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Ms. Tracy Moats
9918 Jacksons Way
Port republic, VA 24471
(540) 249-1506

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: May 5, 2016

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 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
63.2 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

An unannounced monitoring inspection was conducted on May 5, 2016 between the hours of approximately 10:39 a.m. and 2:20 p.m. Seven children were enrolled and two children were in the care of the provider on this date (6 points). Seven children's records were reviewed. The provider's record and one household member's record were up-to-date and, therefore, not reviewed. No medications were administered. Facility documents, posted information and safety equipment were observed/reviewed. The lunch provided on this date included: peanut butter and jelly sandwiches, celery, oranges and milk. Program observation was completed. Activities observed on this date included: indoor play; stories; coloring; restroom and handwashing procedures; lunch; and nap time. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. Violations were cited in the areas of recordkeeping and emergency procedures. Thank you for your time and assistance during this licensing inspection. Please contact me if you have questions concerning this inspection, the licensing standards and/or if I may be of assistance to you (540) 430-9262.

Standard #: 22VAC40-111-830-A
Description: Based on review of the emergency evacuation drill log and discussion with the provider on May 5, 2016, emergency evacuation procedures were not practiced during the month of April 2016. Evidence: 1. The last documented emergency evacuation drill was conducted on March 14, 2016, based on review of the emergency evacuation drill log. 2. The provider verified that March 14, 2016 was the last date that emergency evacuation procedures were practiced with the children in care.

Plan of Correction: In the future, emergency evacuation procedures will be practiced monthly with all children and caregivers. Drills will be practiced during all shifts that children are in care.

Standard #: 22VAC40-111-60-B
Description: Based on review of seven children's records and discussion with the provider on May 5, 2016, records for six of the children contained incomplete information. Evidence: 1. Review of children's records, on this date, determined that the following information was not included in the records of child A, child B, child C, child D, child E and child F: employment information (employer, address and telephone number), two complete emergency contacts, insurance policy number, first date of attendance and written authorization for emergency medical care. 2. Review of child A's record, on this date, revealed that the liability insurance declaration form was not signed by the child's parent. 3. Review of children B, C, D, E and F's records, on this date, revealed that the physician's information (name, address and telephone number) was not included in the records. 4. The provider confirmed that the information above was not included in the children's records.

Plan of Correction: The children's parents will be contacted and the information will be obtained and added to the records. In the future, children's records will be reviewed at the time of enrollment, to ensure complete information is obtained.


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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.