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Home My WebLink About03-14 ApplicationSEP 3 0 2014 FREDERICK COUNTY PLANNING AND DEVELOPMENT Submittal Deadline $ P/C Meeting BOS Meeting i o APPLICATION FOR CONDITIONAL USE PERMIT FREDERICK COUNTY, VIRGINIA 1. Applicant (check one): Property Owner Other n _ _, ADDRESS: Z5 Wvqrnordand D ve-, L TELEPHONE: -510— 0 (o � -ZC)7+ 2. Please list all owners, occupants, or parties in interest of the property: a a f C', YNL 5 1? m 3. The property is located at: (please give exact directions and include the route number of your road or street) i " tn 1A e-. on 44te-' i e .,f. ;-715 4. The property has a road frontage of % 00 feet and a depth of d feet and consists of 3/.:4rf acres. (Please be exact) -215"76 S% f- - pto 5. The property is owned byM a V 4 '(�yL; i-� as evidenced by deed from revious owner) recorded in deed book no. 15'] on page I, as recorded in t e records of the Clerk of the Circuit Court, County of Frederick. e Rn(jefv deed J qo p3 ;Z61 6. Property Identification Number (P.I.N.) 11 ?-f C-1-3 � 14 6r Magisterial District Q49,e D h Current Zoning (9 5 7. Adjoining Property: North East cowth West 8. The type of use proposed is (consult with the Planning Dept. before completing): 9. It is proposed that the following buildings will be constructed: 10. The following are all of the individuals, firms, or corporations owning property adjacent to both sides and rear and in front of (across street from) the property where the requested use will be conducted. (Continue on back if necessary.) These neonle will be notified by mail of this annlication: Name and Property Identification Number Address Name to & / Omn 1 d G� q is f 1['6?$ (l- , �0_ ` �G&'rJ�� Property # Nameh'.. F�- e iDl jv.5eX Ltr/de- 6 Property # a�Y13 Name rAM Ky q/' .� �o Wry' 5x I YI..L�>►"C'.lGinc Dr - Property # Name'An t1r))l 216 Yh s'C/Y[,l ve Cllrl r( L)%/ Ue. Property # Name Property # Name Property # Name Property M 12. Additional comments, if any: I (we), the undersigned, do hereby respectfully make application and petition the governing body of Frederick County, Virginia to allow the use described in this application. I understand that the sign issued to me when this application is submitted must be placed at the front property line at least seven (7) days prior to the first public hearing and maintained so as to be visible until after the Board of Supervisors' public hearing. Your application for a Conditional Use Permit authorizes any member of the Frederick County Planning Commission, Board of Supervisors or Planning and Development Department to inspect your property where the proposed use will be conducted. Signature of A lican C " g pp A, Signature of Owner Owners' Mailing Address Owners' Telephone No. TO BE COMPLETED BY THE ZONING ADMINISTRATOR: USE CODE: RENEWAL DATE: 9 September 2014 To whom it concerns, I felt it would be in my best interest to give you some back ground on behalf of my profession as an, In Home Licensed Child Care provider. I have held a license with high regard to the needs of children since 1958 where I initially became a licensed caregiver through the military's legal system. I have since, maintained a license in North Carolina as well as Virginia for the past 20 years. I've earned an advanced CDA from JMU and maintain continuing Early Childhood Education classes as required by the state and to ensure that I am giving the most current and best practice for the children and the families in which I care for. I have been registered with Children Services of Virginia as well as Social Services in caring for their children and attending classes they provide. I am a registered provider with the USDA Adult Food and Nutrition Program for the past 14 years as well. I've been licensed in home at this residence for 14 years and have acquired good standing with my state licensing inspector, Julie Kanowski; who conies to the home unannounced; spending several hours per visit inspecting the home, the children, and myself, for the safety and compliance to standards as mandated by the licensing requirements, set forth by the state. My USDA nutritionist arrives unannounced, several times a year to inspect for safety and compliance as well. 'These inspections are extremely thorough as they not only entail house and child safety but documentation for First Aid and CPR, enrollment of a Child program, business license, documentation on each child in care and a variety of other necessary standards. 1 love working with children and feel highly comfortable and confident in my profession on all levels. My hope is to continue working at the capacity that I'm accustomed to for overall success in child care and my business. I have enclosed a copy of my license with contact information and can gather any other information you deem necessary. Sincerely, 41 sra �i€v c5r r, ■esus■■■®■■■■■■rra■■■r s e■■■■■n DEPARTMENT OF �� ` SOCIAL SERVICES LICENSE FAMILY DAY HOME Issued to WATSON FAMILY DAY HOME T/A Quality Home Child Care (Operated by Caroline Elisabeth Watson) Address 215 Westmoreland Drive, Steahens City, Virginia 22655 This license is issued in accordance with provisions of Chapters 1, 17 and 18, Title 63.2, Code of Virginia as amended, the esinhlished rules And regulations of the State Board of Social Services and the specific limitations prescribed by the Commissioner of Social Services as follows: Capacity 12 Sex Age Infancy MIF Through 12 Years This license is not transferable and will be in effect from July 14, 2014 through July 13, 2017 unless