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Daycare center License Requirements in Winston-Salem, NC

Last reviewed: September 2026

Quick Answer

Winston-Salem daycare centers with 7 or more children require a Childcare Facility License issued by the North Carolina Division of Health Service Regulation (DHSR), part of the North Carolina Department of Health and Human Services (NCDHHS). You must obtain local zoning approval from Winston-Salem Planning & Development Department and clearance from Forsyth County Health Department before licensing. The application process typically takes 8-12 weeks and requires facility inspections, staff background checks, and proof of compliance with state childcare standards.

Key Facts

  • Winston-Salem daycare centers require NCDHHS licensure under North Carolina Childcare Law.
  • Capacity of 7+ children requires a licence; 6 or fewer is unlicensed family care.
  • Facility inspections cover health, safety, staffing ratios, and training credentials.
  • Local zoning approval and health department clearance are mandatory before opening.
  • Licence renewal occurs annually with continuing education requirements for staff.

State Licence Requirements

Licence name

Childcare Facility License

Issued by

North Carolina Division of Health Service Regulation (DHSR), North Carolina Department of Health and Human Services (NCDHHS)

Cost

$600-$1,200

Processing time

8-12 weeks from complete application submission

How to apply

Begin by contacting the DHSR Childcare Licensing Section at (919) 855-3600 to request the application packet. Complete the official NCDHHS Childcare Facility License Application (Form CL-1) and submit it with proof of facility ownership or lease, detailed floor plans showing square footage per child (minimum 35 square feet of usable floor space indoors, 75 square feet outdoors), and a staffing plan showing compliance with child-to-staff ratios (1:4 for infants, 1:6 for toddlers, 1:8 for preschool, 1:10 for school-age).

Obtain a written commitment of support from Forsyth County Health Department and submit proof of local zoning approval from Winston-Salem Planning & Development Department (Section 165-27 of Forsyth County Zoning Ordinance). Schedule and pass a comprehensive facility inspection by DHSR, which verifies health and safety standards under North Carolina Administrative Code 10A NCAC 09.0101, including lighting, ventilation, sanitation, emergency procedures, and safe storage of hazardous materials.

Submit criminal background clearances for all staff members through the North Carolina State Bureau of Investigation (SBI) and FBI fingerprinting database. Provide proof that all childcare staff have completed CPR/First Aid certification and that directors hold required childcare administration credentials. Applications are processed by DHSR at https://www.ncdhhs.gov/about-us/office-child-care-licensing-and-enforcement. Processing typically takes 8-12 weeks from complete application submission to final licence approval. Licence fees are assessed based on facility capacity: initial licences range $600-$1,200, with the final fee determined after inspection confirms maximum capacity (North Carolina General Statute § 110-86).

Federal Requirements

Daycare centers in Winston-Salem must comply with several federal regulations. The Americans with Disabilities Act (42 U.S.C. § 12181) requires accessibility for children with disabilities and staff accommodations. Federal tax identification number (EIN) under 26 U.S.C. § 501(c)(3) is required if operating as a non-profit, or 26 U.S.C. § 1-6012 for standard business tax purposes. The Family and Medical Leave Act (29 U.S.C. § 2601) applies if you employ 50+ employees within 75 miles.

The Fair Labor Standards Act (29 U.S.C. § 201) governs wages, overtime, and child labour rules. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d) prohibits discrimination based on race, colour, or national origin in federally funded programs. Background checks through the FBI and state criminal databases are mandatory under federal childcare regulations, not just state law. OSHA requirements (29 U.S.C. § 651) apply for workplace safety, including hazard communication and bloodborne pathogens standards.

The Child Care and Development Block Grant (CCDBG) under 42 U.S.C. § 9858 establishes federal quality standards if you accept subsidy payments. State background clearance requirements must include federal fingerprinting through the FBI and North Carolina State Bureau of Investigation. IRS Form W-2 reporting and payroll tax withholding (26 U.S.C. § 3401) are mandatory for employees. Facility liability insurance, while not federally mandated, is typically required by state regulations and lenders.

Local & County Requirements

Winston-Salem and Forsyth County impose several local requirements before daycare licensing. Zoning approval is mandatory—childcare facilities are permitted uses in residential zones but may require conditional use permits in some districts. Contact Winston-Salem Planning & Development Department (336-748-2064) to verify your location's zoning compliance under Forsyth County Zoning Ordinance § 165-27, which specifies setback requirements, parking, and on-site play area standards.

Forsyth County Health Department (336-703-3900) must issue a health department approval letter before DHSR licensure, verifying water safety, waste disposal, food service sanitation, and communicable disease protocols. Building and fire code compliance is required—Winston-Salem Fire Department (336-773-7000) conducts facility inspections to confirm emergency exits, fire extinguishers, smoke detectors, and evacuation procedures meet current code. You may need a building permit if renovating the space; contact Winston-Salem Permitting & Inspections at (336) 748-3000.

