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Tracy Moats

Inspection · 2024-06-20

Date
2024-06-20
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 monitoring inspection was initiated on 06/20/2024 and concluded on 06/20/2024 from12:28 PM to 2:48 PM. There were 12 children present, ranging in ages from two to five, with 2 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies. A total of five children?s records and the three staff?s records were reviewed/updated.

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

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

2
Standard 22.1-289.035-A
Based on a review of staff records and interview, the center failed to obtain central registry search results every five years for all employee.

Evidence:
1. The record of Staff 2 (DOH 07/01/2019) contained documentation of a repeat central registry check dated 06/06/2024. Staff 2 has been employed for more than 5 years and date of last central registry check was dated 05/14/2019.
2. Staff 2 did not get fingerprints until 05/30/2024.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-800-800-B
Based on a review of the emergency preparedness plan and interview, the provider did not ensure that documentation of an annual review of the emergency preparedness plan was completed.

Evidence:
1. Provider could not produce documentation that the annual review of the emergency preparedness plan was completed.
2. Provider confirmed that there was no documentation on file.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services