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Fremont Street Nursery Inc.
533 Fremont Street
Winchester, VA 22601
(540) 662-7237

Current Inspector: Barbara Workman

Inspection Date: June 21, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..

Comments:
Thank you for your assistance during this unannounced monitoring inspection. This on-site inspection was conducted from 10:45 a.m. through 1:00 p.m. There were sixty-seven children in the care of thirteen staff. Six children's and six staff records were reviewed and updated. No medication is being administered at this time. Ares of non-compliance may be found on the violation notice. Areas observed were: free choice play, puzzles, educational activities, hand washing/diapering and bathroom procedures, infant feeding, lunch and nap. Interactions between the children and staff were observed as positive and the children seem comfortable with the daily routine and schedule. Please contact me at 540-430-9256 if you have any questions and/or if I may be of assistance with licensing standards

Violations:
Standard #: 22VAC40-185-260-B
Description: Based on record review, the center failed to obtain an annual health inspection. Evidence: 1. The most recent health inspection was reviewed. It was conducted on May 3. 2017. 2. The director confirmed an annual health inspection had not been conducted since May 3, 2017.

Plan of Correction: I will contact the health department to schedule an inspection. The inspection will be sent to the licensing inspector.

Standard #: 22VAC40-185-500-A
Description: Based on observation staff failed to wash one infants hands after changing their diaper. Evidence: 1. One infant was observed during a diaper change. 2. The staff put the infant back into the highchair and did not wash his hands. 3. Staff confirmed they did not wash the infants hands.

Plan of Correction: Hand washing procedures will be reviewed with all staff.

Standard #: 22VAC40-185-570-E
Description: Based on observation and discussion with the staff, the center failed to label and date one child's bottle of refrigerated formula. Evidence: 1. Five bottles were in the infant room refrigerator. 2. One bottle was not labeled and dated. 3. Staff confirmed the bottle was not labeled and dated.

Plan of Correction: Staff will be reminded all infant bottles with formula need to be labeled with the child's name and dated.

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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