Country Day Care

8VAC20-780-280-B

“Based on observation and interview the center did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the two year old classroom, 2 cans of Lysol disinfectant, one spray bottle of Odoban, and one container of Lysol wipes were observed unlocked on top of the refrigerator. 2. Administration acknowledged that the cleaners/sanitizers were not locked.”

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. Chipped and peeling paint was observed on a half door in the infant room. 2. Administration acknowledged that the area required maintenance.”

22.1-289.035-A

“Based on a review of five staff records and interview, the center not ensure that two staff had a repeat fingerprint background check every five years as required. Evidence: 1. The record of staff #1 (date of employment: 2/24/2014) contained a fingerprint background check dated 7/19/2018. The record of staff #4 (date of employment: 7/27/2018) contained a fingerprint background check dated 7/26/2018. 2. Administration acknowledged that the repeat background checks were missing from the records.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure that a record was kept for one child that contained the required information. Evidence: 1. The record of child #1 (date of attendance: 5/11/2023) did not contain documentation of viewing proof of the child's identity and age. 2. Administration acknowledged that the documentation was missing from the record.”

8VAC20-780-140-A

“REPEAT VIOLATION 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 attendance: 1/22/2023) contained a physical dated 8/25/2023. 2. Administration acknowledged that the physical record was not received within the required time frame.”

22.1-289.035-A

“Based on a review of five staff records and interview, the center not ensure that two staff had a repeat fingerprint background check every five years as required. Evidence: 1. The record of staff #1 (date of employment: 2/24/2014) contained a fingerprint background check dated 7/19/2018. The record of staff #4 (date of employment: 7/27/2018) contained a fingerprint background check dated 7/26/2018. 2. Administration acknowledged that the repeat background checks were missing from the records.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on a review of five child records and interview, the center did not ensure that a record was kept for one child that contained the required information. Evidence: 1. The record of child #1 (date of attendance: 5/11/2023) did not contain documentation of viewing proof of the child's identity and age. 2. Administration acknowledged that the documentation was missing from the record.”

8VAC20-780-140-A

“REPEAT VIOLATION 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 attendance: 1/22/2023) contained a physical dated 8/25/2023. 2. Administration acknowledged that the physical record was not received within the required time frame.”

8VAC20-780-350-C

“Based on interviews, the center did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group applied to the entire group. Evidence: 1. In interviews, two staff stated that the two-year old class often combined with preschool aged children on the playground in the afternoon. Staff acknowledged that when combined on numerous occasions, including the afternoon of the incident 9/1/2023, they exceeded the required two-year old ratio of one staff to eight children (1:8). Staff stated that there were occasions where they had two staff and over 20 children, ranging in age from two years to five years.”

8VAC20-780-340-F

“Based on a review of documentation and interview, the center did not ensure that children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. On 9/1/2023, child #1, age 4, was determined to be out of the sight and sound of staff for approximately 25 minutes. During that time, child #1 left the premises of the center and was located on a busy street by several witnesses. Local law enforcement was called to assess the situation and approve the transfer of care from witness #1 to the center. 2. Administration acknowledged that child #1 was not within actual sight and sound supervision of staff.”

8VAC20-780-340-A

“Based on a review of documentation and interview, the center did not ensure that when staff are supervising children; they always ensured their care and protection. Evidence: 1. On 9/1/2023, the department received a self-report that child #1 (age four) had left the premises of the center and was located near the road in the front of the building. In interview, teacher #1 stated that she was supervising approximately 18 children ranging in age from two years to five years with teacher #2. Teacher #1 stated that she took her group of children inside at approximately 4:20 pm. Once inside, she observed that child #1 was missing but that pickup time was chaotic, and it took her awhile to notify administration. At approximately 4:45 pm, staff #3 saw child #1 across the street from the center with witness #1, an adult female. Staff #3 stated that she attempted to call the director. Around the same time, witness #2, an unidentified adult male, arrived at the center to ask if child #1 belonged in their care. Staff #4 left the center to retrieve the child. At this time, local law enforcement had arrived based on a report from witness #1 who said that child #1 had been located on Dickens Road. In an interview, witness #1 stated that she stopped her car when she saw a car stopped in the middle of the road. The driver of the car was holding the wrist of a child through the window and calling for help. Witness #1 got out of her car and picked up the child. She said that the driver informed her that she almost hit the child with her car and was holding him so no one else struck him with their vehicle. She said they were approximately a half a block away from the center. The speed limit on the road is 35 MPH and traffic runs in both directions. Staff stated that when child #1 returned he was red in the face and thirsty. Child #1 is non-verbal and could not communicate the events that took place. 2. In interview, staff stated that they believed that child #1 had climbed over the center’s chain linked fence because he had attempted to climb over the fence multiple times. Staff stated that each time, a staff member had to guide him off fence. Staff #1 stated that she had seen child #1 get completely over the fence before being stopped. Staff stated that management was made aware of the situation.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on records review and interview, the center did not ensure that one child’s record contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 3/6/2023) did not contain a second complete emergency contact. Children’s records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged the emergency contact information was incomplete.”

