Hearth Record

Small Ones Home Child Care Center

A family child care home in Boone, North Carolina 28607

579 Brookshire Rd, Boone, North Carolina 28607. (828) 268-0043.

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 24 violations in 5 months of the last 36. Last cited Jun 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 Jun 23, 2026.

24 violations cited in the last three years, 24 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

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

24 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.

Jun 23, 2026: unannounced3 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. The roster for the ABCMS system doesn’t have anyone listed on it.”

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

  • A valid qualification letter was not on file and available for review at the facility.

    “The provider and the household member did not have a valid criminal background check on file because they have expired.”

    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: Jul 9, 2026. 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).

    “The provider and the household member’s criminal background checks have expired.”

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

Dec 18, 2025: unannounced2 violations
  • Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.

    “There was a aerosol can of spray cooking oil in a cabinet above the kitchen sink.”

    Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.. Corrected during the inspection.

  • The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current.

    “The Emergency Preparedness and Response Plan was dated 2/27/23.”

    Rule The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 2, 2026. Correction verified: by a letter from the provider.

Jan 16, 2025: unannounced2 violations
  • Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.

    “Lysol and Febreze aerosol air fresheners were left out on a shelf.”

    Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.. Corrected during the inspection.

  • Electrical outlets not in use were not covered.

    “An outlet in the kitchen right where children wash hands was uncovered.”

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

Jul 30, 2024: unannounced10 violations
  • Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.

    “Dawn dish detergent was stored at the kitchen sink below five (5) feet and not locked. A bag of Damp Rid was located in the room that children walk through to go to the bathroom and where a school age child was drawing at a desk. A plug-in air freshener was accessible to children. This is a repeat violation.”

    Rule Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

  • Electrical outlets not in use were not covered.

    “There were a total of three (3) outlets uncovered when I arrived. Two (2) in the kitchen area and one in the hall that was later used for the hanging fan.”

    Rule Electrical outlets not in use were not covered.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

  • Incident logs were not completed and maintained as required.

    “Incident reports/logs have not been maintained.”

    Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

  • Number of children exceeded number allowed.

    “There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today.”

    Rule Number of children exceeded number allowed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2024. Correction verified: at a follow-up visit by DCDEE.

  • Number of preschool children exceeded five children, including the provider’s own preschool children.

    “There were six (6) preschool aged children and three (3) school aged children for a total of nine (9) children present today.”

    Rule Number of preschool children exceeded five children, including the provider'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: Aug 13, 2024. Correction verified: at a follow-up visit by DCDEE.

  • Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year.

    “Monthly playground inspections have not been maintained and are two (2) months past due.”

    Rule Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

  • 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.

    “No children had been signed in on this day. The facility was closed yesterday. This is a repeat violation.”

    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: Aug 9, 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 materials was in the center room with the paper towels and packages of diapers. This was accessible to children under two (2) years of age. This is a repeat violation.”

    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: Aug 9, 2024. Correction verified: by a letter from the provider.

  • The operator did not conduct a monthly fire drill.

    “The last fire drill occurred on 5/20/24, instead of monthly. This is two (2) months past due.”

    Rule The operator did not conduct a monthly fire drill.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

  • The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete.

    “An emergency drill was due in June and is past due.”

    Rule The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 9, 2024. Correction verified: by a letter from the provider.

Jan 22, 2024: unannounced7 violations
  • Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children.

    “Electric heater was being used in the floor of the main play space.”

    Rule Appliances with heating elements, such as bottle warmers, crock pots, curling irons, and electrical cords were accessible to children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 2024. Correction verified: by a letter from the provider.

  • Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days.

    “Sleep log/chart was not maintained. There was no log the last two days the infant was in care.”

    Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 2024. Correction verified: by a letter from the provider.

  • Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care.

    “Magnetic lock in bathroom was broken so cabinet was easily opened with Clorox wipes, diaper cream and plastic materials inside. Dawn dish detergent was on the back of the kitchen sink.”

    Rule Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 2024. Correction verified: by a letter from the provider.

  • 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.

    “The health and safety trainings have not been renewed and it is past five years.”

    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: Feb 2, 2024. Correction verified: by a letter from the provider.

  • 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.

    “None of the children had been signed in.”

    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: Jan 30, 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 in the kitchen area as well as under the bathroom sink where the lock was broken.”

    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: Jan 30, 2024. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “Activity plan did not reflect that children have at least four different activities daily, at least one of which is outdoors Note: An activity plan was not posted. The curriculum was still in the box.”

    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: Jan 30, 2024. Correction verified: by a letter from the provider.

All 6 visits on record
Visits on record
DateVisitWhat the record says
Jun 23, 2026Unannounced visit3 violations cited
Dec 18, 2025Unannounced visit2 violations cited
Jan 16, 2025Unannounced visit2 violations cited
Aug 13, 2024Unannounced visitNo violations cited
Jul 30, 2024Unannounced visit10 violations cited
Jan 22, 2024Unannounced visit7 violations cited

Is it licensed?

  • Family Child Care Home, holding a Three Star Family CC Home License since May 31, 2019.
  • Licensed for 8 children, ages 0 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 95000044.
  • Restriction: Other - Serves no more than two infants under age one.
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: Greer, Lisa R..
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 26 child care providers in Watauga County, the middle value for violations cited in the last three years was 20.5; this one had 24.
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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