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: Feb. 3, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies. 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was initiated and concluded on 2/3/2023. The inspector was on site from approximately 8:50 am-10:55 am. There were 12 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, special care and emergencies, nutrition and background checks. A total of 5 child records and 5 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. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must 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 #:	8VAC20-770-60-B
Description:	Based on a review of five (5) staff records and interview, the center did not ensure that one (1) staff completed a sworn statement prior to the first date of employment as required. Evidence: 1. The record of staff #5 (date of employment: 1/26/2023) did not contain a sworn statement. 2. Administration acknowledged that the sworn statement background check had not been completed.
Plan of Correction:	The director will ensure that the Sworn disclosure statement is signed prior to employment. The staff member has signed and corrected the violation. 2-3-23.
Standard #:	8VAC20-770-60-C-2
Description:	Based on a review of five (5) staff records and interview, the center did not ensure to obtain a central registry finding for two (2) staff by the end of the 30th day of employment as required. Evidence: 1. The record of staff #3 (date of employment: 8/31/2022) contained a central registry finding dated 10/7/2022. The record of staff #4 (date of employment: 11/14/2022) contained a central registry finding dated 1/12/2023. 2. Administration acknowledged that the central registry findings were not obtained within 30 days as required.
Plan of Correction:	The director will ensure that the central registry is done within the 30 days of employment. Central Registry?s had already been sent but was not done within the 30 days.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of five (5) child records and interview, the center did not ensure to obtain documentation that one (1) child had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The child #1 (date of attendance: 8/23/2021) did not contain an immunization record. 2. Administration acknowledged that the record had not been obtained.
Plan of Correction:	The director will ensure that all children?s immunizations and physical are received prior to attendance. #1child will have all immunizations and physical papers turned in by 2-17-23
Standard #:	8VAC20-780-160-A
Description:	Based on a review of five (5) staff records and interview, the center did not ensure that two (2) staff submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #4 (date of employment:11/14/2022) contained TB screening dated 12/20/2022. The record of staff #5 (date of employment: 1/26/2023) did not contain a TB screening. 2. Administration acknowledged that the TB screenings had not been submitted prior to employment.
Plan of Correction:	The director will ensure that all new staff members will have negative TB test done prior to employment or by 30 days of employment.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of five (5) child records and interview, the center did not ensure that three (3) contained the required information. Evidence: 1. The record of child #1 (date of attendance: 8/23/2021) did not contain a complete address for one (1) emergency contact. Records are required to contain the name, address, and phone number of two (2) designated people to call in an emergency if a parent cannot be reached. The record of child #1 was missing the documentation of child updates and confirmation of up-to-date information in the child's record as required by 8VAC20-780-420 E 3. The record of child #2 (date of attendance: 9/12/2022) was missing documentation of viewing proof of the child's identity and age. The record of child #3 (date of attendance: 1/17/2023) was missing a full address for one (1) emergency contact. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	The director will ensure that all proper documentation?s for the students are done prior to starting. #1 child will have all missing documents by 2-17-23. #2child will have documentation done by 2-17-23. #3child will have the emergency contact information by 2-17-23.
Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of five (5) child records and interview, the center did not ensure to obtain a written care plan for each 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: 1. The center identified two (2) children with diagnosed food allergies. The record of child #1 was reviewed and indicated that the child had a diagnosed food allergy. The child did not have a care plan. The record of child #2 was reviewed and indicated that the child had diagnosed food allergies. The record contained a care plan that was not signed by a physician. 2. Administration acknowledged that they had not obtained the care plans.
Plan of Correction:	The director will ensure that children with food or other allergies have a proper allergy care plan signed by a physician. #1child will have a allergy care plan done by 2-13-23. #2child will have his allergy plan signed by the physician. 2-17-23.
Standard #:	8VAC20-780-70
Description:	Based on a review of five (5) staff records and interview, the center did not ensure that one (1) record was kept that contained the required information. Evidence: 1. The record of staff #5 (date of employment: 1/26/2023) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administration acknowledged that the references were not obtained.
Plan of Correction:	The director will ensure that 2 references prior to employment will be done.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of five (5) staff records and interview, the center did not ensure that one (1) staff annually completed a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record of staff #1 (date of employment: 8/23/2021) did not contain documentation of 16 hour of annual training. 2. Administration acknowledged that the record did not contain documentation of the required training.
Plan of Correction:	The director will ensure that every employee has obtained 16 hours of training per year. Staff member will complete the training by 2-17-23.
Standard #:	8VAC20-780-550-D
Description:	Based on review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. A monthly practice evacuation drill was not documented in August and December of 2022. 2. Administration acknowledged that the drills had not been conducted.
Plan of Correction:	The director will ensure that a monthly evacuation drill is done. Reminders have been written on the calendar. Drill has been completed.
Standard #:	8VAC20-780-550-E
Description:	Based on review of documentation and interview, the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: 1. One (1) shelter in place drill dated 8/3/2022 was documented. 2. Administration acknowledged that two drills did not occur as required.
Plan of Correction:	The director will ensure that a shelter in place drills are done twice a year. Reminders have been written on the calendar. Drill has been completed.
Standard #:	8VAC20-780-550-F
Description:	Based on review of documentation and interview, the center did not ensure that lockdown procedures were practiced at least annually. Evidence: 1. A lockdown drill was not documented in 2022. 2. Administration acknowledged that the drill had not been conducted.
Plan of Correction:	The director will ensure that a lockdown drill is done annually. Reminders have been written on the calendar. Drill has been completed.