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Evergreen United Methodist Church
19619 Evergreen Mills Road
Leesburg, VA 20175
(703) 737-7700

VDSS Contact: Derek Acosta (703) 554-4995

Inspection Date: Nov. 2, 2023

Complaint Related: No

Areas Reviewed:
22.1 Background Checks Code
8VAC20-790 Subsidy Regulations.

Technical Assistance:
The inspector and the director discussed the subsidy requirements and where to locate a digital copy in order to ensure compliance.

Comments:
An unannounced initial subsidy inspection was conducted on November 2 2023 between 12:30pm and 2:00pm. There were 12 children in the direct care of 6 staff members. A review of child record documentation, staff documentation, attendance records, emergency items, evacuation procedures, and the physical plant was conducted. Children were observed participating in music time, hand washing, eating lunch, and preparing for dismissal. Violations are listed on the violation notice page. If you have any questions regarding this inspection please contact me at 703-554-4995 or at derek.acosta@doe.virginia.gov

Violations:
Standard #: 8VAC20-790-540-B-11
Description: Based on record review, the center did not ensure that a written allergy care plan, with instructions from a physician, was received for each child with a food allergy.

Evidence;
Child #1 record did not contain a written allergy care plan for a diagnosed food allergy.

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

Standard #: 8VAC20-790-790-A
Description: Based on observation and interview, the vendor did not have a written emergency preparedness plan that address staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown, and shelter-in-place procedures.

Evidence: The director stated they do not have a plan written down, but do practice with the children and have locations identified for evacuating and sheltering in place.

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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