Miles of Smiles Learning Center Inc.

AP Report Child Injury Requiring Medical Treatment by a Health-Care Professional or Hospitalization

“Based on the information provided, it has been concluded that the operation failed to notify Child Care Regulation of the injury of the child and its medical treatment within the specified time frame.”

Rule 746.305(a)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2026. Correction verified: Sep 21, 2026.

Handwashing Procedures

“Based on the information gathered throughout this investigation, it has been determined that the operation did not provide soap to children in order to wash their hands during operational hours. *Please note, hand sanitizer and water were provided*”

Rule 746.3419. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 28, 2026. Correction verified: Sep 18, 2026.

Incident/Illness Report Form Shared with Parent

“Based on the information provided during this investigation, it has been concluded that the operation did not provide parent with an incident report.”

Rule 746.707. Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 21, 2026. Correction verified: Sep 21, 2026.

Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.

“When reviewing staff files 1 out of 10 was missing their First Aid/CPR training.”

Rule 746.1315(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 22, 2026. Correction verified: May 20, 2026.

Adequate Lighting During Naptime

“During the inspection, a toddler room was observed to be too dark during naptime, with insufficient lighting present. Note: This was corrected during inspection by uncovering lamp and turning on the light from the bathroom.”

Rule 746.2911. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 4, 2025. Correction verified: Nov 18, 2025.

Food Service and Preparation Requirement - Use Sanitary Holders

“In the walking infant room children were being served their snacks directly on the table that is also used for activities. Note: This was corrected during inspection when the snacks was being placed on a napkin instead of the table.”

Rule 746.3317(6). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 4, 2025.

Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface

“Four diaper changing mats were torn with the interior padding exposed. Note: All four of the diaper changing mats were replaced during the inspection.”

Rule 746.3503(a). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 4, 2025.

First Aid Kit Incomplete - Thermometer, preferably non-glass

“Four out of six transportation vehicles were missing the thermometer in the first aid kit. Note: This was corrected during inspection extra thermometers were available and were placed in the transportation vehicles.”

Rule 746.4003(a)(7). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Nov 4, 2025.

Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control

“It has been concluded that caregiver did not demonstrate good judgement when running after a child in a classroom and not being able to properly grab her causing several scratches on the child.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 20, 2025. Correction verified: Apr 4, 2025.

Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months

“Current fire inspection was not available for review. Last fire inspection expired on 10/6/2024.”

Rule 746.5101(a). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Nov 1, 2024. Correction verified: Nov 1, 2024.