Primrose School At Alamo Ranch
11161 WESTWOOD LOOP, San Antonio, TX 78253 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 226
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:00 PM
- Director / administrator
- Stephanie Alvarez
- Phone
- (210) 394-6900
- Regulated since
- Oct 27, 2017
- HHSC IDs
- Operation 1274543 · number 1650405
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 3 | 1 | Supervision & ratios (1), Staff background & training (2) |
| 2025 | 2 | 1 | Staff background & training (1), Other (1) |
| 2024 | 10 | 1 | Illness & medication (3), Supervision & ratios (1), Safety & premises (2), Records & paperwork (2), Other (2) |
| 2022 | 5 | 1 | Supervision & ratios (2), Safety & premises (1), Records & paperwork (1), Other (1) |
Inspections, investigations & assessments
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Jul 1, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 5, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 4, 2026 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
During the investigation, it was determined that a 4-year-old child was left unattended in the classroom for approximately 20 minutes.
HHSC 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
HHSC risk weight: High. Corrected 2026-06-26. Correction verified 2026-07-01.
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Supervision & ratios Serious
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Feb 24, 2026 Inspection · Deficiencies cited
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Staff background & training
One caregiver had completed CPR training online.
HHSC 746.1315(b)(1) — CPR Training and Recertification Adhere to Guidelines-skill based
HHSC risk weight: Medium High. Corrected 2026-03-13. Correction verified 2026-03-05.
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Staff background & training
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.
HHSC 746.1329(d) — Employee record: Signed and Dated Statement for Orientation/Pre-Service training by trainer and employee
HHSC risk weight: Low. Corrected at inspection. Corrected 2026-02-24.
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Staff background & training
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Sep 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Sep 5, 2025 Inspection · Deficiencies cited
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Other Serious
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.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2025-09-05. Correction verified 2025-09-17.
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Other Serious
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Aug 25, 2025 Report · Deficiencies cited (self-report)
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Staff background & training
During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.
HHSC 746.1301(a)(3)(A) — Training Requirements for Employees, Caregivers, and Directors - Pediatric First Aid with Rescue Breathing
HHSC risk weight: Medium High. Corrected 2025-09-17. Correction verified 2025-09-22.
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Staff background & training
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May 19, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 11, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Nov 5, 2024 Assessment · Deficiencies cited
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Records & paperwork
One out of the ten children's records reviewed during inspection still does not have a health statement.
HHSC 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
HHSC risk weight: Medium. Corrected 2024-11-29. Correction verified 2024-11-21.
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Records & paperwork
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Sep 23, 2024 Inspection · Deficiencies cited
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Records & paperwork
Two out of the ten children's records reviewed during inspection did not have a health statement.
HHSC 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
HHSC risk weight: Medium. Corrected 2024-10-23. Correction verified 2024-11-05.
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Records & paperwork
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Jun 21, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 2, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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May 1, 2024 Report · Deficiencies cited (self-report)
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Supervision & ratios Serious
A two-year-old child was left unsupervised in the classroom for 20 minutes.
HHSC 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
HHSC risk weight: High. Corrected 2024-05-30. Correction verified 2024-06-21.
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Supervision & ratios Serious
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Apr 4, 2024 Report · Deficiencies cited
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Illness & medication
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.
HHSC 746.701(5) — Licensing Incident/Illness Report Form - Situations Placing Children at Risk
HHSC risk weight: Medium. Corrected 2024-05-29. Correction verified 2024-06-21.
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Illness & medication
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Mar 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 22, 2024 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Mar 4, 2024 Inspection · Deficiencies cited
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Other
5 infant feeding schedules had not been updated in the last 30 days.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2024-03-08. Correction verified 2024-04-29.
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Safety & premises
A child with a noted food allergy does not have a completed Food Allergy Emergency on file.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2024-03-29. Correction verified 2024-04-03.
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Illness & medication
2 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2024-03-29. Correction verified 2024-04-03.
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Other
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Feb 5, 2024 Inspection · Deficiencies cited
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Other
2 infant feeding schedules had not been reviewed/updated in the last 30 days.
HHSC 746.2421(b) — Written Feeding Instructions - Review and Update Every 30 Days
HHSC risk weight: Medium. Corrected 2024-02-12. Correction verified 2024-03-04.
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Safety & premises
One child with a diagnosed food allergy did not have a food allergy emergency plan on file.
HHSC 746.3819 — Food Allergy Emergency Plan Signed by Parents and Health Care Professional
HHSC risk weight: Medium High. Corrected 2024-03-01. Correction verified 2024-03-04.
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Illness & medication
4 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.
HHSC 746.613(b) — Immunization Records, Exceptions, and Exemptions Current
HHSC risk weight: Medium High. Corrected 2024-03-01. Correction verified 2024-03-04.
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Other
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Mar 13, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 7, 2023 Report · No deficiencies cited (self-report)
No violations cited on this visit.
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Feb 16, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 22, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 7, 2022 Report · No deficiencies cited
No violations cited on this visit.
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Mar 4, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Feb 25, 2022 Assessment · Deficiencies cited
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Records & paperwork
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.
HHSC 746.303(b) — Report Number of Employees
HHSC risk weight: Medium Low. Corrected 2022-02-28. Correction verified 2022-02-28.
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Records & paperwork
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Feb 18, 2022 Inspection · Deficiencies cited
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Other
The required Consumer Product Safety Commission form has not been completed within the last year.
HHSC 746.4135(c) — Children's Products-Posting of CPSC website
HHSC risk weight: Medium. Corrected 2022-03-04. Correction verified 2022-03-04.
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Supervision & ratios
The operation did not have monthly maintenance checklists for review during inspection.
HHSC 746.4751(b) — Maintenance Procedures for Active Play - Monthly Maintenance Checklist
HHSC risk weight: Medium. Corrected 2022-03-11. Correction verified 2022-03-04.
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Supervision & ratios Serious
The operation has not had a fire inspection conducted since 2020.
HHSC 746.5101(a) — Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
HHSC risk weight: High. Corrected 2022-04-29. Correction verified 2022-03-31.
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Safety & premises
Fire extinguishers were not checked monthly.
HHSC 746.5307(a) — Inspect Fire Extinguishers Monthly
HHSC risk weight: Medium High. Corrected 2022-02-25. Correction verified 2022-03-04.
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Other
Get the full file
HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
Show the letter text
If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.