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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Loudoun P&R - Countryside CASA and Camps
20624 Countryside Bolevard
Sterling, VA 20165
(703) 777-0357

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date:

Complaint Related: No

Standard #: 22VAC40-185-550-M
Description: Based on review of the written records of children's serious and minor injuries, the center did not have documentation of Staff and parent signatures or two staff signatures on each report.
1. Five children's accident reports (dated 9/11/2019, 9/13/2019, 9/25/2019, 9/25/2019 and 9/30/2019) did not have staff and parent signatures or two staff signatures. The reports had one staff signature only.

Plan of Correction: Going forward, I will make sure we have two staff signatures or the parent signature with a staff signature.

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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