Tiny Steps LLC

1606 Williamsbridge Road, Bronx, NY 10461License
F

Data Freshness & Provenance

Inspection coverage

13 inspections on record

Active providers

License status: License

Last refreshed

April 6, 2026

Latest inspection

January 29, 2026

Provenance

New York licensing inspections and DaycareCheck scoring

Quick Facts

These facts are normalized from the official record so they can be quoted directly.

Updated April 6, 2026

Provider
Tiny Steps LLC
License number
794252
Location
1606 Williamsbridge Road, Bronx, NY 10461
Status
License
Safety grade
F (Poor), score 15.0/100
Inspection record
13 inspections, last inspected January 29, 2026
Provenance
Official state licensing inspections and DaycareCheck scoring. Last refreshed April 6, 2026.

Safety Scorecard

F
Poor15.0 / 100
Health0/100
Safety0/100
Staffing0/100
Compliance100/100

85

Total Violations

Jan 29, 2026

Last Inspection

16

Capacity

Violation Timeline

Violations by month over the last 3 years, colored by severity.

All Violations (102)

SERIOUSHEALTH416.11(a)(1)Jan 29, 2026

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Not Corrected

SERIOUSSTAFFING416.14(m)Jan 29, 2026

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSSTAFFING416.14(n)Jan 29, 2026

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)Jan 29, 2026

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Not Corrected

SERIOUSHEALTH416.11(a)(3)Jan 29, 2026

The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.

Resolution: Not Corrected

SERIOUSSAFETY416.15(c)(6)Jan 29, 2026

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSTAFFING416.14(n)Jan 29, 2026

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)Jan 29, 2026

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(3)Jan 29, 2026

The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jan 29, 2026

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)Jan 29, 2026

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSTAFFING416.14(m)Jan 29, 2026

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(3)Jan 29, 2026

The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jan 29, 2026

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSSTAFFING416.14(n)Jan 29, 2026

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(3)Jan 29, 2026

The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jan 29, 2026

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSSTAFFING416.14(n)Jan 29, 2026

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING416.14(n)Jan 29, 2026

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)Jan 29, 2026

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(3)Jan 29, 2026

The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jan 29, 2026

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)Jan 29, 2026

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSTAFFING416.14(m)Jan 29, 2026

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)Jan 29, 2026

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)Jan 29, 2026

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSTAFFING416.14(n)Jan 29, 2026

CPR and first aid certifications must be appropriate to the ages of the children in care. All certifications in CPR and first aid must contain an in-person competency component.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)Jan 29, 2026

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(3)Jan 29, 2026

The program must keep documentation of immunizations the child has received to date, in accordance with New York State Public Health Law.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jan 29, 2026

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)Jul 2, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)Jul 2, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jul 2, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)Jul 2, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jul 2, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)Jul 2, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)Jul 2, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jul 2, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)Jul 2, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)Jul 2, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jul 2, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)Jul 2, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jul 2, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)Jul 2, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)Jul 2, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)Jul 2, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)Jul 2, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)Jul 2, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSSAFETY416.15(c)(3)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the name, address, gender, and date of birth of each child and each child's parents names, addresses, telephone numbers and place(s) at which parents or other persons responsible for the child can be reached in case of an emergency;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(4)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the names and addresses of persons authorized to take the child(ren) from the group family day care home;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(4)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the names and addresses of persons authorized to take the child(ren) from the group family day care home;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(3)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the name, address, gender, and date of birth of each child and each child's parents names, addresses, telephone numbers and place(s) at which parents or other persons responsible for the child can be reached in case of an emergency;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(4)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the names and addresses of persons authorized to take the child(ren) from the group family day care home;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(3)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the name, address, gender, and date of birth of each child and each child's parents names, addresses, telephone numbers and place(s) at which parents or other persons responsible for the child can be reached in case of an emergency;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(4)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the names and addresses of persons authorized to take the child(ren) from the group family day care home;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(3)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the name, address, gender, and date of birth of each child and each child's parents names, addresses, telephone numbers and place(s) at which parents or other persons responsible for the child can be reached in case of an emergency;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(4)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the names and addresses of persons authorized to take the child(ren) from the group family day care home;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(3)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the name, address, gender, and date of birth of each child and each child's parents names, addresses, telephone numbers and place(s) at which parents or other persons responsible for the child can be reached in case of an emergency;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(6)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection children's individual health care plans; parental consents for emergency medical treatment; child's medical statement, immunizations, and any available results of lead screening for children not yet enrolled in kindergarten or a higher grade only; the name and dosage of any medications used by a child, the frequency of administration of such medications, and a record of their administration by caregivers; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(4)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the names and addresses of persons authorized to take the child(ren) from the group family day care home;

