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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: Jan. 29, 2018

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.
22VAC40-185 SPECIAL SERVICES.

Comments:
An unannounced full renewal inspection was conducted today. There were 58 children in care, with a total of 4 staff assigned to their direct supervision. Children's records, staff training records, emergency information, emergency preparedness items, the physical plant, and all children's medications were inspected today. This inspection took place in the middle of the day. All children were observed enjoying a football pizza party for lunch. This inspection was completed between approximately 11:20am and 12:30pm. 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 #: 22VAC40-185-140-A
Description: Based on a review of children's health records, it was determined that one record is not complete. Evidence: Child record #1 does not include a physical exam report.

Plan of Correction: I will get a copy from the school nurse.

Standard #: 22VAC40-185-40-J
Description: Based on a review of administrative documents, it was determined that one required document was not on site for review. Evidence: The injury prevention plan was not on site, therefore the Inspector was unable to verify that staff completed an annual review of this plan.

Plan of Correction: Staff took it home over the weekend to review the information. I will make sure the book with the plan is returned to school tomorrow.

Standard #: 22VAC40-185-60-A
Description: Based on a review of children's records, it was determined that one record was not complete. Evidence: Child record #2 does not include "authorized pick up" information.

Plan of Correction: I will ask the parent for the information.

Standard #: 22VAC40-185-510-A
Description: Based on a review of children's medications, it was determined that one authorization form is not complete. Evidence: The authorization form for one child's prescription medication does not include the parent's signature.

Plan of Correction: I will ask the parent to sign the form.

Standard #: 22VAC40-185-510-E
Description: Based on a review of children's medications, it was determined that one non-prescription medication was not labeled as required. Evidence: One child's non-prescription medication was not labeled with the child's name.

Plan of Correction: I will label it today.

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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