Hearth Record

Tiny Hands Child Care of Dobson

A child care center in Dobson, North Carolina 27017

721 South Main Street, Dobson, North Carolina 27017. (336) 356-2244.

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 17 violations in 5 months of the last 36. Last cited May 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 May 26, 2026.

17 violations cited in the last three years, 17 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

17 violations in 5 months of the last 36. Last cited May 2026. The last 3 years, to Nov 3, 2026.

17 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.

May 26, 2026: unannounced2 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. All current staff were not linked to the facility’s roster.”

    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: Jun 9, 2026. Correction verified: by a letter from the provider.

  • A safe indoor and outdoor environment was not provided for the children.

    “On the outdoor playground the sand around the climber and slides measured 3 inches versus the 12 inches required. A climber that was located at the back of the playground had a broken piece of Plexi-glass that had sharp edges accessible to the children.”

    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: Jun 9, 2026. Correction verified: by a letter from the provider.

Nov 13, 2025: unannounced1 violation
  • A safe indoor and outdoor environment was not provided for the children.

    The inspectors’ words, 94 words

    “There was a broken plastic piece on the climber back right side at the fence, the gate opening at the latch is 4.5 in. vs. 3.5 in., the fence at the back left is bent and has rust and is cracked with sharp edges, the metal at the steps to the large equipment is cracked and is rusty, in the infant room there is a wooden abacus with a red broken piece that is sharp to the touch, there is an adult chair in the infant room that is cracked and in poor repair.”

    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: Dec 12, 2025. Correction verified: by a letter from the provider.

Dec 4, 2024: unannounced6 violations
  • A safe indoor and outdoor environment was not provided for the children.

    “There are leaves on the back of the playground measuring six inches deep in the outdoor area. On the play area for children under 2 years of age by the piece of stationary equipment there are small rocks that present a choking hazard. The sand surfacing was less than the required 12 inches. It measured between five to six inches in high traffic areas.”

    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: Dec 18, 2024. Correction verified: by a letter from the provider.

  • All equipment and furnishings were not in good repair.

    “There were three cracked plastic flower decorations on the fence. There was rust on the play excavator and the tic tac toe equipment.”

    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: Dec 18, 2024. Correction verified: by a letter from the provider.

  • Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

    “Four children’s emergency and medical information was not updated annually.”

    Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2024. Correction verified: by a letter from the provider.

  • For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

    “In Space 1 blocks were not made available to the infants.”

    Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2024. Correction verified: by a letter from the provider.

  • Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

    “In Space 2 there were Matchbox cars available to children two years of age.”

    Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2024. Correction verified: by a letter from the provider.

  • The written feeding plan was not modified as the child’s needs changed.

    “In Space 1 three children did not have updated feeding schedules to reflect that table food is offered.”

    Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2024. Correction verified: by a letter from the provider.

Jul 17, 2024: unannounced5 violations
  • All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.

    “Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CH, employed 11/27/23 does not have documention of current CPR training on file.”

    Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 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. CH, employed 11/27/23 does not have documention of current First Aid training on file.”

    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: Jul 31, 2024. Correction verified: by a letter from the provider.

  • Staff did not complete the health and safety training within one year of employment.

    “A.B. employed 4/3/23 has not completed the health and safety administration of medication training.”

    Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2024. Correction verified: by a letter from the provider.

  • Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

    “AB received 8 of the 10 required hours of on-going training.”

    Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2024. Correction verified: by a letter from the provider.

  • The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

    “A.B. took the maltreatment training on 6/13/19 and did not renew it by 6/13/19. C.H. was employed 11/27/23 and had not takken the recognizing maltreatment training.”

    Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2024. Correction verified: by a letter from the provider.

Dec 13, 2023: unannounced3 violations
  • Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.

    “The teacher for infants reported it has been about two weeks since infants had the opportunity to be outdoors during time spent in child care.”

    Rule Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 27, 2023. Correction verified: by a letter from the provider.

  • For children under three years of age, materials were not made available to children on a daily basis.

    “Dolls and blocks were not in the classroom for infants. They were later located and placed in the classroom.”

    Rule For children under three years of age, materials were not made available to children on a daily basis.. Corrected during the inspection.

  • The EPR Plan did not include the date of the last revision of the plan.

    “The EPR plan was last revised 11/8/17 and not annually as required.”

    Rule The EPR Plan did not include the date of the last revision of the plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 27, 2023. Correction verified: by a letter from the provider.

All 7 visits on record
Visits on record
DateVisitWhat the record says
May 26, 2026Unannounced visit2 violations cited
Feb 23, 2026Announced visitNo violations cited
Nov 13, 2025Unannounced visit1 violation cited
Dec 4, 2024Unannounced visit6 violations cited
Jul 17, 2024Unannounced visit5 violations cited
Jun 25, 2024Unannounced visitNo violations cited
Dec 13, 2023Unannounced visit3 violations cited

Is it licensed?

  • Child Care Center, holding a Three Star Center License since Jul 6, 2021.
  • Licensed for 88 children, ages 0 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 86000411.
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 Hands Child Care, 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: 3 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 34 child care providers in Surry County, the middle value for violations cited in the last three years was 6.5; this one had 17.
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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