Patsy's House Day Care & Learning Center
Data last updated · May 2026
Quality Indicators
See Methodology →- Overall QualityCombines daily care quality (interactions, learning, environment) with structural features like staff-to-child ratios and teacher qualifications.5 / 5
- Process QualityThe quality of daily care — caregiver-child interactions, learning activities, and the emotional climate. Drawn from the state QRIS rating, accreditations, and Head Start CLASS observations.Not Available
- Structural QualityMeasurable features like staff-to-child ratios, group sizes, license status, and teacher qualifications. Provider-level data when available; otherwise the state regulatory baseline.5 / 5
Why this rating
This daycare earned 5 out of 5 stars overall. Structural quality reflects a 1% violation rate across 6 visits in the last 3 years (most recently inspected December 2025) and a license in good standing. The structural rating also includes New Hampshire's licensing baseline — what every licensed daycare in the state must meet. New Hampshire caps infant ratios at 1:4, toddler ratios at 1:5, and preschool ratios at 1:12. Lead teachers must hold a High School Diploma. Teachers must complete 18 hours of annual training. No objective process measures (e.g., state quality rating or national accreditation) are available for this daycare. The overall rating reflects structural features only.
Quality Recognitions & Accreditations
- Accreditations
- National Association for the Education of Young Children (NAEYC)Not Accredited
- National Accreditation Commission (NAC)Not Accredited
- National Early Childhood Program Accreditation (NECPA)Not Accredited
- National Association for Family Child Care (NAFCC)Not Accredited
Facility Info
- Facility type
- Daycare
- Age groups served
- Infants, Toddlers, Preschool, School-Age
- Licensed capacity
- 34
- Teacher-child ratios & group sizesState Minimum Displayed
Age Max ratio Max group Infants 1:4 12 Toddlers 1:5 15 Preschool 1:12 24
Teacher Credentials
- Lead teacher credentialState Minimum Displayed
- High School Diploma
Inspection History
Across 4 inspections since 2023, the issues cited most often were Staff-to-Child Ratios & Group Size (7), Licensing & Administrative Compliance (5), and Medication Administration (3). Of 28 total findings, 18 were critical.
See All 4 Inspection Visits
Dec 12, 20253 Findings3 Important
- Record of Staff Attendance and Group Size/ratios Are MaintainedHe-C 4002.08(c)
The program shall have a record of daily staff attendance, including the staff’s full name, scheduled work hours, their position as identified under He-C 4002.34, and their arrival and departure times at the program and…
- Staff Have Completed Required Professional DevelopmentHe-C 4002.32(a)(1)
In addition to program managers, all child care staff who are responsible for the supervision of children, or who are necessary for the staff to child ratios, shall have on file documentation of completion of training in…
- All Background Record Checks Have Been Completed as Required.He-C 4002.40(a)
Background record checks shall be completed in accordance with this section.
Mar 7, 20251 Finding1 Critical
- HIGH RISK: The Program Has Reported Suspected Child Abuse or Neglect to DCYF, if ApplicableHe-C 4002.15(b)(1)
A licensee, permittee, or his or her designee shall as mandated reporters, report to the division for children, youth, and families at 1-800-894-5533, if the licensee, permittee, child care staff, or other person involve…
Apr 9, 20247 Findings5 Critical2 Important
- HIGH RISK: The Program Practices/reviews EOP Response Actions and Records Them as RequiredHe-C 4002.17(f)
In order to assure that staff and children are familiar with all of the EOP drills, programs shall: (1) Practice evacuation off-site and bomb threats once per year with all child care staff; (2) Practice at least 2 other…
- HIGH RISK: The Program Provides a Written Schedule/plan W/a Variety of Daily ActivitiesHe-C 4002.19(b)
Programs shall have available for review by the department and parents a written schedule or plan which details the daily activities offered to children.
- HIGH RISK: Program Returns or Disposes Expired/discontinued MedsHe-C 4002.21(u)
Any contaminated, expired, or discontinued medication, whether prescription or over-the-counter, and topical substances shall be returned to the child’s parents or, if belonging to the program, disposed of properly by au…
- HIGH RISK: Garbage Disposed of in a Lined & Covered Container, Emptied Daily or as NeededHe-C 4002.23(r)
Garbage shall be disposed of in a lined and covered container and staff shall empty trash containers daily or sooner if contents create an odor or a health risk.
- HIGH RISK: All Background Record Checks Have Been Completed as RequiredHe-C 4002.41(a)
Prior to employment or residency, as applicable, and every 5 years thereafter, all child care staff, substitutes, other employees, and volunteers who may be alone with children or are included in staff to child ratios, a…
- Programs Shall Comply with Approved Corrective Action PlansHe-C 4002.06(m)
Programs shall comply with approved corrective action plans and corrective action plans issued in accordance with (i) and (j) above.
