Hearth Record

Tiny Hearts Enrichment Center

A child care center in Ayden, North Carolina 28513

4257 East Avenue, Ayden, North Carolina 28513. (252) 304-2051.

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 11 violations in 3 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?

6 DCDEE visits in the last three years, the latest on Jul 14, 2026.

11 violations cited in the last three years, 11 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

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

11 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 14, 2026: unannounced7 violations
  • A current activity plan was not posted for each group of children for reference.

    “The posted activity plan in Space 2 was dated June 29, 2026-July 3, 2026.”

    Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

  • A violation was found for which there is no item number.

    “Children in Space 3 were resting on mats. The mats were not covered with linen. This is a violation of SECTION .2800 - SANITATION OF CHILD CARE CENTERS. Specific to rule 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS(c) Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.”

    Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 20, 2026. Correction verified: by a letter from the provider.

  • Center did not maintain a record of daily attendance.

    “Nine (9) children were present in space 2; however, eight (8) children were documented on the attendance sheet. Nine (9) children were present in space 3; however, three (3) children were documented on the attendance sheet.”

    Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

  • 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.

    “An immunization record was unavailable for a preschool age child enrolled on June 1, 2026.”

    Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 20, 2026. Correction verified: by a letter from the provider.

  • Medical exam or health assessment record was not on file before or within 30 days after admission.

    “A health assessment was not available for a preschool age child enrolled on June 1, 2026.”

    Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 20, 2026. Correction verified: by a letter from the provider.

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

    “A medication authorization form, giving 6-month standing authorization to administer asthma medication to a child was not on available.”

    Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 20, 2026. Correction verified: by a letter from the provider.

  • The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

    “A broken hula-hoop and deflated inflatables were observed on the outdoor premises.”

    Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. Corrected during the inspection.

May 12, 2026: unannounced2 violations
  • All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

    “The annual health questionnaire for one employee hired on 6/12/23 expired on 4/23/25.”

    Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Corrected during the inspection.

  • Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

    “The annual emergency information form for one employee hired on 6/12/23 expired on 4/23/25.”

    Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Corrected during the inspection.

Mar 31, 2026: unannounced2 violations
  • Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

    “Documentation of 6 hours of orientation was completed prior to hire on 4/9/25. The individual was hired on 4/25/26.”

    Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. 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.

  • New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

    “Documentation of 16 hours of orientation was completed prior to hire on 4/11/25. The individual was hired on 4/25/26.”

    Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. 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.

All 6 visits on record
Visits on record
DateVisitWhat the record says
Jul 14, 2026Unannounced visit7 violations cited
May 12, 2026Unannounced visit2 violations cited
Mar 31, 2026Unannounced visit2 violations cited
Mar 17, 2026Unannounced visitNo violations cited
Feb 11, 2026Announced visitNo violations cited
Jan 20, 2026Announced visitNo violations cited

Is it licensed?

  • Child Care Center, holding a Five Star Center License since Aug 12, 2026.
  • Licensed for 66 children, ages 3 through 12.
  • Not enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 74000970.
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: Tiny Hearts Child Care Center, LLC.
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 99 child care providers in Pitt County, the middle value for violations cited in the last three years was 14; this one had 11.
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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