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Childcare center · San Antonio, TX
Miller Child Development Center
A licensed child care center in San Antonio, Texas, with its state inspection history from Texas Health and Human Services (HHSC).
Program details
Program type: Licensed child care center
Address: 102 S MEL WAITERS WAY, San Antonio, TX 78203
County: Bexar County
Phone: (210) 354-1400
Licensed to serve: Infant, Toddler, Pre-Kindergarten, School
Licensed capacity: 140 children
State ID (HHSC operation number): 1377546
Permit: Full Permit, issued March 21, 2012
On corrective action (HHSC): No
On adverse action (HHSC): No
Corrective action and adverse action are formal steps Texas HHSC can take on a permit. The official record explains any that apply.
View the official record on Texas HHSC's child care search (or search operation number 1377546 on the search page).
Inspection history
From November 12, 2023 to November 12, 2026
- 23 inspections
- 11 investigations
- 1 assessment
- 23 citations from these visits (risk level: High 7, Medium High 14, Medium 2)
A citation means an inspector found a rule wasn't met at the time of the visit; many are corrected the same day. Read the official record for details.
Below is every visit in the state's files from July 25, 2022 to September 9, 2026, newest first: 38 visits and 29 citations in all, so the totals can be higher than the 3-year counts above. An investigation is a visit to look into a report or complaint; many find no citations. Risk level is the level Texas HHSC assigns to each rule, from low to high, as published. Technical assistance means the inspector gave guidance on the rule. The state's file does not say whether the "correct-by" date is a deadline or the day the problem was fixed, so it can fall after the verified date or in the future.
September 9, 2026 · Inspection · No citations
August 13, 2026 · Inspection · No citations
August 11, 2026 · Investigation · 3 citations
746.3805(c)(2) - Medication Records - Name of Medication
Risk level: Medium High · Correct-by date in the state file: September 4, 2026 · Correction verified: September 9, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
During the course of the investigation, medication was given to a child, and the information was not recorded on an administration form.
746.3803(a)(1) - Medication Authorization - Signed and Dated
Risk level: Medium High · Correct-by date in the state file: September 4, 2026 · Correction verified: September 9, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.3805(b)(1) - Administering Medication - Original Container with Child's Name, Date
Risk level: Medium High · Correct-by date in the state file: September 4, 2026 · Correction verified: September 9, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
June 17, 2026 · Inspection · No citations
June 16, 2026 · Inspection · 1 citation
746.3401(a) - Annual Sanitation Inspection
Risk level: Medium High · Correct-by date in the state file: July 17, 2026 · Correction verified: July 21, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The last annual sanitation inspection was conducted on 5/20/2025.
June 11, 2026 · Investigation · No citations
April 17, 2026 · Inspection · No citations
March 23, 2026 · Inspection · No citations
March 20, 2026 · Investigation (the program reported it to the state) · 2 citations
746.307(b)(1) - AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
Risk level: Medium High · Correct-by date in the state file: April 10, 2026 · Correction verified: April 17, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1201(1) - Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Risk level: High · Correct-by date in the state file: April 10, 2026 · Correction verified: April 17, 2026 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
January 20, 2026 · Inspection · No citations
October 23, 2025 · Inspection · No citations
August 28, 2025 · Inspection · No citations
August 22, 2025 · Inspection · 1 citation
746.3417(3) - Children Handwashing After Toileting or Diapering
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
August 20, 2025 · Investigation · 1 citation
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Risk level: Medium High · Correct-by date in the state file: August 22, 2025 · Correction verified: August 28, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
July 18, 2025 · Inspection · 1 citation
746.2207(a) - Screen Time Activities - Not Used for Under Two
Risk level: Medium · Corrected during the visit · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
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.
June 17, 2025 · Inspection · No citations
June 5, 2025 · Inspection · 3 citations
746.1613(a)(5) - Naptime Child/Caregiver Ratio - Additional Employees Required
Risk level: Medium High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
745.635(3) - AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
Risk level: High · Corrected during the visit · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A provisional employee was observed in charge of a group of children by herself.
746.2426(a)(1) - Infant May Not Sleep in a Restrictive Device
Risk level: High · Correct-by date in the state file: June 5, 2025 · Correction verified: June 17, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
May 30, 2025 · Investigation · 4 citations
746.2803(4) - Discipline - Positive Methods of Discipline and Guidance
Risk level: Medium High · Correct-by date in the state file: July 14, 2025 · Correction verified: July 18, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive.