- Programs Shall Comply with Approved Corrective Action PlansHe-C 4002.06(m)
Programs shall comply with approved corrective action plans and corrective action plans issued in accordance with (i) and (j) above.
Aug 28, 202317 Findings12 Critical5 Important
- HIGH RISK: Programs Shall Comply with Approved Corrective Action PlansHe-C 4002.06(m)
Programs shall comply with approved corrective action plans and corrective action plans issued in accordance with He-C 4002.06(i) and (j).
- HIGH RISK: Record of Attendance and Group Size/ratios Are MaintainedHe-C 4002.08(a)
The program shall maintain daily child attendance records, in either paper or electronic format, including the child’s full name, date of birth, and their arrival and departure times in the program and each room or group…
- HIGH RISK: Staff Supervise Children in Center-based Programs as RequiredHe-C 4002.20(b)
In center-based programs, staff shall position themselves to: (1) Be able to hear all children younger than school age at all times, continuously scan the entire environment to know where children are and what they are d…
- HIGH RISK: All Staff Used for Ratios Are Certified in Pediatric CPR & FA as RequiredHe-C 4002.20(m)(1)
The center director, site director, family child care provider, and all staff used to meet staff to child ratios shall: (1) Be certified in pediatric cardiopulmonary resuscitation (CPR) and first aid within 90 days of th…
- HIGH RISK: Staff Meds Stored Separate From Children's Meds, Locked or InaccessibleHe-C 4002.21(s)
All medications belonging to staff shall be stored separate from children’s medications in a locked area, or otherwise inaccessible to children.
- HIGH RISK: Program Returns or Disposes Expired/discontinued MedsHe-C 4002.21(u)
Any contaminated, expired, or discontinued medication, whether prescription or over-the-counter, and topical substances shall be returned to the child’s parents or, if belonging to the program, disposed of properly by au…
- HIGH RISK: Are Dangerous Items and Staff Personal Belongings Stored OOR or LockedHe-C 4002.23(c)
Child care staff shall ensure that potentially harmful items, including but not limited to matches, lighters, chemicals, materials labeled “harmful if swallowed,” flammable materials, sharp objects, and staffs’ personal…
- HIGH RISK: Energy Absorb. Material Under Play Equipment, Sufficient Depth, Raked Regularly, Not a Choking HazardHe-C 4002.24(h)
For outdoor play equipment that would allow a child to fall from a height of more than 29 inches, programs shall: (1) Equip and maintain the ground area under and extending at least 39 inches beyond the external limits o…
- HIGH RISK: Children >3 Years No Have Access to Small Toys/parts/items That Pose a Suffocation HazardHe-C 4002.25(f)
Child care staff shall not allow children younger than 3 years of age to have access to toys, toy parts, and other materials that pose a suffocation or choking risk or are small enough to be swallowed, including, but not…
- HIGH RISK: Programs Providing Meals Have Menus/store and Serve Food SafelyHe-C 4002.31(p)
Programs that provide meals and snacks for children shall:(1) Ensure that snacks and meals are prepared and served in a safe and sanitary manner, including washing fruits and vegetables before serving them; (2) Not serve…
- HIGH RISK: Do Staff Comply W/rules for Prep.He-C 4002.31(u)
Children shall be encouraged to try all foods, but shall not be required to try or to eat any food before they are served other food components or additional servings, or before they are allowed to be done with their mea…
- HIGH RISK: All Background Record Checks Have Been Completed as RequiredHe-C 4002.41(a)
Prior to employment or residency, as applicable, and every 5 years thereafter, all child care staff, substitutes, other employees, and volunteers who may be alone with children or are included in staff to child ratios, a…
- Injury Records Completed/maintained & Provided to Parents/department as RequiredHe-C 4002.12(c)
Child care staff shall complete a written record of the injury and all first aid provided.
- License, Visit Results, Emergency Procedures, Allergy Care, Etc. Are PostedHe-C 4002.14(a)
The program shall post in a prominent location: (1) The current license or permit, visible to parents, staff, and visitors; (2) The most recent statement of findings and corrective action plan approved by the department,…
- The Program Has Job Descriptions for Direct Care StaffHe-C 4002.16(e)
The licensee shall have a written job description for each direct child care staff position, including the scope of responsibility, required tasks, and the position to whom they report, with documentation of review on fi…
- Staff Teach & Remind Children to Wash HandsHe-C 4002.30(b)
Child care staff shall: (1) Teach children the importance of hand washing with liquid soap and running water; and (2) Instruct, encourage, remind, or assist infants and children as needed throughout each day to wash thei…
- HIGH RISK: Staff Have Completed Required Professional DevelopmentHe-C 4002.33(a)
All center directors, agency administrators, site coordinators, or site directors, and all other child care staff who are responsible for the supervision of children, or who are necessary for the staff to child ratios, s…