Miller Child Development Center
Licensed Center · San Antonio, Bexar County, TX · Operation No. 1377546
Miller Child Development Center holds a Full Permit issued March 21, 2012. In the state's 60-month public window it has 25 inspections on record with 26 cited deficiencies. The records below are republished verbatim from the Texas HHSC database.
License details
License status
Full Permit
Issued
March 21, 2012
Operation type
Licensed Center
Total capacity
140 children
Ages served
Infant, Toddler, Pre-Kindergarten, School
Address
102 S Mel Waiters Way, San Antonio, TX 78203-2400
The 60-month record
25
Inspections
1
Assessments
1
Self reports
26
Deficiencies
Deficiencies by the agency's own weight: High 7 · Medium High 17 · Medium 2 · Medium Low 0 · Low 0. These are the state's precomputed counts, republished as-is.
Inspection history
| Date | Activity | Deficiencies cited |
|---|---|---|
| Aug 13, 2026 | Inspection | 0 |
| Jun 17, 2026 | Inspection | 0 |
| Jun 16, 2026 | Inspection | 1 |
| Jun 11, 2026 | Report | 0 |
| Apr 17, 2026 | Inspection | 0 |
| Mar 23, 2026 | Inspection | 0 |
| Mar 20, 2026 | Report | 2 |
| Jan 20, 2026 | Inspection | 0 |
| Oct 23, 2025 | Inspection | 0 |
| Aug 28, 2025 | Inspection | 0 |
| Aug 22, 2025 | Inspection | 1 |
| Aug 20, 2025 | Report | 1 |
| Jul 18, 2025 | Inspection | 1 |
| Jun 17, 2025 | Inspection | 0 |
| Jun 5, 2025 | Inspection | 3 |
| May 30, 2025 | Report | 4 |
| May 6, 2025 | Inspection | 0 |
| Apr 10, 2025 | Inspection | 0 |
| Apr 2, 2025 | Inspection | 1 |
| Mar 4, 2025 | Inspection | 0 |
| Feb 27, 2025 | Report | 1 |
| Dec 10, 2024 | Inspection | 0 |
| Dec 6, 2024 | Report | 0 |
| Sep 25, 2024 | Inspection | 0 |
| Jul 29, 2024 | Inspection | 0 |
| Jul 17, 2024 | Report | 2 |
| Jul 15, 2024 | Inspection | 1 |
| Jun 18, 2024 | Inspection | 0 |
| Jun 12, 2024 | Report | 1 |
| May 2, 2024 | Assessment | 1 |
| Apr 25, 2024 | Inspection | 0 |
| Apr 23, 2024 | Report | 0 |
| Apr 18, 2024 | Report | 0 |
| Jul 17, 2023 | Inspection | 0 |
| Aug 8, 2022 | Inspection | 0 |
| Jul 25, 2022 | Inspection | 6 |
Deficiency records
June 16, 2026 Standard § 746.3401(a) - Annual Sanitation Inspection
Medium High Verbatim from the agency record
The last annual sanitation inspection was conducted on 5/20/2025.
Corrected: July 17, 2026
March 20, 2026 Standard § 746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
High Verbatim from the agency record
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.
Corrected: April 10, 2026
March 20, 2026 Standard § 746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Medium High Verbatim from the agency record
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.
Corrected: April 10, 2026
August 22, 2025 Standard § 746.3417(3) - Children Handwashing After Toileting or Diapering
Medium High Verbatim from the agency record
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.
Corrected: August 22, 2025
August 20, 2025 Standard § 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Medium High Verbatim from the agency record
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.
Corrected: August 22, 2025
July 18, 2025 Standard § 746.2207(a) - Screen Time Activities - Not Used for Under Two
Medium Verbatim from the agency record
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.
Corrected: July 18, 2025
June 5, 2025 Standard § 746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
High Verbatim from the agency record
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.
Corrected: June 5, 2025
June 5, 2025 Standard § 746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
Medium High Verbatim from the agency record
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.
Corrected: June 5, 2025
June 5, 2025 Standard § 745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
High Verbatim from the agency record
A provisional employee was observed in charge of a group of children by herself.
Corrected: June 5, 2025
May 30, 2025 Standard § 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
High Verbatim from the agency record
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.
Corrected: June 5, 2025
May 30, 2025 Standard § 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Medium High Verbatim from the agency record
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.
Corrected: June 5, 2025
May 30, 2025 Standard § 746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
Medium High Verbatim from the agency record
Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive.
Corrected: July 14, 2025
May 30, 2025 Standard § 746.1003(1) - Director Responsibilities - Operate in Compliance
High Verbatim from the agency record
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.
Corrected: July 14, 2025
April 2, 2025 Standard § 746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
High Verbatim from the agency record
The PreK teacher in classroom 129 stated there were 10 children in care when we verified there were only eight children.
Corrected: April 2, 2025
February 27, 2025 Standard § 746.1601 - Child/ Caregiver Ratio - 13 or More Children
Medium High Verbatim from the agency record
Based on information gathered, ratios have not been met with the mixed age group.
Corrected: March 26, 2025
July 17, 2024 Standard § 746.2431(2) - Infant Daily Report - Times and Amount of Food
Medium High Verbatim from the agency record
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.
Corrected: September 11, 2024
July 17, 2024 Standard § 746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Medium Verbatim from the agency record
The infant's feeding instructions were not followed on 7/12/2024.
Corrected: September 11, 2024
July 15, 2024 Standard § 746.4309 - Fenced Outdoor Activity Space -Gates Locked
Medium High Verbatim from the agency record
The exit gate on the Pre-K playground was open and unsecured.
Corrected: July 15, 2024
June 12, 2024 Standard § 746.2431(3) - Infant Daily Report - Times of Diaper Changes
Medium High Verbatim from the agency record
It is found parents are not being given completed infant daily reports daily.
Corrected: July 26, 2024
May 2, 2024 Standard § 745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
High Verbatim from the agency record
During an investigation, it was found that a caregiver did not have an eligible background check on file.
Corrected: May 2, 2024
July 25, 2022 Standard § 746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Medium High Verbatim from the agency record
There were training cups in the refrigerator containing milk with labels that were illegible..
Corrected: July 25, 2022
July 25, 2022 Standard § 746.3421(a) - Infant Handwashing - Individual Cloth
Medium High Verbatim from the agency record
A young infant's hands were not wiped with a wash cloth after a diaper change.
Corrected: July 25, 2022
July 25, 2022 Standard § 746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Medium High Verbatim from the agency record
One of five employee's files did not contain evidence of a high school diploma or GED.
Corrected: August 1, 2022
July 25, 2022 Standard § 746.3415(4) - Employee Handwashing After Diapering a Child
Medium High Verbatim from the agency record
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
Corrected: July 25, 2022
July 25, 2022 Standard § 746.5103 - Documentation of Fire Inspection
Medium High Verbatim from the agency record
The operation does not have a current Fire Inspection. The last inspection date is 9.20.2020.
Corrected: August 1, 2022
July 25, 2022 Standard § 746.3407 - Maintenance of Building, Grounds and Equipment
Medium High Verbatim from the agency record
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.
Corrected: August 1, 2022
About these records
These records come from the Texas Health and Human Services Commission database and cover the state's 60-month public window. Records synced from the agency on August 29, 2026. They reflect the agency's database as of that date; recent inspections may not appear yet, so verify current status with the agency or on the official record ↗. Facility operators can request a review through our corrections process.
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