Program Name: Hand In Hand Early Childhood Center    License/Registration ID: 159141


 Program Overview
Contact Name: Deborah Haldeman-Murphy Contact Title: Acting Director
Program Type: Day Care Center Status: Open
School District: Lowville
Site Address: Map
5780 Brookside Circle, Lowville, NY 13367
First Licensed/Registration Date: Sep 1, 2003
Current Registration Period: Sep 1, 2023 - Aug 31, 2027
Phone: (315) 376-9414
Fax: (315) 376-8683
Total Capacity: 72
-Infants: 16
-Toddlers: 24
-Preschool: 32
-School-Age: 0
Open Child Care Slots*:
This information was self reported to OCFS on 9/9/2022 10:19:15 AM
-Infants: 0
-Toddlers: 0
-Preschool: 0
-School-Age: 0

*Important Note: This self reported information on open child care slots can quickly change.


Please contact this program for the most current openings.


Care available during non-traditional hours: No
Removed from referral list: No
This facility has Non-Patient Specific Auto Injectors.

For additional information on this program and compliance history, contact
Office: Syracuse Regional Office
Phone: (315) 423-1202
For additional details and to view the checklist used during an inspection, please click on the Inspection ID links below. Inspection checklists are generated per inspection type and reason. Also note, that any regulatory requirement can be assessed and cited during an inspection and as a result, may not be reflected on the inspection checklist. These items would be reflected in the program's compliance history that is posted.

 Inspection History: (Inspections in the past 24 months)

Date Inspection Type Inspection ID Inspection Result  
Mar 3, 2026 Annual Unannounced 2026-I-SRO-002337 No violations cited for this Inspection
Jan 20, 2026 Other 2026-I-SRO-018741 No violations cited for this Inspection
Dec 17, 2025 Complaint (Substantiated) 2025-I-SRO-121490 Violations Found
Nov 18, 2025 Monitoring 2025-I-SRO-116094 No violations cited for this Inspection
Nov 10, 2025 Fire Safety - Other 2025-I-SRO-113590 Violations Found
Nov 10, 2025 Expansion 2025-I-SRO-112919 Violations Found
Sep 26, 2025 Complaint (Substantiated) 2025-I-SRO-103998 Violations Found
Sep 9, 2025 Self-Report 2025-I-SRO-098788 Violations Found
Jul 31, 2025 Self-Report 2025-I-SRO-055341 Violations Found
Jun 11, 2025 Complaint (Substantiated) 2025-I-SRO-045501 Violations Found
May 30, 2025 Fire Safety - Other 2025-I-SRO-042847 Violations Found
May 30, 2025 Monitoring 2025-I-SRO-041471 Violations Found
Apr 24, 2025 Monitoring 2025-I-SRO-034062 Violations Found
Apr 8, 2025 Fire Safety - Alternate Year 2025-I-SRO-031864 Violations Found
Jan 31, 2025 Serious Injury 2025-I-SRO-021977 Violations Found
Jan 31, 2025 Annual Unannounced 2025-I-SRO-003237 Violations Found
Dec 9, 2024 No Approved Director 2024-I-SRO-104834 Violations Found
Inspection Conducted Off-Site
May 20, 2024 Monitoring 2024-I-SRO-047403 No violations cited for this Inspection
Apr 19, 2024 Complaint (Substantiated) 2024-I-SRO-042892 Violations Found
Apr 12, 2024 Annual Unannounced 2024-I-SRO-002913 Violations Found
Additional Inspection History

*Inspections may be conducted outside of program operating hours and/or off-site(where inspector was not on premises where care is provided) for the following reasons:
-Record/File Review
-Interviewing of Staff
-Or Other Investigative Reasons

