5 rules cited at Doris Gardner Ratliff Ctr For Child Development changed after some of these citations (marked “rule revised”), so the wording that applied at the time may differ from our plain-English explanation.
High · Nov 19, 2025 · Inspection
745.641 - AP Background check results - Must receive notification prior to allowing subject to be present at your operation
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.
In plain English: An operation must get notice from the state's background check unit that a person is eligible, eligible with conditions, or provisionally eligible with conditions before letting that person be at the operation. While waiting, the person may attend orientation or pre-service training only if they have no contact with children in care. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Nov 19, 2025
- Correction verified:
- Dec 3, 2025
- Technical assistance given:
- Yes
Show 20 older violations
Medium High · Dec 6, 2024 · Inspection
746.3401(a) - Annual Sanitation Inspection
The health inspection report was not available for review.
In plain English: The center must have a sanitation inspection by a local sanitation official before its first permit and at least once every 12 months, unless it is in a public school building run by the local school district. If no inspection is available, the center must get written proof of that from a sanitation official or county judge and keep it at the center. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Dec 27, 2024
- Correction verified:
- Dec 6, 2024
- Technical assistance given:
- No
High · Dec 6, 2024 · Inspection
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
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.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Dec 6, 2024
- Correction verified:
- Dec 17, 2024
- Technical assistance given:
- Yes
Medium · Dec 6, 2024 · Inspection
746.1309(e) - Documented Annual Training- Required Content
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).
In plain English: A caregiver's 24 hours of yearly training must fit the ages of the children in their care and cover set topics, including at least six hours on areas such as child development or guidance and discipline, and at least one hour on preventing, recognizing, and reporting child abuse and neglect. At least five of the hours must be instructor-led, and caregivers of children under 24 months must also have one hour on shaken baby syndrome, infant sleep practices and SIDS, and early brain development. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Dec 20, 2024
- Correction verified:
- Dec 12, 2024
- Technical assistance given:
- No
Medium High · Dec 6, 2024 · Inspection
746.1315(a) - Each Caregiver and the Director Must Have Current Training in pediatric first aid with rescue breathing and choking.
Five out of six caregivers have expired CPR First aid certificates. The CPR first aid expired August 22nd, 2024.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Dec 20, 2024
- Correction verified:
- Dec 12, 2024
- Technical assistance given:
- No
High · Dec 6, 2024 · Inspection
746.4601(4) - Safety Requirements for Active Play Equipment - No Entanglement Protrusions or Openings
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.
In plain English: Indoor and outdoor play equipment must be arranged so caregivers can watch children at all times, used as the manufacturer directs, and anchored so it cannot tip or move. It may not have openings that can trap a child or catch clothing, or exposed pinch, crush, or shear points; climbing equipment and swings may not sit over bare asphalt or concrete, and raised platforms and steps need barriers or handrails as the rule specifies. Official rule text
- Corrected at inspection:
- Yes
- Correction date:
- Dec 6, 2024
- Technical assistance given:
- Yes
High · Dec 27, 2023 · Inspection
746.501(a)(9) - Written Operational Policies - Safe Sleep for Infants 12 Months and Younger
The infant safe sleep policy was not written in the operational policies.
Plain-English explanation above · rule revised August 2024
- Corrected at inspection:
- No
- Correction date:
- Jan 5, 2024
- Correction verified:
- Jan 4, 2024
- Technical assistance given:
- Yes
High · Jan 20, 2023 · Inspection
746.605(12) - Required Admission Information - Emergency Medical Authorization
1 child's file still does not contain the complete emergenct contact information.
Plain-English explanation above · rule revised September 2024
- Corrected at inspection:
- No
- Correction date:
- Jan 27, 2023
- Correction verified:
- Jan 23, 2023
- Technical assistance given:
- No
Medium · Jan 6, 2023 · Inspection
746.4135(b) - Children's Products- Annual Certification
The annual children's product certification expired last month and has not been completed.
In plain English: The center must check the U.S. Consumer Product Safety Commission recall list and keep recalled children's products out of the center, except antiques or items being repaired that children cannot use or reach. Each year it must certify in writing on a state form that it has done this, and it must post a notice telling parents and staff how to find the recall list. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 13, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- No
High · Jan 6, 2023 · Inspection
746.2415(b) - AP Cribs - Only Snug Fitting Sheet and Crib Mattress Cover Allowed if Infant Younger than 12 Months of Age
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.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Jan 6, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- Yes
Medium · Jan 6, 2023 · Inspection
746.2421(b) - Written Feeding Instructions - Review and Update Every 30 Days
The feeding instructions for 3 infants have not been updated within the last 30 days.