Some Winston-Salem neighbourhoods require neighbourhood notification or public hearings for childcare facilities; verify with Planning & Development. Environmental health permits for food service are mandatory if you provide meals; Forsyth County Health Department handles food facility permitting. Signage permits may be required if posting exterior signage identifying the facility. Business licensing through the City of Winston-Salem (336-727-8000) is also required before opening. These local approvals typically take 4-6 weeks and must be completed before DHSR submits your facility for state inspection.

Total Cost Breakdown

Opening a daycare center in Winston-Salem involves multiple costs across state and local requirements. The North Carolina Childcare Facility Licence costs $600-$1,200 (based on capacity). Facility renovations and safety upgrades (emergency lighting, fire extinguishers, proper ventilation) typically cost $2,000-$8,000 depending on initial condition. Building and zoning permits from Winston-Salem cost $200-$500 combined. Health Department approval and environmental health permits cost $300-$600.

Staff background checks through FBI and SBI fingerprinting cost $50-$150 per employee. CPR/First Aid certifications for staff run $75-$150 per person, required for all childcare staff. Directors must obtain Childcare Administration credentials (typically a college certificate or degree); if outsourcing training, costs range $1,500-$4,000. Business licensing and registration with North Carolina Secretary of State cost $75-$200.

Liability insurance is essential, averaging $800-$1,500 annually for a small centre (under 30 children). Workers' compensation insurance, required if employing staff, costs $1,200-$3,500 annually depending on payroll. Initial supply costs (toys, educational materials, safety equipment, furniture) range $3,000-$10,000. First-year total costs typically range $9,000-$30,000 before staffing expenses. Annual renewal costs (licence $600-$1,200, insurance $2,000-$5,000, continuing education $200-$500, supplies $1,000-$3,000) average $3,800-$9,700 per year.

Licence Renewal

Childcare Facility Licences in North Carolina renew annually, with the renewal deadline 30 days before licence expiration. DHSR sends renewal notices 60 days prior to expiration. Renewal fees are identical to initial licensing costs ($600-$1,200 depending on capacity). You must submit the renewal application through DHSR's online portal or by mail, including updated staff roster, proof of current CPR/First Aid certifications for all staff, and director's childcare administration credentials.

Continuing education requirements are strict: childcare directors must complete 12 clock hours of approved professional development annually, and childcare staff must complete 8 clock hours per year (North Carolina Administrative Code 10A NCAC 09.0202). Documentation of these hours must accompany renewal applications. An annual unannounced facility inspection is conducted by DHSR to verify ongoing compliance with health, safety, and staffing standards. Online renewal options are available through the DHSR website at https://www.ncdhhs.gov. If you miss the renewal deadline, your licence lapses immediately and operating becomes illegal, triggering cease-and-desist orders and potential criminal charges under North Carolina General Statute § 110-109. Late renewal requests incur additional administrative fees and require expedited re-inspection.

Penalties for Operating Without a Licence

Operating a childcare facility without a required licence in North Carolina carries severe criminal and civil penalties under North Carolina General Statute § 110-109. Operating an unlicensed facility caring for 7 or more unrelated children is a Class 2 misdemeanour, punishable by 1-60 days in jail and/or fines up to $1,000 for the first offence. Subsequent violations within 5 years are Class 1 misdemeanours, carrying up to 150 days in jail and/or fines up to $5,000.

Civil penalties under North Carolina General Statute § 110-86(c) include cease-and-desist orders issued by DHSR, forcing immediate facility closure. Violators may face civil penalties of up to $1,000 per day of continued operation. DHSR can seek court injunctions to prevent unlicensed operation and confiscate facility records.

Unlicensed daycare operators lose access to childcare subsidy programs (Childcare Subsidy Program under North Carolina General Statute § 110-139), reducing potential clients and revenue. Insurance implications are severe: general liability policies typically exclude coverage for unlicensed childcare operations. If an injury or incident occurs, operators are personally liable without insurance protection. Background check disqualifications (felonies, certain misdemeanours, or registry violations under North Carolina General Statute § 110-109(b)) result in permanent licence denial. Unlicensed operation also triggers mandatory reports to local law enforcement and child protective services, damaging professional reputation and preventing future childcare operations.

Compare childcare business insurance quotes and get quotes from providers offering coverage for licensed daycare centers in North Carolina.

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Frequently Asked Questions

What is the difference between a licensed daycare center and a family childcare home in Winston-Salem?

In North Carolina, a Childcare Facility Licence is required only if you care for 7 or more unrelated children (North Carolina General Statute § 110-86(a)). Family childcare homes caring for 6 or fewer children do not require state licensure, though they must meet certain health and safety standards. Licensed daycare centers must comply with full state regulations including child-to-staff ratios, facility inspections, staff credentials, and continuing education. Family childcare homes avoid these requirements but may lose access to childcare subsidy programs and struggle with parent confidence. If your business model projects serving more than 6 children, you must obtain a full Childcare Facility Licence from NCDHRS. Many Winston-Salem providers start as unlicensed homes and scale to licensed centres as demand grows, which requires applying for formal licensure before exceeding 6-child capacity.

How long does the entire licensing process take from start to finish in Winston-Salem?

