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Dawn Johnson, Sullivan
2601 Strasburg Road
Front royal, VA 22630
(540) 622-2236

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Nov. 1, 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.
22VAC40-80 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:
A supplemental page was provided.

Comments:
Thank you for your time and assistance with the unannounced monitoring inspection conducted today, November 1, 2019. The on-site inspection was conducted from 9:20a.m. to 11:40a.m. On this date, there were three children in the care of the provider for eight points. There were a total of five children enrolled in the program. There were five children's records reviewed. The records of the provider and one household member were reviewed. There were no medications being administered at the time of the inspection. The exception to compliance was noted on the violation notice and the risk rating for the violation was noted on the supplemental page. There were an ample supply of age appropriate toys and equipment. Some items reviewed and observed were: infant care, story time, songs and large motor musical activities, playing with playdough, free play, lunch, emergency evacuation, shelter-in-place and lockdown drills, required posted information, daily attendance record, warm water temperature, refrigerator and freezer temperatures, first aid kit and emergency supplies, and nap time.

Please contact your licensing inspector, Diann Reed, if you have questions concerning this inspection, the licensing standards, and/or if I may be of assistance to you (540) 280-0742.

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on review of five children's records and verification from the provider, one child's record did not contain documentation that the child had received a physical examination.

Evidence:
1. The record for Child #4 did not contain a record for a physical examination. Date of enrollment for Child #4 was 05/13/2019.
2. The provider confirmed the physical exam report had not been obtained.

Plan of Correction: The provider has talked with the parent of the child and will obtain a physical examination as soon as possible.

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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