2026-06-17 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Bottles are washed and reused in the handwashing sink and juice bottle was observed on the changing table.
Correction date recorded: 2026-06-17
Licensed Center
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Corrective action means HHSC requires steps to address compliance concerns; see the official HHSC record for details.
Adverse action means HHSC has taken enforcement action affecting an operation’s permit or ability to operate; see the official HHSC record for details.
Texas HHSC records list 9 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated August 20, 2026.
The same records list 8 cited deficiencies dated October 24, 2024 to June 17, 2026 (HHSC risk levels: 1 High, 4 Medium High, 3 Medium).
Correction status recorded by HHSC: 0 corrected at inspection, 8 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 8 of these citations.
The official HHSC record has the full inspection history and the latest information.
Generated from Texas HHSC state records. Counts and dates come directly from the published state data; no descriptions were written by a model.
View the official state record · Report an issue with this page
This summary is generated automatically from public HHSC records. It restates the official record and may lag behind it. The official state record is the authoritative source: official HHSC record.
Texas Health and Human Services records list 8 cited deficiencies for Miles of Smiles Childcare in the 3 years before October 10, 2026 (1 High, 4 Medium High, 3 Medium).
Records list 9 inspections in this window. Most recent inspection: 2026-08-20.
| Risk weight | Citations |
|---|---|
| High | 1 |
| Medium High | 4 |
| Medium | 3 |
| Medium Low | 0 |
| Low | 0 |
| Unknown | 0 |
HHSC assigns each standard a risk weight from Low to High. A deficiency is a finding that a minimum standard was not met.
2026-06-17 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Bottles are washed and reused in the handwashing sink and juice bottle was observed on the changing table.
Correction date recorded: 2026-06-17
2026-06-17 · 746.603(a)(4) · Medium
Children's Records - Immunizations
During inspection 6 child records were reviewed and one child needs an updated shot record.
Correction date recorded: 2026-07-01
2025-11-18 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
During the investigation it was determined that children have been injured when caregivers did not intervene in the activity that caused the injury. Groups of children were also observed, during inspection, to be running through the building, from one class area to another…
Correction date recorded: 2025-12-17
2026-06-17 · 746.603(a)(4) · Medium
Children's Records - Immunizations
Corrected at inspection: No. Correction date: 2026-07-01. Correction verified: 2026-07-07.
During inspection 6 child records were reviewed and one child needs an updated shot record.
2026-06-17 · 746.2419(8) · Medium High
Requirements for Feeding Infants - Other Use of Handwashing Sink
Corrected at inspection: No. Correction date: 2026-06-17. Correction verified: 2026-07-07.
Bottles are washed and reused in the handwashing sink and juice bottle was observed on the changing table.
2025-11-18 · 746.3501(1) · Medium High
Diaper Changing Steps- Prompt
Corrected at inspection: No. Correction date: 2025-12-17. Correction verified: 2025-12-31.
During the investigation it was determined a child was sent home with a wet diaper and had to be brought back in to be changed.
2025-11-18 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2025-12-17. Correction verified: 2025-12-31.
During the investigation it was determined that children have been injured when caregivers did not intervene in the activity that caused the injury. Groups of children were also observed, during inspection, to be running through the building, from one class area to another without structure of the caregiver being able to see where the children are or what they are doing. The management of children's behaviors are not under control.
2025-10-22 · 746.1309(a) · Medium
Documented Annual Training Area - 24 Hours Required
Corrected at inspection: No. Correction date: 2025-11-05. Correction verified: 2025-10-30.
During inspection 2 of four personnel was missing annual training documentation.
2025-10-22 · 746.603(a)(2) · Medium
Children's Records - Admission Information
Corrected at inspection: No. Correction date: 2025-11-05. Correction verified: 2025-11-04.
During inspection 4 files were reviewed and all four were missing required information.
2025-10-22 · 746.2911 · Medium High
Adequate Lighting During Naptime
Corrected at inspection: No. Correction date: 2025-10-22. Correction verified: 2025-10-30.
A classroom did not have enough light so my eyes did not have to adjust to see inside the room.
2024-10-24 · 746.2803(3) · Medium High
Discipline - Teaches Acceptable Behavior and Self-control
Corrected at inspection: No. Correction date: 2024-11-21. Correction verified: 2024-11-21.
During the investigation, it was found that a caregiver pushed two fighting students apart and did not use any guidance to the behavior.
2023-06-13 · 746.1205(a)(4) · High
Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
Corrected at inspection: No. Correction date: 2023-06-13. Correction verified: 2023-06-26.
During inspection a caregiver left a group of children unsupervised for a few moments.
2023-06-13 · 746.3407(13) · Medium High
Using, Storing and Disposing of Hazardous Materials
Corrected at inspection: No. Correction date: 2023-06-13. Correction verified: 2023-06-26.
