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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: Jan. 11, 2017

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:
Thank you for your time and assistance during the unannounced monitoring inspection conducted on January 11, 2017 between the hours of approximately 11:15 a.m. and 3:15 p.m. Fourteen (14) children were enrolled and seven children were in the care of one caregiver on this date (17 points). Three children's records were reviewed and two caregivers' records were updated. No medications were on site/administered, as is currently the policy of this family day home. Facility documents, posted information and safety equipment (first aid kit, flashlight and radio) were observed/reviewed. Program observation was completed. Activities provided included: indoor play (toys); group activity (battery-operated train); restroom, diapering and handwashing procedures; lunch; naptime and pick-up/departure of children. 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 - 7/14/2016) were reviewed for compliance; one repeat violation was cited. Refer to the Violation Notice for additional information. Licensing standards discussed on this date included: daily schedule (suggested changes/revisions), diapering procedures (use of changing table) and naptime linens (top and bottom cover). 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 #: 22VAC40-111-880
Description: Based on observation of the lunch served and discussion with caregiver #1 on January 11, 2017, the program failed to follow the Child and Adult Care Food Program of the United States Department of Agriculture (or a recognized authority). Evidence: 1. Observation of the lunch served, on this date, determined that the USDA food program regulations were not followed. The lunch consisted of pepperoni, corn, rice and milk. One child was also served half a banana. All children in care were not served a second fruit or vegetable, as required. 2. Caregiver #1 verified that all of the children were not offered/served a second fruit or vegetable for lunch, on this date.

Plan of Correction: Serve full servings at every meal.

Standard #: 22VAC40-111-920
Description: Based on observation and discussion with caregiver #1 on January 11, 2017, the program failed to post, give to parents or place in an area accessible to parents the menu for the current one-week period. Evidence: 1. Program observation completed on this date revealed that the current week's menu was not posted. 2. Caregiver #1 stated that the menu for the current week was on her computer but not posted.

Plan of Correction: Menu will be posted.

Standard #: 22VAC40-111-60-B
Description: Based on review of three children's records and discussion with caregiver #1 on January 11, 2017, the program failed to obtain two complete emergency contacts for two children. Evidence: 1. Review of children B and C's records, on this date, revealed that one of the two emergency contacts listed (for each child) did not include the person's address. 2. Caregiver #1 confirmed that the emergency contacts listed did not include the person's address.

Plan of Correction: Emergency addresses will be added.

Standard #: 22VAC40-111-90-A
Description: Based on review of three children's records and discussion with caregiver #1 on January 11, 2017, the program failed to obtain documentation of immunizations before one child's first day of attendance. Evidence: 1. Review of child B's record, on this date, determined that the immunization record was dated 12/05/2016 and the child's first date of program attendance was 11/28/2016. 2. Caregiver #1 confirmed the dates of attendance and the immunization record.

Plan of Correction: All paperwork will be obtained on start date.

Standard #: 22VAC40-111-530-D
Description: Based on observation of linen storage and discussion with caregiver #1 on January 11, 2017, the program failed to maintain/store naptime linens in a manner that ensured their cleanliness. Evidence: 1. Observation of naptime linens, on this date, established that the blankets and pillows were stored in a pile in the playroom. 2. Caregiver #1 confirmed the storage of the children's naptime linens.

Plan of Correction: Blankets and pillows will be put in bags.

Standard #: 22VAC40-111-530-G
Description: Based on observation and discussion with caregiver #1 on January 11, 2017, the program failed to ensure that a child under two years of age did not use a pillow. Evidence: 1. Observation of naptime, on this date, determined that an eighteen month old child (child D) was given a pillow at naptime. 2. Caregiver #1 verified that child D was under the age of two years and used a pillow at naptime.

Plan of Correction: Pillows will not be used for children under two years.

Standard #: 22VAC40-111-570-A
Description: Based on program observation and discussion with caregiver #1 on January 11, 2017, the program failed to ensure that an additional caregiver was present to assist when one caregiver exceeded 16 points. Evidence: 1. Program observation, on this date, established that an additional caregiver was not present, when caregiver #1 exceeded 16 points. The caregiver was present with 17 points, on this date. 2. Caregiver #1 confirmed the presence of seven children (17 points) on January 11, 2017.

Plan of Correction: Make sure I have help.

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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