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OFC/SACC - Poplar Tree
13440 Melville Lane
Chantilly, VA 20151
(703) 633-7400

Current Inspector: Sandra W D'Imperio (703) 479-4675

Inspection Date: Feb. 4, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Comments:
A Subsidy Health and Safety inspection was conducted today to review supplemental health and safety requirements. There were 46 children in care, with a total of 5 staff members assigned to their direct supervision. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice.

Violations:
Standard #: 22VAC40-665-520-B-11
Description: Based on a review of children's medication forms, it was determined that the food allergy action plans are not complete. Evidence: The children's food allergy action plans do not include the physician's signature.

Plan of Correction: The parents will be asked to have their child's form signed by the doctor.

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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