Twin River Children's 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 4% violation rate across 5 visits in the last 3 years (most recently inspected November 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
- 48
- 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 5 inspections since 2023, the issues cited most often were Licensing & Administrative Compliance (4), Emergency Preparedness & Drills (3), and Staff-to-Child Ratios & Group Size (3). Of 23 total findings, 9 were critical.
See All 4 Inspection Visits
Nov 7, 20259 Findings9 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…
- The Program Conducts Fire Drills and Maintains Record of Drills as RequiredHe-C 4002.16(a)(1)
Except for nature-based programs that operate solely outside, programs shall conduct fire drills in accordance with the following: Programs that operate continuously throughout the year shall conduct at least one drill e…
- All Staff and Volunteers Trained on EOP and Aware of Its LocationHe-C 4002.16(i)
Programs shall ensure that all staff and volunteers are trained on the EOP and response actions and are aware of the location of the plan.
- Programs Conduct 2 EOP Drills Other Than Evacuation Each Calendar Year.He-C 4002.16(l)
The program manager or their designee shall practice at least 2 different components of their EOP drills, other than evacuation drills, with all staff and children each calendar year.
- Program Retains Log of EOP Practice Drills and Reviews on File for Review.He-C 4002.16(m)
The program manager or their designee shall record and maintain on file for review, a log of the practice drills and staff reviews required in (k) and (l) above, that include: (1) The date and time of the drill or simula…
- Energy Absorb. Material Under Play Equipment, Sufficient Depth, Raked Regularly, Not a Choking HazardHe-C 4002.23(h)(1)
For outdoor play equipment that would allow a child to fall from a height of more than 29 inches, programs shall: Equip and maintain the ground area under and extending at least 39 inches beyond the external limits of su…
- All Food and Drink Served to Children Is Safe for ConsumptionHe-C 4002.30(a)(1)
Child care staff shall assure that all food and drink served to children is: Safe for human consumption and free of spoilage or other contamination.
- Prep/store/serve/discard/freeze/thaw/warm Formula & Breast Milk per RuleHe-C 4002.30(k)(1)
Prepared formula shall be: Used immediately or stored in the refrigerator no longer than 24 hours.
- Program Updates Staff Roster to Remove Ineligible Individuals Within 5 Business Days.He-C 4002.40(n)
The program manager shall update the staff roster in the NHCIS portal within 5 business days when the individuals as described in (b) above are no longer working in the program or part of the household, with the date the…
Dec 16, 20242 Findings2 Critical
- 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: Staff Shall Not Use Prohibited Discipline Practices on ChildrenHe-C 4002.18(e)(10)
Child care staff and household members shall not use isolation as a form of discipline.
Mar 29, 202410 Findings5 Critical5 Important
- HIGH RISK: The Program Conducts Fire Drills and Maintains Record of Drills as RequiredHe-C 4002.17(a)
Except for nature-based programs that operate solely outside, programs shall conduct fire drills in accordance with the following: (1) Programs that operate continuously throughout the year shall conduct at least one dri…
- 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: 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: ALL Meds Are in the Original or Pharmacy Packaging and Are Closed After Each UseHe-C 4002.21(t)
All prescription or over-the-counter medication and topical substances shall be kept in the original containers or pharmacy packaging and properly closed after each use.
- 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…
- 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.
- Health Screening for Staff and Household Members Completed and on FileHe-C 4002.09(b)
A written record of a health screening for all child care staff, household members and other individuals who have 5 or more hours per week of contact with children shall: (1) Be on file at the program and available for r…
- Child Registration Form Is Complete and Updated AnnuallyHe-C 4002.10(a)
Child care staff shall ensure that for each child, upon the child’s first day in attendance in the program, there is a “Child Care Registration and Emergency Information” (April 2022) form or an equivalent form provided…
- Child Immunization Record and Health Screening Is on File and UpdatedHe-C 4002.10(d)
The program shall request and maintain on file for each child documentation of immunizations in accordance with RSA 141-C:20-a, RSA 141-C:20-b, and He-P 301.14.
- 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…
Sep 15, 20232 Findings2 Critical
- HIGH RISK: Staff Shall Not Use Prohibited Discipline Practices on ChildrenHe-C 4002.18(e)(2)
Child care staff and household members shall not use rough handling on children.
- HIGH RISK: Staff Supervise Children as RequiredHe-C 4002.20(a)
Child care staff shall supervise every child in care at all times.