VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Kountry Kids
3925 Old Buckingham Road
Powhatan, VA 23139
(804) 598-4895

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: Oct. 26, 2021

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) 20 Access to minor?s records 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Comments:

This inspection was conducted by licensing staff partially using an alternate remote protocol, including telephone contacts and documents review. The inspector was on site on 10/26/2021 from 9:10 to 10:57 am. A monitoring inspection was initiated on 10/26/2021 and concluded on 10/27/2021. There were 18 children present, ranging in ages from 2 to 4 years, with 3 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 3 child records and 6 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance 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 preventative measures. Please do not use staff names; list staff by positions only

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on record review and interview, the center did not ensure that one child had record of a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: 1. The record of child #2 (DOE: 8/23/2021) did not contain a physical record. 2. Administration acknowledged the physical had not been obtained.
Plan of Correction:	Center will ensure that all child's enrolment forms will be received prior to enrollment. Assistant director will make sure these things are done.
Standard #:	22VAC40-185-150-A
Description:	Based on record review and interview, the center did not ensure to obtain the current form required by the Virginia Department of Health or a physician's form to report immunizations received for one child. Evidence: 1. The record of child #2 (DOE: 8/23/2021) contained an unofficial immunization record printed from a patient portal. 2. Administration acknowledged that an approved form was not obtained.
Plan of Correction:	Center will ensure that all children's records are proper forms and immunization forms are signed by a physician. Assistant director will do this.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Three bottles of hand sanitizer were found unlocked in classrooms and the playground. The bottle labels contained the warnings: caution, keep out the reach of children and flammable. 2. Administration acknowledged that the hand sanitizer was kept unlocked.
Plan of Correction:	Center will ensure that all hazardous substances are locked in a cabinet not accessible to children. Assistant director will make sure these things are done.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review and interview, the center did not ensure to obtain the results of a fingerprint background check prior to hire for one staff member. Evidence: 1. The record of staff #4 (DOH: 8/23/2021) contained the results of a fingerprint background check dated 10/25/2021. 2. Administration acknowledged that the fingerprint check was completed after the date of hire.
Plan of Correction:	Center will ensure that background checks are done prior to the employee's first date of employment. Assistant director will make sure these things are done.