Ms. Sarah Cox
A family day home in Austinville, Virginia 24312
2965 Pleasant View Road, Austinville, Virginia 24312. (276) 733-6518.
Watch and the shortlist are kept with a free account, on every device. Your watch list. Virginia’s own record is on legacy.dss.virginia.gov.
The short answer
- 14 deficiencies in the last three years
- Sep 32026 the latest visit on record
- 12 children, its licensed capacity
Each figure’s source sits beside it, in its section below.
What these words mean4
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Licence status
- Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
10 inspections on record, the latest on Sep 3, 2026.
14 violations cited in the last three years.
Virginia Department of Education, Search for Child Day Care: each inspection’s page, with its violations. Checked Nov 5, 2026. Updated weekly.
When those deficiencies happened
14 deficiencies in 4 months of the last 36. Last cited Apr 2026. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, in its source’s words
Grouped by visit, newest first, with the level its source gave it.
Virginia Department of Education, Search for Child Day Care: each inspection’s page, with its violations. Checked Nov 5, 2026. Updated weekly.
Apr 8, 2026: inspection2 deficiencies
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Repeat violation
“The findings from the most recent inspection, dated 9/3/2025, were not posted in a conspicuous place on the premises.”
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8VAC20-800-510-A
“Rest mats were not individually assigned to children in care.”
Sep 3, 2025: inspection6 deficiencies
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The license and any other documents required shall be posted in a conspicuous place on the licensed premises.
“The findings from the most recent inspection, dated 3/11/2025, were not posted in a conspicuous place on the premises.”
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The provider is required to obtain a completed sworn statement prior to the employee’s first day of employment.
“There was not a sworn statement in Assistant #2’s record.”
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Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.
“There was not a completed national criminal background check in Assistant #2’s record.”
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Providers must obtain a current tuberculosis screening from a caregiver at the time of hire and prior to coming into contact with children.
“There was no tuberculosis screening for Assistant #2, who has been caring for children for over two months.”
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Cribs shall not be used as a play space for infants.
“Upon arrival to the provider’s home an infant was observed in a crib playing with various toys.”
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Children’s record are required to contain proof of the child’s age and identity.
“Child #2’s record did not contain proof of the child’s age and identity.”
Sep 4, 2024: inspection1 deficiency
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Based on record review and interview, the family day home failed to ensure that all applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check in accordance with subsection B prior to employment or beginning to serve as a volunteer and every five years thereafter.
“Evidence: Staff #1 has a central registry background check that expired 3/19/2020. Staff #2 has a central registry background check that expired 3/23/2020 and Staff #3 has a central registry background check that expired 8/15/2020.”
Mar 12, 2024: inspection5 deficiencies
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22.1-289.058
“Based on observation, the provider did not ensure that a carbon monoxide detector was equipped in at least one room. Evidence: There was no carbon monoxide detector found in the home and the provider was unable to locate one.”
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8VAC20-800-280
“Based on observation, the provider failed to ensure that poisonous materials be inaccessible to children. Evidence: A bottle of pesticide, Ex-Lax and Bleach were found in unlocked cabinets in the kitchen which is adjacent to the room where children eat.”
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8VAC20-800-350-E
“(REPEAT VIOLATION) Based on observation, the provider failed to ensure that the hot water at taps available to children shall be maintained within a range of 105 degrees Fahrenheit to 120 degrees Fahrenheit. Evidence: The hot water measured 124.2 degrees Fahrenheit.”
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8VAC20-800-530-I
“Based on observation, the provider failed to use a mattress covered in a waterproof material that can be cleaned or sanitized. Evidence: A mattress was found in a crib used for infant nap time had two cracks in it revealing a non-absorbent material.”
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8VAC20-800-900-A
“Based on observation, the provider failed to serve grapes cut in small pieces to prevent choking. Evidence: The provider served whole grapes to children under four years of age.”
Aug 31, 2023: inspection9 deficiencies
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8VAC20-800-100-A
“(REPEAT VIOLATION) Based on record reviews 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: Child #5 does not have a physical examination on file. Began care 10/22.”
