Miller Child Development Center
102 S MEL WAITERS WAY, San Antonio, TX 78203 · Bexar County
Program
- Type
- Licensed center
- Licensed capacity
- 140
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 06:30 AM-06:00 PM
- Director / administrator
- Cathy Gibson
- Phone
- (210) 354-1400
- Regulated since
- Mar 21, 2012
- HHSC IDs
- Operation 943248 · number 1377546
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2026 | 12 | 2 | Illness & medication (6), Other (6) |
| 2025 | 24 | 10 | Cleanliness & sanitation (2), Supervision & ratios (12), Safety & premises (2), Other (8) |
| 2024 | 10 | 2 | Cleanliness & sanitation (2), Safety & premises (2), Food & allergies (2), Staff background & training (2), Other (2) |
| 2022 | 12 | 0 | Cleanliness & sanitation (4), Supervision & ratios (2), Safety & premises (2), Staff background & training (4) |
Inspections, investigations & assessments
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 9, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 13, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 11, 2026 Report · Deficiencies cited
-
Illness & medication
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.
HHSC 746.3803(a)(1) — Medication Authorization - Signed and Dated
HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-09.
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Illness & medication
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.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-09.
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Illness & medication
During the course of the investigation, medication was given to a child, and the information was not recorded on an administration form.
HHSC 746.3805(c)(2) — Medication Records - Name of Medication
HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-09.
HHSC inspection history · no longer published by HHSC; kept here
-
Illness & medication
-
Aug 11, 2026 Report · Deficiencies cited
-
Illness & medication
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.
HHSC 746.3803(a)(1) — Medication Authorization - Signed and Dated
HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-09.
-
Illness & medication
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.
HHSC 746.3805(b)(1) — Administering Medication - Original Container with Child's Name, Date
HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-09.
-
Illness & medication
During the course of the investigation, medication was given to a child, and the information was not recorded on an administration form.
HHSC 746.3805(c)(2) — Medication Records - Name of Medication
HHSC risk weight: Medium High. Corrected 2026-09-04. Correction verified 2026-09-09.
-
Illness & medication
-
Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 16, 2026 Inspection · Deficiencies cited
-
Other
The last annual sanitation inspection was conducted on 5/20/2025.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2026-07-17. Correction verified 2026-07-21.
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Other
-
Jun 16, 2026 Inspection · Deficiencies cited
-
Other
The last annual sanitation inspection was conducted on 5/20/2025.
HHSC 746.3401(a) — Annual Sanitation Inspection
HHSC risk weight: Medium High. Corrected 2026-07-17. Correction verified 2026-07-21.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jun 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
-
Jun 11, 2026 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 17, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Mar 23, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 20, 2026 Report · Deficiencies cited (self-report)
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Other Serious
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.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2026-04-10. Correction verified 2026-04-17.
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Other
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.
HHSC 746.307(b)(1) — AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
Mar 20, 2026 Report · Deficiencies cited (self-report)
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Other Serious
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.
HHSC 746.1201(1) — Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
HHSC risk weight: High. Corrected 2026-04-10. Correction verified 2026-04-17.
-
Other
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.
HHSC 746.307(b)(1) — AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
HHSC risk weight: Medium High. Corrected 2026-04-10. Correction verified 2026-04-17.
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Other Serious
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jan 20, 2026 Inspection · No deficiencies cited
No violations cited on this visit.
-
Oct 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Oct 23, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Aug 28, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 22, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
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.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-08-22.
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Cleanliness & sanitation
-
Aug 22, 2025 Inspection · Deficiencies cited
-
Cleanliness & sanitation
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.
HHSC 746.3417(3) — Children Handwashing After Toileting or Diapering
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-08-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Aug 20, 2025 Report · Deficiencies cited
-
Supervision & ratios
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.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-08-22. Correction verified 2025-08-28.
