Hearth Record

Learning Thru Play Too Child Development Center

A child care center in West Jefferson, North Carolina 28694

406 School Avenue, West Jefferson, North Carolina 28694. (336) 846-4640.

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 14 violations in 6 months of the last 36. Last cited May 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?

13 DCDEE visits in the last three years, the latest on Sep 9, 2026.

14 violations cited in the last three years, 14 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

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

14 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.

May 7, 2026: unannounced2 violations
  • Children were not adequately supervised at all times.

    “A three-year-old child was left on the playground alone for approximately two minutes after staff members miscounted the children in their care and returned to their classroom.”

    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: May 15, 2026. Correction verified: at a follow-up visit by DCDEE.

  • Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

    “A caregiver stated that the caregiver grabs and pulls toys away from three and four year old children when the children do not give the caregiver toys when they are asked to do so.”

    Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 15, 2026. Correction verified: at a follow-up visit by DCDEE.

Dec 16, 2025: unannounced4 violations
  • A safe indoor and outdoor environment was not provided for the children.

    “While viewing the video today, from December 5, 2025, I observed a child on the changing table while the staff member had her back turned to the child and was steps away from the child.”

    Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2025. Correction verified: by a letter from the provider.

  • Children were not adequately supervised at all times.

    “I observed on the video, from December 5, 2025, a staff member with her back to the children, putting sheets on the cots, while two and three year old children were sitting at the table eating lunch. She was the only staff member in the room.”

    Rule Children were not adequately supervised at all times.. Corrected during the inspection.

  • For children 2 years of age and older, a minimum of 60 minutes of outdoor time throughout the day was not provided.

    “Children ages 0-12 in care for less than five hours per day was not provided at least 30 minutes of outdoor time throughout the day. Today I observed no outdoor gross motor was provided to the two and three year old children. A teacher in Space 17 stated to me the children had not been outside since the playground was being worked on.”

    Rule For children 2 years of age and older, a minimum of 60 minutes of outdoor time throughout the day was not provided.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2025. Correction verified: by a letter from the provider.

  • Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.

    “On November 19, 2025 the teacher assistant was heard saying to a child, “Sit back down. We’re not playing with other toys.” On November 26, 2025, the teacher assistant was heard saying, “You do not get a choice. You get what I put in front of you.””

    Rule Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 28, 2026. Correction verified: by a letter from the provider.

Aug 12, 2025: unannounced2 violations
  • Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

    “Two (2) children in Space 17 had permissions to administer over the counter medications that had expired.”

    Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 19, 2025. Correction verified: by a letter from the provider.

  • Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

    “I observed an opening at the bottom of the fence on the large preschool playground that was over 3.5 inches. The opening measured five (5) inches between the ground and the fence. This violation was corrected and filled in during the visit with dirt.”

    Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Corrected during the inspection.

Feb 24, 2025: unannounced1 violation
  • Rule violated (DCDEE’s description below)

    “When a parent had opted out, but did not provide a snack or meal, the program did not replace the missing meal or snack. A child whose parents opt-out, was not provided a nutritious meal by the program on February 14, 2025.”

    Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 6, 2025. Correction verified: by a letter from the provider.

Jul 29, 2024: unannounced1 violation
  • Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

    “On July 22, 2024, a staff member grabbed and pulled on a 7-year-old child’s arm. Another staff member who was also present pointed their finger at the same child and abruptly moved the child’s chair.”

    Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 5, 2024. Correction verified: by a letter from the provider.

Jun 11, 2024: unannounced4 violations
  • A safe indoor and outdoor environment was not provided for the children.

    “I observed a hole dug out on the toddler playground that is a tripping and fall hazard. The ground cover was showing through at the hole as well. I observed a portion of the fence on the large playground that measured only three (3) feet in height. Mulch has washed up to the bottom of the fence. I observed mulch measured three (3) inches at the bottom of the green scalloped slide on the large playground.”

    Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 15, 2024. 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.

    “I observed the closet in Space 6 was unlocked and contained hazardous cleaning materials.”

    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: Jun 25, 2024. Correction verified: by a letter from the provider.

  • Each child’s bed, cot, or 2” mat was not individually assigned and identified.

    “I observed three (3) cribs in the infant room that were not labeled with individual names. Three (3) new infants have started within the last few days per/the assistant director.”

    Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2024. Correction verified: by a letter from the provider.

  • Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

    “I observed the thermometer in Space 4 read 20 degrees and no items were frozen. This thermometer was replaced during the visit today. This item was corrected during the visit.”

    Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.

All 13 visits on record
Visits on record
DateVisitWhat the record says
Sep 9, 2026Unannounced visitNo violations cited
May 15, 2026Unannounced visitNo violations cited
May 7, 2026Unannounced visit2 violations cited
Feb 11, 2026Unannounced visitNo violations cited
Dec 16, 2025Unannounced visit4 violations cited
Aug 12, 2025Unannounced visit2 violations cited
Mar 17, 2025Unannounced visitNo violations cited
Feb 24, 2025Unannounced visit1 violation cited
Dec 19, 2024Unannounced visitNo violations cited
Sep 4, 2024Unannounced visitNo violations cited
Jul 29, 2024Unannounced visit1 violation cited
Jun 11, 2024Unannounced visit4 violations cited
Dec 7, 2023Unannounced visitNo violations cited

Is it licensed?

  • Child Care Center, holding a Five Star Center License since Mar 19, 2025.
  • Licensed for 140 children, ages 0 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 05000067.
  • Restriction: Other - Meeting all enhanced requirements and reduced ratios minus one.
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: Williams, Debbie L.
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?

  • Star Rated License: 5 stars of five.
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 7 child care providers in Ashe County, the middle value for violations cited in the last three years was 8; this one had 14.
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.

6 of the 7 in Ashe County, as the source lists them, same ZIP code first
PlaceViolations cited in the last three years
Ashe Support Services Early Learning Center0
Generations Child Development Center9
Learning Thru Play Too Child Development Center This child care provider14
Ashe County Head Start Sizemore Center1
Blue Ridge Elementary PreK8
Stepping Stones Early Learning Academy3
Ashe Developmental Day School12

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

Every fact names its source.

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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