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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: May 23, 2019

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 Emergencies
22VAC40-111 Nutrition
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Provider must be MAT certified to administer prescription medication.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs

Technical Assistance:
We discussed the requirements for playground equipment and surface in fall zones. We reviewed the requirements for out-of-state child abuse registry checks.

Comments:
Thank you for your assistance during today's unannounced monitoring inspection conducted from 10:35 AM to 2:00 PM. Today, there were nine children, ages infancy through four years (22 points), with two caregivers. I viewed daily routines, staffing, supervision, interactions with children, equipment, activities, posted information, annual review of the emergency plan, emergency supplies and drill records, pet record, five records for children, four 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, books and materials. The group discussions included learning about colors and bumble bees. The children enjoyed active play outside. The caregivers were observed providing frequent interactions with the children and appropriate supervision. Let me know if you need any assistance. 540/430-9259

Violations:
Standard #: 22VAC40-111-500-C
Description: Based on observation of the outdoor playground equipment, and an interview with the provider, the provider did not ensure that outdoor equipment was not over hard surfaces where children may fall. Evidence: One Little Tikes composite structure had hard packed dirt at the exit area of a red slide, with a height of two feet nine inches and the fall zone of a beige ladder with a height of two feet. A second Little Tikes composite structure had hard packed dirt at the fall zones of a purple ladder with a height of two feet. The licensing inspector was told that there were mats in these areas which became worn and were removed.

Plan of Correction: The provider will replace the mats that have been used at fall zones of equipment.

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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