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Country School House
13316 Braddock Road
Clifton, VA 20124
(703) 266-0747

Current Inspector: Diana DeSilva (571) 596-3656

Inspection Date: Aug. 20, 2020 and Aug. 21, 2020

Complaint Related: No

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

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 subsidy health and safety inspection was initiated on 08/20/2020 and concluded on 08/21/2020. The director was contacted by telephone to initiate the inspection. There were 5 children present and 1 staff. A licensing inspection was conducted on the same date as the SHSI supplemental inspection. Both inspections combined cover subsidy health and safety regulations. Only subsidy regulations that are not covered in licensing standards are reviewed during this supplemental inspection. The information gathered during the inspection determined non-compliance with subsidy regulations, and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 22VAC40-665-520-B-3
Description: Based on record review, 2 of 2 children's records did not include the address for each custodial parent's place of employment.

Evidence:
The records for Child #1 and Child #2 did not contain documentation of the mother and father's work addresses.

Plan of Correction: I will give the parents the form and ask them for the 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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