Hearth Record

Smith Farm Elementary School Pre-Kindergarten

A child care center in Winston-Salem, North Carolina 27107

4250 Johnny Knoll Lane, Winston-Salem, North Carolina 27107. (336) 703-4188.

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 29 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?

6 DCDEE visits in the last three years, the latest on Aug 27, 2026.

29 violations cited in the last three years, 29 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

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

29 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 27, 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. One new staff member had not yet been linked to the facility’s ABCMS facility 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: Sep 10, 2026. Correction verified: by a letter from the provider.

  • A valid qualification letter was not on file and available to review at the facility.

    “The facility Principal was observed to not have a DCDEE Criminal Background Check Qualification Letter.”

    Rule A valid qualification letter was not on file and available to 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: Sep 10, 2026. Correction verified: by a letter from the provider.

  • Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

    “The medication authorization form for one child enrolled in Room 101 was observed to not contain specific information related to allergens. The topical medication authorization form for one child enrolled in Room 103 was observed without a specific brand of medication recorded.”

    Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

Mar 30, 2026: unannounced4 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 CBC qualification letter for one staff member was not observed to be linked to the facility’s ABCMS Facility 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: Apr 8, 2026. Correction verified: by a letter from the provider.

  • Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

    “Two children enrolled in Space 2 (Room 103) did not have a time of arrival recorded.”

    Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.. Corrected during the inspection.

  • Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

    “The emergency medication for one child enrolled was not stored in its original container; an EpiPen with an expiration date of September, 2026 was observed stored in a box for an EpiPen with a recorded medication expiration date of November, 2025.”

    Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 10, 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 most recent lockdown/ shelter-in-place drill was conducted on 10/03/25.”

    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: Apr 8, 2026. Correction verified: by a letter from the provider.

Sep 16, 2025: unannounced6 violations
  • A safe indoor and outdoor environment was not provided for the children.

    “On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing.”

    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: Sep 23, 2025. 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.

    “One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed located greater than five feet from the ground on top of a set of shelves, but in unlocked storage.”

    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.

  • Application was not signed by the parent.

    “The child application for one child enrolled in Room 103 did not contain a parent signature.”

    Rule Application was not signed by the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 23, 2025. Correction verified: by a letter from the provider.

  • Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

    “One child enrolled in Room 103 did not have a record of arrival recorded.”

    Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.. Corrected during the inspection.

  • Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

    “The subject medical condition and valid to and from dates were not observed on the medication authorization form for one child enrolled in Space 103.”

    Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

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

    “The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025.”

    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 23, 2025. Correction verified: by a letter from the provider.

Mar 25, 2025: unannounced2 violations
  • Parent’s medication authorization did not include required information.

    “In Room 101 (Space 1), the medication authorization form for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions.”

    Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

  • 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 Check Qualification letter for a staff member in Room 101 was observed to have expired on 2/25/2025.”

    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: Apr 8, 2025. Correction verified: by a letter from the provider.

Sep 26, 2024: unannounced12 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.

    “Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage.”

    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 equipment and furnishings were not in good repair.

    “On the playground, two corners of the plastic bike track were observed to be cracked.”

    Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 15, 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. First Aid training was not completed for one staff member in Space 103.”

    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: Oct 15, 2024. Correction verified: by a letter from the provider.

  • 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.

    “One outlet in Space 103 was observed without a safety cover in the reading center.”

    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.. Corrected during the inspection.

  • Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

    “Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103.”

    Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 2024. 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.

    “A playground inspection was not observed on file for May or June of 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: Oct 9, 2024. Correction verified: by a letter from the provider.

  • Parent’s medication authorization did not include required information.

    “A medication authorization form for one child enrolled in Space 103 with an emergency medication did not include the subject medical conditions or allergic reactions.”

    Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 2024. Correction verified: by a letter from the provider.

  • Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

    “The emergency medication for one child enrolled did not have its original container.”

    Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 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 lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively.”

    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: Oct 9, 2024. Correction verified: by a letter from the provider.

  • The health assessment did not include a hearing screening.

    “The hearing screening for one child enrolled were not observed on file for review.”

    Rule The health assessment did not include a hearing screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 1, 2024. Correction verified: by a letter from the provider.

  • The health assessment did not include a vision screening.

    “The vision screening for one child enrolled were not observed on file for review.”

    Rule The health assessment did not include a vision screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 2024. Correction verified: by a letter from the provider.

  • The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

    “A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions.”

    Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 2024. Correction verified: by a letter from the provider.

May 29, 2024: unannounced2 violations
  • Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

    “5 children present in room 101 had not been signed in.”

    Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or 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: Jun 10, 2024. Correction verified: by a letter from the provider.

  • The health assessment did not include a vision screening.

    “Vision screenings were not on file for Pre-K children in room 101.”

    Rule The health assessment did not include a vision screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2024. Correction verified: by a letter from the provider.

All 6 visits on record
Visits on record
DateVisitWhat the record says
Aug 27, 2026Unannounced visit3 violations cited
Mar 30, 2026Unannounced visit4 violations cited
Sep 16, 2025Unannounced visit6 violations cited
Mar 25, 2025Unannounced visit2 violations cited
Sep 26, 2024Unannounced visit12 violations cited
May 29, 2024Unannounced visit2 violations cited

Is it licensed?

  • Child Care Center, holding a Five Star Center License since Jun 7, 2018.
  • Licensed for 36 children, ages 3 through 6.
  • Not enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 34001252.
  • Restriction: Other - Enhanced 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: Winston Salem/Forsyth County Schools.
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 149 child care providers in Forsyth County, the middle value for violations cited in the last three years was 13; this one had 29.
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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