Miller Child Development Center

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Medication Authorization - Signed and Dated
  Inspector's note: 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. Risk level: Medium High. Corrected by 2026-09-04.
• Critical Medication Records - Name of Medication
  Inspector's note: During the course of the investigation, medication was given to a child, and the information was not recorded on an administration form. Risk level: Medium High. Corrected by 2026-09-04.
• Critical Administering Medication - Original Container with Child's Name, Date
  Inspector's note: 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. Risk level: Medium High. Corrected by 2026-09-04.

No infractions recorded at this inspection.

• Critical Annual Sanitation Inspection
  Inspector's note: The last annual sanitation inspection was conducted on 5/20/2025. Risk level: Medium High. Corrected by 2026-07-17.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical AP Parental Communication - Injury Requires Treatment by Health Care Professional or Hospitalization
  Inspector's note: 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. Risk level: Medium High. Corrected by 2026-04-10.
• Critical Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
  Inspector's note: 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. Risk level: High. Corrected by 2026-04-10.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Children Handwashing After Toileting or Diapering
  Inspector's note: 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. Risk level: Medium High. Corrected during the inspection.

• Critical Child/ Caregiver Ratio - 13 or More Children
  Inspector's note: 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. Risk level: Medium High. Corrected by 2025-08-22.

• Non-critical Screen Time Activities - Not Used for Under Two
  Inspector's note: 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. Risk level: Medium. Corrected during the inspection.

No infractions recorded at this inspection.

• Critical Infant May Not Sleep in a Restrictive Device
  Inspector's note: 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. Risk level: High. Corrected by 2025-06-05.
• Critical AP Background ck determination - If provisionally eligible w/conditions or eligible w/conditions you must restrict duties per conditions/restrictions
  Inspector's note: A provisional employee was observed in charge of a group of children by herself. Risk level: High. Corrected during the inspection.
• Critical Naptime Child/Caregiver Ratio - Additional Employees Required
  Inspector's note: 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. Risk level: Medium High. Corrected during the inspection.

• Critical Supervision ensures each child?s safety, well-being, including physical proximity and auditory or visual awareness of each child?s on going activity
  Inspector's note: 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. Risk level: High. Corrected by 2025-06-05.
• Critical Director Responsibilities - Operate in Compliance
  Inspector's note: 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. Risk level: High. Corrected by 2025-07-14.
• Critical Child/ Caregiver Ratio - 13 or More Children
  Inspector's note: 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. Risk level: Medium High. Corrected by 2025-06-05.
• Critical Discipline - Positive Methods of Discipline and Guidance
  Inspector's note: Based on the information gathered during the course of the investigation it was determined that disciplinary techniques used with children have not been positive. Risk level: Medium High. Corrected by 2025-07-14.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Critical Responsibilities of Caregivers - Know number of children responsible for
  Inspector's note: The PreK teacher in classroom 129 stated there were 10 children in care when we verified there were only eight children. Risk level: High. Corrected by 2025-04-02.

No infractions recorded at this inspection.

• Critical Child/ Caregiver Ratio - 13 or More Children
  Inspector's note: Based on information gathered, ratios have not been met with the mixed age group. Risk level: Medium High. Corrected by 2025-03-26.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

• Non-critical Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
  Inspector's note: The infant's feeding instructions were not followed on 7/12/2024. Risk level: Medium. Corrected by 2024-09-11.
• Critical Infant Daily Report - Times and Amount of Food
  Inspector's note: 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. Risk level: Medium High. Corrected by 2024-09-11.

• Critical Fenced Outdoor Activity Space -Gates Locked
  Inspector's note: The exit gate on the Pre-K playground was open and unsecured. Risk level: Medium High. Corrected by 2024-07-15.

No infractions recorded at this inspection.

• Critical Infant Daily Report - Times of Diaper Changes
  Inspector's note: It is found parents are not being given completed infant daily reports daily. Risk level: Medium High. Corrected by 2024-07-26.

• Critical AP Background check results - Must receive notification prior to allowing subject to be present at your operation
  Inspector's note: During an investigation, it was found that a caregiver did not have an eligible background check on file. Risk level: High. Corrected by 2024-05-02.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.

No infractions recorded at this inspection.