Rita Miller
206 CEDAR ST, Mount Pleasant, TX 75455 · Titus County
Program
- Type
- Registered child-care home
- Licensed capacity
- 12
- Ages
- Infant, Toddler, Pre-Kindergarten, School
- Hours
- 07:00 AM-05:30 PM
- Phone
- (903) 572-6085
- Regulated since
- Mar 1, 1999
- HHSC IDs
- Operation 159431 · number 541380
- Official record
- HHSC Child Care Search
Violations by category
Year by year
| Year | Violations | Serious | Main categories |
|---|---|---|---|
| 2025 | 9 | 1 | Illness & medication (2), Supervision & ratios (1), Safety & premises (3), Staff background & training (3) |
| 2023 | 6 | 0 | Illness & medication (1), Supervision & ratios (3), Staff background & training (2) |
| 2022 | 2 | 0 | Safety & premises (2) |
Inspections, investigations & assessments
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May 1, 2025 Inspection · Deficiencies cited
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Illness & medication
This standard was reviewed on 5/1/2025 as a follow-up to a previous inspection and found deficient. Two children's records lacked documentation that their parents received a copy of the operational policies. One child's record lacked health statements. Two children's immunization records were observed incomplete.
HHSC 747.603(a)(2) — Children's Records - Admission Information
HHSC risk weight: Medium. Corrected 2025-06-01. Correction verified 2025-05-14.
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Illness & medication
-
Apr 11, 2025 Inspection · Deficiencies cited
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Safety & premises
This standard was reviewed on 4/11/2025 and found deficient.One piece of equipment on the playground was observed with a portion of the equipment being removed and now does not meet manufacturers instructions and there is nothing to prevent the children from falling off the equipment where the pieces have been removed.
HHSC 747.3203 — Sanitation of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2025-04-25. Correction verified 2025-05-01.
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Safety & premises
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Mar 25, 2025 Inspection · Deficiencies cited
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Staff background & training Serious
An individual was present at inspection without a background check.
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 2025-03-25. Correction verified 2025-04-11.
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Staff background & training
The primary caregivers first aid training expired 11/2024.
HHSC 747.1313(a) — Pediatric First-Aid and Pediatric CPR Training - Primary, Assistant, and Substitute Caregivers
HHSC risk weight: Medium High. Corrected 2025-04-11. Correction verified 2025-04-11.
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Staff background & training
The primary caregivers CPR training expired 11/2024.
HHSC 747.1313(b) — Pediatric First-Aid and Pediatric CPR Training -skill based and hands on
HHSC risk weight: Medium High. Corrected 2025-04-11. Correction verified 2025-04-11.
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Safety & premises
One piece of equipment on the playground was observed broken and needs to be repaired or removed.
HHSC 747.3203 — Sanitation of Building, Grounds and Equipment
HHSC risk weight: Medium High. Corrected 2025-03-31. Correction verified 2025-04-11.
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Supervision & ratios
The operation did not have a statement of health for the dog at the home on file for review by Child Care Regulation.
HHSC 747.3703(b) — Animals at Center - Statement of Health from Veterinarian
HHSC risk weight: Medium. Corrected 2025-04-25. Correction verified 2025-04-11.
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Illness & medication
A sampling of children records were evaluated. Two children's records lacked documentation that their parents received a copy of the operational policies. Three children records lacked health statements. One child's record lacked an immunization record. Two children's immunization records were observed incomplete.
HHSC 747.603(a)(2) — Children's Records - Admission Information
HHSC risk weight: Medium. Corrected 2025-04-25. Correction verified 2025-05-01.
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Safety & premises
The last documented fire drill was observed 9/2024. Fire drills must be conducted monthly. The last documented lock down drill/severe weather drill was observed 1/2024. The last documented carbon monoxide and smoke detector checks were observed documented 5/2023.
HHSC 747.801(7) — Records Maintained and Made Available - Safety Drills Documentation
HHSC risk weight: Medium. Corrected 2025-04-08. Correction verified 2025-04-11.
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Staff background & training Serious
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May 25, 2023 Inspection · Deficiencies cited
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Staff background & training
The primary caregiver lacked 19 hours of training to complete last years annual training.
HHSC 747.1303(5)(A) — Training Requirements for Primary Caregiver -30 Hours Annual Training
HHSC risk weight: Medium High. Corrected 2023-06-25. Correction verified 2023-06-22.
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Staff background & training
The household member lacked documentation of completion of orientation.
HHSC 747.1401(a)(2) — Household Members Qualifications - Orientation
HHSC risk weight: Medium. Corrected 2023-06-08. Correction verified 2023-05-31.
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Supervision & ratios
The operational policies were evaluated and lacked the following written procedures: 1) Safe sleep policy; 2) Promotion of indoor and outdoor physical activity (A-C); 3) procedures for parents to visit the home any time during hours of operation to observe their child, program activities, the home, the premises, and equipment without having to secure prior approval; and 4) the HHSC website (www.hhs.texas.gov).
HHSC 747.207(1) — Policies Comply with Rules
HHSC risk weight: Medium High. Corrected 2023-06-08. Correction verified 2023-06-26.
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Supervision & ratios
The operation did not have a written activity plan.
HHSC 747.2102(a) — Written Activity Plan - Develop and Follow
HHSC risk weight: Medium. Corrected 2023-06-08. Correction verified 2023-06-05.
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Supervision & ratios
The last documented annual certification on file that the operation reviewed the CPSC recall list and certified there were no recalled items in the home was observed 6/2021. You must certify annually in writing that you have reviewed each of the recall notices issued by the CPSC and that there are no unsafe products in the home.
HHSC 747.3935(b) — Children's Products- Annual Certification
HHSC risk weight: Medium. Corrected 2023-06-08. Correction verified 2023-05-31.
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Illness & medication
A sampling of children records were evaluated. Two children's immunization records were observed incomplete.Discussed the names of the children and their missing immunizations with the primary caregiver.
HHSC 747.603(a)(4) — Children's Records - Immunizations
HHSC risk weight: Medium. Corrected 2023-06-25. Correction verified 2023-06-21.
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Staff background & training
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Mar 28, 2022 Inspection · No deficiencies cited
No violations cited on this visit.
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Mar 17, 2022 Inspection · Deficiencies cited
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Safety & premises
This standard was reviewed on 3/17/2022 as a follow-up to a previous inspection and found deficient. The metal frame of the swing set that was taken down is rusted and on the playground accessible to children. It needs to be removed from the playground. A three person wooden swing with stand was observed on the playground with wooden boards missing from the seat and the back of the swing posing an entrapment risk to children. This was corrected at inspection as the swing was taken off the frame and removed from the playground.
HHSC 747.3501 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-03-17. Correction verified 2022-03-28.
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Safety & premises
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Mar 2, 2022 Inspection · Deficiencies cited
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Safety & premises
A metal cover on a vent attached to the outside of the home is not secured and is sticking out. One of the legs on the frame of the swing set is bent making the swing set unstable. This swing set needs to be removed from the playground. The roof tops of two play houses have large areas of missing plasttic as well as cracked plastic. One piece of equipment with a slide has a hole in the plastic at the end of the slide as well as another hole toward the top of the piece of equipment. The a/c unit on the playground does not have a safeguard around the unit to prevent the children from having access. The gates to the fence around the playground are not secured to prevent the children from exiting the playground.
HHSC 747.3501 — Safety - Areas Free From Hazards
HHSC risk weight: Medium High. Corrected 2022-03-02. Correction verified 2022-03-17.
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Safety & premises
Get the full file
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
Show the letter text
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.