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Miller Child Development Center

Child care center · 102 S MEL WAITERS WAY, San Antonio, TX 78203-2400 · License 1377546

0Compliance score
Poor

Capacity 140. InfantToddlerPre-KindergartenSchool Accepts subsidy

Violation history (208)

SeverityDateStandard / narrativeCorrected
4 746.3421(a) - Infant Handwashing - Individual Cloth
A young infant's hands were not wiped with a wash cloth after a diaper change.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The infant's feeding instructions were not followed on 7/12/2024.
4 746.307(b)(1) - 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.
4 746.3417(3) - 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.
Yes
5 745.641 - 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.
5 746.2426(a)(1) - 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.
5 745.635(3) - 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.
Yes
5 746.1205(a)(2) - 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.
4 746.2431(3) - Infant Daily Report - Times of Diaper Changes
It is found parents are not being given completed infant daily reports daily.
3 746.2207(a) - 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.
Yes
4 746.1601 - 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.
5 746.1201(1) - 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.
4 746.1613(a)(5) - 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.
Yes
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
There were training cups in the refrigerator containing milk with labels that were illegible..
4 746.3407 - Maintenance of Building, Grounds and Equipment
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.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, ratios have not been met with the mixed age group.
5 746.1205(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
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.
4 746.4309 - Fenced Outdoor Activity Space -Gates Locked
The exit gate on the Pre-K playground was open and unsecured.
4 746.1601 - 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.
4 746.3401(a) - Annual Sanitation Inspection
The last annual sanitation inspection was conducted on 5/20/2025.
5 746.1003(1) - 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.
4 746.3415(4) - Employee Handwashing After Diapering a Child
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
4 746.2803(4) - 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.
4 746.5103 - Documentation of Fire Inspection
The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.
4 746.2431(2) - 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.
4 746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
One of five employee's files did not contain evidence of a high school diploma or GED.
4 746.3417(3) - 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.
Yes
5 746.1201(1) - 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.
4 746.2431(3) - Infant Daily Report - Times of Diaper Changes
It is found parents are not being given completed infant daily reports daily.
4 746.1613(a)(5) - 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.
Yes
4 746.3401(a) - Annual Sanitation Inspection
The last annual sanitation inspection was conducted on 5/20/2025.
5 746.1205(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
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.
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
There were training cups in the refrigerator containing milk with labels that were illegible..
5 745.635(3) - 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.
Yes
4 746.5103 - Documentation of Fire Inspection
The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, ratios have not been met with the mixed age group.
5 746.1003(1) - 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.
4 746.2431(2) - 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.
4 746.3415(4) - Employee Handwashing After Diapering a Child
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
4 746.3407 - Maintenance of Building, Grounds and Equipment
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.
4 746.1601 - 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.
3 746.2207(a) - 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.
Yes
4 746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
One of five employee's files did not contain evidence of a high school diploma or GED.
5 746.1205(a)(2) - 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.
5 745.641 - 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.
4 746.307(b)(1) - 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.
4 746.2803(4) - 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.
5 746.2426(a)(1) - 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.
4 746.4309 - Fenced Outdoor Activity Space -Gates Locked
The exit gate on the Pre-K playground was open and unsecured.
4 746.1601 - 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.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The infant's feeding instructions were not followed on 7/12/2024.
4 746.3421(a) - Infant Handwashing - Individual Cloth
A young infant's hands were not wiped with a wash cloth after a diaper change.
5 746.1205(a)(2) - 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.
4 746.3417(3) - 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.
Yes
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, ratios have not been met with the mixed age group.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The infant's feeding instructions were not followed on 7/12/2024.
4 746.3401(a) - Annual Sanitation Inspection
The last annual sanitation inspection was conducted on 5/20/2025.
4 746.307(b)(1) - 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.
5 746.2426(a)(1) - 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.
4 746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
One of five employee's files did not contain evidence of a high school diploma or GED.
4 746.4309 - Fenced Outdoor Activity Space -Gates Locked
The exit gate on the Pre-K playground was open and unsecured.
3 746.2207(a) - 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.
Yes
4 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
There were training cups in the refrigerator containing milk with labels that were illegible..
4 746.1613(a)(5) - 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.
Yes
4 746.3421(a) - Infant Handwashing - Individual Cloth
A young infant's hands were not wiped with a wash cloth after a diaper change.
5 745.641 - 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.
4 746.3407 - Maintenance of Building, Grounds and Equipment
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.
4 746.2431(3) - Infant Daily Report - Times of Diaper Changes
It is found parents are not being given completed infant daily reports daily.
5 746.1003(1) - 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.
4 746.3415(4) - Employee Handwashing After Diapering a Child
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
5 745.635(3) - 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.
Yes
4 746.1601 - 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.
4 746.2431(2) - 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.
4 746.1601 - 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.
4 746.5103 - Documentation of Fire Inspection
The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.
5 746.1201(1) - 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.
4 746.2803(4) - 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.
5 746.1205(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
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.
4 746.307(b)(1) - 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.
4 746.5103 - Documentation of Fire Inspection
The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.
3 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
The infant's feeding instructions were not followed on 7/12/2024.
4 746.2431(3) - Infant Daily Report - Times of Diaper Changes
It is found parents are not being given completed infant daily reports daily.
4 746.3417(3) - 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.
Yes
5 746.1003(1) - 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.
4 746.2803(4) - 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.
4 746.3401(a) - Annual Sanitation Inspection
The last annual sanitation inspection was conducted on 5/20/2025.
4 746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
One of five employee's files did not contain evidence of a high school diploma or GED.
5 746.1205(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
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.
5 746.1205(a)(2) - 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.
4 746.3421(a) - Infant Handwashing - Individual Cloth
A young infant's hands were not wiped with a wash cloth after a diaper change.
4 746.4309 - Fenced Outdoor Activity Space -Gates Locked
The exit gate on the Pre-K playground was open and unsecured.
5 745.635(3) - 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.
Yes
4 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Based on information gathered, ratios have not been met with the mixed age group.
4 746.3415(4) - Employee Handwashing After Diapering a Child
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
5 745.641 - 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.
5 746.2426(a)(1) - 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.
5 746.1201(1) - 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.
4 746.1613(a)(5) - 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.
Yes
4 746.3407 - Maintenance of Building, Grounds and Equipment
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.
4 746.1601 - 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.

Severity 5 = most serious. Source: official state record.

Inspections (112)

112 inspection record(s) on file from TX-HHSC.

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