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Tracy Moats

Inspection · 2023-12-18

Date
2023-12-18
Complaint Related
No
Licensing Inspector
Kelly Lindsay
(540) 309-2494
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-800 Administration
8VAC20-800 Personnel
8VAC20-800 Household Members
8VAC20-800 Physical Health of Caregivers and Household members
8VAC20-800 Caregiver Training
8VAC20-800 Physical Equipment and Environment
8VAC20-800 Care of Children
8VAC20-800 Preventing the Spread of Disease
8VAC20-800 Medication Administration
8VAC20-800 Emergencies
8VAC20-800 Nutrition
8VAC20-800 Transportation
8VAC20-800 Nighttime Care
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
54.1 Provider must be MAT certified to administer prescription medication.

Inspector Notes

A renewal inspection was initiated on 12/18/2023 and concluded on 12/19/2023. There were 9 children present, ranging in ages from 23 months to 5 years, with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 4 provider, staff and household records were reviewed.

Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations

2
Standard 22.1-289.035-A
Based on record review, the provider failed to obtain central registry search results every five years for all employees.

Evidence:
1. The record of Staff 2 (DOH 01/29/2016) did not contain documentation of a repeated central registry check. The central registry documentation on in the file was dated 06/28/2018.
2. The provider confirmed that she could not find the results of the central registry check but the employee did go to an appointment.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-750-A
Based on medication review, the provider failed to ensure that all the following requirements shall be met, to include being labeled with child's name.

Evidence:
1. A tube of Destin diaper ointment was located in the drawer without a child's name on it.
2. A tube of Vitamin A & D ointment was located in with the diaper ointments and it was not labeled with a child's name.
3. The provider verified that the ointments did not have a child's name on them.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services