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The Country Day School

Inspection · 2025-04-29

Date
2025-04-29
Complaint Related
No
Licensing Inspector
Mahrukh Aziz
(571) 835-4718
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.
20 Access to minor's records
22.1 Background Checks Code, Carbon Monoxide 54.1 Provider must be MAT certified to administer prescription medication.
63.2 Child abuse and neglect

During the inspection, the inspector reviewed the areas listed above.Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was conducted on 4/29/25 from 11:00 am to 2:15pm. The inspector reviewed compliance in the areas listed above. There were 119 children present and 24 staff. The inspector reviewed 5 children?s records and 5 staff records on-site.
This inspection included document review, 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 5/6/25. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-B-3
The center must submit the request a Virginia central registry search (CRS) for new employee prior to the first day of employment.
1. Staff # 1 has been employed at the center for 4 months.
2. Staff # 2 has been employed at the center for 2 months.
3. The CRS request for both employees has not been submitted to this date.
Plan of Correction: The human resources manager reached out to OBI on 4/30/25. Online form or paper form will be submitted for staff # 1 and staff # 2 by 5/1/25. Staffing will be reshuffled to accommodate supervision.
Standard 22.1-289.035-B-4
The center must submit an out of state central registry search (CRS) for staff and board members prior to the first day of employment.
1. Board member # 3 has resided out side of Virginia within the last five years. The center did not submit an out of state CRS for them prior to the first day of employment.
2. 1. Staff # 1 has been employed at the center for 4 months. Staff # 1's record indicated that
they resided in two different states within the past five years.
2. An out of state CRC, CRS and sex offender search for Staff # 1 was not requested prior to
the first day of employment.
Plan of Correction: 1. MD CPS has been initiated for board # 3. We are awaiting results.
2. MA CBS-awaiting results, MA CRS awaiting results, MA sex offender search conducted and on file. NY is NFF. NY sex offender on file, NY CRS - on file. Staff member is not alone with children while awaiting outstanding searches.
Standard 22.1-289.036-A
The center did not complete repeat background searches for a board member every five years.
Board Member # 4's most recent sworn disclosure statement, fingerprint based criminal record check and central registry search was completed more than 5 years ago. Repeat search requests were not submitted every 5 years.
Plan of Correction: An updated Sworn disclosure for board member # 4 is on file. The fingerprint and CRS search are also on file for board member # 4 .
Standard 22.1-289.036-B-1
The center must obtain a sworn disclosure statement (SDS) for board members prior to the first day of employment.
Board Member #1 and # 2 did not complete an SDS to this date.
Plan of Correction: Corrected sworn disclosures are on file.
Standard 22.1-289.036-B-3
The center did not submit a request for a central registry search (CRS) for board members prior to the first day of employment.
CRS requests for Board members # 1, # 2 and # 3 were not submitted prior to the first date of employment.
Plan of Correction: Corrected. All CRS searches are on file.
Standard 8VAC20-780-160-C
The center must obtain results of a follow-up tuberculosis (TB) screening every two years for each staff member.
Staff # 3's TB screening was last completed two years ago and a follow up screening was not obtained every two years.
Plan of Correction: The human resource manager informed staff # 3 of need for updated TB screening.
Standard 8VAC20-780-240-A
The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment by each new employee.
Staff # 1 has been employed for 4 months, and Staff # 4 has been employed for 8 months. Neither staff has completed the VA Preservice orientation course to this date.
Plan of Correction: The human resource manager informed Staff # 1 and # 4 of the requirement. Both have been given professional development time to complete the course.
View original record on Virginia Department of Social Services