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Appletree School of Fairfax
9655 Blake Lane
Fairfax, VA 22031
(703) 281-7747

Current Inspector: Christina Bakonyi (571) 596-3655

Inspection Date: June 3, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A monitoring inspection was initiated on 5/19/20 and concluded on 5/22/20. The director was contacted by telephone to initiate the inspection. There were 7 children present and 7 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 2 children?s records and 2 staff records submitted by the facility to ensure documentation was complete.


Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility.


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 #: 22VAC40-185-140-A
Description: Based on record review, each child did not have documentation of a physical examination by or under the direction of a physician.
Evidence:
The record for child 2 did not contain documentation of a physical examination by or under the direction of a physician.

Plan of Correction: I will let mother know of missing last page. I will ask her to contact her doctor to set appointment and have her records here by 7/1/2020.

Standard #: 22VAC40-185-70-A
Description: Based on record review, one staff file was not maintained.
Evidence:
The record for Staff 1 contained one of two required reference checks.

Plan of Correction: I will contact staff member and ask her to resend email for her reference and respond by 6/4/2020.

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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