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Country Day School LLC

Inspection · 2024-06-10

Date
2024-06-10
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced monitoring inspection was initiated on Monday, June 10, 2024, and concluded on Friday, June 14, 2024, to determine the center's compliance with licensing standards. On June 10, the inspector was on site from 2:45pm to approximately 5:00pm. There were a total of 28 children present in the direct care of eight staff members. Upon the inspector's arrival, the children and staff were observed in their respective classrooms. The children were observed during transitions, during free-play, and teacher-led activities. The center is equipped with age-appropriate materials and equipment for the children's use. Staff were engaged with the children and offered guidance when needed. The areas where children receive care were inspected and found to be in compliance. The required postings were observed. Medication is administered and medications and authorizations were reviewed. Per the Director, transportation is not provided. During the inspection, five children's records and five staff records were reviewed. Additional documentation was submitted electronically on June 11 and June 14, 2024. Information gathered during the inspections determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

If you have any questions about this inspection, please contact Florence Martus, Licensing Inspector, at 804-389-0157 or florence.martus@doe.virginia.gov.

Violations

6
Standard 22.1-289.035-B-2
Based on a review of five staff records and interviews, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for one staff prior to employment.

Evidence: The national fingerprints-based criminal record search in the record of Staff #3, employed on 05/29/23, was dated 06/02/23.

During interview, a member of management confirmed Staff #3 started employment on 05/29/23 and the fingerprint-based criminal record search was obtained after.
Plan of Correction: Corrected.
Standard 22.1-289.035-B-4
Based on a review of five staff records and interviews, the center did not obtain a required out-of-state background check from any state in which one staff had resided in the preceding five years within the required timeframe.

Evidence: The record of Staff #3, employed on 05/29/23, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment. During interview, a member of management confirmed the required out-of-state background check for Staff #3 had not been obtained to date.
Plan of Correction: Obtained on 06/11/24.
Standard 8VAC20-780-150-B
Based on a review of five children's records and interviews, the center did not ensure one child's immunization and physical examination reports shall be signed by a physician, his designee, or an official of a local health department.

Evidence: The physical examination and dates immunizations were received in the record of Child #4, date of attendance 08/23/23, was not signed by a physician, his designee, or an official of a local health department. During interview, a member of management confirmed the center did not have the signed report.
Plan of Correction: Obtained on 06/12/24.
Standard 8VAC20-780-160-A
Based on a review of five staff records and interviews, the center did not ensure one staff shall submit documentation of a negative tuberculosis (TB) screening within the required timeframe.

Evidence: The TB screening in the record of Staff #3, employed on 05/29/23, was dated 06/12/23. During interview, a member of management confirmed Staff #3 started employment on 05/29/23, prior to obtaining a negative TB screening.

Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.
Plan of Correction: Corrected.
Standard 8VAC20-780-240-A
Based on a review of five staff records and interviews, the center did not ensure one staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence: The record of Staff #3, employed on 05/29/23, did not contain documentation that the staff completed the VDOE orientation course. During interview, a member of management confirmed Staff #3 had not complete the VDOE orientation course to date.
Plan of Correction: Will complete moving forward.
Standard 8VAC20-780-245-A
Based on a review of five staff records and a review of documentation, the center did not ensure one staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

Evidence: The record of Staff #3, employed on 05/29/23, did not contain 16 hours of training appropriate to the age of children in care from 05/30/23-05/29/24.
Plan of Correction: Completed on 06/14/24.
View original record on Virginia Department of Social Services