Skip to Main Content


Child Care Provider Monitoring and Inspections

Child Care Program Evaluators monitor licensed child care agencies for compliance with licensure rules and statutes and to provide technical assistance to ensure the health and safety of children in licensed child care agencies.

Monitoring and Evaluation Check Sheet

All licensed child care facilities must receive a minimum of one (1) announced evaluation visit during the licensing year.  All areas of the child care licensing rules are reviewed during the re-evaluation visit.

Unannounced agency visits are conducted based on the agency’s licensing year.  The number of unannounced visits an agency receives each year is determined by an agency’s star rating as follow:

Unannounced Visit Schedule*

Full Year Programs

Zero star, new agencies and agencies declining to participate in the star rating

Six (6) unannounced visits


One (1) star agencies

Five (5) unannounced visits

Two (2) star and three (3) star agencies

Four (4) unannounced visits

Nine (9) and Ten (10) Month Programs

Zero star, new agencies and agencies declining to participate in star rating

Four (4) unannounced visits

One (1) star agencies

Four (4) unannounced visits

Two (2) star and three (3) star agencies

Three (3) unannounced visits

*Any agency that provides transportation will receive an additional unannounced agency visit

*Any agency on a Safety Plan will receive weekly unannounced agency visits until the Safety Plan is lifted.  (It is at the discretion of the Program Supervisor to alter this schedule)

*An agency may receive additional visits based on complaints, legal enforcement actions and follow-up visits related to violations. 

During each unannounced agency visit, Program Evaluators must, at a minimum, review all of the major high risk areas and be observant for safety hazards.  The high risk areas include:

(I)        Failure to follow any rule related to the proper transportation of children by employees, substitutes, volunteers,                      agents or contractors of the agency;

(II)       Adult: Child Ratios;

(III)      Failure to complete required background checks on staff;

(IV)      Corporal punishment/inappropriate discipline;

(V)       Lack of Insurance;

(VI)      Failure to report suspicion of abuse or neglect;

(VII)     Falsification of documents required by the Department;

(VIII)    Failure to have CPR/First Aid certification as required by the Department;]

(IX)       Lack of proper supervision of children;

(X)        Failure to properly dispense or store medications;

(XI)      Failure to remove persons from access to children following notification of a prohibited criminal background or                        pending criminal charge or following notification of the person’s validated status as a perpetrator of child abuse;

(XII)      Failure to properly store hazardous items such as, but not limited to, cleaning products, pesticides, hazardous                         chemicals, or other poisonous items; and

(XIII)    Failure to properly remove or secure firearms within the child care agency area which are under the ownership or                  control of the agency, or its staff substitutes or other persons permitted access to the children, or failure to prevent                exposure of children in the agency’s care to firearms which are under the control of the agency, or its staff,                                substitutes or other persons who have been permitted by the agency to have access to the children.

If violations are observed during any agency visit, the Program Evaluator will assist the child care agency staff in completing a Plan of Corrective Action.

Any major high risk violations that are not corrected during the visit require a follow-up visit within five (5) days.

To find Child Care Provider Monitoring and Inspections for licensed agencies, you can use our Find Child Care Tools with the related link below.

Related Links

Arrow up icon for opening chat window for TNDHS virtual agent