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

Current Inspector: Stephanie Reed (540) 272-6558

Inspection Date: Oct. 20, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A monitoring inspection was conducted on October 20, 2022 from 9:50 A.M.-1:30 P.M. There were 44 children present, ranging in ages from 6 weeks to five years of age, with eight staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and seven staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

If you have any questions or concerns please contact the Licensing Inspector at 540-430-9257.

Violations:
Standard #: 8VAC20-780-150-B
Description: Based on a review of children records, the center failed to ensure that the immunizations and physical shall be dated and signed by a physician, designee, or an official of a local health department.

Evidence:
1. Child #2's immunizations and physical had not been signed or dated by a physician, designee, or an official of a local health department.
2. Administration verified that the health reports did not have a date or signature.

Plan of Correction: Administration will follow-up with the parent and requested a signed and dated immunization and physical form. In the future as children are enrolling administration will audit the paperwork to ensure the required dates are signatures were obtained on the forms.

Standard #: 8VAC20-780-160-C
Description: Based on a review of staff records, the center failed to ensure that a tuberculosis screening/test was obtained at least every two years from the date of the last screening/test.

Evidence:
1. Staff #1's last documented tuberculosis screening on file was dated 10/13/2020. A new one was required by 10/13/2022.
2. Administration verified the date of the tuberculosis screening on file.

Plan of Correction: An appointment will be made for the staff member to obtain an updated tuberculosis screening or test.

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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