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8VAC20-800-350-E
“Based on observation the provider failed to ensure that the Hot water at taps available to children shall be maintained within a range of 105?F to 120?F. Evidence: The hot water measured 136 degrees F, exceeding 120 F.”
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8VAC20-800-460-C
“(REPEAT VIOLATION)Based on record reviews the provider failed to ensure that dogs or cats, where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed. Evidence: the rabies vaccination for pet 31 expired 7/2022.”
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8VAC20-800-500-D
“Based on observation the provider failed to ensure that outdoor play equipment shall meet the following requirements: ropes, loops, or any hanging apparatus that might entrap, close, or tighten upon a child shall not be used. The newer wooden climber has a climbing wall that has a rope attached that the children use to climb the wall.”
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8VAC20-800-500-F
“Based on observation and interviews the provider failed to ensure that trampolines shall not be used during the hours children are in care. Evidence: Located outside next to the house was a small trampoline that is used by the children in care.”
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8VAC20-800-570-A
“Based on observation the provider failed to ensure that a caregiver does not exceed 16 points by using the point system to determine if an additional caregiver is needed. Evidence: Upon arrival to the family day home staff #1 was alone with nine children totaling 18 points. Staff #1 stated that staff #2 had gone out and she had texted staff #2 to come back. Staff #2 returned to the family day home in approximately 10 minutes.”
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8VAC20-800-730-D
“Based on observation the provider did not ensure that medication, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children. Located on the wooden rail as you enter the child care room was a bottle of soothing tablets, not locked.”
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8VAC20-800-780-B
“Based on record reviews the provider failed to ensure that annually a review with the parent the emergency contact information to ensure the information is correct, and obtain the parent’s signed acknowledgment of the review. Evidence: Child records 1-5 have been in care more than a year and there is no documentation that an annually review has been conducted with the parents.”
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8VAC20-800-90-A
“Based on record review the provider failed to ensure that before a child may attend the family day home, the provider shall obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations. Evidence: Child #5 does not have an immunization record on file. Child began care 10/22.”
Mar 7, 2023: inspection5 deficiencies
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8VAC20-800-100-A
“Based on record reviews 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. Child #1 began care 8/24/22. There is no documentation of a physical on file.”
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8VAC20-800-140-B-3
“Based on record review the provider failed to ensure that a caregiver was present with current cardiopulmonary resuscitation (CPR). Evidence: Staff #1 & 2 have CPR and first aid certification that expired 9/2022.”
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8VAC20-800-140-B-4
“Based on record review the provider failed to ensure that a caregiver was present with current certification in first aid Evidence: Staff #1 & 2 have CPR and first aid certification that expired 9/2022.”
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8VAC20-800-460-C
“Based on record reviews the provider failed to ensure that Dogs or cats, where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed. Evidence: The rabies vaccination for pet #2 expired 7/22.”
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8VAC20-820-120-E-2
“Based on observation and interviews the provider failed to ensure that certain documents related to the terms of the license are required to be posted on the premises of each facility. These are: the finding of the most recent inspection of the facility. Evidence: The findings from the most recent inspection dated 8/23/22 were not posted at the family day home.”
Aug 23, 2022: inspection6 deficiencies
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22.1-289.035-B-2
“Based on record reviews, the provider failed to have a staff obtain a fingerprint based criminal history check prior to employment. Evidence: Staff #4 (hire date 6/27/2022) does not have a fingerprint base criminal history check.”
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8VAC20-770-60-B
“Based on record reviews, the provider failed to obtain a completed sworn statement or affirmation from the assistant before beginning work. Staff #4 (hire date ) does not have a sworn statement on file.”
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8VAC20-770-60-C-2
“Based on record review, the provider failed to obtain a search of the central registry for a staff member within 30 days of employment. Evidence: Staff record #4 (hire date 6/27/2022) did not have a central registry check within 30 days of employment.”
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8VAC20-800-120-B
“Based on record reviews the provider failed to ensure that the assistants record contained all the required information. Evidence: 1. Staff #4 did not have an emergency contact listed. 2. Staff #4 did not have two references on file.”
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8VAC20-800-200-A
“Based on record review the provider failed to provide orientation to the assistant by the end of their first week of assuming job responsibilities. Evidence: Staff #4 (hire date ) was not provided orientation by the end of their first week.”