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Supervision & ratios
-
Aug 20, 2025 Report · Deficiencies cited
-
Supervision & ratios
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.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-08-22. Correction verified 2025-08-28.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Jul 18, 2025 Inspection · Deficiencies cited
-
Other
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.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-07-18.
HHSC inspection history · no longer published by HHSC; kept here
-
Other
-
Jul 18, 2025 Inspection · Deficiencies cited
-
Other
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.
HHSC 746.2207(a) — Screen Time Activities - Not Used for Under Two
HHSC risk weight: Medium. Corrected at inspection. Corrected 2025-07-18.
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Other
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jun 17, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 5, 2025 Inspection · Deficiencies cited
-
Other Serious
A provisional employee was observed in charge of a group of children by herself.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected at inspection. Corrected 2025-06-05.
-
Supervision & ratios
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.
HHSC 746.1613(a)(5) — Naptime Child/Caregiver Ratio - Additional Employees Required
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-06-05.
-
Safety & premises Serious
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.
HHSC 746.2426(a)(1) — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2025-06-05. Correction verified 2025-06-17.
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Other Serious
-
Jun 5, 2025 Inspection · Deficiencies cited
-
Other Serious
A provisional employee was observed in charge of a group of children by herself.
HHSC 745.635(3) — AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
HHSC risk weight: High. Corrected at inspection. Corrected 2025-06-05.
-
Supervision & ratios
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.
HHSC 746.1613(a)(5) — Naptime Child/Caregiver Ratio - Additional Employees Required
HHSC risk weight: Medium High. Corrected at inspection. Corrected 2025-06-05.
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Safety & premises Serious
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.
HHSC 746.2426(a)(1) — Infant May Not Sleep in a Restrictive Device
HHSC risk weight: High. Corrected 2025-06-05. Correction verified 2025-06-17.
HHSC inspection history · no longer published by HHSC; kept here
-
Other Serious
-
May 30, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
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.
HHSC 746.1003(1) — Director Responsibilities - Operate in Compliance
HHSC risk weight: High. Corrected 2025-07-14. Correction verified 2025-07-18.
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Supervision & ratios Serious
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.
HHSC 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
HHSC risk weight: High. Corrected 2025-06-05. Correction verified 2025-06-17.
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Supervision & ratios
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.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-06-05. Correction verified 2025-06-17.
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Other
Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive.
HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance
HHSC risk weight: Medium High. Corrected 2025-07-14. Correction verified 2025-07-18.
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Supervision & ratios Serious
-
May 30, 2025 Report · Deficiencies cited
-
Supervision & ratios Serious
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.
HHSC 746.1003(1) — Director Responsibilities - Operate in Compliance
HHSC risk weight: High. Corrected 2025-07-14. Correction verified 2025-07-18.
-
Supervision & ratios Serious
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.
HHSC 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
HHSC risk weight: High. Corrected 2025-06-05. Correction verified 2025-06-17.
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Supervision & ratios
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.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-06-05. Correction verified 2025-06-17.
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Other
Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive.
HHSC 746.2803(4) — Discipline - Positive Methods of Discipline and Guidance
HHSC risk weight: Medium High. Corrected 2025-07-14. Correction verified 2025-07-18.
HHSC inspection history · no longer published by HHSC; kept here
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Supervision & ratios Serious
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May 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
May 6, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 10, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
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Apr 2, 2025 Inspection · Deficiencies cited
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Other Serious
The PreK teacher in classroom 129 stated there were 10 children in care when we verified there were only eight children.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2025-04-02. Correction verified 2025-04-10.
HHSC inspection history · no longer published by HHSC; kept here
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Other Serious
-
Apr 2, 2025 Inspection · Deficiencies cited
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Other Serious
The PreK teacher in classroom 129 stated there were 10 children in care when we verified there were only eight children.
HHSC 746.1205(a)(2) — Responsibilities of Caregivers - Know number of children responsible for
HHSC risk weight: High. Corrected 2025-04-02. Correction verified 2025-04-10.
