E.M.R. Center
A child day center in Madison Heights, Virginia 24572
220 Amelon Expressway, Madison Heights, Virginia 24572. (434) 219-6840.
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
- 33 deficiencies in the last three years
- Oct 62026 the latest visit on record
- 68 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?
18 inspections on record, the latest on Oct 6, 2026.
33 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
33 deficiencies in 7 months of the last 36. Last cited Oct 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.
Oct 6, 2026: subsidy health and safety inspection2 deficiencies
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The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.
“The immunization record for Child #1 was received 3 months after the child started.”
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The center shall implement a monthly practice evacuation drill.
“There was no documentation of a monthly practice evacuation drill for September 2026.”
May 11, 2026: subsidy health and safety inspection4 deficiencies
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The center is required to have employees undergo a background check every five years.
“Staff #3 most recent criminal history check was overdue by 3 months and central registry check for was overdue by 4 months.”
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Each building that was built before 2015 and that houses a child day program that is licensed that serves preschool-age children shall be equipped with at least one carbon monoxide detector.
“The carbon monoxide detector was not installed.”
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A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.
“The number for 911 and the regional poison control number was not posted.”
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A menu listing foods to be served for meals and snacks during the current one-week period shall be dated; be posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center.
“The center did not have a menu posted or available.”
Dec 22, 2025: inspection5 deficiencies
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Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.
“Staff #2 employed for over 2 years, did not complete 16 hours of annual training during the past year.”
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The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children received care by consistent staff or team of staff members.
“Policy and procedures for consistent care have not been developed therefore unavailable.”
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The center shall develop written procedures for injury prevention.
“Injury prevention procedures have not bee developed therefore unavailable.”
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First aid kits must include all required components.
“First aid supplies did not include tweezers and adhesive tape.”
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Staff records shall include the name, address and telephone number of a person to be notified in an emergency and documentation of two or more references as to character and reputation as well as competency checked before employment.
“Staff #2 employed for more than 2 years did not have name address and phone number of a emergency contact and did not have documentation of at least 2 references.”
May 7, 2025: inspection3 deficiencies
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A tuberculosis (TB) screening is required every two years from the last screening.
“The updated TB screening for Staff 1 was due 20 months ago. The updated TB screening for Staff 3 was due 16 months ago.”
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Staff shall complete a minimum of 16 hours of training annually.
“Staff 3 obtained 11 of the 16 required hours in 2024.”
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Repeat violation
“When food is brought from home the food container must be clearly dated. None of the children’s lunchboxes were dated.”
Nov 1, 2024: inspection14 deficiencies
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8VAC20-770-60-C-2
“The center is required to have a central registry finding within 30 days of employment for staff people. Staff 2, who has worked at the center for approximately six months, has no central registry finding in the staff record.”
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8VAC20-780-130-A
“Centers are required to obtain documentation that each child has received immunizations required by the State Board of Health before the child can attend the center. Child 2 began attendance one day before the immunization record was given to the center.”
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8VAC20-780-260-A
“REPEAT VIOLATION The center is required to have an annual fire inspection. The fire inspection is overdue by 18 months.”
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8VAC20-780-270-A
“REPEAT VIOLATION Areas of the center shall be maintained in a clean, safe, and operable condition. There were two holes in the hallway wall leading from the classrooms to the gym, two of four blinds in the multi-purpose room were broken, and there was a loose electrical outlet in the hall leading to the gym.”
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8VAC20-780-290-A-3
“Electrical outlets are required to have protective covers in areas used by preschoolers. The nap room, where the preschoolers were in care, had uncovered outlets.”
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8VAC20-780-320-B
“Centers are required to have disposable towels or an air dryer in restrooms. The boy’s restroom did not have disposable towels or an air dryer.”
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8VAC20-780-340-C
“Centers are required to have on-site when children are present one staff member who meets the qualifications of program leader and an immediately available staff, volunteer, or other employee who has had instructions on instruction in how to contact appropriate authorities if there is an emergency. At the start of the inspection, the children were alone with Staff 1, whose record did not show any qualifications that this person was qualified as a program lead. A second staff person was not available at the center.”
