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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 23 inspections dated between October 10, 2023 and October 10, 2026.
The most recent inspection in these records is dated September 9, 2026.
The same records list 23 cited deficiencies dated May 2, 2024 to August 11, 2026 (HHSC risk levels: 7 High, 14 Medium High, 2 Medium).
Correction status recorded by HHSC: 4 corrected at inspection, 19 with a correction date recorded, 0 with no correction date recorded.
HHSC lists a verified correction date for 19 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 23 cited deficiencies for Miller Child Development Center in the 3 years before October 10, 2026 (7 High, 14 Medium High, 2 Medium).
Records list 23 inspections in this window. Most recent inspection: 2026-09-09.
| Risk weight | Citations |
|---|---|
| High | 7 |
| Medium High | 14 |
| Medium | 2 |
| 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.
2026-08-11 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
During the investigation, it was determined that the medication given to a child was not in its original container, did not have the child?s name on it, and lacked the date it was provided to the operation.
Correction date recorded: 2026-09-04
2026-08-11 · 746.3803(a)(1) · Medium High
Medication Authorization - Signed and Dated
During the course of the investigation, it was determined that a medication was given to a child without written consent from the parent or the doctor.
Correction date recorded: 2026-09-04
2026-08-11 · 746.3805(c)(2) · Medium High
Medication Records - Name of Medication
During the course of the investigation, medication was given to a child, and the information was not recorded on an administration form.
Correction date recorded: 2026-09-04
2026-08-11 · 746.3805(c)(2) · Medium High
Medication Records - Name of Medication
Corrected at inspection: No. Correction date: 2026-09-04. Correction verified: 2026-09-09.
During the course of the investigation, medication was given to a child, and the information was not recorded on an administration form.
2026-08-11 · 746.3803(a)(1) · Medium High
Medication Authorization - Signed and Dated
Corrected at inspection: No. Correction date: 2026-09-04. Correction verified: 2026-09-09.
During the course of the investigation, it was determined that a medication was given to a child without written consent from the parent or the doctor.
2026-08-11 · 746.3805(b)(1) · Medium High
Administering Medication - Original Container with Child's Name, Date
Corrected at inspection: No. Correction date: 2026-09-04. Correction verified: 2026-09-09.
During the investigation, it was determined that the medication given to a child was not in its original container, did not have the child?s name on it, and lacked the date it was provided to the operation.
2026-06-16 · 746.3401(a) · Medium High
Annual Sanitation Inspection
Corrected at inspection: No. Correction date: 2026-07-17. Correction verified: 2026-07-21.
The last annual sanitation inspection was conducted on 5/20/2025.
2026-03-20 · 746.1201(1) · High
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Corrected at inspection: No. Correction date: 2026-04-10. Correction verified: 2026-04-17.
The caregiver wrapped a plastic bag around the child?s hand, placed an ice pack inside the bag, and used a hair band to secure it in place around the child's wrist.
2026-03-20 · 746.307(b)(1) · Medium High
AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Corrected at inspection: No. Correction date: 2026-04-10. Correction verified: 2026-04-17.
A child's relative arrived to pick up the child and was informed of the child's fingernail being removed after the finger was shut in the door. When the relative asked if the parents had been contacted, the caregiver said they had not yet spoken with the parents. The relative informed the parents.
2025-08-22 · 746.3417(3) · Medium High
Children Handwashing After Toileting or Diapering
Corrected at inspection: Yes. Correction date: 2025-08-22. Correction verified: Not recorded.
An infant was moved directly to the group feeding table after having their diaper changed without having their hands washed. This was corrected at inspection when the caregiver was advised to remove the child and wash their hands.
2025-08-20 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-08-22. Correction verified: 2025-08-28.
The infant room had six children, five of which were 11 months or under, with one caregiver. This was corrected at inspection when a second caregiver was brought into the room.
2025-07-18 · 746.2207(a) · Medium
Screen Time Activities - Not Used for Under Two
Corrected at inspection: Yes. Correction date: 2025-07-18. Correction verified: Not recorded.
Seven children whose ages ranged from 18 to 23 months were observed having screen time. This was corrected at inspection when the caregiver opened up the centers in the room.
2025-06-05 · 745.635(3) · High
AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Corrected at inspection: Yes. Correction date: 2025-06-05. Correction verified: Not recorded.
A provisional employee was observed in charge of a group of children by herself.
2025-06-05 · 746.2426(a)(1) · High
Infant May Not Sleep in a Restrictive Device
Corrected at inspection: No. Correction date: 2025-06-05. Correction verified: 2025-06-17.
An infant was observed sleeping in a bouncer and another was observed sleeping in a swing. This was corrected at inspection when the children were moved to their cribs.
2025-06-05 · 746.1613(a)(5) · Medium High
Naptime Child/Caregiver Ratio - Additional Employees Required
Corrected at inspection: Yes. Correction date: 2025-06-05. Correction verified: Not recorded.
