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

Current Inspector: Diana DeSilva (571) 596-3656

Inspection Date: Dec. 2, 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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews, and a virtual tour of the program.

A renewal inspection was initiated on 12/02/2021 and concluded on 12/02/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 17 children present, ranging in ages from 4 months to 5 years, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programs, special services, and special care provisions and emergencies. A total of 2 child records and 3 staff/agent 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.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the center did not obtain documentation that 2 of 2 children had received the immunizations required by the State Board of Health before the children can attend the center.

Evidence:
1. The immunizations in the record for Child #1 (start date 8/1/2021) were dated 8/11/2021.
2. The immunizations in the record for Child #2 (start date 9/24/2021) were dated 9/27/2021.

Plan of Correction: I will make sure I have their immunizations on the day they start.

Standard #: 22VAC40-185-160-C
Description: Based on record review, the center did not ensure that 1 of 2 staff resubmit the results of a follow up tuberculosis screening at least every two years from the date of the first initial screening or testing.

Evidence:
1. The most recent tuberculosis test in the record for Staff #1 was completed on 10/24/2019.

Plan of Correction: I will ask her to complete another tuberculosis test.

Standard #: 22VAC40-185-40-G
Description: Based on record review, the center did not meet the proof of child identity requirements within seven business days of initial attendance, as stated in the Code of Virginia.

Evidence:
1. Child #1 began attending the center on 08/01/2021.
2. The verification of proof of identity in the record for Child #1 was dated 08/23/2021.

Plan of Correction: I will make sure I see documentation within 7 days.

Standard #: 22VAC40-185-60-A
Description: Based on record review, 1 of 2 children's records did not contain all required information.

1. The record for Child #1 did not contain the address for one of two designated people to call in an emergency if a parent cannot be reached.

Plan of Correction: I will have the parent fill out the information this afternoon.

Standard #: 22VAC40-185-550-M
Description: Based on record review, 1 injury report did not contain all required information.

Evidence:
1. An injury report dated 8/19/2021 did not contain a staff signature.

Plan of Correction: Corrected during inspection.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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