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Other Serious
-
Mar 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Mar 4, 2025 Inspection · No deficiencies cited
No violations cited on this visit.
-
Feb 27, 2025 Report · Deficiencies cited
-
Supervision & ratios
Based on information gathered, ratios have not been met with the mixed age group.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-03-26. Correction verified 2025-04-02.
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Supervision & ratios
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Feb 27, 2025 Report · Deficiencies cited
-
Supervision & ratios
Based on information gathered, ratios have not been met with the mixed age group.
HHSC 746.1601 — Child/ Caregiver Ratio - 13 or More Children
HHSC risk weight: Medium High. Corrected 2025-03-26. Correction verified 2025-04-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Supervision & ratios
-
Dec 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 10, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Dec 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Dec 7, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Sep 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Jul 29, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jul 17, 2024 Report · Deficiencies cited
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Other
The infant's feeding instructions were not followed on 7/12/2024.
HHSC 746.2421(a) — Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
HHSC risk weight: Medium. Corrected 2024-09-11. Correction verified 2024-09-25.
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Food & allergies
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.
HHSC 746.2431(2) — Infant Daily Report - Times and Amount of Food
HHSC risk weight: Medium High. Corrected 2024-09-11. Correction verified 2024-09-25.
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Other
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Jul 17, 2024 Report · Deficiencies cited
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Other
The infant's feeding instructions were not followed on 7/12/2024.
HHSC 746.2421(a) — Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
HHSC risk weight: Medium. Corrected 2024-09-11. Correction verified 2024-09-25.
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Food & allergies
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.
HHSC 746.2431(2) — Infant Daily Report - Times and Amount of Food
HHSC risk weight: Medium High. Corrected 2024-09-11. Correction verified 2024-09-25.
HHSC inspection history · no longer published by HHSC; kept here
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Other
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Jul 15, 2024 Inspection · Deficiencies cited
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Safety & premises
The exit gate on the Pre-K playground was open and unsecured.
HHSC 746.4309 — Fenced Outdoor Activity Space -Gates Locked
HHSC risk weight: Medium High. Corrected 2024-07-15. Correction verified 2024-07-22.
HHSC inspection history · no longer published by HHSC; kept here
-
Safety & premises
-
Jul 15, 2024 Inspection · Deficiencies cited
-
Safety & premises
The exit gate on the Pre-K playground was open and unsecured.
HHSC 746.4309 — Fenced Outdoor Activity Space -Gates Locked
HHSC risk weight: Medium High. Corrected 2024-07-15. Correction verified 2024-07-22.
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Safety & premises
-
Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Jun 18, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
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Jun 12, 2024 Report · Deficiencies cited
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Cleanliness & sanitation
It is found parents are not being given completed infant daily reports daily.
HHSC 746.2431(3) — Infant Daily Report - Times of Diaper Changes
HHSC risk weight: Medium High. Corrected 2024-07-26. Correction verified 2024-07-29.
HHSC inspection history · no longer published by HHSC; kept here
-
Cleanliness & sanitation
-
Jun 12, 2024 Report · Deficiencies cited
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Cleanliness & sanitation
It is found parents are not being given completed infant daily reports daily.
HHSC 746.2431(3) — Infant Daily Report - Times of Diaper Changes
HHSC risk weight: Medium High. Corrected 2024-07-26. Correction verified 2024-07-29.
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Cleanliness & sanitation
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May 2, 2024 Assessment · Deficiencies cited
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Staff background & training Serious
During an investigation, it was found that a caregiver did not have an eligible background check on file.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2024-05-02. Correction verified 2024-05-02.
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Staff background & training Serious
-
May 2, 2024 Assessment · Deficiencies cited
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Staff background & training Serious
During an investigation, it was found that a caregiver did not have an eligible background check on file.
