VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Country School House
13316 Braddock Road
Clifton, VA 20124
(703) 266-0747

Current Inspector: Diana DeSilva (571) 596-3656

Inspection Date: Nov. 16, 2023

Complaint Related: 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect 8VAC20-790 Subsidy Regulations

Technical Assistance:

Technical assistance was provided regarding the following: scheduling and time frames for required background checks developing injury prevention procedures

Comments:

An unannounced renewal inspection was conducted on 11/16/2023 between the hours of 11:25am-2:00pm. 13 children were observed directly supervised by 3 staff. The physical plant, 3 staff records, 3 children?s records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed playing outside and during naptime. Handwashing procedures were also observed. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact the Licensing Inspector at jessica.willis@doe.virginia.gov or 571-352-1453.

Violations:

Standard #:	22.1-289.035-A
Description:	Based on record review, the child day center did not obtain fingerprint-based criminal history record checks every 5 years as required for 2 of 3 staff. Evidence: 1. The most recent fingerprint-based criminal history record check in the record for Staff #1 was dated 09/26/2018. 2. The most recent fingerprint-based criminal history record check in the record for Staff #2 was dated 07/23/2018.
Plan of Correction:	The center will provide documentation that the background checks were scheduled within 10 business days.
Standard #:	8VAC20-780-40-J
Description:	Based on record review, injury prevention procedures were not updated at least annually and based on documentation of injuries and a review of the activities and services. Evidence: 1. The injury prevention procedures documentation did not contain a date of completion or review. 2. The injury prevention procedures were not based on documentation of injuries and a review of activities and services provided by the center. The injury prevention procedures provided were not developed by the center.
Plan of Correction:	A plan will be created that is specific to injuries occurring in the center and activities provided.
Standard #:	8VAC20-780-40-M
Description:	Based on observation, the current written list of children's allergies, sensitivities, and dietary restrictions was not kept confidential. Evidence: 1. The children's allergy list was posted on the parent board. Confidential information was not covered.
Plan of Correction:	The allergy list was removed from the bulletin board during inspection.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, 2 of 3 children's records reviewed did not contain all required information. Evidence: 1. The records for Child #1 and Child #2 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The record for Child #1 did not indicate the date the proof of the child's identity was viewed and the person viewing the information.
Plan of Correction:	The center will reach out to the parents to obtain the information. Documentation of Proof of identification was corrected during inspection.
Standard #:	8VAC20-780-80-A
Description:	Based on review of attendance records and staff interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The daily record of attendance was not complete for the Pre-K class. 2. Staff reported the attendance had not yet been completed for the current day.
Plan of Correction:	Corrected during inspection.
Standard #:	8VAC20-780-270-A
Description:	Repeat Violation Based on observation, areas of the center inside were not maintained in a clean, safe and operable condition. Evidence: A vent cover, with visible peeling paint, was observed leaning against the wall in the bathroom used by children.
Plan of Correction:	The vent cover will be replaced.
Standard #:	8VAC20-780-280-B
Description:	Repeat violation Based on observation, hazardous substances were not kept in a locked place that prevents access by children. Evidence: 1. Cleaning spray, air freshener, and hand sanitizer were observed on a shelf in the classroom area upon entering the center , accessible to children.
Plan of Correction:	Corrected during inspection.
Standard #:	8VAC20-780-450-C
Description:	Based on observation, crib sheets were not clean. Evidence: 1. A crib sheet in a crib occupied by a sleeping child was visibly soiled.
Plan of Correction:	The center will ensure all crib sheets are clean.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, a diapering surface was not used only for diapering or cleaning children, Evidence: 1. A blanket, remote and container of wipes were observed on the diapering surface in the classroom.
Plan of Correction:	Items were removed from the diapering surface during inspection.
Standard #:	8VAC20-780-550-P
Description:	Based on record review, 1 written record of injury did not contain all required information. Evidence: 1. The injury report in the record for Child #3 dated 10/23/23 did not contain the date and time parents were notified. 2. The injury report in the record for Child #3 dated 10/23/23 did not contain a second staff signature or parent signature.
Plan of Correction:	All required information will be completed on injury reports.
Standard #:	8VAC20-780-560-G
Description:	Repeat Violation Based on the observation, food brought from home was not dated. Evidence: 4 of 4 lunch boxes were identified with names but not dated.
Plan of Correction:	The parents have been asked to put dates on the lunchboxes. Staff will make sure the lunchboxes are dated when parents bring them in.