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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: July 12, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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.

Comments:
An unannounced renewal inspection was conducted on July 12, 2016 between the hours of approximately 10:19 a.m. and 2:17 p.m. Thirteen (13) children were enrolled and four children were in the care of one caregiver on this date. Twelve (12) children's records were reviewed and/or updated. Three caregivers' records were also updated. No medications were administered on this date. Facility documents, posted information and safety equipment (first aid kit, flashlight and radio) were observed/reviewed. The lunch provided on this date included: hamburgers, greens, mandarin oranges and milk. Program observation was completed. Observed activities included: indoor play (toys); table activity (puzzles); outdoor play; restroom, diapering and handwashing procedures; lunch; naptime and quiet activities for one school-age child. Adult/child interactions, behavior guidance and daily routines/transitions were also observed. The children knew and followed the daily routine and transitions well. Previously cited violations (inspection date - 5/05/2016) were reviewed for compliance; no repeat violations were cited. Refer to the Violation Notice for additional information. Thank you for your time and assistance during this licensing inspection. A recommendation will be made for license issuance. 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.

Violations:
Standard #: 22VAC40-111-110-B
Description: Based on review and/or update of twelve (12) children's records and discussion with caregiver #1 on July 12, 2016, the caregiver failed to obtain an immunization record (update) and/or physical exam report, signed by the physician or designee, for two enrolled children. Evidence: 1. Review of child A's record, on this date, disclosed that the immunization update was not signed by the child's physician or designee. 2. Review of child G's record, on this date, determined that the immunization record and the physical exam report were not signed by the child's physician or designee. 3. Caregiver #1 verified that the documents were not signed by the children's physicians or designees.

Plan of Correction: The children's parents will be notified and signed copies of the immunization records and/or physical exam reports will be obtained. In the future, immunization records and/or physical exam reports will be reviewed at the time they are obtained, to ensure they have been signed.

Standard #: 22VAC40-111-80-A
Description: Based on review and/or update of twelve (12) children's records and discussion with caregiver #1 on July 12, 2016, the caregiver failed to obtain verification of age/identity within seven business days for three enrolled children. Evidence: 1. Review of records for children I, J and K, on this date, determined that verification of age/identity had not been obtained from the children's parents. The initial date of attendance exceeded seven business days. 2. The provider stated that the information had been requested. The provider stated that she would inform the children's parent that the local sheriff's department would be notified if the information was not available for review.

Plan of Correction: The parent will be informed that if the age/identity verification is not provided, the local sheriff's department will be notified. In the future, if verification of age/identity is not provided by a child's parent, within seven business days of the child's first day of attendance, local law enforcement will be notified.

Standard #: 22VAC40-111-90-A
Description: Based on review and/or update of twelve (12) children's records and discussion with caregiver #1 on July 12, 2016, the caregiver failed to obtain documentation of immunization records before three children attended the family day home. Evidence: 1. Review of records for children I, J and K, on this date, revealed that immunization records were not on file before the children's iniitial date of attendance at the family day home. 2. Caregiver #1 stated that the immunization records had been requested but not yet provided by the children's parent.

Plan of Correction: The immunization records will be requested again and obtained. In the future, immunization records will be obtained before a child's first day of attendance.

Disclaimer:

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.

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