Doris Gardner Ratliff Ctr For Child Development

No infractions recorded at this inspection.

• Critical AP 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. Risk level: High. Corrected by 2025-11-19.

• Critical 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 Risk level: High. Corrected by 2025-11-12.
• Non-critical Children's Records - Health Statement
  Inspector's note: One out of six children did not have a health statement available for review Risk level: Medium. Corrected by 2025-11-19.
• Non-critical Children's Records - Admission Information
  Inspector's note: one out of six children did not have an admission form available for review Risk level: Medium. Corrected by 2025-11-19.
• Critical 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 Risk level: Medium High. Corrected by 2025-11-19.

• Critical Documentation of Gas Leak Inspection
  Inspector's note: The gas leak test report is not available for review Risk level: Medium High. Corrected by 2025-01-02.
• Non-critical 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. Risk level: Medium. Corrected during the inspection.
• Non-critical 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. Risk level: Medium. Corrected during the inspection.

• Critical AP 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. Risk level: High. Corrected by 2024-12-06.
• Critical Documentation of Fire Inspection
  Inspector's note: The fire inspection report was not available for review. Risk level: Medium High. Corrected by 2025-02-04.
• Critical 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. Risk level: High. Corrected during the inspection.
• Critical 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. Risk level: Medium High. Corrected by 2024-12-20.
• Critical 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. Risk level: Medium High. Corrected by 2024-12-20.
• Non-critical 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). Risk level: Medium. Corrected by 2024-12-20.
• Critical Annual Sanitation Inspection
  Inspector's note: The health inspection report was not available for review. Risk level: Medium High. Corrected by 2024-12-27.

• Critical Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
  Inspector's note: The infant safe sleep policy was not written in the operational policies. Risk level: High. Corrected by 2024-01-05.

• Critical Required Admission Information - Emergency Medical Authorization
  Inspector's note: 1 child's file still does not contain the complete emergenct contact information. Risk level: High. Corrected by 2023-01-27.

• Non-critical Written Operational Policies - Promotion of Physical Activity
  Inspector's note: Documentation showing the promotion of physical activities was missing from the operational policies and the following information must be included: (A) The benefits of physical activity and outdoor play (B) The duration of physical activity at your operation, both indoor and outdoor (C) The type of physical activity (structured and unstructured) that children may engage in at your operatio (D) Each setting in which your physical activity program will take place (E) The recommended clothing and footwear that will allow a child to participate freely and safely in physical activities (F) A plan to ensure physical activity occurs on days when extreme weather conditions prohibit or limit outdoor play. Risk level: Medium. Corrected by 2023-01-13.
• Critical AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
  Inspector's note: A 6 week old infant was observed in a crib with blankets and a boppy pillow during the inspection. Note: It was discussed with the provider that infants under 12 months must not have anything in their cribs but the tight fitting sheet due to the risk of SIDS. The provider removed the items from the crib during the inspection. Risk level: High. Corrected by 2023-01-06.
• Critical Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
  Inspector's note: An annual fire inspection has not been conducted within the past 12 months. Risk level: High. Corrected by 2023-01-25.
• Non-critical Written Feeding Instructions - Review and Update Every 30 Days
  Inspector's note: The feeding instructions for 3 infants have not been updated within the last 30 days. Risk level: Medium. Corrected by 2023-01-13.
• Non-critical Children's Records - Immunizations
  Inspector's note: 1 out of 5 children's records evaluated did not contain documentation of immunizations. Risk level: Medium. Corrected by 2023-01-13.
• Critical Required Admission Information - Emergency Medical Authorization
  Inspector's note: 2 out of 5 children's records evaluated did not contain the authorization for emergency medical treatment. Risk level: High. Corrected by 2023-01-13.
• Non-critical Required Records Maintained and Made Available - Liability Insurance
  Inspector's note: Documentation of current liability insurance was not available during the inspection. Risk level: Medium. Corrected by 2023-01-13.
• Non-critical Children's Products- Annual Certification
  Inspector's note: The annual children's product certification expired last month and has not been completed. Risk level: Medium. Corrected by 2023-01-13.
• Critical Requirements for Feeding Infants - Other Use of Handwashing Sink
  Inspector's note: Bottles, spoons and bowls were observed on the hand washing sink in the infant room. Risk level: Medium High. Corrected by 2023-01-13.
• Critical Infant May Not Sleep in a Restrictive Device
  Inspector's note: During the inspection infants were observed sleeping in baby swings. Note: The caregivers removed the infants from the swing to their crib. Risk level: High. Corrected by 2023-01-06.
• Critical Safety - Televisions Anchored to Prevent Tip Over
  Inspector's note: A television was not mounted or anchored during the inspection. Risk level: Medium High. Corrected by 2023-01-13.