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Cloverdale School
13506 Minnieville Road
Woodbridge, VA 22192-4203
(703) 670-8695

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Oct. 29, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks (22VAC40-191)

Comments:
An unannounced Renewal study was conducted from 10:00 am - 12:00 pm. There were 74 children in care being supervised by 11 staff members. The children were observed participating in table-top activities and eating snack provided from home. Seven children's records were reviewed and in compliance. Six staff records were reviewed and in compliance. Five medications were reviewed and in compliance. There are currently 2 staff members on site who are MAT (Medication Administration Training) certified. The most recent emergency escape drill was conducted 10/10/2018 and the most recent shelter in place drill was conducted 05/04/2018. If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.l.allen@dss.virginia.gov.

Violations:
Standard #: 22VAC40-185-80-A
Description: Based on observation of the program it was determined that a written attendance record was not complete. Evidence: The attendance records for the three year old classroom and four of the four year old classrooms did not have a written record of attendance for today, October 29, 2018.

Plan of Correction: Staff will record children on the attendance record as they arrive to the program.

Standard #: 63.2-1721.1-B-2
Description: Based on review of one agent record it was determined that the center did not have an Office of Background Investigations (OBI) fingerprinting-based criminal history record determination letter prior to September 30, 2018. Evidence: Agent A did not have a required OBI determination letter in their file.

Plan of Correction: Agent A will make an appointment today to obtain a fingerprint check.

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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