Mia Stewart
A family day home in Roanoke, Virginia 24019
7225 Plantation Road, Roanoke, Virginia 24019. (540) 309-5854.
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
- 29 deficiencies in the last three years
- Oct 222026 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 Oct 22, 2026.
29 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 2, 2026. Updated weekly.
When those deficiencies happened
29 deficiencies in 6 months of the last 36. Last cited Oct 2026. The last 3 years, to Nov 2, 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 2, 2026. Updated weekly.
Oct 22, 2026: subsidy health and safety inspection6 deficiencies
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The provider shall obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance.
“There was no documentation of a physical examination for Child 5 (age 16 months), who has been enrolled for 14 months.”
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An updated tuberculosis screening, for caregivers and household members, is required every two years from the date of the first screening.
“The updated tuberculosis screening for Caregiver 2 is overdue by three months. The update tuberculosis screening for Caregiver 3 is overdue by four months.”
-
Sharp kitchen utensils and other sharp objects shall be inaccessible to children.
“There was a knife block, containing knives, on the kitchen counter that was accessible to children.”
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A child’s record shall contain all of the information required by the standards.
“The record for Child 3 did not contain all of the required information.”
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The emergency evacuation procedures shall be practiced monthly.
“The monthly emergency evacuation drills were not practiced in August 2026 or September 2026.”
-
The provider shall obtain documentation of additional immunizations once every six months for children under the age of two years.
“Additional immunization records were not obtained once every six months for children under the age of two years. The updated immunization record for Child 2 (age 23 months) is overdue by two months. The updated immunization record for Child 3 (age 2 years) is overdue by 23 months. The updated immunization record for Child 5 (age 16 months) is overdue by 15 months.”
Apr 27, 2026: subsidy health and safety inspection5 deficiencies
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Lockdown procedures shall be practiced at least annually.
“There was no practiced lockdown drill for 2025.”
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Current certification in cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.
“Caregiver #1 and #2 did not have current CPR as required. The document on file expired 12/31/2025.”
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Current certification in first aid.
“Caregiver #1 and #2 did not have current FA certification. The document on file expired 12/31/2025.”
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Dogs or cats, where allowed, shall be vaccinated for rabies and shall be treated for fleas, ticks, or worms as needed.
“Repeat Violation: The dog did not have the required rabies vaccination.”
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Shelter-in-place procedures shall be practiced a minimum of twice per year.
“There were no practiced shelter-in-place drills for 2025.”
Dec 11, 2025: inspection3 deficiencies
-
Repeat violation
“The provider shall obtain from each adult household member a current report of Tuberculosis screening. Household Member 2 did not have a Tuberculosis screening.”
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Dogs shall be vaccinated for rabies.
“The rabies vaccination for Pet 2 was overdue by 8 months.”
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A child’s records shall contain all of the components required by the standards.
“The records for Child 1, Child 2, Child 3, and Child 4 did not all of the components as required by the standards.”
Sep 15, 2025: complaint inspection5 deficiencies
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The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.
“The sworn statement for Caregiver 1 was dated 4 days after their first day of employment.”
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The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.
“Caregiver 1, employed for more than 3 months, did not have documentation requesting a child abuse and neglect check from one state.”
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The records for assistant providers who are not the spouse, parent, sibling, or child of the provider, shall contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
“The record for Caregiver 1 did not contain documentation that character references were checked before employment.”
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The provider shall obtain from each adult household member a current report of Tuberculosis screening.
“Household Member 1 did not have a Tuberculosis screening.”
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Repeat violation
“The provider shall ensure that a caregiver does not exceed 16 points. 09/11/2025, Caregiver 4 was the only caregiver providing direct care and supervision to a total of 19 points for approximately 15 minutes until Caregiver 3 arrived. Caregiver 2 confirmed that they were in the home but not providing direct care and supervision to the children that day.”
May 22, 2025: complaint inspection5 deficiencies
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A substitute provider shall record and sign the time of arrivals and departures on each day that the substitute provider works.
“Caregiver 1 confirmed that there was no documentation of Caregiver 2 serving as the substitute provider on 05/12/2025.”
