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Sherry Kelly-Williams
3102 Wilson Avenue
Alexandria, VA 22305
(703) 548-6818

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-111-100-A
Description: Based on record review, the provider did not obtain documentation of a physical examination for a child within 30 days after the first day of attendance.
Evidence:
1. Child # 1's first date of enrollment was 7/29/19.
2. Child # 1's record had a form used for a physical exam but it was not completed by the child's physician. It was an incomplete physical exam form.

Plan of Correction: I will ask the parent for the form.

Standard #: 22VAC40-111-90-C
Description: Based on record review, the provider did not obtain additional immunizations for a child who is not exempt from the immunization requirements.
Evidence: Child # 1's (18 months of age) record had immunizations that were last updated in April 2019. Additional updated immunization records were not obtained after that date.

Plan of Correction: I will ask the parents to bring me updated immunization records.

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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