HHSC 745.641 — AP Background check results - Must receive notification prior to allowing subject to be present at your operation
HHSC risk weight: High. Corrected 2024-05-02. Correction verified 2024-05-02.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training Serious
-
Apr 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 25, 2024 Inspection · No deficiencies cited
No violations cited on this visit.
-
Apr 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 23, 2024 Report · No deficiencies cited
No violations cited on this visit.
-
Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Apr 18, 2024 Report · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 17, 2023 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
HHSC inspection history · no longer published by HHSC; kept here
-
Aug 8, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Jul 25, 2022 Inspection · Deficiencies cited
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Staff background & training
One of five employee's files did not contain evidence of a high school diploma or GED.
HHSC 746.1107(2) — Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
HHSC risk weight: Medium High. Corrected 2022-08-01. Correction verified 2022-08-08.
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Staff background & training
There were training cups in the refrigerator containing milk with labels that were illegible..
HHSC 746.2419(6) — Requirements for Feeding Infants - Label Bottles/Cups
HHSC risk weight: Medium High. Corrected 2022-07-25. Correction verified 2022-08-08.
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Safety & premises
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.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2022-08-01. Correction verified 2022-08-08.
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Cleanliness & sanitation
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2022-07-25. Correction verified 2022-08-08.
-
Cleanliness & sanitation
A young infant's hands were not wiped with a wash cloth after a diaper change.
HHSC 746.3421(a) — Infant Handwashing - Individual Cloth
HHSC risk weight: Medium High. Corrected 2022-07-25. Correction verified 2022-08-08.
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Supervision & ratios
The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2022-08-01. Correction verified 2022-08-08.
HHSC inspection history · no longer published by HHSC; kept here
-
Staff background & training
-
Jul 25, 2022 Inspection · Deficiencies cited
-
Staff background & training
One of five employee's files did not contain evidence of a high school diploma or GED.
HHSC 746.1107(2) — Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
HHSC risk weight: Medium High. Corrected 2022-08-01. Correction verified 2022-08-08.
-
Staff background & training
There were training cups in the refrigerator containing milk with labels that were illegible..
HHSC 746.2419(6) — Requirements for Feeding Infants - Label Bottles/Cups
HHSC risk weight: Medium High. Corrected 2022-07-25. Correction verified 2022-08-08.
-
Safety & premises
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.
HHSC 746.3407 — Maintenance of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2022-08-01. Correction verified 2022-08-08.
-
Cleanliness & sanitation
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
HHSC 746.3415(4) — Employee Handwashing After Diapering a Child
HHSC risk weight: Medium High. Corrected 2022-07-25. Correction verified 2022-08-08.
-
Cleanliness & sanitation
A young infant's hands were not wiped with a wash cloth after a diaper change.
HHSC 746.3421(a) — Infant Handwashing - Individual Cloth
HHSC risk weight: Medium High. Corrected 2022-07-25. Correction verified 2022-08-08.
-
Supervision & ratios
The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.
HHSC 746.5103 — Documentation of Fire Inspection
HHSC risk weight: Medium High. Corrected 2022-08-01. Correction verified 2022-08-08.
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Staff background & training
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HHSC publishes inspections, investigations and assessments from October 2017 onward, with each cited deficiency and its risk weight. Investigation narratives, complaint files and older history require a public information request. The Texas Public Information Act (Texas Government Code Chapter 552) gives anyone the right to ask. You don't have to say why.
Email the request Printable letter (fax or mail)
- Send to
- HHSC Open Records Coordinator, MC-1070 · OpenRecordsRequest@hhs.texas.gov · fax 512-424-6586 · 4601 W. Guadalupe Street, Austin, Texas 78751-3146 · agency instructions
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If something is happening now, report a concern to HHSC Child Care Regulation. For suspected abuse, contact your county child protective services or law enforcement.
Source: Texas Health and Human Services Commission, Child Care Regulation datasets on data.texas.gov. Last read Oct 1, 2026. Violation text is HHSC's own wording. The categories are ours, added to help you scan. About this data.