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8VAC20-780-340-F
“Children under 10 years of age are required to be within actual sight and sound supervision of staff. Child 2 (age 3) and Child 3 (age 4) left the nap room, crossed the hall and entered an empty classroom. The children left the nap room and entered the preschool room and were alone without sight supervision for approximately two minutes.”
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8VAC20-780-550-G
“Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills. The center did not have documentation these drills have been completed within the past year.”
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8VAC20-780-560-F
“When snacks are provided, the menu must be dated. The snack menu was not dated.”
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8VAC20-780-560-G
“When food is brought from home, the container shall be clearly dated and labeled in a way that identifies the owner. Food brought from home is not labeled with names or dates.”
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8VAC20-780-560-J
“Tables shall be sanitized after each use for feeding. The lunch table was not sanitized after eating.”
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8VAC20-780-60-A
“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child 4 (enrolled for six months) had no information regarding allergies. The record for Child 1 (enrolled for three months) did not address physical problems.”
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8VAC20-780-80-A
“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were six children in one group during the inspection, and the attendance sheet showed 22 children were there. Staff 3 said the other 16 were now at school and were expected to return later in the day.”
May 2, 2024: inspection4 deficiencies
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Based on document review and interview, the center failed to have an annual fire inspection.
“EVIDENCE: The most recent fire inspection was dated 4/19/2023. Staff 1 confirmed it has not been done in the past year.”
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Repeat violation
“Based on observation, the inside areas were not maintained in a clean, safe, and operable condition. EVIDENCE: 1. The blinds in the multi-purpose room had broken blinds. 2. In the hallway from the classrooms to the gym and the hallway from the gym to the outside play area, there were holes in the walls.”
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Based on observation, the center failed to equip a restroom with soap.
“EVIDENCE: There was no soap in the boy’s restroom.”
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Based on record review, the record for a staff person was missing some required information.
“EVIDENCE: The record for staff 3, hired 4-29-24 had no emergency contact information.”
Dec 5, 2023: inspection1 deficiency
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Based on observation, the center has not been maintained in clean, safe, and operable condition.
“EVIDENCE: In the corner of the game room near the entrance door, floor tiles are chipping and coming up.”
Mar 16, 2023: inspection1 deficiency
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Repeat violation
“Based on record review, the center failed to obtain documentation of child updates and confirmation of up-to-date information in the child’s record. EVIDENCE: 1. The record for child 2 has not been updated since 6/1/2021. 2. The record for child 3 has not been updated since 9/7/2021.”
Jul 20, 2022: inspection5 deficiencies
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Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment.
“Evidence: 1. The record for Staff 2 contained a documented hire date of 09/13/2021. There was not a central registry search available for review during the inspection. 2. The record for Staff 3 contained a documented hire date of 01/25/2022. There was not a central registry search available for review during the inspection. 3. The record for Staff 4 contained a documented hire date of 06/2021. There was not a central registry search available for review during the inspection.”
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Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
“Evidence: 1. There was an unlocked container of Member’s Mark Disinfectant Wipes on a shelf in the large front room that was accessible to children. 2. There was an unlocked container of disinfecting wipes and disinfecting spray on a shelf in the room located next to the restrooms that were accessible to children. 3. There was an unlocked container of disinfecting wipes on a shelf in the arcade game room that was accessible to children.”
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Based on observation and discussion with staff, the center failed to ensure that in areas used by children of preschool age electrical outlets shall have protective covers.
“Evidence: There were 5 uncovered electrical outlets in large front room; there was a preschool age child observed in the large front room during the inspection.”
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Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled shall contain all of the elements listed in the standards.
The inspectors’ words, 118 words
“Evidence: 1. The record for Child 2 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete); allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; and documentation of child updates and confirmation of up-to-date information in the child’s record as required (the record did not contain documentation of a 2022 update). 2. The record for Child 4 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required (the record did not contain documentation of a 2022 update).”
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Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as stated in the standards.
