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OFC/SACC - Kings Glen
5401 Danbury Forest Drive
Springfield, VA 22151
(703) 239-4061

Current Inspector: Nancy Radcliffe

Inspection Date: Oct. 24, 2016

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 renewal inspection was conducted today at 3:40pm. There were 42 school-agers directly supervised by 5 staff. The physical plant, 5 children?s records, medications, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, reading books, playing outside, and eating snack. There was an abundant supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. 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 #: 22VAC40-185-130-A
Description: Based on review, the facility failed to ensure that they obtained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Reviewed 5 children's records and found that CH2 did not have documentation of an immunization record.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-140-A
Description: Based on review, the facility failed to ensure that each child has documentation of a physical examination by or under the direction of a physician, within 30 days of the first day of care. Evidence: Reviewed 5 children's records and found that CH2 and CH5 did not have documentation of a physical examination on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-150-B
Description: Based on review, the facility failed to ensure that children's immunization records and documentation of a physical examination are signed by a physician, their designee or an official of a local health department. Evidence: Reviewed 5 children's records and found that CH4 and CH5 did not have documentation of a signed immunization record.

Plan of Correction: Not available online. Contact Inspector for more information.

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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