In plain English: For an infant who is not yet eating table food, the center must get written feeding instructions signed and dated by a parent or health-care professional, and must follow them. The center must review and update the instructions with the parent every 30 days until the infant can eat table food. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 13, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- No
High · Jan 6, 2023 · Inspection
746.605(12) - Required Admission Information - Emergency Medical Authorization
2 out of 5 children's records evaluated did not contain the authorization for emergency medical treatment.
Plain-English explanation above · rule revised September 2024
- Corrected at inspection:
- No
- Correction date:
- Jan 13, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- Yes
Medium · Jan 6, 2023 · Inspection
746.603(a)(4) - Children's Records - Immunizations
1 out of 5 children's records evaluated did not contain documentation of immunizations.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Jan 13, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- No
Medium · Jan 6, 2023 · Inspection
746.501(a)(18) - Written Operational Policies - Promotion of Physical Activity
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.
Plain-English explanation above · rule revised August 2024
- Corrected at inspection:
- No
- Correction date:
- Jan 13, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- No
Medium High · Jan 6, 2023 · Inspection
746.2419(8) - Requirements for Feeding Infants - Other Use of Handwashing Sink
Bottles, spoons and bowls were observed on the hand washing sink in the infant room.
In plain English: Caregivers must hold infants up to six months old, and older infants who cannot sit up on their own, while feeding them, and must never prop a bottle. Bottles and cups must be labeled with the infant's first name and last initial, infants may not walk around or sleep with a bottle or cup, the hand-washing sink and diaper-changing surface may not be used for food or bottle preparation, and high chair trays must be sanitized before each use. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 13, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- No
High · Jan 6, 2023 · Inspection
746.2426 - Infant May Not Sleep in a Restrictive Device
During the inspection infants were observed sleeping in baby swings. Note: The caregivers removed the infants from the swing to their crib.
Plain-English explanation above · rule revised March 2023
- Corrected at inspection:
- No
- Correction date:
- Jan 6, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- Yes
Medium · Jan 6, 2023 · Inspection
746.801(6) - Required Records Maintained and Made Available - Liability Insurance
Documentation of current liability insurance was not available during the inspection.
In plain English: The center must keep certain records ready for state review during operating hours, including children's records, staff and training records, the director's certificate, staff time sheets, proof of liability insurance (or written notice to parents that it has none), playground checklists, and records of emergency drills, fire extinguishers, and smoke detectors. It must also keep its most recent fire, sanitation, and (if needed) gas inspection reports and its daily sign-in and sign-out system. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 13, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- No
Medium High · Jan 6, 2023 · Inspection
746.3701(9) - Safety - Televisions Anchored to Prevent Tip Over
A television was not mounted or anchored during the inspection.
In plain English: All areas children can reach must be free of hazards. The rule lists examples such as childproof covers on outlets for children under five, heaters and fans mounted out of reach or guarded, poisonous plants kept out of reach, pools, buckets, and other water kept away from children, and TVs anchored so they cannot tip over. Official rule text · rule revised September 2024
- Corrected at inspection:
- No
- Correction date:
- Jan 13, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- No
High · Jan 6, 2023 · Inspection
746.5101(a) - Annual Fire Inspection - Before Initial Permit Issued and Every 12 Months
An annual fire inspection has not been conducted within the past 12 months.
In plain English: The center must have a fire inspection by a state or local fire marshal before its first permit is issued and at least once every 12 months. Centers in public school buildings run by the local school district are exempt, and if no inspection is available the center must get written proof of that from a fire marshal or county judge. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 25, 2023
- Correction verified:
- Jan 20, 2023
- Technical assistance given:
- Yes
Medium · Jan 18, 2022 · Inspection
746.603(a)(3) - Children's Records - Health Statement
Health statement was missing on one out of four files checked.
Plain-English explanation above
- Corrected at inspection:
- No
- Correction date:
- Jan 28, 2022
- Correction verified:
- Jan 20, 2022
- Technical assistance given:
- Yes
Medium High · Jan 18, 2022 · Inspection
746.5401 - Requirement of Gas Leak Inspection
Current gas inspection was not available duirng inspection.
In plain English: A center that uses natural or LP gas must be inspected for gas leaks before its first permit and every two years after that, unless it is in a public school building run by the local school district. Official rule text
- Corrected at inspection:
- No
- Correction date:
- Jan 28, 2022
- Correction verified:
- Jan 21, 2022
- Technical assistance given:
- Yes