North Carolina Daycare Inspection Checklist

By Jayesh Parayali, Founder, CareCam · 15+ years building daycare camera systems · checked against state sources 2026-10-19

What the North Carolina Department of Health and Human Services, Division of Child Development and Early Education looks at when it inspects a licensed child care center, written as a walk-through you can do the day before. The Division of Child Development and Early Education makes at least one unannounced visit to each licensed program every year. It also makes unannounced visits to investigate complaints.

North Carolina at a glance

Inspections
The Division of Child Development and Early Education makes at least one unannounced visit to each licensed program every year. It also makes unannounced visits to investigate complaints. Source
Public inspection reports
State lookup

Ratios the inspector counts against

Age groupStaff : childrenMax group
0 to 12 months (birth to 12 months)1:515
12 to 24 months (12 to 24 months)1:618
2 to 3 years (2 to 3 years)1:1020
3 to 4 years (3 to 4 years)1:1525
4 to 5 years (4 to 5 years)1:2025
5 years and older (5 years and older)1:2525

Need the staffing number for the children in the building right now? Use the calculator on the North Carolina daycare ratios page.

The walk-through

North Carolina · North Carolina Department of Health and Human Services, Division of Child Development and Early Education 0 of 48 checked

Posted where parents and the licensor can see them

The first thing a licensor does is look at the walls by the entrance. Everything here should be visible without asking.

Children's files

The licensor pulls a sample of files. One missing immunization record is the most common citation in most states.

Staff files

Every adult who counts toward the ratio needs a complete file. Volunteers and substitutes too.

Health and sanitation

Walk every room the way the licensor does: sinks, changing tables, kitchen, then the medicine cabinet.

Building, fire and outdoor safety

Most building citations are small and fixable in an hour. Check them the week before and the morning of.

Supervision, ratios and the daily routine

Ratios are checked at the moment the licensor walks into each room, which is why the arrival and the last hour matter most.

The question that follows a complaint

An inspection checks the room at one moment. A complaint asks what the room looked like at a different one. CareCam runs on the cameras a center already has, keeps the recording on your own recorder, and gives parents a live, video-only view of their own child's room during the hours you set, so most of those questions never get asked.

North Carolina inspection FAQ

How often are daycare centers inspected in North Carolina?
The Division of Child Development and Early Education makes at least one unannounced visit to each licensed program every year. It also makes unannounced visits to investigate complaints. Licensing is handled by the North Carolina Department of Health and Human Services, Division of Child Development and Early Education.
Where can I find a North Carolina daycare's inspection reports?
The North Carolina Department of Health and Human Services, Division of Child Development and Early Education publishes inspection results online; the lookup is linked on this page. Centers should also keep the most recent report available to parents on site.
What ratios does a North Carolina inspector check?
1:5 for 0 to 12 months, 1:6 for 12 to 24 months, 1:10 for 2 to 3 years, 1:15 for 3 to 4 years, 1:20 for 4 to 5 years, 1:25 for 5 years and older, per 10A NCAC 09 .0713 and G.S. 110-91(7). The inspector counts the room at the moment they walk in, so drop-off, nap and pick-up staffing matter as much as the posted schedule.
Do I have to tell parents about cameras in North Carolina?
Licensed North Carolina centers that use cameras are expected to disclose them to enrolled families, usually in the enrollment agreement, and North Carolina is a one-party consent state for audio, which is why video-only parent viewing is the safe default. The full rule is on the North Carolina daycare camera laws page.

See how CareCam fits your center

Run a North Carolina center? See if your cameras can do double duty

Tell us your camera brand and we'll confirm whether the cameras you already have can give parents a secure, live, video-only view of their own child's room. We reply within one business day.

Free for parents · No spam · We reply by email