Resolution: Corrected

SERIOUSSAFETY416.15(c)(3)May 20, 2025

The program must maintain on file at the group family day care home, available for inspection the name, address, gender, and date of birth of each child and each child's parents names, addresses, telephone numbers and place(s) at which parents or other persons responsible for the child can be reached in case of an emergency;

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)May 19, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSSAFETY416.7(l)May 19, 2025

Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.

Resolution: Corrected

SERIOUSSAFETY416.5(a)May 19, 2025

Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)May 19, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)May 19, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)May 19, 2025

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSSAFETY416.7(l)May 19, 2025

Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)May 19, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)May 19, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSSAFETY416.7(l)May 19, 2025

Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)May 19, 2025

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSSAFETY416.5(a)May 19, 2025

Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)May 19, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)May 19, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)May 19, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)May 19, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)May 19, 2025

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSSAFETY416.5(a)May 19, 2025

Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

Resolution: Corrected

SERIOUSSAFETY416.7(l)May 19, 2025

Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)May 19, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)May 19, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)May 19, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)May 19, 2025

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSSAFETY416.5(a)May 19, 2025

Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

Resolution: Corrected

SERIOUSSAFETY416.7(l)May 19, 2025

Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)May 19, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)May 19, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)May 19, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)May 19, 2025

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSSAFETY416.5(a)May 19, 2025

Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

Resolution: Corrected

SERIOUSSAFETY416.7(l)May 19, 2025

Other than for school age children, sleeping and napping arrangements must be made in writing between the parent and the program. Such arrangements shall include: the area of the home where the child will nap; whether the child will nap on a cot, mat, bed or a crib; and how the napping child will be supervised, consistent with the requirements of section 416.8 of this Part.

Resolution: Corrected

SERIOUSHEALTH416.11(a)(1)May 19, 2025

No child may be accepted for care in a child care program unless the program has been furnished with a written statement signed by a health care provider verifying that the child is able to participate in child care and currently appears to be free from contagious or communicable diseases. A child's medical statement must have been completed within the 12 months preceding the date of enrollment.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(1)(ii)May 19, 2025

The provider, assistant(s), and substitute(s), must each submit a medical statement on forms furnished by the Office or an approved equivalent from a health care provider: before such person has any involvement in child care work.

Resolution: Corrected

SERIOUSHEALTH416.11(b)(6)May 19, 2025

The initial medical statement for providers, assistants, and substitutes must include the results of a Mantoux tuberculin test or other federally approved tuberculin test performed within the 12 months preceding the date of the application. Thereafter, tuberculin tests are only required at the discretion of the employee's health care provider or at the start of new employment in a different child care program.

Resolution: Corrected

SERIOUSSTAFFING416.14(m)May 19, 2025

All child care programs must have at least one caregiver who holds a valid certification in cardiopulmonary resuscitation (CPR) and first aid on the premises of the child care program during the program's operating hours.

Resolution: Corrected

SERIOUSSAFETY416.5(a)May 19, 2025

Suitable precautions must be taken to eliminate all conditions in areas accessible to children which pose a safety or health hazard.

Resolution: Corrected

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Frequently Asked Questions

What is Tiny Steps LLC's safety grade?

Tiny Steps LLC has a safety grade of F (Poor) based on state inspection data. The composite score is 15.0 out of 100.

How many violations does Tiny Steps LLC have?

Tiny Steps LLC has 85 total violations on record, including 0 critical, 85 serious, and 0 minor.

When was Tiny Steps LLC last inspected?

Tiny Steps LLC was last inspected on January 29, 2026.

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