During inspection, hand sanitizer, Lysol, and disinfecting wipes were observed in reach of children.
2023-06-13 · 746.301(2) · Medium
Notification of Change in Space
Corrected at inspection: Yes. Correction date: 2023-06-13. Correction verified: Not recorded.
During inspection a room was being used for care that is not on the permit.
2022-10-12 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-10-12. Correction verified: 2022-10-21.
During an inspection broken toys and riding toys were observed on the playground. These toys were removed during the inspection. A broken window was observed on the building that is accessible from the toddler playground.
2022-07-22 · 746.1301(2)(A) · Medium High
Training Requirements for Employees and Caregivers - Pre-service Training
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-26.
Four staff files were reviewed. #2, #3, #4 need 8 hours of preservice training and CPR/1st aid training. All need Abuse/Neglect Training #1 and any other employees who work in the infant room need SIDS/Abusive Head Trauma/Brain Development Training.
2022-07-22 · 746.4505 · Medium
Storage for Individual Belongings
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-15.
During inspection it was found that all cubbies or hooks need to be labeled.
2022-07-22 · 746.901(4) · Medium Low
Required Personnel Records - Required Affidavit
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-15.
Four records were reviewed and #3 and #4 are missing an affidavit of employment.
2022-07-22 · 746.901(1) · Medium Low
Required Personnel Records - Dates of Employment
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-22.
Four records were reviewed: Staff #2, #3, and #4 do not have completed personnel form such as Employment begin date Date of Birth Employee statement about center and personnel policies Checked that orientation was received and signed by employee and director
2022-07-22 · 746.605(6) · Medium High
Required Admission Information - Emergency Contact
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-26.
Four records were reviewed during inspection: #2 Address and phone for doctor; healthcare provider statement #4 needs an updated shot record.
2022-07-22 · 746.1301(3)(A) · Medium High
Training Requirements for Employees, Caregivers, and Directors - Pediatric first aid with rescue breathing
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-26.
During inspection four records were reviewed: #2, #3, and #4 do not have current CPR/1st aid training.
2022-07-22 · 746.901(9) · Medium
Required Personnel Records- Current Driver's License
Corrected at inspection: No. Correction date: 2022-08-05. Correction verified: 2022-08-15.
Four records were reviewed and all four need a copy of a photo ID. The director needs a copy of current driver's license.
2022-05-27 · 746.501(a)(11) · Medium
Written Operational Policies - Immunizations
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-05-31.
The Parent Handbook does not have information about required immunizations.
2022-05-27 · 746.3407(9) · Medium High
Floors, ceilings and Walls in Good Repair and Clean
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-06-09.
The infant room has a wall that needs border put up to cover up torn walls at the base of the floor where paint can be pulled off and put into an infants mouth. There is also a place under the window area that needs repaired or covered. The entrance to the infant room has carpet that is frayed and needs to be covered. The large room has a wall that h as holes and peeling paint on the bottom that needs repairing or covering. The girls restroom has plaster on the wall by the left sink that needs repaired or covered.
2022-05-27 · 746.501(a)(18) · Medium
Written Operational Policies - Promotion of Physical Activity
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-06-02.
The Handbook is missing information about Promotion of indoor and outdoor active Play The benefits of active play The duration of active play that will be provided Examples of active play provided Where active play will occur And how active play will be provided during extreme weather.
2022-05-27 · 746.3701 · Medium High
Safety - Areas Free From Hazards
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-06-09.
The air conditioning unit on the playground must be inaccessible to children. The grass needs to be maintained to prevent unwanted animals from hiding in tall grass and weeds. Mow, weed eat, and pull up plants that are poisonous. Trim Tree if desired to help with shade. Remove Wiring in large room.
2022-05-27 · 746.501(a)(21) · Medium Low
Written Operational Policies - Procedures for Parent Participation
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-06-02.
Procedures for how parents can participate in activities at the center is not provided in the handbook.
2022-05-27 · 746.4505 · Medium
Storage for Individual Belongings
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-06-09.
Individual storage for children is not available.
2022-05-27 · 746.501(a)(24) · High
Written Operational Policies - Emergency Preparedness Plans
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-05-31.
The Emergency Preparedness Plan is incomplete and lacking information.
2022-05-27 · 746.501(a)(12) · Medium
Written Operational Policies - Vision and Hearing Screening
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-05-31.
The Parent Handbook does not have information about required vision and hearing testing.
2022-05-27 · 746.5207(a)(1) · Medium High
Emergency Evacuation and Relocation Diagram - Floor Plan
Corrected at inspection: No. Correction date: 2022-06-27. Correction verified: 2022-06-09.
Diagrams showing all the required components of the evacuation plan was not available.
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=1407510
Records reflect only deficiencies published by the state after due process. This page does not rate or rank providers. Check the official record for the latest information.
Provider data fetched: October 10, 2026.