Tracy Moats

Cribs shall not be used as a play space for infants.

“Provider places the infants in the crib when awake to play and are placed on a bobby instead of placing them on the floor.”

Rule 8VAC20-800-520-B. From a complaint.

No Soft bedding of any kind shall be used under or around infants including, but not limited to pillow, quilts, comforters, sheepskins, or stuffed toys.

“Boppy pillows are used in cribs with infants under the age of 12 months.”

Rule 8VAC20-800-530-F. From a complaint.

Infant carrier seats, swings, strollers, feeding or activity tables, and high chairs shall be used according to the manufacturers instructions and when occupied by a child, a safety strap shall be used and securely fastened.

“The feeding table has four seats, two seats had safety straps. One infant was sitting in a seat with a belt not fastened.”

Rule 8VAC20-800-540-A. From a complaint.

Every staff is required to undergo a background check every five years.

“On the date of the inspection, the most recent central registry results for staff # 1 were dated 10/26/2020 overdue by 2 ? months. Staff # 1 stated updated results had not been obtained.”

Rule 22.1-289.036-A.

No person with a disqualifying background who has not been granted a waiver according to 8VAC20-770-90 may operate or volunteer or work at a facility governed by this chapter.

“On January 15, 2026, staff #1 provided disqualifying Central Registry results that were dated November 20, 2025.”

Rule 8VAC20-770-40-B.

The provider shall ensure that a caregiver does not exceed 16 points.

“The provider was not present when the inspection was initiated and staff # 3 was alone with 22 points for approximately 25 minutes.”

Rule 8VAC20-800-570-A.

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At 12:20 PM there were eight children indicated on attendance with eleven children present.”

Rule 8VAC20-790-180-B.

Occupied cots or rest mats shall be at least 12 inches from each other.

“All nine cots did not have the required 12 inches from each other when occupied.”

Rule 8VAC20-800-510-C.

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

“Child # 1 was sitting in a swing for one hour and ten minutes. The infant was removed after 20 minutes to be swaddled and then returned to the swing.”

Rule 8VAC20-800-600-B.

To assist in preventing choking, hard food, round, small, thick and sticky, or smooth and slippery shall not be served to children under four years of age, unless the food is prepared before being served in a manner that will reduce the risk of choking,

“Raw whole baby carrots were served to four children under four years of age.”

Rule 8VAC20-800-900-A.

A facility or agency shall operate within the terms of its license, which includes the physical location of the facility or agency.

“Provider has been operating the majority of hours in a detached garage.”

Rule 8VAC20-820-120-A-3.

The vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At 10:15, eleven children were present only seven children were marked present.”

Rule 8VAC20-790-180-B.

Wood burning stoves and fireplaces and associated chimneys shall be inspected annually by a knowledgeable inspector to verify that the devices are properly installed, maintained, and cleaned as needed. Documentation of the inspection and cleaning shall be maintained by the provider.

“The most recent annual fireplace inspection is overdue by 3 months.”

Rule 8VAC20-800-320-G.

Children under two years of age and children over two years of age who are not developmentally ready to climb or descend stairs without supervision shall not have access to stairs.

“In the main child care area, there were stairs leading upstairs that did not have a gate at the access of the stairs.”

Rule 8VAC20-800-430-A.

Medication, except for those prescriptions designated otherwise by a written Physician’s order, including refrigerated medication and medications for caregivers and household members, shall be kept in a locked place using a safe locking method that prevents access by children.

“There were four household member’s medications sitting in the living accessible to the children.”

Rule 8VAC20-800-730-D.

Infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour.

“Child# 1 did not have at least one hour intervening time period between being confined to a piece of equipment.”

Rule 8VAC20-800-600-B.

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.”

Rule 22.1-289.035-A.

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.”

Rule 8VAC20-800-800-B.

Based on observation and record review, the vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. The vendor had a sign in/out attendance sheet available at the front door. There were 9 children in attendance at 8:50 am but only 5 children were signed in on the attendance sheet. 2. The vendor confirmed there was only 5 children signed in and they did not get an opportunity to sign the rest of the children in yet.”

Rule 8VAC20-790-180-B.

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.”

Rule 22.1-289.035-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.”

Rule 8VAC20-800-750-A.

Based on observation, the provider failed to ensure that the diapering surface was nonabsorbent and washable.

“Evidence: 1. The diapering changing pad on the changing table had several small visible rips on the pad and were nonabsorbent and washable.”

Rule 8VAC20-800-690-D.

Based on observation, outside equipment was not maintained in a safe and operable condition.

“Evidence: 1. The wooden climbing structure on the playground had a split board.”

Rule 8VAC20-800-240-A.

Based on observation, the provider did not ensure that the total number of children receiving care did not exceed the maximum licensed capacity of the home.

“Evidence: 1. The inspector observed the children in care at the family day home. There were twelve children in care. 2. During lunch approximately 12:38 pm an additional child arrived to the program and increased the number to thirteen children in care. 3. The provider confirmed that there were thirteen children in her care.”

Rule 8VAC20-800-40-A.

Based on observation, the center failed to post the most recent findings of the most recent inspection of the facility.

“Evidence: 1. The most recent inspection was a mandated inspection on 12/20/2021. The inspection which was sent to the provider via email on 12/30/2021, was not posted. 2. Provider verified that the inspection posted was not the most current inspection.”

Rule 8VAC20-820-120-E-2.