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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. Rachel Carter
766 Clearview Drive
Martinsville, VA 24112
(276) 790-3929

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: March 27, 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
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

The Licensing Inspector for the Family Day Home of Rachel Carter conducted an unannounced renewal inspection on March 27, 2017. There were eleven (1) children under the direct care of two (2) caregivers. Children present totaled thirty-one (31) points under direct supervision of 2 caregivers. Licensing Inspector arrived at 11:10 AM. Provider does not administer medication and does not transport children. Provider continues to participate in the USDA Child Care Food Program. Children and staff records were reviewed during the inspection including records for recently enrolled children. Records that were found out of compliance during the previous inspection were reviewed & have been corrected. The exit interview including the review of risk assessment and areas of non-compliance were reviewed with the Provider on March 27, 2017. LI Anderson concluded inspection at 2:15 PM

Standard #: 22VAC40-111-140-D
Description: Based on record review & discussion with the Provider, the Licensee failed to keep a record of the time of arrivals and departures on each day a substitute provider works. EVIDENCE: Staff #5 identified as a substitute provider, was observed providing care during today's inspection. Documentation of arrival and departure times was not completed.

Plan of Correction: Provider will correct

Standard #: 22VAC40-111-210-A
Description: Based on record review, the Licensee failed to ensure caregivers receive at least 16 hours of annual training in areas relevant to their job responsibilities. EVIDENCE: Staff #1 has not completed 16 hours of annual training. A total of 11 hours were completed.

Plan of Correction: Provider will complete training requirements.

Standard #: 22VAC40-111-230-A
Description: Based on record review & discussion with the Provider, the Licensee failed to maintain written documentation of each caregiver's applicable education and programmatic experience, applicable first aid & CPR certification, orientation, annual training and applicable medication administration training. EVIDENCE: Record for substitute Staff #5 did not include documentation of education, programmatic experience, first aid CPR certifications, orientation & annual training.

Plan of Correction: Will complete record

Standard #: 22VAC40-111-350-E
Description: Based on inspection, the Licensee failed to maintain hot water at taps available to children within a range of 105 to 120 degrees F. EVIDENCE: Hot water at the sink children use to wash their hands registered 123 degrees F

Plan of Correction: Provider will reduce temperature of hot water

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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