Milestones Academy of Texas

Director Responsibilities - Employee Assignments

“A caregiver was observed providing director care for infants in the Oaks I and Oaks II classroom without completing on boarding. The operation does not have any completed paperwork for the caregiver. The operations has not completed orientation with caregiver. The operation has not verified the caregiver has qualifying previous experience. When asked, the caregiver was not knowledge of basic infant needs or standard requirements.”

Rule 746.1003(3). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 27, 2026. Correction verified: Sep 11, 2026.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“A child was oberved alone in the operations gym restroom during inspection.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 27, 2026. Correction verified: Sep 11, 2026.

Report Situation Placing Children at Risk

“Based on information gathered during the course of the investigation, it is determined that the operation was aware of an unexplained injury to an infant and did not report it to Childcare Regulation.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2026. Correction verified: Oct 8, 2026.

Responsibilities of Caregivers - Know number of children responsible for

“The caregivers in Elm I and Maples I did not know the correct number of children they were caring for.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 23, 2026. Correction verified: Aug 5, 2026.

CPR Training and Recertification Adhere to Guidelines-skill based

“6 of the 10 caregivers’ files were reviewed during the inspection; CPR courses did not adhere to guidelines.”

Rule 746.1315(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 4, 2026. Correction verified: Jul 23, 2026.

Garbage Inaccessible to Children; Maintained in Sanitary Manner

“The operation trash bins do not have libs.”

Rule 746.3407(8). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2026. Correction verified: Aug 27, 2026.

Food Allergy Emergency Plan Signed by Parents and Health Care Professional

“The operation has three children with identified allergies on their admission form that do not have a food allergy plan on file.”

Rule 746.3819. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 28, 2026. Correction verified: Jul 28, 2026.

Electronic Carbon Monoxide Detection Sys Connected to Alarm/Smoke Detection System

“Based on information reviewed during the inspection, the operation does not have documentation that a carbon monoxide system is installed at the operation and has been tested.”

Rule 746.5537(b). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 5, 2026. Correction verified: Jul 23, 2026.

Immunization Exception for Children Who are Homeless or in Foster Care

“The operation has a foster care child that has been in care since May of 2026 with no immunization records on file. CI: The child’s parent emailed their immunization records during pick up.”

Rule 746.613(c)(2). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 14, 2026.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“Information gathered during the investigation indicates that the operation did not provide appropriate supervision to children in care. A caregiver walked out of the classroom and left children alone during naptime.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jul 14, 2026.

Report Situation Placing Children at Risk

“Based on information gathered during the course of the investigation, the director was aware of a situation that placed children at risk and did not report it to CCR.”

Rule 746.305(a)(6). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jul 14, 2026.

Personal use of electronic devices, such as cell phones, MP3 players, tablets, and video games

“Based on information gathered during the course of the investigation, it was determined that a caregiver was supervising children while using a cell phone device for personal reasons.”

Rule 746.1203(3)(D). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 1, 2026. Correction verified: Jul 14, 2026.

Prohibited Punishments - Corporal Punishment

“It was determined that a caregiver slapped a child in the face.”

Rule 746.2805(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 27, 2025. Correction verified: Nov 13, 2025.

Documented Annual Training - Caregivers of Children Under 24 Months Required

“Staff are missing the following trainings; -Four staff are missing recognizing and preventing shaken baby syndrome and abusive head trauma, -Two staff are missing understanding and using safe sleep practices and preventing sudden infant death syndrome and -Four staff are missing understanding early childhood brain development.”

Rule 746.1309(d). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2025. Correction verified: Oct 15, 2025.

Documented Annual Training- Required Content

“Staff files were observed missing the following; - One staff is missing training in emergency preparedness; -Six staff are missing training in preventing and controlling the spread of communicable diseases, -Three staff are missing training in administering medication, -Six staff are missing training in preventing and responding to emergencies due to food or an allergic reaction, -Six staff are missing training in understanding building and physical premises safety, and -Six staff are missing training in handling, storing, and disposing of hazardous materials”

Rule 746.1309(e). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Oct 15, 2025. Correction verified: Oct 15, 2025.

Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity

“A caregiver did not properly position themselves on the playground when a child was able to open the emergency gate and get out. The caregiver was unaware the child was outside of the gate.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 28, 2025. Correction verified: May 8, 2025.

Parental Communication - Situation that Placed a Child at Risk

“A parent was not notified immediately of a situation involving their child.”

Rule 746.307(b)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 5, 2024. Correction verified: Sep 12, 2024.

Children’s Records Maintained

“Ten children files were observed and missing the following; Five children files are missing the special care statements. Three children files are missing the parents signing off on receiving the parent handbook. Three children files are missing health statements.”

Rule 746.603(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 26, 2024. Correction verified: Jul 23, 2024.

Required Personnel Records

“Eight staff files were observed and missing the following; Two staff are missing a signed statement that they received the center policies. Two staff are missing a signed statement that they received the personnel policies. Two staff are missing signed statements for completing orientation.”

Rule 746.901. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 18, 2024. Correction verified: Jul 30, 2024.