 Compliance History
Date of Last Inspection: Mar 3, 2026 Currently uncorrected violations: Yes
Date Regulation Description Compliance Status as of last inspection
Dec 17, 2025 418-1.8(b) The child day care center must employ staff who will promote the physical, intellectual, social, cultural and emotional well-being of the children. Corrected
Dec 17, 2025 418-1.9(m) Methods of discipline, interaction or toilet training which frighten, demean or humiliate a child are prohibited. Corrected
Dec 17, 2025 418-1.15(b)(4) The staff and volunteers must be in good health and be of good character and habits. Corrected
Dec 17, 2025 418-1.15(b)(23)(iv) Upon termination or resignation of the director: An approved, permanent director must be on-site, performing the duties of the position, within 90 days. Not Corrected
Nov 10, 2025 418-1.3(h) Peeling or damaged paint or plaster must be repaired. Corrected
Nov 10, 2025 418-1.3(o) All buildings used for day care centers must remain in compliance with the applicable provisions of the Fire Code and Building Code of New York State or other applicable fire and building codes when the Fire Code and Building Code of New York State is not applicable. Corrected
Nov 10, 2025 418-1.4(a) Suitable precautions must be taken to eliminate all conditions which may contribute to or create a fire hazard. Corrected
Nov 10, 2025 418-1.5(b)(2) The Emergency Evacuation Diagram, as approved by the Office, must be posted in a conspicuous place in every room. Corrected
Nov 10, 2025 418-1.5(p) Glass in outside windows less than 32 inches above the floor level must be of safety grade or otherwise protected by use of barriers to avoid accidental impact. Corrected
Nov 10, 2025 418-1.5(y) Protective caps, covers or permanently installed obstructive devices must be used on all electrical outlets that are accessible to children. Corrected
Nov 10, 2025 418-1.15(c)(22) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation from the local health department or the New York State Department of Health showing that the facility has been approved in accordance with the requirements of the New York State Department of Health; Corrected
Nov 10, 2025 418-1.15(c)(31) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation from service personnel licensed by the New York State Department of State to perform fire alarm systems maintenance, repair and testing which shows that the fire alarm and detection systems have been inspected, tested and maintained during the current license period in accordance with the applicable requirements of the Fire and Building Code of New York State; Corrected
Nov 10, 2025 418-1.15(c)(33) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation from the local government authority having jurisdiction for determining compliance with the Fire and Building Code of New York State showing that the facility has been inspected and approved once every 12 months during the current license period for compliance with the applicable fire safety provisions of the Fire and Building Code of New York State; Not Corrected
Nov 10, 2025 418-1.11(i)(2) Staff and volunteers must ensure that children thoroughly wash their hands or assist children with thoroughly washing their hands with soap and running water when they are dirty, after toileting, before and after food handling or eating, after handling pets or other animals, after contact with any bodily secretion or fluid, and after coming in from outdoors. Corrected
Nov 10, 2025 418-1.15(c)(5) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records, which must be filled out at the time a child arrives and departs, and must include arrival and departure times; Corrected
Nov 10, 2025 418-1.15(c)(6) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: 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 child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment; Corrected
Sep 26, 2025 418-1.8(l)(3) Groups of children may not be mixed together to use outdoor play areas, exercise areas, gym rooms or other common areas of the center unless, the space is large enough to accommodate multiple groups which must be kept separate. Corrected
Sep 26, 2025 418-1.10(c) In accordance with the provisions of Sections 413 and 415 of the Social Services Law, child care center staff must immediately report any suspected incidents of child abuse or maltreatment concerning a child receiving child care to the Statewide Central Register of Child Abuse and Maltreatment, or cause such a report to be made, when such staff have reasonable cause to suspect that a child coming before them in their capacity as child care center workers is an abused or maltreated child. This must be done in the following manner: Corrected
Sep 26, 2025 418-1.15(b)(14)(ii) The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious incident, Corrected
Sep 9, 2025 418-1.11(f)(7)(iii) For children eighteen months of age and older, prescription medications, oral over-the-counter medications, medicated patches, and eye, ear, or nasal drops or sprays, can be administered by the program for one day only, with the oral approval of the parent. If prescription medications, oral over-the-counter medications, medicated patches, and eye, ear, or nasal drops or sprays are to be administered on a subsequent day or an ongoing basis, written permission from the parent and written instructions from the health care provider must have been provided to the program prior to such administration. Corrected
