Hearth Record

Mill Creek Child Care Center

A child day center in Fincastle, Virginia 24090

11475 Lee Highway, Fincastle, Virginia 24090. (540) 992-2232.

Virginia’s own record, on legacy.dss.virginia.gov

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

The last 24 months 3 deficiencies in 2 months of the last 36. Last cited Nov 2024. Every month

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?

17 inspections on record, the latest on Oct 13, 2026.

3 violations cited in the last three years.

Source:

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

3 deficiencies in 2 months of the last 36. Last cited Nov 2024. The last 3 years, to Nov 2, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

Virginia Department of Education, Search for Child Day Care: each inspection’s page, with its violations. Checked Nov 2, 2026. Updated weekly.

Nov 8, 2024: subsidy health and safety inspection1 deficiency
  • 8VAC20-790-600-B

    “REPEAT VIOLATION Within the first 90 days of employment all staff who work with children shall complete Preservice training. Staff #1, employed for 4 months, did not have Preservice training.”

    Rule 8VAC20-790-600-B.

Nov 8, 2024: inspection1 deficiency
  • 8VAC20-780-160-A

    “Each staff member shall submit documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment. Staff #4, employed for 17 months, had a negative tuberculosis screening dated prior to the first 30 days of employment.”

    Rule 8VAC20-780-160-A.

May 22, 2024: inspection1 deficiency
  • Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards.

    “Evidence: The record for Child 3 did not contain the following information: documentation of viewing proof of the child’s identity and age”

    Rule 8VAC20-780-60-A.

Oct 30, 2023: subsidy health and safety inspection1 deficiency
  • Based on the review of four staff records, the center failed to ensure that within 90 days of employment staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

    “Evidence: Staff #2 date of hire was 2/24/2023 and on the day of the inspection did not have the required Preservice Training.”

    Rule 8VAC20-790-600-B.

Oct 30, 2023: inspection2 deficiencies
  • Based on the review of 4 staff records, the center failed to ensure that each staff member shall submit acceptable forms of documentation of tuberculosis screening.

    “Evidence: Staff 3 date of hire was 5/30/2023 and on the day of the inspection the documentation of tuberculosis screening did not include the following: physicians signature”

    Rule 8VAC20-780-160-B.

  • Based on observation and discussion with staff, the center failed to ensure that the required amount of resilient surfacing was maintained throughout the playground.

    “Evidence: Licensing staff observed approximately 2.5 inches of resilient surfacing around the fall zones of the 3 foot tall blue, red, yellow and green play structure and the swing set located by the chain link fence.”

    Rule 8VAC20-780-330-B.

Apr 13, 2023: inspection2 deficiencies
  • Based on observation and discussion with staff, the center failed to ensure 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.

    “Evidence: Licensing staff did not observe a carbon monoxide detector. The program director stated that ?a carbon monoxide detector has not been purchased.?”

    Rule 22.1-289.058.

  • Based on the review of three staff’s records, the center failed to ensure that a follow up tuberculosis screening for staff members was obtained.

    “Evidence: Staff #3 was hired on 1/16/2023 and on the day of the inspection the most recent tuberculosis screening expired on 4/5/2023.”

    Rule 8VAC20-780-160-C.

All 17 visits on record
Visits on record
DateVisitWhat the record says
Oct 13, 2026Subsidy health and safety inspectionNo violations cited
Apr 9, 2026Subsidy health and safety inspectionNo violations cited
Nov 17, 2025InspectionNo violations cited
Apr 10, 2025Subsidy health and safety inspectionNo violations cited
Apr 10, 2025InspectionNo violations cited
Jan 17, 2025Subsidy health and safety inspectionNo violations cited
Nov 8, 2024Subsidy health and safety inspection1 violation cited
Nov 8, 2024Inspection1 violation cited
May 22, 2024Subsidy health and safety inspectionNo violations cited
May 22, 2024Inspection1 violation cited
Oct 30, 2023Subsidy health and safety inspection1 violation cited
Oct 30, 2023Inspection2 violations cited
Apr 13, 2023Subsidy health and safety inspectionNo violations cited
Apr 13, 2023Inspection2 violations cited
Sep 12, 2022Subsidy health and safety inspectionNo violations cited
Sep 12, 2022InspectionNo violations cited
Apr 8, 2022InspectionNo violations cited

Is it licensed?

  • Child Day Center: Two Year license, expires Apr 25, 2027.
  • A current subsidy provider.
  • Ages: 2 years - 12 years 11 months.
  • Capacity: 120 children.
Source:

Virginia Department of Education, Search for Child Day Care: each facility’s page. Checked Nov 2, 2026. Updated weekly.

Has Virginia acted against it?

  • 0 complaint inspections on record.
  • No complaint allegations published with findings.

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 11 child care providers in Botetourt County, the middle value for violations cited in the last three years was 6; this one had 3.
Source:

Virginia Department of Education, Search for Child Day Care: each inspection’s page, with its violations. Checked Nov 2, 2026. Updated weekly.

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

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.

Source:

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.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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