Hearth Record

Precious Hands Home Child Care

A family child care home in Leland, North Carolina 28451

4450 Northwest Rd NE, Leland, North Carolina 28451. (910) 470-9978.

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 8 violations in 4 months of the last 36. Last cited Feb 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?

7 DCDEE visits in the last three years, the latest on Jul 28, 2026.

8 violations cited in the last three years, 8 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

8 violations in 4 months of the last 36. Last cited Feb 2026. The last 3 years, to Nov 3, 2026.

8 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.

Feb 5, 2026: unannounced2 violations
  • Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.

    “A child 1 year of age did not have a signed statement of the discipline policy on file.”

    Rule Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 17, 2026. Correction verified: by a letter from the provider.

  • The family child care home operator did not have results of the water sample analysis on file in the home, showing they are free of bacteria and lead hazards.

    “The facility has not completed the requirements for having her water tested for lead hazards.”

    Rule The family child care home operator did not have results of the water sample analysis on file in the home, showing they are free of bacteria and lead hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2026. Correction verified: by a letter from the provider.

Aug 6, 2025: unannounced1 violation
  • 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. The program has been unsuccessful at creating their ABCMS portal.”

    Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2025. Correction verified: by a letter from the provider.

Feb 18, 2025: unannounced3 violations
  • Application did not include all required information including, but not limited to: child’s full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has.

    “A child recently enrolled did not have the required information including any allergies, any fears or behavior characteristics.”

    Rule Application did not include all required information including, but not limited to: child's full name, named to be called, child’s date of birth, any allergies, including symptoms and the type of response required, and any fears or behavior characteristics a child has.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2025. Correction verified: by a letter from the provider.

  • Operator did not provide a written statement to parents regarding the smoking and tobacco restriction.

    “A child recently enrolled did not have a written statement regarding the smoking and tobacco restriction.”

    Rule Operator did not provide a written statement to parents regarding the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2025. Correction verified: by a letter from the provider.

  • The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information.

    “A child recently enrolled did not have a signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy.”

    Rule The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2025. Correction verified: by a letter from the provider.

Mar 5, 2024: unannounced2 violations
  • Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care.

    “Disinfecting wipes were located on the recliner in the play room. Stove top cleaner was observed on the kitchen counter. Beach was on the floor in the unlocked laundry room. All items were moved and locked in the laundry room during the visit.”

    Rule Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care.. Corrected during the inspection.

  • Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.

    “Health and Safety trainings were due to be renewed by June 30, 2018.”

    Rule Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

All 7 visits on record
Visits on record
DateVisitWhat the record says
Jul 28, 2026Unannounced visitNo violations cited
Jul 14, 2026Unannounced visitNo violations cited
Feb 5, 2026Unannounced visit2 violations cited
Aug 6, 2025Unannounced visit1 violation cited
Feb 18, 2025Unannounced visit3 violations cited
Sep 4, 2024Unannounced visitNo violations cited
Mar 5, 2024Unannounced visit2 violations cited

Is it licensed?

  • Family Child Care Home, holding a Five Star Family CC Home License since Jul 28, 2026.
  • Licensed for 8 children, ages 0 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 10000121.
  • Restriction: Other - No more than four children shall be under the age of twenty-four months.
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: S, Grainger Lecia.
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 20 child care providers in Brunswick County, the middle value for violations cited in the last three years was 5; this one had 8.
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.

11 of the 20 in Brunswick County, as the source lists them, same ZIP code first
PlaceViolations cited in the last three years
Little Angels5
Precious Hands Home Child Care This child care provider8
Meg’s Kid Care0
Excel Learning Centers #524
Learning Bridge Leland5
Childcare Network #8428
Piney Grove Head Start Center1
Rainbow Vip Learning Station12
Little Sandpiper’s Learning Center66
Kids World Academy I9
Great Beginnings Child Development Center4
Southeastern Christian Academy1

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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