Hearth Record

Stepping Stones Day Care

A family child care home in Elizabeth City, North Carolina 27909

800 W Colonial Avenue, Elizabeth City, North Carolina 27909. (252) 619-3997.

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 16 violations in 6 months of the last 36. Last cited Oct 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 Oct 12, 2026.

16 violations cited in the last three years, 16 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

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

16 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.

Oct 12, 2026: unannounced2 violations
  • An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days.

    “A household member who turned sixteen (16) years of age in January 2026 did not complete a criminal background check within five (5) days of their birthday.”

    Rule An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days.. Corrected during the inspection.

  • Copy of each child’s immunization record, including the operator’s own preschool child(ren), was not on file.

    “Documentation of immunizations was not available for a child enrolled on August 25, 2025.”

    Rule Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 14, 2026. Correction verified: by a letter from the provider.

Mar 10, 2026: unannounced2 violations
  • Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator’s own preschool children.

    “Three (3) children were documented on the attendance record however there were five (5) children present.”

    Rule Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2026. Correction verified: by a letter from the provider.

  • Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator’s signature, were not available.

    “A fire drill was not completed for November 2025 or December 2025.”

    Rule Record of monthly fire drills, giving the date, time of day and length of time to evacuate, and operator's signature, were not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2026. Correction verified: by a letter from the provider.

Nov 7, 2025: unannounced1 violation
  • Copy of each child’s health assessment, including the operator’s own preschool child(ren), was not on file within 30 days of enrollment.

    “The health assessment for a child enrolled on August 25, 2025 was completed on October 28, 2025.”

    Rule Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 19, 2025. Correction verified: by a letter from the provider.

Apr 25, 2025: unannounced4 violations
  • A valid qualification letter was not on file and available for review at the facility.

    “A. Butts qualifying letter expired on 2/11/25 and a current qualifying letter was not on file and available for review.”

    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: May 13, 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 provider stated that, at least two (2) times during the mitigation process, the children were transported in their personal vehicle to another location for nap time. The facility is not approved for transportation.”

    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: May 9, 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).

    “A. Butts qualifying letter expired on 2/11/25 and a current qualifying letter was not on file and available for review.”

    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: May 13, 2025. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “The children were in care at a location address that was not listed on the license. Per the provider’s statements, the children were transported to a another facility for nap time while the mitigation process was being completed in the home. The change of location was not preapproved by a representative of the Division.”

    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: May 9, 2025. Correction verified: by a letter from the provider.

Nov 19, 2024: unannounced5 violations
  • Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).

    “One child, FH, had a medical permission form on file for Ventolin HFA that expired on 1/19/23.”

    Rule Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 1, 2024. Correction verified: by a letter from the provider.

  • Authorization to seek medical care in the parent’s absence was not available.

    “Three, out of 10 children’s files reviewed, did not have a signature for permission.”

    Rule Authorization to seek medical care in the parent's absence was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 1, 2024. Correction verified: by a letter from the provider.

  • Copy of each child’s health assessment, including the operator’s own preschool child(ren), was not on file within 30 days of enrollment.

    “One child, enrolled on 9/23/24, did not have a medical exam on file for review today.”

    Rule Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 1, 2024. Correction verified: by a letter from the provider.

  • Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste.

    “There was duct tape covering the chains supporting the swings. The tape was old and shredding.”

    Rule Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 1, 2024. 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.

    “Plastic bags were accessible to children under 2 years of age in the shower of the bathroom the children use. There was also a plastic bag on top of the washing machine the children walk past to use the bathroom.”

    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: Dec 1, 2024. Correction verified: by a letter from the provider.

Dec 12, 2023: unannounced2 violations
  • Electrical outlets not in use were not covered.

    “An extension cord, located in the hallway where school age children work on homework, had 3 outlets that were not covered.”

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

  • Signed discipline statement did not include the required information, as outlined in rule.

    “The signature page on file for JS, did not have documentation of the enrollment date.”

    Rule Signed discipline statement did not include the required information, as outlined in rule.. Corrected during the inspection.

All 7 visits on record
Visits on record
DateVisitWhat the record says
Oct 12, 2026Unannounced visit2 violations cited
Sep 29, 2026Announced visitNo violations cited
Mar 10, 2026Unannounced visit2 violations cited
Nov 7, 2025Unannounced visit1 violation cited
Apr 25, 2025Unannounced visit4 violations cited
Nov 19, 2024Unannounced visit5 violations cited
Dec 12, 2023Unannounced visit2 violations cited

Is it licensed?

  • Family Child Care Home, holding a Four Star Family CC Home License since Oct 14, 2022.
  • Licensed for 5 children, ages 0 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 70000153.
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: Burnham, Vera M.
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: 4 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 27 child care providers in Pasquotank County, the middle value for violations cited in the last three years was 17; this one had 16.
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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