Sep 9, 2025 418-1.11(i)(18)(iii) Children must be kept clean and comfortable at all times. Diapers must be changed when wet or soiled. The diaper changing area must be as close as possible to a sink with soap and hot and cold running water. This area or sink must not be used for food preparation. Diaper changing surfaces must be cleaned and disinfected after each use with an Environmental Protection Agency (EPA) registered product that has an EPA registration number on the label. Corrected
Jul 31, 2025 418-1.3(h) Peeling or damaged paint or plaster must be repaired. Corrected
Jul 31, 2025 418-1.5 Safety Corrected
Jul 31, 2025 418-1.11(i)(18) Hygiene, diapering and toileting. Corrected
Jul 31, 2025 418-1.15(b)(14)(iii) The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious injury, Corrected
Jul 31, 2025 418-1.15(c)(5) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: daily attendance records, which must be filled out at the time a child arrives and departs, and must include arrival and departure times; Corrected
Jun 11, 2025 418-1.8(a) Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a teacher's range of vision and that the teacher be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age emotional, physical, and cognitive development. Corrected
Jun 11, 2025 418-1.8(b) The child day care center must employ staff who will promote the physical, intellectual, social, cultural and emotional well-being of the children. Corrected
Jun 11, 2025 418-1.13(b)(6) Child day care centers must review and evaluate the backgrounds of all applicants for staff and volunteer positions. All applicants whose backgrounds must be checked are required to provide the following: The information necessary to complete the criminal history review and background clearance requirements as outlined in this Part. This information must be submitted to the Office on forms provided by the Office. Corrected
May 30, 2025 418-1.3(o) All buildings used for day care centers must remain in compliance with the applicable provisions of the Fire Code and Building Code of New York State or other applicable fire and building codes when the Fire Code and Building Code of New York State is not applicable. Not Corrected
May 30, 2025 418-1.15(c)(33) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation from the local government authority having jurisdiction for determining compliance with the Fire and Building Code of New York State showing that the facility has been inspected and approved once every 12 months during the current license period for compliance with the applicable fire safety provisions of the Fire and Building Code of New York State; Not Corrected
May 30, 2025 418-1.3(h) Peeling or damaged paint or plaster must be repaired. Corrected
Apr 24, 2025 418-1.5(b)(4) Each program must hold two shelter-in-place drills annually during which procedures and supplies are reviewed. Parents must be made aware of this drill in advance. Corrected
Apr 24, 2025 418-1.15(c)(6) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: 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 child care center staff; daily health check documentation; a record of illnesses and injuries occurring while in care; and any indicators of child abuse or maltreatment; Corrected
Apr 8, 2025 418-1.3(o) All buildings used for day care centers must remain in compliance with the applicable provisions of the Fire Code and Building Code of New York State or other applicable fire and building codes when the Fire Code and Building Code of New York State is not applicable. Not Corrected
Apr 8, 2025 418-1.4(a) Suitable precautions must be taken to eliminate all conditions which may contribute to or create a fire hazard. Corrected
Apr 8, 2025 418-1.5(b)(5) The program must maintain on file a record of each shelter-in-place drill conducted, using forms provided by the Office or approved equivalents. Corrected
Apr 8, 2025 418-1.5(t) Operating carbon monoxide detectors and alarms must be located in accordance with applicable laws. Corrected
Apr 8, 2025 418-1.15(c)(31) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation from service personnel licensed by the New York State Department of State to perform fire alarm systems maintenance, repair and testing which shows that the fire alarm and detection systems have been inspected, tested and maintained during the current license period in accordance with the applicable requirements of the Fire and Building Code of New York State; Corrected
Apr 8, 2025 418-1.15(c)(33) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation from the local government authority having jurisdiction for determining compliance with the Fire and Building Code of New York State showing that the facility has been inspected and approved once every 12 months during the current license period for compliance with the applicable fire safety provisions of the Fire and Building Code of New York State; Not Corrected
Apr 8, 2025 418-1.15(c)(34) The program must maintain on file at the child day care center, available for inspection by the Office or its designees at any time, the following records in a current and accurate manner: documentation showing inspection and approval of any steam or hot water boilers performed in accordance with the requirements of the New York State Department of Labor and service performed once every 24 months during the current license period on all other fuel burning heating systems and equipment and boilers not subject to the New York State Department of Labor requirements; Corrected
Jan 31, 2025 418-1.15(b)(14)(iii) The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious injury, Corrected
Jan 31, 2025 418-1.15(b)(14)(iii) The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious injury, Corrected
