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SACC at Cub Run
5301 Sully Station Drive
Centreville, VA 20120
(703) 618-7653

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: Feb. 4, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Comments:
A Subsidy Health and Safety inspection was conducted on February 4, 2020 to review supplemental health and safety requirements. A licensing inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice.
If you have any questions regarding this inspection, please contact the Licensing Inspector, Kara Wright at kara.wright@dss.virginia.gov or (703) 537-6241.

Violations:
Standard #: 22VAC40-665-520-B-3
Description: Based on record review, one of four children's records reviewed did not contain the name, address, and telephone number for each custodial parent's place of employment or school attendance, if applicable.
Evidence:
The record for Child 3 did not contain the work address for either of the listed guardians.

Plan of Correction: We will have the family update the record.

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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