The complete licensing timeline typically spans 12-16 weeks from initial application to licence issuance. Zoning approval from Winston-Salem Planning & Development takes 2-4 weeks. Health Department clearance from Forsyth County takes 1-2 weeks. Building permits and fire code inspections take 2-3 weeks. The DHSR application review and facility inspection takes 6-8 weeks. Some delays occur if deficiencies are found during inspection—you'll have 30 days to correct issues and schedule a follow-up inspection, adding 4-6 weeks. Expediting is not available; DHRS processes applications in queue order. To minimize delays, begin zoning and health department approvals simultaneously with DHRS application preparation. Complete staff background checks and certifications before submitting the formal application, as delays here frequently push back final approval.

Do I need to obtain local zoning approval before applying for my state daycare license in Winston-Salem?

Yes, absolutely. North Carolina Administrative Code 10A NCAC 09.0101 requires proof of local zoning compliance as part of the DHSR application. Winston-Salem Planning & Development (336-748-2064) must issue written confirmation that your location is properly zoned for childcare use under Forsyth County Zoning Ordinance § 165-27. Childcare facilities are permitted uses in most residential zones but may require conditional use permits in some areas. You cannot schedule your DHSR facility inspection until zoning approval is documented. Some Winston-Salem locations may trigger neighbourhood notification requirements or public hearings, which add 2-4 weeks. Contact Planning & Development immediately to verify your specific location's zoning status and any special requirements. Submit zoning approval documentation with your DHSR application; applications without zoning clearance are rejected outright.

What happens if I operate a daycare without a licence in Winston-Salem?

Operating an unlicensed childcare facility in North Carolina is a serious crime. Caring for 7 or more unrelated children without a Childcare Facility Licence is a Class 2 misdemeanour under North Carolina General Statute § 110-109, punishable by 1-60 days in jail and/or up to $1,000 in fines for first offence. Subsequent violations are upgraded to Class 1 misdemeanours with up to 150 days jail and $5,000 fines. DHSR can issue cease-and-desist orders forcing immediate facility closure, and courts can impose civil penalties of up to $1,000 per day of continued operation. Your liability insurance will not cover unlicensed operations, leaving you personally liable for any injuries. You'll be ineligible for childcare subsidy programs, eliminating major client sources. Criminal conviction permanently disqualifies you from future childcare licensure. Law enforcement and child protective services are notified of unlicensed facilities, damaging your reputation irreparably. The financial and legal consequences far exceed licensing costs—always obtain proper licensing before enrolling children.

Can I operate my Winston-Salem daycare with a licence from another state, or do I need a North Carolina licence?

No, licences from other states are not recognized in North Carolina. You must obtain a North Carolina Childcare Facility Licence issued by DHSR, regardless of prior licensing in other states (North Carolina General Statute § 110-86). Each state maintains its own regulatory standards, and North Carolina requires inspections and compliance with its specific standards under North Carolina Administrative Code 10A NCAC 09.0101. If you operated a licensed facility in another state, your prior experience may help with compliance, but you must apply for full licensure in North Carolina. DHSR does not offer reciprocity or expedited licensing based on out-of-state credentials. Your director's credentials from another state may not fully satisfy North Carolina childcare administration requirements—DHSR evaluates equivalency case-by-case. To transfer an existing childcare business to Winston-Salem, plan 12-16 weeks for full licensing in North Carolina even if previously licensed elsewhere. Verify your existing certifications meet NCDHRS standards during initial consultation with DHSR at (919) 855-3600.

What staff credentials and training are required to operate a daycare in Winston-Salem?

All childcare staff must pass criminal background checks through the FBI and North Carolina State Bureau of Investigation (SBI), with disqualifications for felonies or certain misdemeanours under North Carolina General Statute § 110-109(b). Directors must hold or be pursuing childcare administration credentials—typically a North Carolina Community College certificate or bachelor's degree in childcare/early childhood education. All staff must obtain CPR and First Aid certification within 90 days of hire (North Carolina Administrative Code 10A NCAC 09.0202). Annual continuing education is mandatory: directors require 12 clock hours annually, and childcare staff require 8 clock hours per year. Approved training includes child development, health/safety, inclusive practices, and professional ethics. All staff must complete child abuse prevention training before working with children. You'll need to verify credentials through DHSR's approved provider list. Documentation of all certifications and training hours must be maintained and submitted with annual licence renewals. Failure to maintain required staff credentials is grounds for licence revocation.

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Sources & References

  • North Carolina General Statute § 110-86(a)Defines childcare facility licensing requirements
  • North Carolina Administrative Code 10A NCAC 09.0101Sets minimum standards for licensed childcare facilities
  • North Carolina General Statute § 110-109Criminal penalties for operating without required licence
  • Forsyth County Zoning Ordinance § 165-27Local zoning requirements for childcare facilities

Licence requirements change. Verify current requirements with the issuing agency before applying.

Editorial standards: This guide is reviewed against primary government sources and cites 4 statutes. Last reviewed September 2026. Scheduled for re-verification by September 2027.

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