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OFC/SACC - Glen Forest
5829 Glen Forest Drive
Falls church, VA 22041
(703) 578-8135

Current Inspector: Nancy Radcliffe

Inspection Date: April 17, 2015

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.
63.2 General Provisions.
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..

Comments:
An unannounced monitoring inspection was conducted today from 12:55pm-1:34pm. There were 20 school-agers directly supervised by 4 staff. The physical plant, 5 staff training records, 5 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed watching a movie and participating in individual and group activities. There was an abundant supply of books, toys, and materials for the children. The center was clean and organized. Areas of non-compliance are identified in this report. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 10 calendar days from today. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov) (703)479-4680

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on review, the facility failed to ensure that each child's record contained the required information. Evidence: 1) Reviewed 5 children's records and found that CH2 did not have documentation of an address for their first emergency contact. 2) Reviewed 5 children's records and found that CH3 did not have documentation of a city, state or zip code of their first emergency contact. 3) Reviewed 5 children's records and found that CH3 did not have documentation of allergy and health information or of previous schools attended.

Plan of Correction: 1) I obtained the address for the emergency contact for CH2. (4/20/15) 2) I obtained the city, state and zip code for CH3 on the emergency contact. (4/22/15) 3) I obtained documentation of allergy and health information and previous school for CH3. (4/20/15)

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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