Hearth Record

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A family child care home in Winston-Salem, North Carolina 27106

4596 Greenmanor Dr, Winston-Salem, North Carolina 27106. (336) 769-7543.

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 13 violations in 4 months of the last 36. Last cited Jul 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?

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

13 violations cited in the last three years, 13 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

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

13 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.

Jul 7, 2026: 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. The operator was not linked to the child care facility in the 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: Jul 24, 2026. Correction verified: by a letter from the provider.

  • Operator or other transportation provider did not have written permission from each child’s parents or guardian to transport the child.

    “One enrolled child did not have a current permission form for transportation on file.”

    Rule Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 24, 2026. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “Operator or other transportation provider did not comply with all applicable state and federal laws and regulations concerning vehicles and the transportation of passengers.The vehicle used for transporation did not have a current inspection.”

    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: Jul 24, 2026. Correction verified: by a letter from the provider.

Jul 17, 2025: unannounced4 violations
  • All medicines, including refrigerated and unrefrigerated, were not kept in locked storage.

    “Household medication was in a cabinet not in locked storage.”

    Rule All medicines, including refrigerated and unrefrigerated, were not kept in locked storage.. Corrected during the inspection.

  • Equipment and toys were not in good repair and developmentally appropriate.

    “There were two cracked storage bins with outdoor toys accessible in the playground area.”

    Rule Equipment and toys were not in good repair and developmentally appropriate.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2025. Correction verified: by a letter from the provider.

  • Operator or other transportation provider did not comply with all applicable state and federal laws and regulations concerning vehicles and the transportation of passengers.

    “The vehicle used for transportation had an expired inpsection tag.”

    Rule Operator or other transportation provider did not comply with all applicable state and federal laws and regulations concerning vehicles and the transportation of passengers.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2025. Correction verified: by a letter from the provider.

  • Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children.

    “One propane tank was accessible in the playground area.”

    Rule Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2025. Correction verified: by a letter from the provider.

Feb 21, 2025: unannounced3 violations
  • A valid qualification letter was not on file and available for review at the facility.

    “A current qualificatioon letter was not on file.”

    Rule A valid qualification letter was not on file and available for review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 15, 2025. Correction verified: by a letter from the provider.

  • Adults and children did not use an individual seat belt or safety seat appropriate to the child’s age or weight.

    “One car seat in the vehicle was expired.”

    Rule Adults and children did not use an individual seat belt or safety seat appropriate to the child's age or weight.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 7, 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 from the date of issuance).

    “The operator’s qualification letter expired 2/4/2025.”

    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 from 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: Mar 15, 2025. Correction verified: by a letter from the provider.

Aug 7, 2024: unannounced3 violations
  • For off-premise activities occurring on regular basis, the standing permission for 12 months had expired.

    “Six enrolled children need updated transportation forms.”

    Rule For off-premise activities occurring on regular basis, the standing permission for 12 months had expired.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 22, 2024. Correction verified: by a letter from the provider.

  • The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule.

    “Six children need updated written plans of care specifying how parents will be notified.”

    Rule The written plan of care did not specify how parents will be notified when children accompany the operator off-premises for routine tasks not specified on the written schedule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 22, 2024. Correction verified: by a letter from the provider.

  • The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported.

    “Six children’s files need updated written plans of care on maintain maintaining transportation requirements.”

    Rule The written plan of care did not specify how the operator will maintain compliance with transportation requirements specified in Rule .1723 when children are transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 22, 2024. Correction verified: by a letter from the provider.

All 8 visits on record
Visits on record
DateVisitWhat the record says
Jul 7, 2026Unannounced visit3 violations cited
Jul 1, 2026Unannounced visitNo violations cited
Feb 13, 2026Announced visitNo violations cited
Jul 17, 2025Unannounced visit4 violations cited
Jul 15, 2025Unannounced visitNo violations cited
Feb 21, 2025Unannounced visit3 violations cited
Aug 7, 2024Unannounced visit3 violations cited
Feb 16, 2024Unannounced visitNo violations cited

Is it licensed?

  • Family Child Care Home, holding a Three Star Family CC Home License since Aug 6, 2019.
  • Licensed for 8 children, ages 0 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 34001013.
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: Agnew, Dwanna D.
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 13.
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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