Efland Cheeks Elementary Pre-K
A child care center in Efland, North Carolina 27243
4401 Fuller Road, Efland, North Carolina 27243. (919) 563-5112.
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
- 10 violations in the last three years
- Apr 282026 the latest visit on record
- 36 children, its licensed capacity
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 Apr 28, 2026.
10 violations cited in the last three years, 10 of them marked corrected.
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
10 violations in 4 months of the last 36. Last cited Apr 2026. The last 3 years, to Nov 3, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
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.
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.
Apr 28, 2026: unannounced3 violations
-
A violation was found for which there is no item number.
“Three children enrolled in Space 1 had expired medical authorization forms.”
-
Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.
“A staff member assigned to care for the children in Space 1 was recorded pushing a child’s leg with their foot. The same staff member was later seen pulling on a child’s bookbag in a manner that the child and the child in front of them was pulled back.”
-
Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.
“A shelter in place drill was conducted October 2025. The next drill was conducted March 2026.”
Oct 16, 2025: unannounced2 violations
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Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.
“Two children’s files did not have a immunization record on file.”
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Medical exam or health assessment record was not on file before or within 30 days after admission.
“Two children’s files that I checked did not have a completed health assessment on file.”
Sep 12, 2024: unannounced1 violation
-
All stationary equipment, more than 18 inches high, was not installed over protective surfacing.
“The mulch around the equipment taller than 18 inches measured 2-4 inches deep in some areas while some areas measured 5-6 inches deep.”
Jan 31, 2024: unannounced4 violations
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A current schedule was not posted for each group of children for reference.
“In one room, a daily schedule was not posted.”
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A violation was found for which there is no item number.
“A lead teacher provided me with a copy of the fire inspection. According to the inspection report, the operator has not passed the fire inepection, and the re-inspection is required.”
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Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.
“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. “Three fire inspections including an initial and two re-inspections were conducted by a fire marshal. I only received the third inspection report when I asked for it during today’s visit. The third inspection was dated 1/19/2024”.”
-
Parent’s medication authorization did not include required information.
“An authorization for Epipen did not have the required information such as the length of the time the authorization is good for and when the medication is to be given.”
All 8 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Apr 28, 2026 | Unannounced visit | 1 violation cited |
| Apr 28, 2026 | Unannounced visit | 2 violations cited |
| Oct 29, 2025 | Unannounced visit | No violations cited |
| Oct 16, 2025 | Unannounced visit | 2 violations cited |
| Aug 20, 2025 | Unannounced visit | No violations cited |
| Dec 18, 2024 | Unannounced visit | No violations cited |
| Sep 12, 2024 | Unannounced visit | 1 violation cited |
| Jan 31, 2024 | Unannounced visit | 4 violations cited |
Is it licensed?
- Child Care Center, holding a Five Star Center License since Apr 25, 2018.
- Licensed for 36 children, ages 3 through 5.
- Not enrolled in North Carolina’s subsidized child care program.
- North Carolina’s licence number: 68000372.
- Restriction: Other - Meeting all enhanced standards and enhanced ratios minus one.
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.
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: Orange County Schools.
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.
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 86 child care providers in Orange County, the middle value for violations cited in the last three years was 6; this one had 10.
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.
| Place | Violations cited in the last three years |
|---|---|
| Creative Preschool | 0 |
| Efland Cheeks Elementary Pre-K This child care provider | 10 |
| Efland Cheeks Elementary YMCA After School | 4 |
| Ann Barkley Day Care Home | 4 |
| Chapel Hill Day Care Center | 16 |
| Mcdougle School Age Care Program | 0 |
| Weaver Dairy Community Preschool | 7 |
| Scroggs School Age Care Program | 1 |
| One Two Buckle My Shoe | 3 |
| Carrboro Early School | 2 |
| Wade’s Child Care Center | 26 |
| Small People Child Care Center | 26 |
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
-
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. nc.gov terms: copying and distribution for non-commercial use, without alteration, citing the source. Shown free and never sold; DCDEE’s own words are quoted.
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.
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.