Miller Child Development Center

Medium-high risk Medication Authorization - Signed and Dated

State rule 746.3803(a)(1) (minimum standards for child-care centers): "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.

Corrected Sep 4, 2026, verified by the state Sep 9, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Medication must be given from its original container labelled with the child's name.

State rule 746.3805(b)(1) (minimum standards for child-care centers): "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.

Corrected Sep 4, 2026, verified by the state Sep 9, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Medication must be given, and recorded, as the state requires.

State rule 746.3805(c)(2) (minimum standards for child-care centers): "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.

Corrected Sep 4, 2026, verified by the state Sep 9, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The center must have an annual sanitation (health) inspection.

State rule 746.3401(a) (minimum standards for child-care centers): "Annual Sanitation Inspection"

Inspector's note: The last annual sanitation inspection was conducted on 5/20/2025.

Corrected Jul 17, 2026, verified by the state Jul 21, 2026. The inspector gave technical assistance (advice on how to comply).

High risk Employees and caregivers must show competence, good judgment and self-control.

State rule 746.1201(1) (minimum standards for child-care centers): "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.

Corrected Apr 10, 2026, verified by the state Apr 17, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Parents must be told about an injury that needed treatment by a health-care professional or hospitalization.

State rule 746.307(b)(1) (minimum standards for child-care centers): "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.

Corrected Apr 10, 2026, verified by the state Apr 17, 2026. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Children must wash their hands after using the toilet or being diapered.

State rule 746.3417(3) (minimum standards for child-care centers): "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.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

Medium-high risk There must be enough caregivers for the number and ages of children in the group (the state's child-to-caregiver ratio).

State rule 746.1601 (minimum standards for child-care centers): "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.

Corrected Aug 22, 2025, verified by the state Aug 28, 2025. The inspector gave technical assistance (advice on how to comply).

Medium risk Screen time must not be used for children under two.

State rule 746.2207(a) (minimum standards for child-care centers): "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.

Corrected while the inspector was there.

High risk If a person's background check came back with conditions, their duties must be restricted as the conditions say.

State rule 745.635(3) (licensing rules for every operation): "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.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

High risk Infants may not sleep in car seats, swings or other restrictive devices.

State rule 746.2426(a)(1) (minimum standards for child-care centers): "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.

Corrected Jun 5, 2025, verified by the state Jun 17, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk The naptime child-to-caregiver ratio may be reduced by 50 percent only when the state's conditions are met.

State rule 746.1613(a)(5) (minimum standards for child-care centers): "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.

Corrected while the inspector was there. The inspector gave technical assistance (advice on how to comply).

High risk The director must operate the center in compliance with the minimum standards.

State rule 746.1003(1) (minimum standards for child-care centers): "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.

Corrected Jul 14, 2025, verified by the state Jul 18, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Caregivers must supervise every child at all times: close enough to step in, and always aware of what each child is doing.

State rule 746.1205(a)(4) (minimum standards for child-care centers): "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.

Corrected Jun 5, 2025, verified by the state Jun 17, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk There must be enough caregivers for the number and ages of children in the group (the state's child-to-caregiver ratio).

State rule 746.1601 (minimum standards for child-care centers): "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.

Corrected Jun 5, 2025, verified by the state Jun 17, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Discipline must follow the state's rules for positive discipline and guidance.

State rule 746.2803(4) (minimum standards for child-care centers): "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.

Corrected Jul 14, 2025, verified by the state Jul 18, 2025. The inspector gave technical assistance (advice on how to comply).

High risk Each caregiver must know how many children they are responsible for.

State rule 746.1205(a)(2) (minimum standards for child-care centers): "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.

Corrected Apr 2, 2025, verified by the state Apr 10, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk There must be enough caregivers for the number and ages of children in the group (the state's child-to-caregiver ratio).

State rule 746.1601 (minimum standards for child-care centers): "Child/ Caregiver Ratio - 13 or More Children"

Inspector's note: Based on information gathered, ratios have not been met with the mixed age group.

Corrected Mar 26, 2025, verified by the state Apr 2, 2025. The inspector gave technical assistance (advice on how to comply).