missing employee vaccination policies.

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

Information obtained through the investigation shows that the operation failed to provide incident reports to parents within 48 hours when children received injuries while in care. Incident reports were created but not signed by the parents.

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

Two caregivers stated the wrong number of children they were responsible for when they were asked twice. This was corrected at inspection when the caregivers gave the correct number of children after it was pointed out there was one more child in the room than they had originally stated.

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 · High

Information obtained through the investigation shows that a child was left unsupervised outside for between 30 and 45 minutes.

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

Information obtained through the investigation shows that the operation failed to notify Child Care Regulation when a child was left unsupervised outside for between 30 and 45 minutes.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

Information obtained through the investigation shows that the operation failed to notify the parent when their child was left unsupervised outside for between 30 and 45 minutes.

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

Information obtained through the investigation shows that the operation failed to provide an incident report to the parent when their child was left unsupervised outside for between 30 and 45 minutes.

746.1601 - Child/ Caregiver Ratio - 13 or More Children · Medium High

It was found during a self-reported investigation that a caregiver was out of ratio by 7 children when a second caregiver briefly stepped away. The director stated the operation has ordered walkie talkies for caregivers to use when outside.

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 · High

Information obtained through the investigation shows that a child was left unsupervised in their classroom.

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

Information obtained through the investigation shows that the operation failed to notify Child Care Regulation when a child was left unsupervised in their classroom.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

Information obtained through the investigation shows that the operation failed to notify the parent when their child was left unsupervised in their classroom.

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

Information obtained through the investigation shows that the operation failed to provide an incident report to the parent when their child was left unsupervised in their classroom.

746.1309(e) - Documented Annual Training- Required Content · Medium

At the time of investigation inspection, the director was unable to provide Child Care Regulation with the required food allergy training.

746.3805(b)(3) - Administering Medication - Not After Expiration date · Medium High

It was found during an investigation that the operation had expired epinephrine auto injectors for two children with an allergy and an expired antihistamine medication for another child with an allergy. There was evidence to suggest during the investigation that a child?s epinephrine auto injector was lost by the operation.

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 · High

Information obtained through the investigation shows that a child was found unsupervised in their classroom after the rest of the class transitioned outside.

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

Information obtained through the investigation shows that the operation failed to notify Child Care Regulation of situations that placed children at risk when a child was found unsupervised in their classroom after the rest of the class transitioned outside.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

Information obtained through the investigation shows that the operation did not immediately notify the parent of a child who was placed at risk when a child was found unsupervised in their classroom after the rest of the class transitioned outside. The parent was notified 7 days after the incident occurred after the operation was instructed to do so by Child Care Regulation.

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

Information obtained through the investigation shows that the operation failed to provide an incident report to the parent within 48 hours when a child was found unsupervised in their classroom after the rest of the class transitioned outside. The incident report was provided to the parent 7 days after the incident occurred after the operation was instructed to do so by Child Care Regulation.

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 · High

Information obtained through the investigation shows that a child was found unsupervised while in the bathroom while the rest of the child's class was outside.

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

Information obtained through the investigation shows that the operation failed to notify Child Care Regulation of situations that placed children at risk when a child was found unsupervised while in the bathroom while the rest of the child's class was outside.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

Information obtained through the investigation shows that the operation did not notify the parents of a child who was placed at risk when the child found unsupervised in the bathroom while the rest of the child's class was outside.

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

Information obtained through the investigation shows that the operation failed to provide an incident report when a child was found unsupervised while in the bathroom while the rest of the child's class was outside.

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 · High

Information obtained through the investigation shows that a child left their class and went to another outdoor area during a transition without the caregivers? knowledge. Information obtained through the investigation shows that two children were unsupervised when they were found outside close to closing time.

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

Information obtained through the investigation shows that the operation failed to notify Child Care Regulation of situations that placed children at risk when a child left their class and went to another outdoor area during a transition without the caregivers? knowledge. The operation failed to notify Child Care Regulation when two children were found outside close to closing time.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

Information obtained through the investigation shows that the operation did not notify the parents of a child who was placed at risk when a child left their class and went to another outdoor area during a transition without the caregivers? knowledge. The operation did not notify the parents of two children when they were found outside close to closing time.

745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation · High

An employee was present at the operation and had access to children without receiving a background check eligibility letter.

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

A caregiver used an iPad to lightly bop children on the head.

746.1203(3)(D) - Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games · Medium High

A caregiver used her personal phone as well as the operations iPad for personal use.

746.2805(5) - Prohibited Punishments - Humiliating, Rejecting, Yelling · High

There was sufficient evidence that a caregiver yelled at children as a form of discipline.

746.1201(5) - Responsibilities of Employees and Caregivers-Report Suspected Child Abuse, Neglect or Exploitation · High

Information obtained throughout the investigation shows that the operation failed to report suspected abuse to the Department of Family Protective Services.

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 · High

Information obtained throughout the investigation shows that a child was left unsupervised on two separate occasions, in their classroom and outside. While the child was unsupervised outside, their hand was stuck in the door.

746.2805(1) - Prohibited Punishments - Corporal Punishment · High

Information obtained throughout the investigation shows that a caregiver hit a child on the head and pushed a child's head onto their naptime cot.

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

Information obtained throughout the investigation shows that the operation failed to notify Child Care Regulation of situations that placed children at risk when a child was left unsupervised on two separate occasions, in their classroom and outside. While the child was left unsupervised outside, their hand was stuck in the door. The operation failed to notify Child Care Regulation of a situation that placed a child at risk when a caregiver used prohibited punishment on the child.

746.307(b)(4) - Parental Communication - Situation that Placed a Child at Risk · High

Information obtained throughout the investigation shows that the operation did not notify the parents of a child who was placed at risk when they were left unsupervised on two separate occasions, in their classroom and outside. While the child was left unsupervised outside, their hand was stuck in the door. The operation failed to notify the parents of a child who was placed at risk when a caregiver used prohibited punishment on the child.

746.3301(h) - Nutrition and Food Service - Food not a reward · Medium High

Information obtained throughout the investigation shows that a caregiver bribed children with candy so that they would behave.

746.3501(1) - Diaper Changing Steps- Prompt · Medium High

Information obtained throughout the investigation shows that a caregiver failed to promptly change wet or soiled diapers, causing children to have diaper rashes.

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

Information obtained throughout the investigation shows that the operation failed to provide incident reports for three incidents. A child was left unsupervised on two separate occasions, in their classroom and outside. While the child was left unsupervised outside, their hand was stuck in the door. A caregiver used prohibited punishment on a child.

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

An incident report was not shared or given to the parent when the incident occurred.

746.2419(3) - Requirements for Feeding Infants - Never Prop Bottles · High

Bottles are propped up for infants occasionally during feedings.

746.4907(d) - Installation and Maintenance of Loose-fill Surfacing - Proper Depth Maintained · Medium High

It was observed that the loose fill depth was not 6 inches below required 6 inches

746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months · High

The operation last fire inspection was done 8/16/21.

746.603(a)(4) - Children's Records - Immunizations · Medium

One out of ten children's files reviewed were missing immunization records.

746.1203(4) - Responsibilities of Caregivers- Supervision of Children · High · No longer displayed by the state

During an investigation there was sufficient evidence to support that a child was left unsupervised in the classroom.