Primrose School at Alamo Ranch

During the investigation, it was determined that a 4-year-old child was left unattended in the classroom for approximately 20 minutes.

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.

One caregiver had completed CPR training online.

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.

During the investigation, it was found that one of the caregivers who provided first aid did not have first aid training certification.

One out of the ten children's records reviewed during inspection still does not have a health statement.

Two out of the ten children's records reviewed during inspection did not have a health statement.

A two-year-old child was left unsupervised in the classroom for 20 minutes.

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 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.

5 infant feeding schedules had not been updated in the last 30 days.

A child with a noted food allergy does not have a completed Food Allergy Emergency on file.

One child with a diagnosed food allergy did not have a food allergy emergency plan on file.

4 children's records needed updated shot records, 1 additional child's record had no immunization or exemption on file.

2 infant feeding schedules had not been reviewed/updated in the last 30 days.

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.

The required Consumer Product Safety Commission form has not been completed within the last year.

Fire extinguishers were not checked monthly.

The operation did not have monthly maintenance checklists for review during inspection.

The operation has not had a fire inspection conducted since 2020.