revoked for violations of the provisions of law or failure to comply with the limitations stated above. ISSUING OFFICE: MARC RET R SS SCHIM Virginia Department of Social Services '„-.c MMIss1oNERFsoclnw srR 1 Division of Licensing Programs - Valley Licensing Office 57 Beam Lane, Suite 102 By Fishersville, VA 22939 Christopher H. rather Telephone: (540) 332-9167 Title LICENSING MG VLO-14-107 LICENSE NUMBER 1090961 • 1,711 Date Julv 11, 201 082-05-376 (7/92) MPEG I1UN 5UMMAKY Facility Name /Number Caroline Wat! 090961 In! tion Date 12/03/2013 DBA Inspection End Date 12/03/2013 Inspect. Type: M - Monitoring UM -Unannounced Mandated Areas of Standards Reviewed: ® 22VAC40-111-(2) Administration ® 22VAC40-111-(3) Personnel ® 22VAC40-111-(4) Household Members ® 22VAC40-1 11 -(S) Physical Health of Caregivers and Hous ® 22VAC40-111-(6) Caregiver Training ® 22VAC40-111-(7) Physical Environment and Equipment ® 22VAC40-111-(8) Care of Children ® 22VAC40-111-(9) Preventing the Spread of Disease ® 22VAC40-111-(10) Medication Administration ® 22VAC40-1 11 -(11) Emergencies ® 22VAC40-111-(12) Nutrition ® 22VAC40-111-(13) Transportation Technical Assistance Provided: Comments/Discussion: [] 22VAC40-111-(14) Nighttime Care ® 22VAC40-80-(G3) THE LICENSE ® 22VAC40-80-(G4) THE LICENSING PROCESS. ® 22VAC40-80-(G8) SANCTIONS. ® 22VAC40-80-(G9) HEARINGS PROCEDURES_ ® 63.2-(1) General Provisions. ® 63.2-(15) Child Abuse and Neglect ® 63.2-(17) Licensure and Registration Procedures ® 632-(18) Facilities and Programs.. ® 632-(18.1) Liability Insurance Disclosure ® 22VAC40-191-(BC) Background Checks for Child Welfare Agencies ® 54.1-(34)-3408 Provider must be MAT certified to administer prescription medication. you for your assistance during this unannounced monitoring inspection conducted on December 3, 2013 from 12:30 p.m. 1h 130 p -m. Two children were in care along with the provider with points totaling seven (7). Your home was found to be substantial compliance with licensing standards. No violations were cited during this inspection. Two children's records v ed and updated. No medication is being administered at the present time. Children were observed during lunch, hand ig/ bathroom procedures, free choice activity, movement and nap. be of assistance please contact me at (540) 332-9167. Violation Notice Issued: No By signature the facility representative acknowledges that the inspector reviewed all information found on the Inspection Summary, including areas of standards reviewed, date(s) and time(s) of inspection, technical assistance provided and the comments/discussion section. Inspector Signature Licensing (Julie R. Kunowsky Representative Date 112/03/2013 I 032-05-035 (11/99) Representative Signature Facility Caroline Watson Representative Date 12/03/2013 I Page 1 of 1 Areas of Standards Reviewed: ® 22VAC40-111-(2) Administration ® 22VAC40-111-(3) Personnel ® 22VAC40-111-(4) Household Members ® 22VAC40-111-(5) Physical Health of Caregivers and Hous n 22VAC40411-(6)CaregiverTraining ® 22VAC40-111-(7) Physical Environment and Equipment ® 22VAC40-111-(8) Care of Children ® 22VAC40-111-(9) Preventing the Spread of Disease ® 22VAC40-111-(10) Medication Administration ® 22VAC40-111-(11) Emergencies ® 22VAC40-111-(12) Nutrition ® 22VAC40-111-(13) Transportation Technical Assistance Provided: Comments/Discussion: 22VAC40-111-04) Nighttime Care ® 22VAC40-80-(G3) THE LICENSE 22VAC40-80-(G4) THE LICENSING PROCESS. ® 22VAC40,80-(G8) SANCTIONS. ® 22VAC40-80-(G9) HEARINGS PROCEDURES. ® 63.2-(1) General Provisions. ® 63.2-(15) Child Abuse and Neglect ® 63.2-(17) Licensure and Registration Procedures ® 63-2-08) Facilities and Programs.. ® 63.2-(18.1) Liability Insurance Disclosure ® 22VAC40-191-(BC) Background Checks for Child Welfare Agencies ® 54.1-(34)-3408 Provider must be MAT certified to administer prescription medication. unannounced monitoring inspection was conducted on June 9, 2014 from 10.50 a L through 1.00 p.m. Upon arrival there were it (4) children in the care of the provider. Points totaled eight (8). Four (4) children's and three (3) provider records were reviewed I updated. No medication was administered during this inspection. The provider is current with Medication Administration %T). vibes observed on this date includeck indoor play, movie, circle time/ show and tell, story time, hand washing bathroom :edures, and lunch preparation. Children appear to be well aware of the daily routine and schedule. This family day home is well pped with a variety of age/stage materials for the children in care. The provider has a solid knowledge of child development. provider has a variety of field trips planned for the summer months. be of assistance please contact me at (540) 332 -9167 - Violation Notice Issued No Page 1 of 2 Signature � Signature Licensing Julie Kunowsky Facility Representative Representative Date 106/09/2014 Date 032-05-035 (11/99) Caroline Watson 06/09/2014 Page 2 of 2 Facility Name/Number. Caroline Watson 1090961 Inspection Date 06/09/2014 DBA: Inspection End Date 06/09/2014 Inspect Type: M - Monitoring UM -Unannounced Mandated tildren's records reviewed: Dominic S. Elyse K Claire H. Rakkan Z. wider records reviewed: Caroline W. Marvin W. Olivia W. Information found on the Supplemental Information page is confidential and this document is not to be posted in the facility. Inspector Representative Signature 4e AVNVZX4,c48 Signature Licensing Kunowsky, Julie R. Facility Caroline Watson Representative Representative Date 106/09/2014 I Date 06109/2014 032-05P-035 (11/99) Page 1 of i