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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: July 10, 2019

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.
22VAC40-80 THE LICENSE.

Technical Assistance:
Classrooms not previously used by the SACC program that are currently being used for summer camp were measured today.

Comments:
An unannounced monitoring inspection was conducted today. There were 5 children on site, with a total of 3 staff members assigned to their direct supervision. An additional 144 children and 24 staff members were off site attending a field trip to watch a basketball game. The children were observed playing games and creating art projects. Pleasant and friendly staff:child interactions were observed today. This inspection was completed between 10:00am and 11:40pm. Thank you for meeting with me today. If you have any questions regarding this inspection please email me at sandra.dimperio@dss.virginia.gov

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on a review of children's health records, it was determined that two records were not complete. Evidence: Child record A and record F do not include the child's shot record.

Plan of Correction: The shot records will be added to their files.

Standard #: 22VAC40-185-140-A
Description: Based on a review of children's health records, it was determined that one record was not complete. Evidence: Child record F does not include a physical exam report.

Plan of Correction: The physical will be added to the file.

Standard #: 22VAC40-185-60-A
Description: Based on a review of children's records, it was determined that two records are not complete. Evidence: Child record A does not include: the phone number for the second emergency contact person Child record E does not include: the parent's home and work contact information; authorized pick ups information.

Plan of Correction: These children do not attend this SACC program during the school year. The parents will be asked for the missing information.

Standard #: 22VAC40-185-520-B
Description: Based on a review of children's sunscreen items, it was determined that some products were on site without all required information. Evidence: A total of 5 sunscreen products were not labeled with the child's name. A total of 4 sunscreen authorization forms did not include the correct name of the product to be applied to the child.

Plan of Correction: The bottles will be labeled and parents will be asked to correctly complete the authorization forms.

Standard #: 22VAC40-185-520-D
Description: Based on a review of the children's insect repellent products, it was determined that some were on site without all required information. Evidence: One bottle of insect repellent was not labeled with the child's name. One child's insect repellent was on site without an authorization form completed and signed by the parent. Staff do not record the application of insect repellent.

Plan of Correction: The bug spray bottle will be labeled and the parent will be asked to sign the authorization form. We will begin recording when bug spray is applied.

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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