Hearth Record

Atru Stars Family Childcare

A family child care home in Knightdale, North Carolina 27545

304 Fayetteville St, Knightdale, North Carolina 27545. (984) 848-6428.

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 18 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?

11 DCDEE visits in the last three years, the latest on Oct 14, 2026.

18 violations cited in the last three years, 18 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

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

18 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 14, 2026: unannounced1 violation
  • Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available.

    “One dog’s pet type and proof of rabies vaccinations were not available during the visit. This information must be obtained by the vet and submitted to me by 10-28-26.”

    Rule Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 17, 2026. Correction verified: by a letter from the provider.

Apr 8, 2026: unannounced1 violation
  • Outdoor stationary play equipment was not anchored and/or equipment was installed over concrete or asphalt.

    “The metal swing set located in the fenced in back yard was not anchored down.”

    Rule Outdoor stationary play equipment was not anchored and/or equipment was installed over concrete or asphalt.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 9, 2026. Correction verified: by a letter from the provider.

Oct 29, 2025: unannounced6 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. Two Providers criminal background checks have not been linked to the ABCMS portal.”

    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: Nov 26, 2025. 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.

    “Two children’s (KF & KT) medicals were not on file within 30 days of enrollment.”

    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 14, 2025. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “Authorization to seek medical care in the parent’s absence was not available for three children (JR, KF and RE).”

    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: Nov 18, 2025. Correction verified: by a letter from the provider.

  • The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division.

    “No EPR has been completed. Send me a copy of the cover page showing the date of EPR plan was created.”

    Rule The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

  • Vehicle was not insured for liability as required by State laws governing transportation of passengers pursuant to G.S.

    “20-279.21. The registration expired on the Nissan Sentra and the Chevy Malibu September 2025. Mail me a copy of your current registration.”

    Rule Vehicle was not insured for liability as required by State laws governing transportation of passengers pursuant to G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 18, 2025. Correction verified: by a letter from the provider.

  • Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available.

    “No proof of rabies were on file for two poodles. Send me proof or vaccinations from a veterinarian.”

    Rule Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

Feb 27, 2025: 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 enrolled 1/16/2025 did not have a medical 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: Mar 5, 2025. Correction verified: by a letter from the provider.

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

    “One child enrolled 1/16/2025 did not have immunizations on file.”

    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: Mar 5, 2025. Correction verified: by a letter from the provider.

  • The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home.

    “Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Eleven children’s files did not have the written plan of care on file.”

    Rule The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 5, 2025. Correction verified: by a letter from the provider.

Jan 9, 2025: unannounced2 violations
  • Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame.

    “The training was not completed within 90 days after licensure for S. Covington and was more than a year old for J. Hines. The previous training was completed in 2022.”

    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: Jan 21, 2025. Correction verified: by a letter from the provider.

  • 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.

    “Jalisa’s CPR and first aid training expired November 12, 2024 and was not renewed before the expiration date.”

    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: Jan 21, 2025. Correction verified: by a letter from the provider.

Nov 15, 2024: unannounced5 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.

    “Two children enrolled more than 30 days did not have a medical 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 6, 2024. Correction verified: by a letter from the provider.

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

    “One child did not have immunizations on file within 30 days of enrollment.”

    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: Dec 6, 2024. Correction verified: by a letter from the provider.

  • Operator and/or staff member did not have permission from the parent to walk children off-premises for play or outings.

    “One child did not have permission to be off premises for walks or outings.”

    Rule Operator and/or staff member did not have permission from the parent to walk children off-premises for play or outings.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 6, 2024. Correction verified: by a letter from the provider.

  • Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.

    “All four children’s files reviewed did not have the receipt of the shaken baby abusive head trauma policy.”

    Rule Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 6, 2024. Correction verified: by a letter from the provider.

  • Summary of the NC Child Care Law was not given to each child’s parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file.

    “One child did not have the parent statement that the NC Summary of the Law was received.”

    Rule Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement 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: Dec 6, 2024. Correction verified: by a letter from the provider.

All 11 visits on record
Visits on record
DateVisitWhat the record says
Oct 14, 2026Unannounced visit1 violation cited
Apr 8, 2026Announced visitNo violations cited
Apr 8, 2026Unannounced visit1 violation cited
Oct 29, 2025Unannounced visit6 violations cited
Jul 21, 2025Announced visitNo violations cited
Jun 26, 2025Announced visitNo violations cited
Feb 27, 2025Unannounced visit3 violations cited
Jan 9, 2025Unannounced visit2 violations cited
Nov 15, 2024Unannounced visit5 violations cited
Oct 3, 2024Announced visitNo violations cited
Aug 26, 2024Announced visitNo violations cited

Is it licensed?

  • Family Child Care Home, holding a Three Star Family CC Home License since Aug 20, 2025.
  • Licensed for 10 children, ages 2 through 12.
  • Not enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 92004023.
  • Restriction: Other - 2nd shift ends @ 9 p.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.

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: Atru Stars Family 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 470 child care providers in Wake County, the middle value for violations cited in the last three years was 5; this one had 18.
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

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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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