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Grymes Memorial School Inc.
13775 Spicers Mill Road
Orange, VA 22960
(540) 672-1010

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

Inspection Date: Sept. 29, 2015

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 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
We discussed the requirements for medication authorizations and documenting emergency drills. The risk assessment for violations was provided.

Also, we talked about the update for the annual injury prevention procedures. TB screenings need to be updated every two years.

Due to the rainy weather, I was not able to inspect the two playgrounds. I understand that considerable work was completed and pea gravel was added to the front playground after an audit by a N.P.S.I. certified inspector. We talked about arrangements with equipment used by Jr-K children so that use/fall zones are a minimum of 6 feet from the perimeter of equipment.

Comments:
Thank you for your assistance during today's monitoring inspection conducted from 10:10 AM to 2:20 PM. Today, there were thirteen children, ages three to five, with two teachers. Eight children remained for lunch and the afternoon routines. I viewed the new cots and sheet sets used for rest time. The children were provided a variety of choices and learning centers in the classrooms. The group activities on this date included music, movement and Spanish. Teachers were observed providing positive guidance and facilitated respect and appropriate social interactions. They have had art activities incorporating seasonal themes and literacy/books. Let me know if you have any questions. 540/430-9259

Violations:
Standard #: 22VAC40-185-510-C
Description: Based on a review of two emergency medications for children, and an interview with staff, the required written authorizations were not obtained for child 1M and child 2M. Evidence: There were not any written physician's authorizations obtained for long-term prescriptions kept at the school. The written parent authorizations for child 1M dated September 6, 2015 and signed September 1, 2015 were not updated after ten program days with the absence of physician's signatures on the forms.

Plan of Correction: The teacher will arrange with parents to update their written authorizations for use of the emergency medication and to obtain written physician authorizations using the D.S.S. model form. In the future, if physician's authorizations are not provided, the parent's signature will be renewed every ten school days for medications needed at the school all year. The required written authorizations will be viewed when the M.A.T. certified staff person accepts paperwork from parents so that the information can be verified as complete.

Standard #: 22VAC40-185-550-E
Description: Based on a review of the emergency drill records during the past tweve months, and interviews with administrative staff, the second shelter-in-place drill conducted during the 2014-2015 school year was not documented as required. Evidence: The binder with the forms used for documenting emergency practices only included the shelter-in-place drill for a Code Red in September 2014. An e-mail found in the computer files that was sent to school staff explained the plans to have a tornado drill on May 28. Staff indicated they remembered the school children sheltering in the hallways at this time.

Plan of Correction: A school administrator used an emergency drill form to document the tornado drill conducted on May 28, 2015 and added information about the time it was scheduled and the number of staff and children that day. In the future, administrative staff will make sure the shelter-in-place drills are documented on the specified form and placed in the binder.

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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