The records include recorded violations parents may want to understand before enrolling. These are conversation starters, not a pass-or-fail judgment.
Next: Review the inspection history below and ask the provider what the records mean and what changed afterward.
Summary
This summary covers 36 available inspections for Miller Child Development Center from July 25, 2022 through August 13, 2026.
14 inspections recorded violations, with 26 recorded violations in total.
The most recent higher-concern violation was on June 16, 2026 and involved facility condition.
That higher-concern topic showed up in four inspections.
Two later inspections, from June 17, 2026 through August 13, 2026, showed no recorded violations, but the records do not say whether they were formal follow-ups.
At a glance
Total inspections
36
11 in last 12 months
Recorded violations
26
4 in last 12 months
Higher-concern violations
24
4 in last 12 months
Repeated topics
4
Last 36 months
Local comparison
36 total inspections vs 16 local median in San Antonio
Compared to 504 local facilities
Recorded violations per inspection
This provider
0.72
Local median
0.6
0.72This provider
0.6Local median
Inspections with higher-concern violations
This provider
36%
Local median
27%
36%This provider
27%Local median
Inspections with recorded violations
This provider
39%
Local median
33%
39%This provider
33%Local median
Repeated topics
This provider
4
Local average
1.65
4This provider
1.65Local average
Repeated topics
Topics that appeared in more than one inspection during the last 36 months. They may reveal a pattern worth examining.
Facility condition
Appeared across 3 inspections, with 3 recorded violations.
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.
Correction deadline
April 10, 2026
Correction status
Correction evaluated April 17, 2026
More details
Official Texas risk level
High
Report section
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Official code
746.1201(1)
Higher concern: Incident records
Report finding
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.
Correction deadline
April 10, 2026
Correction status
Correction evaluated April 17, 2026
More details
Official Texas risk level
Medium High
Report section
746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.3417(3) - Children Handwashing After Toileting or Diapering
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.
Correction deadline
August 22, 2025
Correction status
Correction evaluated August 28, 2025
More details
Official Texas risk level
Medium High
Report section
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Medium concern: Individual needs and accommodations
Report finding
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium
Report section
746.2207(a) - Screen Time Activities - Not Used for Under Two
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.
Correction deadline
June 5, 2025
Correction status
Correction evaluated June 17, 2025
More details
Official Texas risk level
High
Report section
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
Official code
746.2426(a)(1)
Higher concern: Sleep safety
Report finding
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.
Correction status
Completed at time of inspection
More details
Official Texas risk level
Medium High
Report section
746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
Official code
746.1613(a)(5)
Higher concern: Background screening
Report finding
A provisional employee was observed in charge of a group of children by herself.
Correction status
Completed at time of inspection
More details
Official Texas risk level
High
Report section
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
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.
Correction deadline
July 14, 2025
Correction status
Correction evaluated July 18, 2025
More details
Official Texas risk level
High
Report section
746.1003(1) - Director Responsibilities - Operate in Compliance
Official code
746.1003(1)
Higher concern: Staff-to-child ratio
Report finding
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.
Correction deadline
June 5, 2025
Correction status
Correction evaluated June 17, 2025
More details
Official Texas risk level
Medium High
Report section
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Official code
746.1601
Higher concern: Supervision
Report finding
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.
Correction deadline
June 5, 2025
Correction status
Correction evaluated June 17, 2025
More details
Official Texas risk level
High
Report section
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
Official code
746.1205(a)(4)
Higher concern: Child guidance
Report finding
Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive.
Correction deadline
July 14, 2025
Correction status
Correction evaluated July 18, 2025
More details
Official Texas risk level
Medium High
Report section
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
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.
Correction deadline
September 11, 2024
Correction status
Correction evaluated September 25, 2024
More details
Official Texas risk level
Medium High
Report section
746.2431(2) - Infant Daily Report - Times and Amount of Food
Official code
746.2431(2)
Medium concern: Health or food records
Report finding
The infant's feeding instructions were not followed on 7/12/2024.
Correction deadline
September 11, 2024
Correction status
Correction evaluated September 25, 2024
More details
Official Texas risk level
Medium
Report section
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional