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Burgundy Farm Country Day School

Inspection · 2024-09-26

Date
2024-09-26
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.
20 Access to minor?s records
8VAC20-780 Staff Qualifications and Training.
22.1 Early Childhood Care and Education
8VAC20-780 Physical Plant.
63.2 Child Abuse & Neglect
8VAC20-780 Staffing and Supervision.
8VAC20-790 Introduction
8VAC20-780 Programs.
8VAC20-790 Administration
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-790 Staff Qualifications & Training
8VAC20-780 Special Services.
8VAC20-790 Physical Plant
8VAC20-820 THE LICENSE.
8VAC20-790 Staffing & Supervision
8VAC20-820 THE LICENSING PROCESS.
8VAC20-790 Programs
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-770 Background Checks
8VAC20-790 Special Service

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. 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 monitoring inspection was completed on 09/26/2024. The on-site inspection began at 12:00 pm and ended at 1:30 pm. The inspector reviewed compliance in the areas listed above. There were 12 children present and 2 staff. The inspector reviewed 5 children?s records and 3 staff records on-site.

This inspection included:
? document review
? tour of the facility
? interviews
? 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 10/09/2024. A POC submitted after this date will not appear on the public website.

Violations

12
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #2 was overdue by 1 year.
The most recent criminal history check for staff #2 was overdue by 1 year and 1 month.
Plan of Correction: Request update of docs 9/26.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The sworn statement for Staff #2, who is currently working, was not available during inspection.
Plan of Correction: Request update of docs 9/26.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #1, employed for approximately 3 years, did not have documentation of requesting a central registry check or criminal history check from one state.
Plan of Correction: Request update of docs9/26.
Standard 22.1-289.058
Child day programs that serves preschool-age children shall be equipped with at least one carbon monoxide detector.

The JK building did not have a carbon monoxide detector during the inspection.
Plan of Correction: Will add to room.
Standard 8VAC20-780-160-C
REPEAT VIOLATION
At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department.

Staff #1had a TB test that was expired for 2 years.
Staff #2 did not have a TB test available during the inspection.
Plan of Correction: #1 resolved
#2 in process 9/26
Standard 8VAC20-780-240-B
Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

Staff #1 who was working for approximately three years did not have an orientation on record.
Staff #2 who was working for approximately 14 years did not have an orientation on record.
Plan of Correction: She was a long standing employee who moved to JK. The references were done when she was hired ages ago. I am trying to find them.
Standard 8VAC20-780-280-B
Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

There were 3 cans of Lysol unlocked in the upper bathroom cabinet. There were Clorox wipes unlocked under the sink in the main room.
Plan of Correction: Place in locked cabinet out of reach.
Standard 8VAC20-780-450-A
Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

Six children did not have a bottom cover. Three children did not have a top cover.
Plan of Correction: Teachers reminded parents to send covers.
Standard 8VAC20-780-550-C
Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

An emergency evacuation and shelter-in-place map was not available.
Plan of Correction: Docs update in room.
Standard 8VAC20-780-560-G
When food is brought from home, the following shall apply: The food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

Nine lunch boxes were not labeled with the child's name or date.
Plan of Correction: Discussed an resolved.
Standard 8VAC20-780-60-A
REPEAT VIOLATION
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: Documentation of viewing proof of the child's identity and age.

Child #3 and child #5 were enrolled for approximately 3 weeks and did not have documentation of viewing proof of the child's identity and age.
Plan of Correction: Request update of docs 9/26.
Standard 8VAC20-780-70
The center should obtain a complete staff record for each person.

Staff #1 who was working for 3 years was missing 2 references and proof of education.
Staff #2 who was working for approximately 14 years did not have a staff record available during the inspection.
Plan of Correction: #1 moved into this role from a teacher role. Will update docs.
#2 update file
View original record on Virginia Department of Social Services