The inspectors’ words, 139 words
“Evidence: 1. The record for Staff 2 did not contain the following information: job title; the required documentation for when a character reference was taken over the phone; and documentation to demonstrate possession of the education, certification and experience required by the job position. 2. The record for Staff 3 did not contain the following information: job title; the required documentation for when a character reference was taken over the phone; and documentation to demonstrate possession of the education, certification and experience required by the job position and orientation and training required. 3. The record for Staff 4 did not contain the following information: job title and date of employment; the required documentation for when a character reference was taken over the phone; and documentation to demonstrate possession of the education, certification and experience required by the job position.”
Jan 24, 2022: inspection6 deficiencies
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Based on record review and discussion with the staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment.
“Evidence: The record for Staff 2 had a documented hire date of 09/13/2021. There were no findings from a search of the central registry available for review on the 01/24/2022.”
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Based on discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma.
“Evidence: Staff 1 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.”
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Based on discussion with the staff, the center failed to ensure that children’s hands shall be washed with soap or running water or disposable wipes before and after eating meals or snacks.
“Evidence: Staff 1 stated that children use hand sanitizer after meals/snacks and do not wash hands with soap and running water or disposable wipes.”
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Based on record review and discussion with the staff, the center failed to ensure that the current certification in cardiopulmonary resuscitation as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute or National Safety Council and shall include an in-person competency demonstration.
“Evidence: The CPR certification for Staff 1 was issued by the National CPR Foundation and did not include an in-person competency demonstration.”
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Based on record review and discussion with the staff, the center failed to ensure that there shall be at least two staff members who meet the requirements of subsection A of this section present on the premises during the centers during the center’s hours of operation, on fieldtrips, and wherever children are in care.
“Evidence: Staff 1 nor Staff 2 met the requirements of subsection A.”
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Based on record review and discussion with staff, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children.
“Evidence: 1. The sign-in/sign-out sheet completed by the parents, at drop-off and pick-up, is the only form of written attendance record that the facility maintains. 2. Departure, as it occurs, is not documented when the children in attendance of the before school program leave for school via the public school transportation. 3. Arrival, as it occurs, is not documented when the children arrive to the program via the public school transportation.”
All 18 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Oct 6, 2026 | Subsidy health and safety inspection | 2 violations cited |
| May 11, 2026 | Subsidy health and safety inspection | 4 violations cited |
| Dec 22, 2025 | Subsidy health and safety inspection | No violations cited |
| Dec 22, 2025 | Inspection | 5 violations cited |
| May 7, 2025 | Subsidy health and safety inspection | No violations cited |
| May 7, 2025 | Inspection | 3 violations cited |
| Nov 1, 2024 | Inspection | 14 violations cited |
| Nov 1, 2024 | Subsidy health and safety inspection | No violations cited |
| May 2, 2024 | Subsidy health and safety inspection | No violations cited |
| May 2, 2024 | Inspection | 4 violations cited |
| Dec 5, 2023 | Subsidy health and safety inspection | No violations cited |
| Dec 5, 2023 | Inspection | 1 violation cited |
| May 15, 2023 | Inspection | No violations cited |
| Mar 16, 2023 | Inspection | 1 violation cited |
| Mar 16, 2023 | Subsidy health and safety inspection | No violations cited |
| Jul 20, 2022 | Subsidy health and safety inspection | No violations cited |
| Jul 20, 2022 | Inspection | 5 violations cited |
| Jan 24, 2022 | Inspection | 6 violations cited |
Is it licensed?
- Child Day Center: Two Year license, expires Jun 4, 2027.
- A current subsidy provider.
- Ages: 2 years - 12 years 11 months.
- Capacity: 68 children.
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 15 child care providers in Amherst County, the middle value for violations cited in the last three years was 7; this one had 33.
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 |
|---|---|
| Amelon Early Learning Center | 17 |
| Caterpillar Clubhouse #3 | 13 |
| Step By Step Early Learning Center | 37 |
| E.M.R. Center This child care provider | 33 |
| Little People’s Academy, LLC | 3 |
| Young Men’s Christian Association of Central Virigina - Amelon | 0 |
| Community Development Institute Head Start- Madison Heights | 0 |
| Temple Baptist Church | 7 |
| Little Learners Preschool | 7 |
| Ms. Pauline Henley | 20 |
| Providence Bible Day Center | 12 |
| Jessica Hartle | 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.