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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: April 8, 2019

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 Emergencies
22VAC40-111 Nutrition
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Licensure and Registration Procedures

An unannounced renewal inspection was completed on 04/08/2019. Present during the inspection were 12 children, ages 5 months-3 years, in the direct care and supervision of two caregivers members. The inspector reviewed 5 children's records, one provider record, one assistant provider record and one household member record. The provider stated that medication is not administered. The children were observed in the following activities: naptime, afternoon snack and music time. Proper diapering and hand washing procedures were observed. The inspector reviewed the emergency plans and the emergency supplies during the inspection. The inspector discussed the licensing process with the provider. The inspector arrived for the inspection at 11:30 a.m. and departed at 2:15 p.m. If you have any questions, please contact Becky Forestier at 540-309-2835.

Standard #: 22VAC40-111-800-B
Description: Based on document review and discussion, the provider failed to review the emergency plan at least annually and update the plan as needed. The provider shall document in writing each review and update to the emergency plan. Evidence: The emergency plans were not dated to indicate the most recent review and update to the plan.

Plan of Correction: The emergency plans were reviewed and dated during the inspection and will be updated each year.

Standard #: 22VAC40-111-880
Description: Based on observations and discussion, the provider failed to ensure that when meals and snacks are provided the family day home shall follow the most recent, age appropriate nutritional requirements of a recognized authority such as Child and Adult Care Food Program of the United Stated Department of Agriculture. Evidence: There was only one USDA required component served with the afternoon snack; the afternoon snack served on 04/08/2019 was Goldfish Crackers and water. The USDA requirement for an afternoon snack is that at least 2 of the 4 components are served to children. The afternoon snack served only provided one component, the grain/bread component was the only components served during the afternoon snack.

Plan of Correction: Yogurt was served later in the afternoon. The two components will be served at the same time moving forward.

Standard #: 22VAC40-111-100-A
Description: Based on record review and discussion, the provider failed to obtain documentation of a physical examination by or under the direction of a physician prior to a child's attendance or within 30 days after the first day of attendance. Evidence: The record for Child #5 did not contain documentation of a physical examination; the documentation first date of attendance for Child #5 was 09/18/2018.

Plan of Correction: The provider will request the parent get the physical.

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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