Hearth Record

Little Gems Daycare

A family child care home in Madison, North Carolina 27025

712 West Decatur Street, Madison, North Carolina 27025. (336) 427-0625.

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 6 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?

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

9 violations cited in the last three years, 9 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

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

6 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 6, 2026: unannounced1 violation
  • Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.

    “Ms. King was unable to locate her Health and Safety trainings.”

    Rule Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 10, 2026. Correction verified: by a letter from the provider.

Jul 21, 2025: unannounced3 violations
  • Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification.

    “Ms. King’s CPR and First Aid certification expired in June.”

    Rule Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2025. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “Operator did not have a written discipline policy describing the methods and practices used to discipline children enrolled and/or did not share the policy with parents. There is no discipline policy on file for two children.”

    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 30, 2025. Correction verified: by a letter from the provider.

  • Telephone numbers for the fire department, law enforcement office, emergency medical service, and poison control were not posted in a location visible in the home.

    “There were no emergency numbers posted.”

    Rule Telephone numbers for the fire department, law enforcement office, emergency medical service, and poison control were not posted in a location visible in the home.. Corrected during the inspection.

Aug 13, 2024: unannounced2 violations
  • Health questionnaire was not completed annually.

    Rule Health questionnaire was not completed annually.. Corrected during the inspection.

  • Operator did not complete the required number of on-going training hours as specified in rule.

    “Ms. King lacks one hour of the number of hours she is required to have each year.”

    Rule Operator did not complete the required number of on-going training hours as specified in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 17, 2024. Correction verified: by a letter from the provider.

Nov 20, 2023: unannounced3 violations
  • 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’s medical report was not on file.”

    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 4, 2023. Correction verified: by a letter from the provider.

  • Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame.

    “Ms. King has not taken Child Maltreatment in the last five years. Her last class was 6-27-2018.”

    Rule Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 4, 2023. Correction verified: by a letter from the provider.

  • Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.

    “The signed discipline policy was not on file for two children.”

    Rule Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 4, 2023. Correction verified: by a letter from the provider.

All 10 visits on record
Visits on record
DateVisitWhat the record says
Jul 6, 2026Unannounced visit1 violation cited
Feb 10, 2026Announced visitNo violations cited
Jul 21, 2025Unannounced visit3 violations cited
Feb 17, 2025Unannounced visitNo violations cited
Aug 13, 2024Unannounced visit2 violations cited
Jun 6, 2024Unannounced visitNo violations cited
Apr 30, 2024Unannounced visitNo violations cited
Mar 25, 2024Unannounced visitNo violations cited
Mar 21, 2024Unannounced visitNo violations cited
Nov 20, 2023Unannounced visit3 violations cited

Is it licensed?

  • Family Child Care Home, holding a Four Star Family CC Home License since Jun 26, 2024.
  • Licensed for 8 children, ages 0 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 79000283.
  • Restriction: Other - Serves no more than two infants under one year of age.
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: King, Myra W.
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 51 child care providers in Rockingham County, the middle value for violations cited in the last three years was 8; this one had 9.
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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