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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: Dec. 13, 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
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.

Technical Assistance:
We discussed the requirements for immunization records. The risk assessment for a violation was provided. You explained the routine for filling in holes caused by a pet in the back yard to avoid tripping hazards for children. We talked about keeping the music volume lower at nap time for protection of children's hearing and to make sure caregivers can hear children in the main room.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 1:49 PM to 5:10 PM. Today, there were eleven children, ages infancy through three years (33 points), with two caregivers. I viewed daily routines, staffing, supervision, interactions with children, equipment, activities, diapering procedures, posted information, annual review of the emergency plan, emergency supplies and drill record, pet record, chimney inspection, five records for children, three caregiver/resident records, caregiver training, indoor and outdoor areas. There was not any medication present this date. The children have been provided a variety of age appropriate toys and materials. They have enjoyed planned art/craft projects with holiday themes and discussions about shapes. Music and stories have been provided regularly. The caregivers were observed providing positive and frequent interactions with the children. Let me know if you need any assistance. 54/430-9259

Violations:
Standard #: 22VAC40-111-90-A
Description: Based on a review of five records for children, and an interview with the provider, the provider failed to obtain documentation that a child was immunized before initial attendance. Evidence: Child 2 began attending on November 5, 2018 and the only immunization report was completed on November 20, 2018.

Plan of Correction: The provider will tell parents of new children that the immunization report must be provided with the enrollment forms and before children start receiving care.

Standard #: 22VAC40-111-90-C
Description: Based on a review of five records for children, and an interview with the provider, the provider failed to obtain an updated immunization record at least once every six months for a child under age two years. Evidence: The most recent immunization report for child 1, who is under age one year, was obtained in May 2018. The updated immunization record was due by November 30, 2018.

Plan of Correction: The provider immediately requested the record and found out the parent has it. The updated record will be obtained for the file. The provider will continue to do a regular record review to determine record needs and will text a reminder to parents and remind them of needed information.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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