746.1003(1) - Director Responsibilities - Operate in Compliance
Risk level: High · Correct-by date in the state file: July 14, 2025 · Correction verified: July 18, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Risk level: Medium High · Correct-by date in the state file: June 5, 2025 · Correction verified: June 17, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
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
Risk level: High · Correct-by date in the state file: June 5, 2025 · Correction verified: June 17, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
May 6, 2025 · Inspection · No citations
April 10, 2025 · Inspection · No citations
April 2, 2025 · Inspection · 1 citation
746.1205(a)(2) - Responsibilities of Caregivers - Know number of children responsible for
Risk level: High · Correct-by date in the state file: April 2, 2025 · Correction verified: April 10, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The PreK teacher in classroom 129 stated there were 10 children in care when we verified there were only eight children.
March 4, 2025 · Inspection · No citations
February 27, 2025 · Investigation · 1 citation
746.1601 - Child/ Caregiver Ratio - 13 or More Children
Risk level: Medium High · Correct-by date in the state file: March 26, 2025 · Correction verified: April 2, 2025 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
Based on information gathered, ratios have not been met with the mixed age group.
December 10, 2024 · Inspection · No citations
December 6, 2024 · Investigation · No citations
September 25, 2024 · Inspection · No citations
July 29, 2024 · Inspection · No citations
July 17, 2024 · Investigation · 2 citations
746.2431(2) - Infant Daily Report - Times and Amount of Food
Risk level: Medium High · Correct-by date in the state file: September 11, 2024 · Correction verified: September 25, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.2421(a) - Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Risk level: Medium · Correct-by date in the state file: September 11, 2024 · Correction verified: September 25, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The infant's feeding instructions were not followed on 7/12/2024.
July 15, 2024 · Inspection · 1 citation
746.4309 - Fenced Outdoor Activity Space -Gates Locked
Risk level: Medium High · Correct-by date in the state file: July 15, 2024 · Correction verified: July 22, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The exit gate on the Pre-K playground was open and unsecured.
June 18, 2024 · Inspection · No citations
June 12, 2024 · Investigation · 1 citation
746.2431(3) - Infant Daily Report - Times of Diaper Changes
Risk level: Medium High · Correct-by date in the state file: July 26, 2024 · Correction verified: July 29, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
It is found parents are not being given completed infant daily reports daily.
May 2, 2024 · Assessment · 1 citation
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
Risk level: High · Correct-by date in the state file: May 2, 2024 · Correction verified: May 2, 2024 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
During an investigation, it was found that a caregiver did not have an eligible background check on file.
April 25, 2024 · Inspection · No citations
April 23, 2024 · Investigation · No citations
April 18, 2024 · Investigation · No citations
July 17, 2023 · Inspection · No citations
August 8, 2022 · Inspection · No citations
July 25, 2022 · Inspection · 6 citations
746.3421(a) - Infant Handwashing - Individual Cloth
Risk level: Medium High · Correct-by date in the state file: July 25, 2022 · Correction verified: August 8, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
A young infant's hands were not wiped with a wash cloth after a diaper change.
746.5103 - Documentation of Fire Inspection
Risk level: Medium High · Correct-by date in the state file: August 1, 2022 · Correction verified: August 8, 2022 · Inspector gave guidance (technical assistance): Yes
The inspector's notes for this citation may name a person, so we don't show them here. They are in the official record.
746.3415(4) - Employee Handwashing After Diapering a Child
Risk level: Medium High · Correct-by date in the state file: July 25, 2022 · Correction verified: August 8, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
The infant caregiver did not wash her hands after changing a diaper. She was observed using hand sanitizer when a sink was available.
746.1107(2) - Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion
Risk level: Medium High · Correct-by date in the state file: August 1, 2022 · Correction verified: August 8, 2022 · Inspector gave guidance (technical assistance): No
Inspector's notes (as published)
One of five employee's files did not contain evidence of a high school diploma or GED.
746.3407 - Maintenance of Building, Grounds and Equipment
Risk level: Medium High · Correct-by date in the state file: August 1, 2022 · Correction verified: August 8, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
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.
746.2419(6) - Requirements for Feeding Infants - Label Bottles/Cups
Risk level: Medium High · Correct-by date in the state file: July 25, 2022 · Correction verified: August 8, 2022 · Inspector gave guidance (technical assistance): Yes
Inspector's notes (as published)
There were training cups in the refrigerator containing milk with labels that were illegible..
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Sources
- HHSC CCL Daycare and Residential Operations Data: program details.
- HHSC CCL Inspection Investigation Assessment Data: visit dates and types.
- HHSC CCL Non-Compliance Data: citations, risk levels, corrections and inspector's notes.
All three are published by the Texas Health and Human Services Commission, Child Care Licensing, on data.texas.gov under CC0 1.0. State files updated November 12, 2026. We show the state's text as published, except that we restore apostrophes the files print as "?". Program details last checked October 21, 2026.