The Road Rippers Emergency Response Vehicle Ambulance by Toy State is a battery-operated toy that features lights and sound for added realism. Designed with an emergency vehicle theme, this toy is perfect for young children who enjoy imaginative play. Made in China, this toy is sure to provide hours of fun for kids who love toy vehicles. tested in all the buttons work the lights flash you will need to add three AA batteries as I don’t ship battery through USPS.