Countryside Children's Daycare Center, Inc. (Allen Street)

8VAC20-780-60-A-8

“Based on review of children’s records and interview, the center did not obtain a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record of child #6, with a diagnosed food allergy, did not have documentation of an allergy care plan. The director stated an allergy care plan had not been obtained.”

8VAC20-780-260-A

“Based on review of documentation, the center did not obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection report was dated January 10, 2023 exceeding the annual requirement.”

8VAC20-780-60-A-8

“Based on review of children’s records and interview, the center did not obtain a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record of child #6, with a diagnosed food allergy, did not have documentation of an allergy care plan. The director stated an allergy care plan had not been obtained.”

8VAC20-780-260-A

“Based on review of documentation, the center did not obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection report was dated January 10, 2023 exceeding the annual requirement.”

8VAC20-780-500-B

“Based on observation, the center did not ensure a nonabsorbent surface for diapering was used. Evidence: The diaper changing mat in the infant room had several small tears in the plastic covering creating an absorbent surface.”

8VAC20-780-330-B

“Based on observation and measurements, the center did not ensure where playground equipment is provided, resilient surfacing complied with the minimum safety standards to create a fall zone free of hazardous obstacles. Evidence: The slide located on the center's school-age playground did not have the required amount of resilient surfacing in the fall zone at the end of the slide shut. There must be at least six inches of resilient surfacing throughout the fall zone. The fall zone at the slide had approximately 1 inch or less of pea gravel. Hard compacted dirt was visible in the fall zone area.”

8VAC20-780-440-H

“Based on observation, the center did not ensure there was no more than one inch of space between the mattress and the crib. Evidence: 1. The mattress in crib #1 had a space between the end of the mattress and crib of approximately two inches. The fitted sheet on the mattress was tight and caused the corners of the mattress to curl upward crating space that could entrap an infant. The crib was occupied by a 6 month old sleeping infant at the time of the observation. 2. The mattress in crib #2 had a space between the end of the mattress and crib of approximately two inches. The fitted sheet on the mattress was tight and caused the corners of the mattress to curl upward crating space that could entrap an infant. The crib was occupied by a 8 month old sleeping infant at the time of the observation.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The metal step used to enter the bus is rusted and decayed on the left side where it attaches to the van. When stepped on the step bends downward, posing a falling hazard.”

8VAC20-780-500-B

“Based on observation, the center did not ensure a nonabsorbent surface for diapering was used. Evidence: The diaper changing mat in the infant room had several small tears in the plastic covering creating an absorbent surface.”

8VAC20-780-330-B

“Based on observation and measurements, the center did not ensure where playground equipment is provided, resilient surfacing complied with the minimum safety standards to create a fall zone free of hazardous obstacles. Evidence: The slide located on the center's school-age playground did not have the required amount of resilient surfacing in the fall zone at the end of the slide shut. There must be at least six inches of resilient surfacing throughout the fall zone. The fall zone at the slide had approximately 1 inch or less of pea gravel. Hard compacted dirt was visible in the fall zone area.”

8VAC20-780-440-H

“Based on observation, the center did not ensure there was no more than one inch of space between the mattress and the crib. Evidence: 1. The mattress in crib #1 had a space between the end of the mattress and crib of approximately two inches. The fitted sheet on the mattress was tight and caused the corners of the mattress to curl upward crating space that could entrap an infant. The crib was occupied by a 6 month old sleeping infant at the time of the observation. 2. The mattress in crib #2 had a space between the end of the mattress and crib of approximately two inches. The fitted sheet on the mattress was tight and caused the corners of the mattress to curl upward crating space that could entrap an infant. The crib was occupied by a 8 month old sleeping infant at the time of the observation.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: The metal step used to enter the bus is rusted and decayed on the left side where it attaches to the van. When stepped on the step bends downward, posing a falling hazard.”

8VAC20-780-550-H

“Based on interview and review of documentation, the center did not maintain a record of the dates of the practice drills for one year. Evidence: The emergency drill log contained documentation of two evacuation drill from the 2023 year. The director stated the emergency drill log for the 2022 year was not available for review.”

8VAC20-780-550-H

“Based on interview and review of documentation, the center did not maintain a record of the dates of the practice drills for one year. Evidence: The emergency drill log contained documentation of two evacuation drill from the 2023 year. The director stated the emergency drill log for the 2022 year was not available for review.”

