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Ms. Jacqueline Tyree
1027-A Forest Hills Avenue
Charlottesville, VA 22903
(434) 923-0643

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date:

Complaint Related: No

Violations:
Standard #: 8VAC20-800-780-B
Description: Based on the review of five child records, the program failed to ensure a signed acknowledgment of an annual review of emergency contact information for two children.

Evidence:
1. The last date that a review was completed for Child #4 was 08/12/2021.
2. The last date that a review was completed for Child $5 was 08/10/2021.

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

Standard #: 8VAC20-800-60-B
Description: Based on the review of five child records, the program failed to ensure a child's record contain all required information for one child.

Evidence:
The record for Child #3 was missing the following information: sex, address, parent's name and address and phone number, doctor's name and phone number, two emergency contacts, and authorization to pick up.

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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