There were two rooms running with nap time ratios and one caregiver in the infant room with no one else was in the building. This was corrected at inspection when a controlling person was called in.
2025-05-30 · 746.1003(1) · High
Director Responsibilities - Operate in Compliance
Corrected at inspection: No. Correction date: 2025-07-14. Correction verified: 2025-07-18.
Based on the information gathered during the course of the investigation it was determined that minimum standards regarding ratios and supervision were regularly disregarded due to staffing issues. No effort was made to adjust the student population in order to meet minimum standards.
2025-05-30 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-06-05. Correction verified: 2025-06-17.
During the inspection eight children, whose ages ranged from 3 to 17 months, were observed with one caregiver. The specified age group was 0 to 11 months.
2025-05-30 · 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: 2025-06-05. Correction verified: 2025-06-17.
During the inspection two classrooms that were combined for nap were observed in their room without a caregiver present. Another class was left unattended when the caregiver left it to open the front door. This was corrected at inspection when the cook moved to the room and the other teacher returned to the room.
2025-05-30 · 746.2803(4) · Medium High
Discipline - Positive Methods of Discipline and Guidance
Corrected at inspection: No. Correction date: 2025-07-14. Correction verified: 2025-07-18.
Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive.
2025-04-02 · 746.1205(a)(2) · High
Responsibilities of Caregivers - Know number of children responsible for
Corrected at inspection: No. Correction date: 2025-04-02. Correction verified: 2025-04-10.
The PreK teacher in classroom 129 stated there were 10 children in care when we verified there were only eight children.
2025-02-27 · 746.1601 · Medium High
Child/ Caregiver Ratio - 13 or More Children
Corrected at inspection: No. Correction date: 2025-03-26. Correction verified: 2025-04-02.
Based on information gathered, ratios have not been met with the mixed age group.
2024-07-17 · 746.2421(a) · Medium
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Corrected at inspection: No. Correction date: 2024-09-11. Correction verified: 2024-09-25.
The infant's feeding instructions were not followed on 7/12/2024.
2024-07-17 · 746.2431(2) · Medium High
Infant Daily Report - Times and Amount of Food
Corrected at inspection: No. Correction date: 2024-09-11. Correction verified: 2024-09-25.
Evidence gathered for this investigation determined the daily report for an infant had incorrect information on the third feeding on time and ounces served to the infant.
2024-07-15 · 746.4309 · Medium High
Fenced Outdoor Activity Space -Gates Locked
Corrected at inspection: No. Correction date: 2024-07-15. Correction verified: 2024-07-22.
The exit gate on the Pre-K playground was open and unsecured.
2024-06-12 · 746.2431(3) · Medium High
Infant Daily Report - Times of Diaper Changes
Corrected at inspection: No. Correction date: 2024-07-26. Correction verified: 2024-07-29.
It is found parents are not being given completed infant daily reports daily.
2024-05-02 · 745.641 · High
AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Corrected at inspection: No. Correction date: 2024-05-02. Correction verified: 2024-05-02.
During an investigation, it was found that a caregiver did not have an eligible background check on file.
2022-07-25 · 746.3407 · Medium High
Maintenance of Building, Grounds and Equipment
Corrected at inspection: No. Correction date: 2022-08-01. Correction verified: 2022-08-08.
Gaps in the shock absorbing tiles in the two-year-old playground have separated creating gaps large enough to create a trip and fall hazard.
2022-07-25 · 746.3421(a) · Medium High
Infant Handwashing - Individual Cloth
Corrected at inspection: No. Correction date: 2022-07-25. Correction verified: 2022-08-08.
A young infant's hands were not wiped with a wash cloth after a diaper change.
2022-07-25 · 746.5103 · Medium High
Documentation of Fire Inspection
Corrected at inspection: No. Correction date: 2022-08-01. Correction verified: 2022-08-08.
The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.
2022-07-25 · 746.3415(4) · Medium High
Employee Handwashing After Diapering a Child
Corrected at inspection: No. Correction date: 2022-07-25. Correction verified: 2022-08-08.
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
2022-07-25 · 746.1107(2) · Medium High
Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Corrected at inspection: No. Correction date: 2022-08-01. Correction verified: 2022-08-08.
One of five employee's files did not contain evidence of a high school diploma or GED.
2022-07-25 · 746.2419(6) · Medium High
Requirements for Feeding Infants - Label Bottles/Cups
Corrected at inspection: No. Correction date: 2022-07-25. Correction verified: 2022-08-08.
There were training cups in the refrigerator containing milk with labels that were illegible..
Source: Texas HHSC Child Care Regulation, via data.texas.gov (CC0). See the official record: https://childcare.hhs.texas.gov/Public/InspectionAndComplianceHistory?operationId=943248
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.