VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Country Day Care
2312 Dickens Road
Richmond, VA 23230
(804) 282-8502

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Oct. 16, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

None

Comments:

An unannounced renewal inspection was conducted on October 16, 2019 from approximately 10:00 AM to 1:20 PM to determine the center's compliance with licensing standards. The child to staff ratios were deemed in compliance with licensing standards. The following staff-to-child ratios were observed in the classrooms: Infants 3:10, Toddlers 2:8, 2 year olds 2:16, 3-5 year olds 2:17. Lunch today consisted of diced chicken, brown rice, broccoli, crackers, pineapples, and milk. The staff were observed to be engaged with the children in age appropriate activities and to be meeting the needs of the children in care. Most but not all areas of the facility were inspected. The facility had the required postings in the facility. The first aid kit and non-medical emergency supplies were inspected and found complete. The last evacuation drill was conducted on 9/20/19. The last shelter-in-place drill was conducted on 7/12/19. The Emergency Preparedness plan is current. Health Inspection: 4/23/19. Fire Inspection: 2/4/19. Medications and authorizations were reviewed. There were staff present who are certified in medication administration, daily health observation, First Aid, and CPR. 6 children's records, 5 staff records, and 2 agent records were reviewed. Please complete the "plan of correction" and "date to be corrected" for each violation cited on the violation notice and return it to the licensing office within 5 business days. Your plan of correction should contain 1) steps to correct the non-compliance 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 preventive measure(s). If you have any questions about this inspection, please contact the licensing inspector at (804) 662-9092.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on a review of five staff records, the center did not ensure that two records contained a negative tuberculosis screening within 21 days after employment. Evidence: The licensing inspector observed the record for Staff #2 (hire date 9/13/19) did not contain documentation of a negative tuberculosis screening. 2. The record for staff #3 (hire date 8/22/19) contained documentation of a negative tuberculosis screening dated 9/13/19.
Plan of Correction:	All new hire staff will be required to have TB test completed before start date.
Standard #:	22VAC40-185-520-B
Description:	Based on observation, the center did not ensure that sunscreen shall be inaccessible to children under 5 years of age. Evidence: The licensing inspector observed eight sunscreen products in the three to five year old classroom that were accessible to children. The sunscreen products were located in the childrens' storage area and within reach of children.
Plan of Correction:	Staff has been reminded that sunscreen is to be locked up at all times.
Standard #:	22VAC40-185-550-M
Description:	Based on a review of a sample of five serious injury records, the center did not ensure that the records contained the required documentation. Evidence: The licensing inspector observed that five of the five serious injury records reviewed did not contain documentation of the date and time the parents were notified, documentation of how parents were notified, and documentation of a future action to be taken to prevent recurrence of the injury.
Plan of Correction:	Managment has reviewed has reviewed procedures regarding having Accident and Incident forms filled out completely. Management will also review forms when turned in.
Standard #:	22VAC40-185-570-E
Description:	Based upon observation the facility did not ensure that prepared bottles shall be dated and labeled with the child's name. Evidence: 1. The licensing inspector observed four prepared bottles in the infant room refrigerator with no date and no child's name. 2. The licensing inspector observed one prepared bottle in the infant room refrigerator without a date. 3. The licensing inspector observed three prepared bottles in the infant room refrigerator dated 10/15/19.
Plan of Correction:	Management reviewed with infant room staff to make sure all bottles are labeled with first and last name and date. Lead teacher will double check.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of five staff records, the licensee failed to ensure that one staff had a central registry finding within 30 days of employment. Evidence: The record for Staff #3 indicated a hire date of 8/22/19 and a central registry finding dated 9/30/19.
Plan of Correction:	Management will ensure CPS checks are done within the 30 day timeframe.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of the agent record, the center did not obtain a national fingerprint-based criminal history record check for the listed agent. Evidence: The record for Agent #1 did not contain documentation of a national fingerprint-based criminal history record check. A statement of eligibility based on a national fingerprint-based criminal history record check was required to be obtained prior to 9/30/2018.
Plan of Correction:	Management will ensure to have fingerprints done