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Patrycja Kuklinski
21432 Chickacoan Trail Dr
Ashburn, VA 20148
(571) 426-0270

Current Inspector: Lisa Hudson (571) 389-2459

Inspection Date: Dec. 6, 2021

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Medication Administration
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
22VAC40-111 Nighttime Care
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The Virginia Department of Education (VDOE) assumed oversight of child care licensing and
monitoring on July 1, 2021. All associated regulations and codes have transferred over from the
Virginia Department of Social Services. Guidance, resources and training links can be found on the new website: childcareva.com.

Comments:
A Monitoring inspection was initiated today. This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. The provider was contacted by telephone and a virtual inspection was conducted. There were a total of 2 children present with 1 staff (8pts). The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 2 child records and all staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Feel free to contact me if you need any assistance at: lisa.hudson@doe.virginia.gov.

Violations:
Standard #: 8VAC20-800-120-B
Description: Based on staff record review, one record did not have all required information.
Evidence:
Staff #2's file did not contain 2 reference checks.

Plan of Correction: The staff had them with them. They will be maintained in the record.

Standard #: 8VAC20-800-200-C
Description: Based on staff record review, documentation was not signed and dated as required.
Evidence:
Staff #2's orientation training was not signed and dated by the assistant.

Plan of Correction: The training will be signed and dated the day they completed the training.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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