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When infant carriers are occupied by a child, a safety strap shall be used and securely fastened.
“On 05/22/2025, Child 1 (age 7 months), was in an infant carrier without the safety strap securely fastened.”
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The provider shall ensure that a caregiver does not exceed 16 points.
“On 05/12/2025, Caregiver 2 was the only caregiver providing supervision to 11 children (ages 6 months-3 years), totaling 33 points, for approximately 25 minutes. A total of 3 caregivers were required for this number.”
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Caregivers shall wash their hands with liquid soap and running water before feeding or helping children with feeding.
“On 05/22/2025, Caregiver 2 did not wash their hands before serving Child 2 (age 12 months) a bottle.”
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Caregivers shall ensure that children’s hands are washed with liquid soap and running water before eating.
“Child 1 (age 12 months) did not wash their hands before being served their bottle.”
Feb 21, 2025: inspection5 deficiencies
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Assistant and substitute caregiver records shall contain the components required by the standards.
“The records for Caregiver 2, Caregiver 3, and Caregiver 4 were missing required components.”
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The provider shall orient the substitute provider and assistant by the end of their first week of assuming job responsibilities.
“Caregiver 2, Caregiver 3 and Caregiver 4, all of which have been working in the family day home since 11/2024, have not received orientation.”
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Hanging items including window blind or curtain cords shall be out of reach of children under five years of age.
“There was a blind cord within the reach of Child 4 (10 months old) while the child was observed lying in their crib.”
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A child’s record shall contain the components required by the standards.
“The records for Child 4 and Child 5 were missing required components.”
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Bottles shall be refrigerated and labeled with the child’s full name and the date, when more than one infant is in care.
“There were 5 infants in care on 02/21/2025; a total of 3 unrefrigerated and undated bottles were observed during the inspection.”
All 10 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Oct 22, 2026 | Subsidy health and safety inspection | 6 violations cited |
| Apr 27, 2026 | Subsidy health and safety inspection | 5 violations cited |
| Dec 11, 2025 | Subsidy health and safety inspection | No violations cited |
| Dec 11, 2025 | Inspection | 3 violations cited |
| Sep 15, 2025 | Complaint inspection | 5 violations cited |
| May 22, 2025 | Complaint inspection | 5 violations cited |
| Apr 30, 2025 | Subsidy health and safety inspection | No violations cited |
| Apr 30, 2025 | Inspection | No violations cited |
| Feb 21, 2025 | Inspection | 5 violations cited |
| Nov 14, 2024 | Inspection | No violations cited |
Is it licensed?
- Family Day Home: Two Year license, expires May 20, 2028.
- A current subsidy provider.
- Ages: 1 month - 5 years 11 months.
- Capacity: 12 children.
Virginia Department of Education, Search for Child Day Care: each facility’s page. Checked Nov 2, 2026. Updated weekly.
Has Virginia acted against it?
- 2 complaint inspections on record.
- 1 complaint allegation published with Virginia’s findings, 1 of them found valid.
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 2, 2026. Updated weekly.
| Date | What | Detail |
|---|---|---|
| May 22, 2025 | Complaint | Allegation: Staff Quantity. Virginia’s finding: Reported/Valid. |
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 31 child care providers in Roanoke County, the middle value for violations cited in the last three years was 7; this one had 29.
Virginia Department of Education, Search for Child Day Care: each inspection’s page, with its violations. Checked Nov 2, 2026. Updated weekly.
| Place | Violations cited in the last three years |
|---|---|
| North Star Child Care | 3 |
| Honeytree Early Learning Center #6 - Hollins | 40 |
| Ms. Arlene Simmons | 0 |
| April Caudle | 16 |
| Young Mens Christian Assoc of VA Blue Ridge-Cloverdale | 5 |
| Northview United Methodist Church | Not given |
| Children’s Nest Learning Center - Hollins | 20 |
| Orchard Hills Church | 7 |
| Megan Bonds | 5 |
| Community Advent Christian Church | 3 |
| Orchard Hills Church | 5 |
| Mia Stewart This child care provider | 29 |
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 2, 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 2, 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 2, 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 2, 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.