Miller Child Development Center

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.”

Rule 746.3803(a)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 9, 2026.

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.”

Rule 746.3805(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 9, 2026.

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.”

Rule 746.3805(c)(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 4, 2026. Correction verified: Sep 9, 2026.

Annual Sanitation Inspection

“The last annual sanitation inspection was conducted on 5/20/2025.”

Rule 746.3401(a). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 17, 2026. Correction verified: Jul 21, 2026.

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

“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.”

Rule 746.1201(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2026. Correction verified: Apr 17, 2026.

AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization

“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.”

Rule 746.307(b)(1). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 10, 2026. Correction verified: Apr 17, 2026.

Children Handwashing After Toileting or Diapering

“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.”

Rule 746.3417(3). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Aug 22, 2025.

Child/ Caregiver Ratio - 13 or More Children

“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.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Aug 22, 2025. Correction verified: Aug 28, 2025.

Screen Time Activities - Not Used for Under Two

“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.”

Rule 746.2207(a). Medium, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jul 18, 2025.

AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions

“A provisional employee was observed in charge of a group of children by herself.”

Rule 745.635(3). High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 5, 2025.

Infant May Not Sleep in a Restrictive Device

“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.”

Rule 746.2426(a)(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: Jun 17, 2025.

Naptime Child/Caregiver Ratio - Additional Employees Required

“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.”

Rule 746.1613(a)(5). Medium High, by Texas’s label. Corrected during the inspection. Correction date, as Texas HHSC recorded it: Jun 5, 2025.

Director Responsibilities - Operate in Compliance

“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.”

Rule 746.1003(1). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2025. Correction verified: Jul 18, 2025.

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 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.”

Rule 746.1205(a)(4). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: Jun 17, 2025.

Child/ Caregiver Ratio - 13 or More Children

“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.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jun 5, 2025. Correction verified: Jun 17, 2025.

Discipline - Positive Methods of Discipline and Guidance

“Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive.”

Rule 746.2803(4). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 14, 2025. Correction verified: Jul 18, 2025.

Responsibilities of Caregivers - Know number of children responsible for

“The PreK teacher in classroom 129 stated there were 10 children in care when we verified there were only eight children.”

Rule 746.1205(a)(2). High, by Texas’s label. Correction date, as Texas HHSC recorded it: Apr 2, 2025. Correction verified: Apr 10, 2025.

Child/ Caregiver Ratio - 13 or More Children

“Based on information gathered, ratios have not been met with the mixed age group.”

Rule 746.1601. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Mar 26, 2025. Correction verified: Apr 2, 2025.

Infant Daily Report - Times and Amount of Food

“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.”

Rule 746.2431(2). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2024. Correction verified: Sep 25, 2024.

Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional

“The infant’s feeding instructions were not followed on 7/12/2024.”

Rule 746.2421(a). Medium, by Texas’s label. Correction date, as Texas HHSC recorded it: Sep 11, 2024. Correction verified: Sep 25, 2024.

Fenced Outdoor Activity Space -Gates Locked

“The exit gate on the Pre-K playground was open and unsecured.”

Rule 746.4309. Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 15, 2024. Correction verified: Jul 22, 2024.

Infant Daily Report - Times of Diaper Changes

“It is found parents are not being given completed infant daily reports daily.”

Rule 746.2431(3). Medium High, by Texas’s label. Correction date, as Texas HHSC recorded it: Jul 26, 2024. Correction verified: Jul 29, 2024.

AP Background check results - Must receive notification prior to allowing subject to be present at your operation

“During an investigation, it was found that a caregiver did not have an eligible background check on file.”

Rule 745.641. High, by Texas’s label. Correction date, as Texas HHSC recorded it: May 2, 2024. Correction verified: May 2, 2024.