Creative Childcare
A child care center in Graham, North Carolina 27253
3216 NC Hwy 54 East, Graham, North Carolina 27253. (336) 578-7343.
Watch and the shortlist are kept with a free account, on every device. Your watch list. North Carolina’s own record is on ncchildcare.ncdhhs.gov.
The short answer
- 21 violations in the last three years
- Aug 272026 the latest visit on record
- 124 children, its licensed capacity
Each figure’s source sits beside it, in its section below.
What these words mean5
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Quality rating
- Many states rate child care in a quality rating system that goes past the licensing rules, such as Texas Rising Star or Kentucky All STARS. Taking part is often voluntary, so a program with no rating hasn’t been rated low. Source: Each state’s quality rating system.
- Licence status
- Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
6 DCDEE visits in the last three years, the latest on Aug 27, 2026.
21 violations cited in the last three years, 21 of them marked corrected.
North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.
When those violations happened
21 violations in 3 months of the last 36. Last cited Sep 2025. The last 3 years, to Nov 3, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each violation, in its source’s words
Grouped by visit, newest first, with the level its source gave it.
North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.
Sep 30, 2025: unannounced5 violations
-
A child care operator did not notify the Division of any new child care providers, as defined in G.S.
“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Operator has not entered staff into the ABCMS system.”
-
A violation was found for which there is no item number.
“There was an EpiPen in space 3 that did not have a Medication Administration Permission form and log for review.”
-
All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.
“A closet that stored bleach, foam cleaner, and liquid hand soap was unlocked.”
-
Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.
“Plastic ziploc bag was accessible less than five feet for children under three years of age.”
-
Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.
“The thermometers in the kitchen and infant room did not read at 45 degrees.”
Mar 18, 2025: unannounced7 violations
-
A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.
“Parent signature was missing for one child.”
-
Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.
“The training for C. Tinnin was due by 3/17/25 and was incomplete.”
-
Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.
“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed 3/1/24.”
-
Rule violated (DCDEE’s description below)
“The health assessment did not include a physical examination. One child’s file was missing the physical.”
-
Staff did not complete the health and safety training within one year of employment.
“The training for J. Grant was due by 9/18/24 and was incomplete. The training for T. Payne was due by 2/19/25 and was completed 3/10/25.”
-
The health assessment did not include a dental screening.
“A dental screening was missing from three children’s files.”
-
The health assessment did not include updated immunizations.
“Immunizations were missing for one NCPK child.”
Apr 2, 2024: unannounced9 violations
-
All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.
“Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The training for K. Mason was due by 3/12/24. A copy of the training certificate must accompany the corrective action letter.”
-
All staff did not successfully complete certification in First Aid appropriate to the age of children in care.
“Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The training for K. Mason was due by 3/12/24. A copy of the training certificate must accompany the corrective action letter.”
-
All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.
“The form was not updated annually for eight staff members.”
-
Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.
“The form was not updated annually for eight staff members.”
-
Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.
“The items for eight staff members were older than twelve months.”
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Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.
“Photographs were not on file for two children on van WZK 5921.”
-
Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.
“Two diaper creams in room 4 did not have parent permission to administer.”
-
New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.
“The completion of orientation for T. Payne was due 4/1/24 and was not completed.”
-
Staff required to receive on-going training had not completed the required number of hours according to their education and experience.
“The following staff members were short training hours: S. Bumpass-4 hours, T. Graves-4 hours, and A. Lemons-6 hours. Copies of the training certificates must accompany the corrective action letter.”
All 6 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Aug 27, 2026 | Unannounced visit | No violations cited |
| Mar 4, 2026 | Unannounced visit | No violations cited |
| Sep 30, 2025 | Unannounced visit | 5 violations cited |
| Mar 18, 2025 | Unannounced visit | 7 violations cited |
| Oct 2, 2024 | Unannounced visit | No violations cited |
| Apr 2, 2024 | Unannounced visit | 9 violations cited |
Is it licensed?
- Child Care Center, holding a Five Star Center License since Dec 11, 2019.
- Licensed for 124 children, ages 0 through 12.
- Enrolled in North Carolina’s subsidized child care program.
- North Carolina’s licence number: 01000253.
North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.
Has North Carolina acted against it?
- DCDEE says it has taken no action against this facility, for its current licence and location, in the last three years.
North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.
Who does the caring?
- North Carolina’s page gives a staff-to-child ratio policy as the provider reports it, unverified by DCDEE, so it isn’t shown.
Who owns it?
- Owner, as North Carolina lists it: Creative Child Care Learning Center, LLC.
North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.
How is it rated?
- Star Rated License: 5 stars of five.
North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.
How does it compare nearby?
- Among 78 child care providers in Alamance County, the middle value for violations cited in the last three years was 8; this one had 21.
North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.
| Place | Violations cited in the last three years |
|---|---|
| Lawson’s Preschool | 8 |
| Graham Head Start | 0 |
| Creative Childcare This child care provider | 21 |
| Lawson’s Preschool | 13 |
| Alexander Wilson Elementary Pre-K | 0 |
| South Graham Elementary Preschool | 6 |
| Sonya’s Kidz Depot | 24 |
| Just Like Home | 5 |
| Saxapahaw Village Kids | 5 |
| Boys-N-Girls Learning Center, Inc. | 17 |
| Childcare Network #78B | 6 |
| Boys-N-Girls Learning Academy | 0 |
What the record doesn’t say
- North Carolina doesn’t show a visit summary tied to an open child maltreatment investigation while the case is active, and shows an administrative action only after its 30-day appeal period, without saying what it was.
- DCDEE’s descriptions of violations are shown in its own words; a description that names or may name a person isn’t shown. Visit summaries, the consultants’ full reports, aren’t read.
- North Carolina’s page lists the provider’s own features (transport, ratios) as furnished by the provider and unverified by DCDEE, so they aren’t shown.
Sources
-
North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations.
Checked Oct 21, 2026. Updated daily. nc.gov terms: copying and distribution for non-commercial use, without alteration, citing the source. Shown free and never sold; DCDEE’s own words are quoted.
If you believe something here is wrong, a correction starts with the agency whose record this copies: North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE). North Carolina’s own record is on ncchildcare.ncdhhs.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 3, 2026.
From the provider
The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.