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Country Day Care

Inspection · 2023-05-03

Date
2023-05-03
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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minors records
22.1 Background Checks Code, Carbon Monoxide
22.1 Early Childhood Care and Education

Inspector Notes

An unannounced monitoring inspection was initiated and concluded on 5/3/2023. The inspector was on site from approximately 8:10 am-11:16 am. There were 48 children present, ranging in ages from 6 months to 10 years, with 9 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, special care and emergencies, nutrition and background checks. A total of 5 child records and 5 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.

Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations

4
Standard 22.1-289.035-B-4
Based on a review of five (5) staff records and interview, the center did not ensure to obtain the required out of state background checks for one (1) staff.

Evidence:
1. The record of staff #1 (date of employment: 12/1/2022) contained a sworn statement that indicated that the staff resided outside of the state within the preceding five (5) years. The record did not contain the results of the out of state criminal history name check that is required for non-NFF states prior to the first date of employment. The record did not contain the results of an out of state child abuse and neglect search request by the end of the 30th day of employment as required.
2. Administration acknowledged that the out of state background checks had not been completed.
Plan of Correction: Management has delegated a trained staff member to conduct the proper protocol to obtain out of state information needed before allowing staff to be employed and to be in compliance with licensing regulations.
Standard 8VAC20-780-160-A
Based on a review of five (5) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for on (1) staff at the time of employment and prior to coming into contact with children.

Evidence:
1. The record of staff #1 (date of employment: 12/01/2022) contained a TB screening dated 12/02/2022.
2. Administration acknowledged that the negative screening results were received after the start of employment.
Plan of Correction: Management has delegated a trained staff member to conduct interviews for new staff and provide a list of documentation needed before starting and engaging with children.
Standard 8VAC20-780-160-C
Based on a review of five (5) staff records and interview, the center did not ensure to obtain the results a follow up tuberculosis screening for one (1) staff at least every two years from the date of the first initial screening or testing as required.

Evidence:
1. The record of staff #5 contained a TB screening dated 12/25/20.
2. Administration acknowledged that they had not obtained a follow up screening from staff #5.
Plan of Correction: Management has created an active document to keep track of expiration dates and documents to ensure the renewal process transitions in a timely fashion.
Standard 8VAC20-780-350-B-4
Based on observation and interview, the center did not ensure to maintain the required staff to child ratio of one (1) staff to 10 children for children three years of age to school age eligible.

Evidence:
1. On 5/3/2023, 24 children were observed in the care of two (2) staff for approximately 10 minutes. The children ranged in age from 3 to 10 years.
2. Administration acknowledged that the classroom was four (4) children over ratio for the 10 minutes due to a staff member calling out sick.
Plan of Correction: Management will make adjustments to schedules to ensure coverage in classrooms and to maintain ratios.
View original record on Virginia Department of Social Services