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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 18, 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
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
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 18, 2017 between the hours of approximately 10:25 a.m. and 4:40 p.m. Thirteen (13) children were enrolled and seven children were in the care of three caregivers on this date (17 points). Five children's records and four caregivers' records were reviewed and/or updated. One household member's record was up-to-date and, therefore, not reviewed. 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, fire extinguisher and radio) were observed/reviewed. Program observation was completed. Activities provided included: outdoor play and walk, indoor play; restroom, diapering and handwashing procedures; lunch; naptime; afternoon snack 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 - 1/11/2017) were reviewed for compliance; no repeat violations were cited. Refer to the accompanying violation notice for additional information. Changes in licensing requirements/procedures were discussed and forms were provided. 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 #: 22VAC40-111-900-A
Description: Based on observation of the lunch served and discussion with staff #1 on July 18, 2017, the provider failed to serve a hot dog to a child under four years of age in a manner that would reduce the risk of choking. Evidence: 1. On this date, the licensing inspector (L.I.) observed a whole hot dog served to child A (younger than four years of age) for lunch. 2. Caregiver #1 confirmed that the hot dog was not cut before being served.

Plan of Correction: Hot dogs will be cut.

Standard #: 22VAC40-111-110-B
Description: Based on review and/or update of five children's records and discussion with caregiver #1 on July 18, 2017, the program failed to obtain a signed immunization record for one child. Evidence: 1. Review of child E's record, on this date, revealed that the immunization record had not been signed by a licensed physician, physician's designee or an official of the local health department. 2. Caregiver #1 verified the lack of a signature on the immunization record.

Plan of Correction: A signed immunization record will be obtained.

Standard #: 22VAC40-111-170-B
Description: Based on review and/or update of four caregivers' records and discussion with caregiver #1 on July 18, 2017, the tuberculosis (TB) report form for one caregiver was not completed within the last 30 days. Evidence: 1. Review of caregiver #4's record, on this date, established that the caregiver's TB report form was not completed within the last 30 days (date of signed report form - 8/26/2016). 2. Caregiver #1 and #4 confirmed the date on the TB form.

Plan of Correction: Caregiver #4 will get an updated TB test.

Standard #: 22VAC40-111-180-A
Description: Review and/or update of four caregivers' records and discussion with caregiver #1 on July 18, 2017 determined that the provider did not obtain a current tuberculosis (TB) screening form, at least every two years from the date of the first screening. Evidence: 1. Review of caregiver #3's record, on this date, revealed that an updated TB screening report (dated at least two years from the date of the first screening) was not obtained. The date of the first TB exam/screening was 7/13/2015. 2. Caregiver #1 contacted caregiver #3 and was told that an updated TB screening report had been obtained. The documentation had not been provided to caregiver #1 by caregiver #3.

Plan of Correction: Caregiver #3 will get/obtain an updated TB test.

Standard #: 22VAC40-111-230-A
Description: Based on review and/or update of four caregivers' records and discussion with caregiver #1 on July 18, 2017, the program failed to maintain written documentation of one caregiver's annual training. Evidence: 1. Review of caregiver #3's record, on this date, determined that only six hours of annual training were documented for 2016/2017 (hire date - 6/12/2016). 2. Staff #1 stated that the additional training hours had been completed but were not documented in the caregiver's record.

Plan of Correction: Documentation will be obtained.

Standard #: 22VAC40-111-460-D
Description: Based on review of available documents and discussion with caregiver #1 on July 18, 2017, the program failed to maintain documentation of current rabies vaccinations for two outdoor cats. Evidence: 1. Review of rabies vaccinations for two outdoor cats, on this date, determined that the last rabies vaccinations expired on 12/07/2016. 2. Caregiver #1 verified the expiration dates of the cats rabies vaccinations.

Plan of Correction: The cats are going to the vet today.

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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