Licensed child care center · public record
Miller Child Development Center
San Antonio, Texas. The state’s inspection record for this operation, from Texas Health and Human Services Child Care Regulation, in plain English.
The operation
- Type
- Licensed child care center
- State permit
- Full Permit, issued March 21, 2012
- Capacity
- 140 children
- Ages served
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- Mon, Tue, Wed, Thu, Fri · 06:30 AM-06:00 PM
- Accepts child care subsidies
- Yes
- Conditions on the permit
- No
- Corrective action listed
- No
- Adverse action listed
- No
- Temporarily closed
- No
- State operation number
- 1377546
Where
102 S Mel Waiters Way
San Antonio, TX 78203
Deficiencies by risk level
The state’s own summary counts for this operation, as published in the HHSC operations file.
Citations on the record
Each standard the state found not met, newest first, with its risk level and when it was corrected. Showing the newest 25 of 29.
| Inspection | Risk | Standard |
|---|---|---|
| August 11, 2026 | Medium High | 746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date State’s note: “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.” |
| August 11, 2026 | Medium High | 746.3803(a)(1) - Medication Authorization - Signed and Dated State’s note: “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.” |
| August 11, 2026 | Medium High | 746.3805(c)(2) - Medication Records - Name of Medication State’s note: “During the course of the investigation, medication was given to a child, and the information was not recorded on an administration form.” |
| June 16, 2026 | Medium High | 746.3401(a) - Annual Sanitation Inspection State’s note: “The last annual sanitation inspection was conducted on 5/20/2025.” |
| March 20, 2026 | Medium High | 746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization State’s note: “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.” |
| March 20, 2026 | High | 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control State’s note: “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.” |
| August 22, 2025 | Medium High | 746.3417(3) - Children Handwashing After Toileting or Diapering State’s note: “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.” |
| August 20, 2025 | Medium High | 746.1601 - Child/ Caregiver Ratio - 13 or More Children State’s note: “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.” |
| July 18, 2025 | Medium | 746.2207(a) - Screen Time Activities - Not Used for Under Two State’s note: “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.” |
| June 5, 2025 | Medium High | 746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required State’s note: “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.” |
| June 5, 2025 | High | 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device State’s note: “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.” |
| June 5, 2025 | High | 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions State’s note: “A provisional employee was observed in charge of a group of children by herself.” |
| May 30, 2025 | High | 746.1205(a)(4) - Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity State’s note: “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.” |
| May 30, 2025 | High | 746.1003(1) - Director Responsibilities - Operate in Compliance State’s note: “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.” |
| May 30, 2025 | Medium High | 746.1601 - Child/ Caregiver Ratio - 13 or More Children State’s note: “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.” |
| May 30, 2025 | Medium High | 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance State’s note: “Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive.” |
| April 2, 2025 | High | 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for State’s note: “The PreK teacher in classroom 129 stated there were 10 children in care when we verified there were only eight children.” |
| February 27, 2025 | Medium High | 746.1601 - Child/ Caregiver Ratio - 13 or More Children State’s note: “Based on information gathered, ratios have not been met with the mixed age group.” |
| July 17, 2024 | Medium | 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional State’s note: “The infant's feeding instructions were not followed on 7/12/2024.” |
| July 17, 2024 | Medium High | 746.2431(2) - Infant Daily Report - Times and Amount of Food State’s note: “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.” |
| July 15, 2024 | Medium High | 746.4309 - Fenced Outdoor Activity Space -Gates Locked State’s note: “The exit gate on the Pre-K playground was open and unsecured.” |
| June 12, 2024 | Medium High | 746.2431(3) - Infant Daily Report - Times of Diaper Changes State’s note: “It is found parents are not being given completed infant daily reports daily.” |
| May 2, 2024 | High | 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation State’s note: “During an investigation, it was found that a caregiver did not have an eligible background check on file.” |
| July 25, 2022 | Medium High | 746.5103 - Documentation of Fire Inspection State’s note: “The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.” |
| July 25, 2022 | Medium High | 746.3415(4) - Employee Handwashing After Diapering a Child State’s note: “The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.” |
Recent inspections and visits
- September 9, 2026 Inspection · deficiency found: No
- August 13, 2026 Inspection · deficiency found: No
- August 11, 2026 Report · deficiency found: Yes
- June 17, 2026 Inspection · deficiency found: No
- June 16, 2026 Inspection · deficiency found: Yes
- June 11, 2026 Report · deficiency found: No
- April 17, 2026 Inspection · deficiency found: No
- March 23, 2026 Inspection · deficiency found: No
- March 20, 2026 Report · deficiency found: Yes
- January 20, 2026 Inspection · deficiency found: No
- October 23, 2025 Inspection · deficiency found: No
- August 28, 2025 Inspection · deficiency found: No
- August 22, 2025 Inspection · deficiency found: Yes
- August 20, 2025 Report · deficiency found: Yes
- July 18, 2025 Inspection · deficiency found: Yes
How many times has the state inspected Miller Child Development Center?
Texas HHSC's file lists 18 inspections in the last two years, the most recent on September 9, 2026. 10 of the inspections and other visits in that period are marked as having found a deficiency.
Does Miller Child Development Center have deficiencies on its record?
The state's summary for this operation lists 29: 7 high-risk, 20 medium-high-risk, 2 medium-risk. Each one is listed below with its date and whether it was corrected.
Is this a rating?
No. This page shows the State of Texas's own public records, summarized. It is not a rating, a review or our opinion. Ask the operation or HHSC about anything here.
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