This is Patty Albin from Albin Arts from Fairfield Glade Tennessee. Patty and her husband had this stand at the Dogwood Arts Festival in Knoxville Tennessee. It was a pretty interesting concept. They were selling photographs with fully painted frames. I would imagine that her husband is the one takeing the photos and she is the one that paints the frames.
What your seeing here is Patty starting to add a layer of painted leaves to the already painted background. When she is done the frame surrounding the photo of wild flowers will look as though the whole frame is part of the actual image. She was doing all of this free hand and did not have a copy of the photo (except for what was already in the frame).
EXIF Data:
Camera: NIKON D5000
Shutter Speed: 1/20s
Aperture: f/6.3
ISO: ISO 400
Focal Length: 110 mm
Lens: 55.0-200.0 mm f/4.0-5.6