Doris Gardner Ratliff Ctr For Child Development

High risk A person may not be at the operation until their background check result has come back and allows it.

State rule 745.641 (licensing rules for every operation): "Background check results - Must receive notification prior to allowing subject to be present at your operation"

Inspector's note: An individual who is apart of maintenance was observed in a toddler classroom having a conversation with another caregiver while children were present. The individual does not have an active background check in the system. This was corrected during the inspection when I observed the individual leave.

Corrected Nov 19, 2025, verified by the state Dec 3, 2025. 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: A six month infant was observed sleeping in a swing for over ten minutes. This was corrected during the inspection when I informed the two caregivers to remove the child from the swing and place the child in the crib

Corrected Nov 12, 2025, verified by the state Nov 19, 2025. The inspector gave technical assistance (advice on how to comply).

Medium-high risk Caregivers must have a high-school diploma, equivalent, or certification of completion.

State rule 746.1107(2) (minimum standards for child-care centers): "Additional Minimum Qualifications for Caregivers - HS Diploma, Equivalent, Certification of Completion"

Inspector's note: One out of ten caregiver did not have a high school diploma or equivalent on file

Corrected Nov 19, 2025, verified by the state Nov 19, 2025.

Medium risk Each child's file must hold the required admission information.

State rule 746.603(a)(2) (minimum standards for child-care centers): "Children's Records - Admission Information"

Inspector's note: one out of six children did not have an admission form available for review

Corrected Nov 19, 2025, verified by the state Nov 19, 2025.

Medium risk Each child's file must hold a health statement.

State rule 746.603(a)(3) (minimum standards for child-care centers): "Children's Records - Health Statement"

Inspector's note: One out of six children did not have a health statement available for review

Corrected Nov 19, 2025, verified by the state Nov 19, 2025.

Medium-high risk Documentation of Gas Leak Inspection

State rule 746.5405 (minimum standards for child-care centers): "Documentation of Gas Leak Inspection"

Inspector's note: The gas leak test report is not available for review

Corrected Jan 2, 2025, verified by the state Jan 6, 2025.

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: Children under the age of two were observed watching mickey mouse on a tablet while eating snack. This was corrected during the inspection when I observed the caregiver turing the tablet off and closing it.

Corrected while the inspector was there.

Medium risk Screen time must not be used during eating or rest times.

State rule 746.2207(c)(4) (minimum standards for child-care centers): "Screen Time Activities - Not Used During Eating or Rest Times"

Inspector's note: Children were observed watching mickey mouse during snack time This was corrected during the inspection when I observed the caregiver turn off the tablet and closed it.

Corrected while the inspector was there.

High risk Infants under 12 months may sleep with only a snug-fitting sheet and mattress cover in the crib.

State rule 746.2415(b) (minimum standards for child-care centers): "Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age"

Inspector's note: While in the crib, a five month old infant was observed sleeping with a blanket. This was corrected during the inspection when I observed the caregiver remove the blanket.

Corrected Dec 6, 2024, verified by the state Dec 17, 2024. The inspector gave technical assistance (advice on how to comply).

High risk Active-play equipment must have no entanglement protrusions or openings.

State rule 746.4601(4) (minimum standards for child-care centers): "Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings"

Inspector's note: The playground structure had grey nail bolts sticking out of the black barrier. This was corrected during the inspection when I observed maintenance hammering the bolts back into place.

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

Medium-high risk The director and each caregiver must have current pediatric first aid training (with rescue breathing and choking).

State rule 746.1315(a) (minimum standards for child-care centers): "Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking."

Inspector's note: Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.

Corrected Dec 20, 2024, verified by the state Dec 12, 2024.

Medium-high risk The director and each caregiver must have current pediatric CPR training.

State rule 746.1315(b) (minimum standards for child-care centers): "Each Caregiver and the Director Must Have Current Training in pediatric CPR"

Inspector's note: Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.

Corrected Dec 20, 2024, verified by the state Dec 12, 2024.

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 health inspection report was not available for review.

Corrected Dec 27, 2024, verified by the state Dec 6, 2024.

Medium-high risk Documentation of the fire inspection must be kept on file.

State rule 746.5103 (minimum standards for child-care centers): "Documentation of Fire Inspection"

Inspector's note: The fire inspection report was not available for review.

Corrected Feb 4, 2025, verified by the state Feb 6, 2025.

Medium risk Caregivers' annual training must cover the topics the state requires, and be documented.

State rule 746.1309(e) (minimum standards for child-care centers): "Documented Annual Training- Required Content"

Inspector's note: Six out of Six caregivers are missing the required health and safety Audit trainings. (1) Emergency preparedness (2) Preventing and responding to emergencies due to food or an allergic reaction; (3) Understanding building and physical premises safety, including identification and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; and (4) Handling, storing, and disposing of hazardous materials i).

Corrected Dec 20, 2024, verified by the state Dec 12, 2024.