Dec 9, 2024 418-1.11(a)(2) The written medical statement from the health care provider must also state whether the child is a child with special health care needs and, if so, what special provisions, if any, will be necessary in order for the child to participate in child day care. When the written statement from the health care provider advises the day care program that the child being enrolled is a child with special health care needs, the day care program must work together with the parent and the child's health care provider to develop a reasonable health care plan for the child while the child is in the child day care program. The health care plan for the child must also address how the day care program will obtain or develop any additional competencies that the staff will need to have in order to carry out the health care plan for the child. Corrected
Apr 19, 2024 418-1.8(a) Children cannot be left without competent supervision at any time. Competent supervision includes awareness of and responsibility for the ongoing activity of each child. It requires that all children be within a teacher's range of vision and that the teacher be near enough to respond when redirection or intervention strategies are needed. Competent supervision must take into account the child's age emotional, physical, and cognitive development. Corrected
Apr 19, 2024 418-1.8(b) The child day care center must employ staff who will promote the physical, intellectual, social, cultural and emotional well-being of the children. Corrected
Apr 19, 2024 418-1.10(a) Any abuse or maltreatment of a child is prohibited. A day care center must prohibit and may not tolerate or in any manner condone an act of abuse or maltreatment by an staff, volunteer or any other person. An abused child or maltreated child means a child defined as an abused child or maltreated child pursuant to Section 412 of the Social Services Law. Corrected
Apr 19, 2024 418-1.10(c)(1) Child care center staff must personally make, or cause to be made, an immediate report to the Statewide Central Register of Child Abuse and Maltreatment by telephone, followed by a written report within 48 hours, in the form and manner prescribed by the Office, to the child protective service of the social services district in the county in which the child resides. Corrected
Apr 19, 2024 418-1.15(b)(14)(ii) The program must immediately notify the parent and Office upon learning of the following events involving a child which occurred while the child was in care at the program or was being transported by the program: serious incident, Corrected
Apr 12, 2024 418-1.3(o)(2) Buildings, systems and equipment must be kept in good repair and operate as designed. Corrected
Apr 12, 2024 418-1.4(f)(2) All corridors, aisles, and approaches to exits must be kept unobstructed at all times. Corrected
Apr 12, 2024 418-1.5(b)(2) The Emergency Evacuation Diagram, as approved by the Office, must be posted in a conspicuous place in every room. Corrected
Apr 12, 2024 418-1.5(n)(1) Materials and play equipment used by the children must be sturdy and free from rough edges and sharp corners. Corrected
Apr 12, 2024 418-1.5(w) Cleaning materials must be stored in their original containers unless the product's use or the program's health care plan indicates that the product be mixed with water before use. In this case, the container used for subsequent use of the mixed product must state the name of the cleaning material contained within. Cleaning materials must be used in such a way that they will not contaminate play surfaces, food or food preparation areas, or constitute a hazard to children. Such materials must be kept in a place inaccessible to children. Corrected
Apr 12, 2024 418-1.11(c)(1) The licensee must prepare a health care plan on forms furnished by the Office. Such plan must protect and promote the health of children. The health care plan must be on site, followed by all staff and available upon demand by a parent or the Office. In those instances in which the program will administer medications, the health care plan must also be approved by the program's health care consultant unless the only medications to be administered are: Corrected
Apr 12, 2024 418-1.11(f)(21) In the case of medication that needs to be given on an ongoing, long-term basis, the authorization and consent forms for children under the age of 5 years of age must be reauthorized at least once every six months. Any changes in the medication authorization related to dosage, time or frequency of administration shall require a program to obtain new instructions written by the licensed authorized prescriber. All other changes to the original medication authorization require a change in the prescription. Corrected
*Violations are posted on this web site after the inspection results have been finalized in a report mailed to the provider. Violations are listed here as 'Corrected' after the Office has verified corrections with the provider, and a letter confirming the corrections has been mailed to the provider.
For additional information on this program and compliance history, contact
Office: Syracuse Regional Office
Phone: (315) 423-1202

 Enforcement History
The New York State Office of Children and Family Services uses a range of tools to help bring child care programs into compliance with statutory and regulatory requirements.

The enforcement actions listed on this website only include denial, revocation or suspension of a child care program's license or registration. Fines are not shown on this website. OCFS stops referring families to the program if a program's license or registration is closed, revoked or suspended.

Other enforcement actions such as Corrective action plans and fines are not shown on this website.
Enforcement Actions since April, 2021: Yes