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

Current Inspector: Barbara Workman

Inspection Date: March 22, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
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.
22VAC40-80 SANCTIONS.
22VAC40-80 HEARINGS PROCEDURES.
32.1 Report by person other than physician
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Comments:
Thank you for your assistance during this unannounced renewal inspection. This on-site visit was conducted on March 22, 2016 from 11:00 a.m. through 2:00 p.m. On this date, there were thirty-five (35) children in the care of nine (9) staff members in five classrooms. There are a total of sixty-eight (68) children enrolled in this program. Five (5) children's records and eleven (11) staff records were reviewed and updated. No medication is being administered at this time. Areas of non-compliance may be found on the violation notice. Risk scores were discussed. Areas observed were hand washing/bathroom procedures, transition, story time, lunch and nap. Lunch was observed to meet USDA guidelines and consisted of spaghetti with meat sauce, spinach, peaches, and milk. All interactions between staff and the children were appropriate and the children seemed comfortable with the daily routine. There are a wide variety of age/stage materials for the children in care. Please contact me if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 430-9256.

Violations:
Standard #: 22VAC40-185-60-A
Description: Child D did not have documentation of the physician's name and phone number. Evidence: Based on record review of five children's records, one record for Child D did not have documentation of the physician's name and phone number. Child D did not have documentation of a second emergency contact. Evidence: Based on record review of five children's records, one record for Child D did not have documentation of a second emergency contact.

Plan of Correction: The director will contact the parent to verify and document a second emergency contact and the name of the child's physician and phone number.

Standard #: 22VAC40-191-40-D-1-C
Description: Staff A did not have documentation of obtaining an updated criminal record check. Evidence: Based on record review and conversation with the provider, it was determined Staff A did not have documentation of obtaining an updated criminal record check. Last documented updated was 06/11/2012.

Plan of Correction: The director will complete an updated criminal record check on Staff A. In the future, all repeat checks will be conducted every three years.

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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