8VAC20-780-40-E

“Based on review of documentation and interview, the center did not ensure that their activities and services were maintained in compliance with the center's own policies and procedures that are required by these standards. Evidence: 1. The center’s playground safety procedure states that ?All staff members are to distribute themselves in an appropriate manner, evenly throughout the playground, so that all children may be seen at all times. If there is more than one classroom outside, remember that you are responsible for the direct supervision of all children and not simply for the class you lead.? Staff #1 acknowledged that she lost sight of child #1 sometime in between lining up and coming inside. Staff #2 stated that she did not see child #1 after staff #1?s class departed to go inside the building. 2. Administration acknowledged that the staff did not follow the safety procedures for active supervision that are required by the standards.”

8VAC20-780-80-A

“Based on a review of records and interview, the center did not ensure to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurred. Evidence: 1. Upon review of attendance records from 9/1/2023, staff stated that several children were signed out over an hour after departure. 2. Administration acknowledged that there were times when children were not signed out immediately as they departed for the day.”

22.1-289.035-B-4

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain the required out of state background checks for one (1) staff. Evidence: 1. The record of staff #1 (date of employment: 12/1/2022) contained a sworn statement that indicated that the staff resided outside of the state within the preceding five (5) years. The record did not contain the results of the out of state criminal history name check that is required for non-NFF states prior to the first date of employment. The record did not contain the results of an out of state child abuse and neglect search request by the end of the 30th day of employment as required. 2. Administration acknowledged that the out of state background checks had not been completed.”

8VAC20-780-160-C

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain the results a follow up tuberculosis screening for one (1) staff at least every two years from the date of the first initial screening or testing as required. Evidence: 1. The record of staff #5 contained a TB screening dated 12/25/20. 2. Administration acknowledged that they had not obtained a follow up screening from staff #5.”

8VAC20-780-350-B-4

“Based on observation and interview, the center did not ensure to maintain the required staff to child ratio of one (1) staff to 10 children for children three years of age to school age eligible. Evidence: 1. On 5/3/2023, 24 children were observed in the care of two (2) staff for approximately 10 minutes. The children ranged in age from 3 to 10 years. 2. Administration acknowledged that the classroom was four (4) children over ratio for the 10 minutes due to a staff member calling out sick.”

8VAC20-780-160-A

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for on (1) staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (date of employment: 12/01/2022) contained a TB screening dated 12/02/2022. 2. Administration acknowledged that the negative screening results were received after the start of employment.”

22.1-289.035-B-4

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain the required out of state background checks for one (1) staff. Evidence: 1. The record of staff #1 (date of employment: 12/1/2022) contained a sworn statement that indicated that the staff resided outside of the state within the preceding five (5) years. The record did not contain the results of the out of state criminal history name check that is required for non-NFF states prior to the first date of employment. The record did not contain the results of an out of state child abuse and neglect search request by the end of the 30th day of employment as required. 2. Administration acknowledged that the out of state background checks had not been completed.”

8VAC20-780-160-C

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain the results a follow up tuberculosis screening for one (1) staff at least every two years from the date of the first initial screening or testing as required. Evidence: 1. The record of staff #5 contained a TB screening dated 12/25/20. 2. Administration acknowledged that they had not obtained a follow up screening from staff #5.”

8VAC20-780-350-B-4

“Based on observation and interview, the center did not ensure to maintain the required staff to child ratio of one (1) staff to 10 children for children three years of age to school age eligible. Evidence: 1. On 5/3/2023, 24 children were observed in the care of two (2) staff for approximately 10 minutes. The children ranged in age from 3 to 10 years. 2. Administration acknowledged that the classroom was four (4) children over ratio for the 10 minutes due to a staff member calling out sick.”

8VAC20-780-160-A

“Based on a review of five (5) staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening for on (1) staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (date of employment: 12/01/2022) contained a TB screening dated 12/02/2022. 2. Administration acknowledged that the negative screening results were received after the start of employment.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 10/3/2022) did not contain the required emergency contact information. The record of child #4 (date of enrollment: 9/6/2022) was missing the addresses for the two (2) emergency contacts. The records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-140-A

“Based on a review of five (5) child records and interview, the center did not ensure one (1) 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 attendance:10/3/2022) did not contain documentation of a physical examination. 2. Administration acknowledged that the physical was not obtained.”

