Hearth Record

Teddy Bear Tender Care

A family child care home in Walkertown, North Carolina 27051

4425 Mecum Rd, Walkertown, North Carolina 27051. (336) 423-8386.

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 21 violations in 5 months of the last 36. Last cited Jan 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?

6 DCDEE visits in the last three years, the latest on Jul 17, 2026.

21 violations cited in the last three years, 21 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

21 violations in 5 months of the last 36. Last cited Jan 2026. The last 3 years, to Nov 3, 2026.

21 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.

Jan 13, 2026: unannounced4 violations
  • At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home.

    “Two 2.5 lb. 1-A: 10-B: C type extinguishers were observed in the home, as opposed to one five pound 2-A: 10-B: C type extinguisher for every 2,500 square feet of floor area.”

    Rule At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 24, 2026. Correction verified: by a letter from the provider.

  • Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.

    “A portion of the plastic window trim outside on the back porch (bottom of right window when facing the home) where children play was observed to be cracked and sharp to the touch.”

    Rule Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs 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: Jan 24, 2026. Correction verified: by a letter from the provider.

  • Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.

    “One plastic grocery bag was observed hanging in a cubby and accessible to a child under the age of three.”

    Rule Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.. Corrected during the inspection.

  • Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.

    Rule Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.. Corrected during the inspection.

Jul 16, 2025: unannounced3 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. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile.”

    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 25, 2025. Correction verified: by a letter from the provider.

  • Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.

    “Two rails of the outdoor stationary play structure were observed to have heavy rust; one of these rails was observed to have cracking paint as well.”

    Rule Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs 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: Jul 28, 2025. Correction verified: by a letter from the provider.

  • Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.

    “One spray bottle of insect repellant labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet up, but in unlocked storage.”

    Rule Products that are labeled “keep out of reach of children” with an additional warning(s) on the label, were not kept in locked storage while children were in care.. Corrected during the inspection.

Feb 4, 2025: unannounced2 violations
  • 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 & Safety Training Topic #2 (Administration of medication, with standards for parental consent) was observed to have last been completed by the operator on 1/31/20.”

    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: Feb 18, 2025. Correction verified: by a letter from the provider.

  • Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.

    “The support poles of a small swing set located on the back porch utilized by children under the age of three years was observed to have a foam covering which is peeling, creating a potential choking hazard.”

    Rule Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 18, 2025. Correction verified: by a letter from the provider.

Aug 19, 2024: unannounced5 violations
  • Electrical outlets not in use were not covered.

    “One outlet in the designated child care space was observed without a safety cover.”

    Rule Electrical outlets not in use were not covered.. Corrected during the inspection.

  • Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.

    “On the playground, the section of fencing along the back side of the playground was observed to be leaning and unstable. Plastic weed block was observed emerging from the bedding to the left of the home (facing the home), presenting a potential choking hazard for children enrolled under the age of three years.”

    Rule Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs 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: Aug 31, 2024. Correction verified: by a letter from the provider.

  • Products that are labeled “keep out of reach of children” without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor.

    “One bottle of Dove baby lotion was observed labeled Keep Out of Reach of Children and on a counter in the kitchen less than five feet from the ground.”

    Rule Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor.. Corrected during the inspection.

  • The EPR Plan did not include the location of the Ready to Go File and/or required information.

    “The application for one newly enrolled child was not observed in the Ready to Go file.”

    Rule The EPR Plan did not include the location of the Ready to Go File and/or required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 9, 2024. Correction verified: by a letter from the provider.

  • The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current.

    “The Emergency Preparedness and Response Plan was last updated on 4/05/2023.”

    Rule The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 31, 2024. Correction verified: by a letter from the provider.

Feb 14, 2024: unannounced7 violations
  • At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home.

    “The operator was observed to have a 2.5 lb. 1A 210 BC fire extinguisher, as opposed to a 5 lb. 2A:10B:C fire extinguisher.”

    Rule At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space 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 23, 2024. Correction verified: by a letter from the provider.

  • Each child’s hands were not washed before and after eating.

    “The operator did not wash the hands of two children enrolled prior to providing them a snack before lunch and wiped each of their hands with wet paper towels before eating lunch.”

    Rule Each child's hands were not washed before and after eating.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. Correction verified: by a letter from the provider.

  • Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year.

    “A playground inspection was not conducted during the month of December, 2023.”

    Rule Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. Correction verified: by a letter from the provider.

  • Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.

    “A plastic grocery bag was observed on the seat of an infant swing accessible to children.”

    Rule Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care.. Corrected during the inspection.

  • Records were not made available for review.

    “An infant feeding plan was not observed on file for one child enrolled. An Emergency Preparedness and Response Training certificate was not observed on file for the operator. A bacteriological well-water analysis was last conducted on 3/01/2021. The health assessment for one child enrolled on 10/19/2023 was completed on 11/20/2023.”

    Rule Records were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. Correction verified: by a letter from the provider.

  • The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.

    “The height of the fence at the front left corner (facing the entrance to the playground) measured 45 inches in height, as opposed the required 48 inches.”

    Rule The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. Correction verified: by a letter from the provider.

  • The EPR Plan did not include the location of the Ready to Go File and/or required information.

    “The Ready to Go File did not contain copies of blank incident reports.”

    Rule The EPR Plan did not include the location of the Ready to Go File and/or required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2024. Correction verified: by a letter from the provider.

All 6 visits on record
Visits on record
DateVisitWhat the record says
Jul 17, 2026Announced visitNo violations cited
Jan 13, 2026Unannounced visit4 violations cited
Jul 16, 2025Unannounced visit3 violations cited
Feb 4, 2025Unannounced visit2 violations cited
Aug 19, 2024Unannounced visit5 violations cited
Feb 14, 2024Unannounced visit7 violations cited

Is it licensed?

  • Family Child Care Home, holding a Three Star Family CC Home License since Jul 17, 2026.
  • Licensed for 8 children, ages 0 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 34000549.
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: Redmon, Patricia A..
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: 3 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 149 child care providers in Forsyth County, the middle value for violations cited in the last three years was 13; this one had 21.
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.

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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