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Monica Villa
1542 Stuart Road
Herndon, VA 20170
(703) 464-0985

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date:

Complaint Related: No

Standard #: 22VAC40-111-60-B
Description: Based on record review, not all children's records contained documentation of the annual review of the child's emergency contact information. Evidence: 1. Child #3's emergency contact information was last reviewed by the parent on 1/5/18.

Plan of Correction: I will ask the mother to fill out the form today when she picks up the child.

Standard #: 22VAC40-191-40-D-4-a
Description: Based on record review, an adult household member does not have a completed Sworn Disclosure Statement on file. Evidence: 1. Adult Household Member #1 is over age 18 and the Sworn Disclosure Statement on file is signed and dated but not filled out.

Plan of Correction: The household member will complete the form today.

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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