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Country Day Care

Inspection · 2024-08-13

Date
2024-08-13
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, on-site monitoring inspection was conducted on 8/13/2024. The on-site inspection began at approximately 9:22 am and ended at 11:50 am. The inspector reviewed compliance in the areas listed above. There were 43 children present and 11 staff. This inspection included document review, a tour of the facility, interviews and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 08/20/2024. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 8VAC20-780-140-A
Based on a review of five child records and interview, the center did not ensure that one child had a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance.

Evidence:
1. The record of child #2 (date of enrollment: 5/28/2024) did not contain a physical.
2. Administration acknowledged that a physical record was not obtained.
Plan of Correction: Administration requested for a copy from the child's parent. Administration will ensure all children enrolled at the facility have physicals in their record no later than their start date. This includes any children who are under religious exemption guidelines involving vaccinations.
Standard 8VAC20-780-270-A
Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

Evidence:
1. Six swings were observed on the preschool playground that had rust on the chain supports that the children hold.
2. Administration acknowledged that the rusted swings required maintenance.
Plan of Correction: Administration will replace the existing chains and S hooks beginning to rust with new coated chains and proper hooks on swings. Equipment was ordered on 8/15/2024 and will be installed upon arrival.
Standard 8VAC20-780-500-B
Based on interview, the center did not ensure that diapering surfaces were cleaned and sanitized after each use.

Evidence:
1. In interview, staff #1 (twos room) stated that at times she used a sanitizing wipe to both clean and sanitize the diapering surface after changing a child. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.
2. Administration acknowledged that the staff had not sanitized the surface properly.
Plan of Correction: Diaper changing policies and protocols are consistently reviewed with staff at Country Day Care and will continue to transpire on a routine basis. Administration will ensure the steps are posted at each diaper changing station in the facility and will also reinforce expectations for staff who work in these age ranges requiring diaper changing. Staff who do not consistently adhere to these policies will be reprimanded and if necessary removed from working with that age group as we fully acknowledge the importance of following this protocol.
Standard 8VAC20-780-560-J
Based on interview, the center did not ensure that tables were sanitized before and after each use for feeding as required.

Evidence:
1. In interview, staff #3 (three and four year old room) stated that she had been recently using sanitizing wipes to clean the tables and the sanitizing spray bottle had not been filled. Staff #5 (school age room) stated that she had been wiping the tables but had not been utilizing the sanitizing spray.
2. Administration acknowledged that the tables had not been sanitized properly.
Plan of Correction: Administration will ensure that every class has soap and water as well as Odoban and water spray bottles to sanitize and disinfect surfaces. Administration will also review guidelines with staff about when various surfaces need to be sanitized and disinfected and the appropriate protocol to do so.