8VAC20-780-550-P Complaint related: No

“Based on review of three injury reports, the facility did not ensure all required information was documented regarding children’s serious and minor injuries. Evidence: 1. Injury report #1, dated 08/19/2022, for child #1 did not have how the parent was notified of the injury documented as required. 2. Injury report #2, dated 08/22/2022, for child #1 did not have the time the parent was notified of the injury documented as required.”

8VAC20-780-40-M

“Based on review of children’s records, documentation and interview, the facility did not maintain a current list of all children’s allergies, sensitivities and dietary restrictions that shall be dated and kept confidential in each room or where children are present. Evidence: The record of child #4, enrolled 05/27/2022, documented a diagnosed food allergy. Child #4 was not listed on the allergies, sensitivities and dietary restrictions document. The allergies, sensitivities and dietary restrictions document was not dated. The director stated she was aware of the food allergy for child #4, however she had not up dated the allergies, sensitivities and dietary restrictions list.”

8VAC20-780-510-F

“Based on review of medication, the facility did not maintain a medication authorization that was available to staff during the entire time it’s effective. Evidence: Emergency medication, on-site, for child #4 did not have a medication authorization that was available to staff. The director stated they did not have a medication authorization for the medication.”

8VAC20-780-550-P Complaint related: No

“Based on review of three injury reports, the facility did not ensure all required information was documented regarding children’s serious and minor injuries. Evidence: 1. Injury report #1, dated 08/19/2022, for child #1 did not have how the parent was notified of the injury documented as required. 2. Injury report #2, dated 08/22/2022, for child #1 did not have the time the parent was notified of the injury documented as required.”

8VAC20-780-40-M

“Based on review of children’s records, documentation and interview, the facility did not maintain a current list of all children’s allergies, sensitivities and dietary restrictions that shall be dated and kept confidential in each room or where children are present. Evidence: The record of child #4, enrolled 05/27/2022, documented a diagnosed food allergy. Child #4 was not listed on the allergies, sensitivities and dietary restrictions document. The allergies, sensitivities and dietary restrictions document was not dated. The director stated she was aware of the food allergy for child #4, however she had not up dated the allergies, sensitivities and dietary restrictions list.”

8VAC20-780-510-F

“Based on review of medication, the facility did not maintain a medication authorization that was available to staff during the entire time it’s effective. Evidence: Emergency medication, on-site, for child #4 did not have a medication authorization that was available to staff. The director stated they did not have a medication authorization for the medication.”

8VAC20-780-550-P Complaint related: No

“Based on review of three injury reports, the facility did not ensure all required information was documented regarding children’s serious and minor injuries. Evidence: 1. Injury report #1, dated 08/19/2022, for child #1 did not have how the parent was notified of the injury documented as required. 2. Injury report #2, dated 08/22/2022, for child #1 did not have the time the parent was notified of the injury documented as required.”

8VAC20-780-40-M

“Based on review of children’s records, documentation and interview, the facility did not maintain a current list of all children’s allergies, sensitivities and dietary restrictions that shall be dated and kept confidential in each room or where children are present. Evidence: The record of child #4, enrolled 05/27/2022, documented a diagnosed food allergy. Child #4 was not listed on the allergies, sensitivities and dietary restrictions document. The allergies, sensitivities and dietary restrictions document was not dated. The director stated she was aware of the food allergy for child #4, however she had not up dated the allergies, sensitivities and dietary restrictions list.”

8VAC20-780-510-F

“Based on review of medication, the facility did not maintain a medication authorization that was available to staff during the entire time it’s effective. Evidence: Emergency medication, on-site, for child #4 did not have a medication authorization that was available to staff. The director stated they did not have a medication authorization for the medication.”

8VAC20-770-60-C-2

“Based on a review of records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1) The record of Staff #2, hired on 11/15/21, contained documentation of a central registry finding dated 1/14/22. 2) The record of Staff #3, hired on 9/13/21, contained a central registry finding dated 11/9/21. 3) Administration acknowledged the checks were late.”

8VAC20-770-60-C-2

“Based on a review of records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1) The record of Staff #2, hired on 11/15/21, contained documentation of a central registry finding dated 1/14/22. 2) The record of Staff #3, hired on 9/13/21, contained a central registry finding dated 11/9/21. 3) Administration acknowledged the checks were late.”