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8VAC20-800-210-A
“Based on record reviews the provider failed to ensure that all staff obtain a minimum of 16 clock hours of annual training in areas relevant to their job responsibilities. Evidence: 1. Staff # 1-3 records did not contain annual training hours.”
All 10 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Sep 3, 2026 | Inspection | No violations cited |
| Apr 8, 2026 | Inspection | 2 violations cited |
| Sep 3, 2025 | Inspection | 6 violations cited |
| Mar 11, 2025 | Inspection | No violations cited |
| Sep 4, 2024 | Inspection | 1 violation cited |
| Mar 12, 2024 | Inspection | 5 violations cited |
| Aug 31, 2023 | Inspection | 9 violations cited |
| Mar 7, 2023 | Inspection | 5 violations cited |
| Aug 23, 2022 | Inspection | 6 violations cited |
| Feb 7, 2022 | Inspection | No violations cited |
Is it licensed?
- Family Day Home: Two Year license, expires Sep 17, 2028.
- Ages: 1 month - 12 years 11 months.
Virginia Department of Education, Search for Child Day Care: each facility’s page. Checked Nov 5, 2026. Updated weekly.
Has Virginia acted against it?
- 0 complaint inspections on record.
- No complaint allegations published with findings.
Virginia Department of Education, Search for Child Day Care: each inspection’s page, with its violations and Search for Child Day Care: each complaint’s page, with its allegations and findings. Checked Nov 5, 2026. Updated weekly.
Who does the caring?
- Virginia doesn’t publish staffing levels for individual providers. State rules set staff-to-child ratios by age.
Who owns it?
- Virginia’s search doesn’t list owners.
How is it rated?
- Virginia’s search doesn’t show a quality rating.
How does it compare nearby?
- Among 14 child care providers in Carroll County, the middle value for violations cited in the last three years was 3; this one had 14.
Virginia Department of Education, Search for Child Day Care: each inspection’s page, with its violations. Checked Nov 5, 2026. Updated weekly.
| Place | Violations cited in the last three years |
|---|---|
| Ms. Sarah Cox This child care provider | 14 |
| First United Methodist Church | 2 |
| Noah’s Ark Daycare Center, Inc | 4 |
| Ms. Debra Hooven | 3 |
| Rooftop of Virginia CAP-Hillsville Head Start Center | 3 |
| Little Treasures Learning Center | 2 |
| Liddle Tykes Child Development Center | 0 |
| Liddle Adventures Learning Academy | 6 |
| Sky View Missionary Baptist Church | 0 |
| Wenter Brown | 15 |
| Carroll County Enrichment Program | 17 |
| ACE Adventure Club | 3 |
What the record doesn’t say
- Virginia doesn’t grade how serious a violation is, so no severity is shown.
- Virginia publishes a complaint’s allegations and findings only when its inspection found a violation and the records are linked.
- Virginia doesn’t publish staffing levels or owners for individual providers.
- A plan of correction sent late, or not at all, isn’t online: Virginia says to ask the inspector.
- Virginia’s pages show about the last five years of inspections; for older ones, Virginia says to contact the licensing inspector.
- Virginia says this information may not be accurate, up to date or complete, and shouldn’t be the only source in choosing care.
Sources
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Virginia Department of Education, Search for Child Day Care: each facility’s page.
Checked Nov 5, 2026. Updated weekly. No open licence; Virginia allows non-commercial use, so Care Ledger shows it free.
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Virginia Department of Education, Search for Child Day Care: each inspection’s page, with its violations.
Checked Nov 5, 2026. Updated weekly. No open licence; Virginia allows non-commercial use, so Care Ledger shows it free.
-
Virginia Department of Education, Search for Child Day Care: each complaint’s page, with its allegations and findings.
Checked Nov 5, 2026. Updated weekly. No open licence; Virginia allows non-commercial use, so Care Ledger shows it free.
If you believe something here is wrong, a correction starts with the agency whose record this copies: Virginia Department of Education. Virginia’s own record is on legacy.dss.virginia.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the provider
The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.