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Ms. Violah Lee
300 Mosby Boulevard
Berryville, VA 22611
(540) 955-4918

Current Inspector: Maureen Gallagher-McLeod (540) 430-9259

Inspection Date: Jan. 24, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-80 THE LICENSE.
63.2 Facilities and Programs..
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Comments:
Thank you for your assistance during this unannounced monitoring inspection. This on-site visit was conducted on January 24, 2018 from 10:50 a.m. through 12 :50 p.m. Upon arrival, there were twelve (12) children in the care of the provider and one assistant. Six (6) children's records were reviewed and updated. The records for the provider, one assistant and one household member were also reviewed and update. Areas of non-compliance may be found on the violation notice. Areas observed were: lunch, hand washing/bathroom and diapering procedures, story, a short movie and nap. Interactions between the provider and children 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.

Violations:
Standard #: 22VAC40-111-180-A
Description: Based on record review an updated tuberculosis screening was no obtained for the provider and one household member. Evidence: 1. Last documented tuberculosis screening for Household Member A was dated 06/18/2015. 2. Last documented tuberculosis screening for the provider was dated 06/15/2015. 3. The provider confirmed updated tuberculosis screenings had not been obtained.

Plan of Correction: I will obtain an updated tuberculosis screening for myself and household member.

Standard #: 22VAC40-191-40-D-1-c
Description: Based on record review, the provider failed to obtain an updated central registry search of one staff member. Evidence: 1. Staff #1 had not obtained an updated central registry search. 2. Last documented central registry search for Staff #1 was dated 02/14/2017. 3. The provider confirmed an updated central registry search had not been completed for Staff #1.

Plan of Correction: I will complete an undated central registry search for Staff #1 immediately. Documentation will be sent to the licensing inspector.

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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