Day care centers are inspected by the state and town health department every two years, when the license is up for renewal. About 33% of all home-based day care centers in the state are inspected annually at random.

The state also makes an inspection whenever a complaint against a facility is filed. Visits to investigate complaints are unannounced; if the state finds problems, it will then work with the facility to bring it into compliance. If the complaint involves neglect and/or child abuse, the state works with the Department of Children and Families and police to investigate.

The town health department assists the state in environmental aspects of the inspection such as reviewing the facility’s bathrooms, diaper changing areas and food storage/handling. Although the spot checks fall around the time the license is expiring, their exact date is not announced ahead of time.