8VAC20-770-60-C-2

“Based on a review of five (5) staff records and interview, the center did not ensure that two (2) staff had a central registry finding within 30 days of employment as required. Evidence: 1. The record of staff #1 (date of employment: 5/12/2022) contained a central registry finding dated 6/14/2022. The record of staff #3 (date of employment: 10/31/2022) did not contain a central registry finding. 2. Administration acknowledged that the findings had not been received within 30 days of employment.”

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. Rusting was observed on both sides of a bathroom stall located in the children's hallway bathroom. The rust was located in an area accessible to children. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-780-330-B

“Based on observation and interview, the center did not ensure that where playground equipment is provided, resilient surfacing complied with minimum safety standards. Evidence: 1. A climber with a slide was observed on the toddler playground. The slide required resilient surfacing. No surfacing was observed under the equipment. 2. Administration acknowledged that the equipment required resilient surfacing.”

8VAC20-780-60-A

“Based on a review of five (5) child records and interview, the center did not ensure that two (2) records contained the required information. Evidence: 1. The record of child #1 (date of enrollment: 10/3/2022) did not contain the required emergency contact information. The record of child #4 (date of enrollment: 9/6/2022) was missing the addresses for the two (2) emergency contacts. The records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the records were incomplete.”

8VAC20-780-140-A

“Based on a review of five (5) child records and interview, the center did not ensure one (1) 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 attendance:10/3/2022) did not contain documentation of a physical examination. 2. Administration acknowledged that the physical was not obtained.”

8VAC20-770-60-C-2

“Based on a review of five (5) staff records and interview, the center did not ensure that two (2) staff had a central registry finding within 30 days of employment as required. Evidence: 1. The record of staff #1 (date of employment: 5/12/2022) contained a central registry finding dated 6/14/2022. The record of staff #3 (date of employment: 10/31/2022) did not contain a central registry finding. 2. Administration acknowledged that the findings had not been received within 30 days of employment.”

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. Rusting was observed on both sides of a bathroom stall located in the children's hallway bathroom. The rust was located in an area accessible to children. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-780-330-B

“Based on observation and interview, the center did not ensure that where playground equipment is provided, resilient surfacing complied with minimum safety standards. Evidence: 1. A climber with a slide was observed on the toddler playground. The slide required resilient surfacing. No surfacing was observed under the equipment. 2. Administration acknowledged that the equipment required resilient surfacing.”

8VAC20-780-160-A-1

“Based on record review and interview, the center did not ensure to obtain documentation of a tuberculosis (TB) screening at the time of employment and prior to coming into contact with children for each staff as required. Evidence: 1. The record of staff #3 (DOH: 11/18/2022) contained documentation of a TB screening dated 12/2/2021. 2. Administration acknowledged that the TB screening was obtained after the first date of employment.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check for one staff within 30 days of employment as required. Evidence: 1. The record of staff #3 (DOH: 11/18/2021) contained central registry results dated 1/8/2022. 2. Administration acknowledged that the finding was not received within the required time frame.”

8VAC20-780-130-A

“Based on record review and interview, the center did not ensure to obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center as required. Evidence: 1. The record of child #1 (DOE: 1/31/2022) contained an immunization record dated 2/1/2022. 2. Administration acknowledged that the immunizations were received late.”

8VAC20-780-160-A-1

“Based on record review and interview, the center did not ensure to obtain documentation of a tuberculosis (TB) screening at the time of employment and prior to coming into contact with children for each staff as required. Evidence: 1. The record of staff #3 (DOH: 11/18/2022) contained documentation of a TB screening dated 12/2/2021. 2. Administration acknowledged that the TB screening was obtained after the first date of employment.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check for one staff within 30 days of employment as required. Evidence: 1. The record of staff #3 (DOH: 11/18/2021) contained central registry results dated 1/8/2022. 2. Administration acknowledged that the finding was not received within the required time frame.”

8VAC20-780-130-A

“Based on record review and interview, the center did not ensure to obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center as required. Evidence: 1. The record of child #1 (DOE: 1/31/2022) contained an immunization record dated 2/1/2022. 2. Administration acknowledged that the immunizations were received late.”

22VAC40-665-540-A

“Based on record review and interview, the vendor did not ensure to obtain the results of a negative tuberculosis screening for one staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (DOH: 9/17/2021) contained a tuberculosis screening dated 09/27/2021. 2. Administration acknowledged that the tuberculosis screening was completed after hire.”

22VAC40-665-540-A

“Based on record review and interview, the vendor did not ensure to obtain the results of a negative tuberculosis screening for one staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (DOH: 9/17/2021) contained a tuberculosis screening dated 09/27/2021. 2. Administration acknowledged that the tuberculosis screening was completed after hire.”