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Ms. Mable Frye
502 W. Main Street
Luray, VA 22835
(540) 743-4084

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Sept. 14, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
2VAC40-111 Physical Health of Caregivers & Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment Equipment
22VAC40-111 Care of Children
22VAC40-111 Prevention of Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A monitoring inspection was initiated on September 14, 2021 and concluded on September 15, 2021. The provider was contacted by telephone and a virtual inspection was conducted. There were three children present for a total of nine points, ranging in ages from two years to four years of age, with one caregiver 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 six child records and two caregiver 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 #: 22VAC40-111-780-B
Description: Based on review of five children's records, the provider failed to obtain a parent's written acknowledgement of review of emergency information annually.

Evidence:
1. Child #5's record had no written documentation of a review of emergency information with the parent. The last date reviewed was 02/25/2020.
2. Child #6's record had no written documentation of a review of emergency information with the parent. The last recorded date of review was 04/27/2020.

Plan of Correction: The provider will contact the parents this evening at pick-up and have them complete a review of emergency contact information.

Standard #: 22VAC40-111-180-A
Description: Based on a review of caregiver records, the provider failed to obtain an updated tuberculosis screening every two years from the date of the first screening.

Evidence:
1. Caregiver #1's last documented tuberculosis screening was dated 12/11/2018.
2. Caregiver #2's last documented tuberculosis screening was dated 09/27/2018.
3. The provider verified that updated tuberculosis screening had not been obtained.

Plan of Correction: The provider will make appointments for all caregivers to obtain TB screening this week.

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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