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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Maria Clark
1519 Moorman Avenue, NW
Roanoke, VA 24017
(540) 343-7810

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Jan. 30, 2017

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The Provider is currently a subsidy vendor. She reported that she has completed part of the VA Preservice training hours. A discussion was held with the Provider regarding the subsidy monitoring process. The LI informed the Provider that the additional health and safety rules are listed on the new vendor agreement. A suggestion was made to print the vendor agreement to review and use as reference to ensure compliance of the health and safety rules which will be reviewed at the Subsidy Inspection.

The LI conducted an unannounced Monitoring inspection in the Family Day Home (FDH) on January 30, 2017. Upon arrival at 2:30 PM, the LI observed 3 children in the care of the Provider. Based on the ages of the children, the points totaled 6. After school was dismissed, one additional child arrived to the FDH by school bus and two additional children were transported to the FDH by their parent. The total census for today was six, points totaled 8. The children's ages ranged from 2 years to 10 years old. The Provider reported that medications are not administered. A sample of 2 children's records was reviewed, the children were enrolled after the last inspection date, August 26, 2016. The children were observed in the play room and in the front room of the home. The children were served a snack. The Provider assisted a child with her homework assignment. Several of the school-age children played a card game while the younger children played in the play room with toys. Findings of the inspection were reviewed with the Provider. If you have any questions, please call (540)309-2310. The inspection concluded at 4:50 PM. Thank you.

Standard #: 22VAC40-111-100-B
Description: Based on reviewed documentation, the Provider failed to ensure the physical examination accepted prior to attendance was conducted within the required time frame: 12 months prior to attendance for children two years of age through 5 years of age. Evidence: The PE for child #1 was dated 05/2015, the child's first date of attendance was 10/31/16. The PE was completed prior to the 12 months of attendance.

Plan of Correction: The Provider will request documentation of an up-dated PE from the child's parent.

Standard #: 22VAC40-111-60-B
Description: Based on a sample review of children's records, the Provider failed to ensure the following information was maintained in a child's record. Evidence: The LI reviewed 2 children's records. The record for child #1 did not list the names and addresses of previously attended child day care; the record of child #2 did not identify the name, address, and telephone number of each custodial parent's place of employment; the addresses of the two designated persons to contact in an emergency if the parent can not be reached;

Plan of Correction: The Provider will have each parent complete information in their child's record.

Standard #: 22VAC40-111-70-A
Description: Based on reviewed documentation, the Provider failed to provide in writing the following information to the parent before the child's first day of attendance. Evidence: The following information was not complete in the record of child #2: schedule of fees and payment plans; and policies for termination of care

Plan of Correction: The Provider will complete all information on the form and will provide a copy to the parent. Complete documentation will be in the child's record.

Standard #: 22VAC40-111-90-C
Description: Based on a sample review of children's records, the Provider failed to obtain documentation of additional immunizations for a child who is not exempt from the immunization requirements: once every six months for children under the age of two years. Evidence: One of two reviewed records did not contain documentation of up-to-date immunizations. The child is currently two years nine months. As documented on the immunization report in the child's record, the last immunizations were given in May, 2015 at 13 months old.

Plan of Correction: The Provider will give notice to the parent and will obtain an updated record.

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.


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