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Burgundy Farm Country Day School

Inspection · 2023-09-20

Date
2023-09-20
Complaint Related
No
Licensing Inspector
Lauren Captain
(571) 835-0599
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
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

A renewal inspection was conducted on 09/20/2023. There were a total of 8 children with 1 staff members present. Children were observed during outside learning time. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. 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. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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.

If you have any questions about this inspection, please contact the inspector at Ariel.Hayes@doe.virginia.gov or 804-629-7124.

Violations

5
Standard 22.1-289.035-A
Based on a review of staff records, the CDC did not ensure all employees had repeat background checks every five years.
Evidence:
Staff #3 did not have results of a current central registry search on record during the inspection.
Plan of Correction: Done in file.
Standard 8VAC20-780-160-C
Based on a review of staff records, the CDC did not ensure all employees had a TB test or screening at least every two years from the date of the first initial screening or testing.
Evidence:
Staff #2 had TB results dated 6/19/2021 (expired 6/19/2023)
Staff #3 did not have TB results in their record.
Plan of Correction: Done in file.
Standard 8VAC20-780-210-A
Based on a review of records, the CDC did not ensure program leaders had required documentation to be in the program leader role.
Evidence:
Staff in the extended day program did not have documentation of program leader qualifications.
Plan of Correction: Done in file.
Standard 8VAC20-780-240-B
Based on a review of staff records, the CDC did not ensure orientation was documented prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
Staff #4 (date of hire 5/27/23) and staff #5 (date of hire 5/15/2022) did not have orientation documented in their record.
Plan of Correction: Done in file.
Standard 8VAC20-780-550-C
Based on observation, the CDC did not ensure the emergency evacuation map was posted in a location conspicuous to staff and children in each building.
Evidence:
There was no emergency evacuation map posted in the building where the children are.
Plan of Correction: Done posted.
View original record on Virginia Department of Social Services