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Duncan Memorial UMC
210 E. Main Street
Berryville, VA 22611
(540) 955-0032

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Jan. 30, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A mandated monitoring inspection was conducted on January 30, 2023 from 10:00 A.M.-1:00 P.M. There were 29 children present, ranging in ages from six months to five years of age, with nine 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 five child records and seven staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:
Standard #: 8VAC20-780-350-B-4
Description: Based on interview and observation, the center failed to ensure child to staff ratio for children three years old up to school age.

Evidence:
1. The Licensing Inspector observed Staff #1 with 12 children, between the ages of three-five years of age, outside on the playground. Staff #1 was on the playground by herself with 12 children for approximately 4-5 minutes. The required ratio for that age group is one staff per 10 children.
2. Staff #1 stated that Staff #2 was in the building with one child who was using the restroom.

Plan of Correction: Administration will meet with staff and send out a written notification to all staff regarding ratios. It will also be reviewed during the staff meeting on 2/1/23.

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.

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