Hearth Record

Andrews Memorial Readiness School II

A child care center in Graham, North Carolina 27253

303 W Elm Street, Graham, North Carolina 27253. (336) 226-5201.

North Carolina’s own record, on ncchildcare.ncdhhs.gov

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

The last 24 months 32 violations in 6 months of the last 36. Last cited Aug 2026. Every month

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?

9 DCDEE visits in the last three years, the latest on Aug 4, 2026.

32 violations cited in the last three years, 32 of them marked corrected.

Source:

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

32 violations in 6 months of the last 36. Last cited Aug 2026. The last 3 years, to Nov 3, 2026.

32 violations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

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.

Aug 4, 2026: unannounced7 violations
  • A violation was found for which there is no item number.

    “The facility was notified regarding the new ABCMS process on 8/14/25 and the process has not been started.”

    Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 2026. Correction verified: by a letter from the provider.

  • Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

    “Staff member’s medical report was expired prior to the first day of employment. Employed 3/14/26, medical report dated 6/26/24.”

    Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 2026. Correction verified: by a letter from the provider.

  • Fire drills were not practiced monthly and/or the drill record was incomplete.

    “The last fire drill was documented on June 16, 2026.”

    Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 2026. Correction verified: by a letter from the provider.

  • Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

    “The last playground inspection was documented on May 29, 2026.”

    Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 2026. Correction verified: by a letter from the provider.

  • On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

    “Staff member’s tb screening was expired prior to the first day of employment. Employed 3/14/26, tb screening dated 6/26/24.”

    Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 2026. Correction verified: by a letter from the provider.

  • Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

    “Staff member’s CBC expired 10/2025.”

    Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 2026. Correction verified: by a letter from the provider.

  • Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

    “The last safety drill was documented March 25, 2026.”

    Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 2026. Correction verified: by a letter from the provider.

Feb 11, 2026: unannounced5 violations
  • A violation was found for which there is no item number.

    “Four tubes of diaper creams were located inside Spaces 11, !, and 3. These items were removed from the classroom. Permission to Administer medication was expired for Benadryl and a Epi-Pen. The items were removed pending parents completion of new forms.”

    Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 24, 2026. Correction verified: by a letter from the provider.

  • 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 magic eraser and Lysol wipes were stored in a unlocked closet.”

    Rule 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.. Corrected during the inspection.

  • 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. Two staff members completed CPR however they did not have their cards in their file. L. Ford has been employed since 9/25/25 and she has not completed CPR training.”

    Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 4, 2026. Correction verified: by a letter from the provider.

  • 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. Two employees completed First Aid however, their cards were not in the file. L. Ford was employed on 9/25/25 and has not completed First Aid training.”

    Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 4, 2026. Correction verified: by a letter from the provider.

  • Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

    “The last playground inspection was completed on December 30, 2025.”

    Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 24, 2026. Correction verified: by a letter from the provider.

Aug 22, 2025: unannounced3 violations
  • Children were not adequately supervised at all times.

    “A child fell out of the high chair while the teacher was completing another task.”

    Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 5, 2025. Correction verified: by a letter from the provider.

  • Prior to employment a Criminal Background Check was not completed.

    “An employee that has been hired was in a classroom without a CBC.”

    Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 5, 2025. Correction verified: by a letter from the provider.

  • Screen time was offered to children under three years of age.

    “In Space 3 a tablet was facing the children showing an animated program.”

    Rule Screen time was offered to children under three years of age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 5, 2025. Correction verified: by a letter from the provider.

Aug 14, 2025: unannounced6 violations
  • 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.

    “Dawn dish soap was sitting by the sink in Spaces 2 and 4.”

    Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 25, 2025. Correction verified: by a letter from the provider.

  • Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.

    “Fans that were not mounted or had safety mesh were in located in classroom spaces. The AD removed the fans from the classrooms.”

    Rule Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.. Corrected during the inspection.

  • Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

    “Electrical outlets and power strips were accessible and uncovered in the hallway, gym areas, and Spaces 1, 3, 7,and 12.”

    Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 25, 2025. Correction verified: by a letter from the provider.

  • Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

    “Last playground inspection was documented on June 17, 2025.”

    Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 25, 2025. Correction verified: by a letter from the provider.

  • 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 documented fire inspection was on March 27, 2024.”

    Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 22, 2025. Correction verified: at a follow-up visit by DCDEE.

  • Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

    “Last safety drill was on June 16, 2025. Drill should have been completed in May.”

    Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 25, 2025. Correction verified: by a letter from the provider.

Feb 13, 2025: unannounced4 violations
  • Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

    “The last written playground inspection on file was 8/2024.”

    Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

  • Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

    “The letter for T. Hyatt expired 9/3/24 and the new letter was dated 9/20/24.”

    Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

  • Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

    “The last recorded drill was 7/3/24. A violation was cited during the annual compliance visit due to that drill being past due.”

    Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

  • The written feeding plan was not modified as the child’s needs changed.

    “The plan for one child in room 3 was not updated according to the child’s feeding changes.”

    Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 25, 2025. Correction verified: by a letter from the provider.

Sep 5, 2024: unannounced2 violations
  • Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

    “The criminal background letter for Teresa Hyatt expired 9/3/24.”

    Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 20, 2024. Correction verified: by a letter from the provider.

  • Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

    “A drill was due by 6/30/24 and was completed 7/3/24. Technical assistance was provided.”

    Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 18, 2024. Correction verified: by a letter from the provider.

May 21, 2024: unannounced5 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 new staff member K. Harden was completed 3/24/24. The training was due by 2/17/24.”

    Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2024. Correction verified: by a letter from the provider.

  • 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. New staff member K. Harden completed the training 3/24/24. The training was due by 2/17/24.”

    Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2024. Correction verified: by a letter from the provider.

  • Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

    “The medical report for new staff member A. Pipken was not on file on date of hire 10/17/23. The report was dated 12/11/23.”

    Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2024. Correction verified: by a letter from the provider.

  • Fire drills were not practiced monthly and/or the drill record was incomplete.

    “A fire drill was not conducted for April 2024. This is a repeat violation.”

    Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 3, 2024. Correction verified: by a letter from the provider.

  • 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 current fire inspection was conducted 3/27/24. The previous one on file was conducted 10/6/22.”

    Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2024. Correction verified: by a letter from the provider.

All 9 visits on record
Visits on record
DateVisitWhat the record says
Aug 4, 2026Unannounced visit7 violations cited
Feb 11, 2026Unannounced visit5 violations cited
Aug 27, 2025Unannounced visitNo violations cited
Aug 22, 2025Unannounced visit2 violations cited
Aug 22, 2025Unannounced visit1 violation cited
Aug 14, 2025Unannounced visit6 violations cited
Feb 13, 2025Unannounced visit4 violations cited
Sep 5, 2024Unannounced visit2 violations cited
May 21, 2024Unannounced visit5 violations cited

Is it licensed?

  • Child Care Center, holding a GS 110-106 since Dec 29, 1999.
  • Capacity: 274 children, ages 0 through 12.
  • Not enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 0159003.
Source:

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.
Source:

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: Baptist Church, Andrews Memorial.
Source:

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?

  • North Carolina’s licence for this facility is not star-rated: GS 110-106.
Source:

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 32.
Source:

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.

12 of the 78 in Alamance County, as the source lists them, same ZIP code first
PlaceViolations cited in the last three years
Andrews Memorial Readiness School II This child care provider32
Lawson’s Preschool8
Graham Head Start0
Creative Childcare21
Lawson’s Preschool13
Alexander Wilson Elementary Pre-K0
South Graham Elementary Preschool6
Sonya’s Kidz Depot24
Just Like Home5
Saxapahaw Village Kids5
Boys-N-Girls Learning Center, Inc.17
Childcare Network #78B6
Boys-N-Girls Learning Academy0

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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