Country Day School LLC

Shelter in place procedures shall be practiced a minimum of twice per year.

“The center conducted one of the two required shelter-in-place practice drills in 2025.”

Rule 8VAC20-780-550-E.

The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“The center obtained a completed national criminal background check for staff #2, one day after the start of employment.”

Rule 22.1-289.035-B-2.

The center must request a search of the central registry prior to the employee’s first day of employment.

“The center requested a search of the central registry for staff #2, two days after the start of employment.”

Rule 22.1-289.035-B-3.

The center shall ensure their activities and services are maintained in compliance with their policies and procedures that are required by the standards.

“The center’s medication policy includes a check of the medications by staff to ensure they are not expired. Child #7 had an emergency medication that expired over two months ago.”

Rule 8VAC20-780-40-E.

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Child #8 had a long term emergency medication that had been removed from the pharmacy box. The medication did not contain the required information.”

Rule 8VAC20-780-510-G.

Documentation shall be maintained of emergency evacuation drills that includes the required information.

“The center did not have documented evacuation drills for April, May and June of 2025.”

Rule 8VAC20-780-550-G.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The record of child #3 contained an immunization record that was received 3 days after the child’s first date of attendance.”

Rule 8VAC20-780-130-A.

A written care plan is required 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.

“Child #1, who has been enrolled for over 3 months, has a diagnosed food allergy and did not have a written care plan in their file that contained the required information.”

Rule 8VAC20-780-60-A-8.

Based on a review of five staff records and interviews, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for one staff prior to employment.

“Evidence: The national fingerprints-based criminal record search in the record of Staff #3, employed on 05/29/23, was dated 06/02/23. During interview, a member of management confirmed Staff #3 started employment on 05/29/23 and the fingerprint-based criminal record search was obtained after.”

Rule 22.1-289.035-B-2.

Based on a review of five staff records and interviews, the center did not obtain a required out-of-state background check from any state in which one staff had resided in the preceding five years within the required timeframe.

“Evidence: The record of Staff #3, employed on 05/29/23, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain the results of the child abuse and neglect registry from that state. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment. During interview, a member of management confirmed the required out-of-state background check for Staff #3 had not been obtained to date.”

Rule 22.1-289.035-B-4.

Based on a review of five children’s records and interviews, the center did not ensure one child’s immunization and physical examination reports shall be signed by a physician, his designee, or an official of a local health department.

“Evidence: The physical examination and dates immunizations were received in the record of Child #4, date of attendance 08/23/23, was not signed by a physician, his designee, or an official of a local health department. During interview, a member of management confirmed the center did not have the signed report.”

Rule 8VAC20-780-150-B.

Based on a review of five staff records and interviews, the center did not ensure one staff shall submit documentation of a negative tuberculosis (TB) screening within the required timeframe.

“Evidence: The TB screening in the record of Staff #3, employed on 05/29/23, was dated 06/12/23. During interview, a member of management confirmed Staff #3 started employment on 05/29/23, prior to obtaining a negative TB screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-780-160-A.

Based on a review of five staff records and interviews, the center did not ensure one staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: The record of Staff #3, employed on 05/29/23, did not contain documentation that the staff completed the VDOE orientation course. During interview, a member of management confirmed Staff #3 had not complete the VDOE orientation course to date.”

Rule 8VAC20-780-240-A.

Based on a review of five staff records and a review of documentation, the center did not ensure one staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: The record of Staff #3, employed on 05/29/23, did not contain 16 hours of training appropriate to the age of children in care from 05/30/23-05/29/24.”

Rule 8VAC20-780-245-A.

Based on a review of five staff records and interview, the center did not obtain a central registry finding within one staff member’s 30 days of employment.

“Evidence: The central registry finding in the record of Staff #1, employed on 06/07/23, was completed on 09/14/23. During interview, a member of management acknowledged the results of the central registry finding for Staff #1 were not obtained within 30 days of employment.”

Rule 8VAC20-770-60-C-2.

Based on a review of five staff records, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

“Evidence: The TB screening in the record of Staff #1, employed on 10/28/2022, was dated 01/05/2023. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-780-160-A.

Based on review of five staff records and interview, the center did not obtain a fingerprint-based national criminal background check for one staff prior to employment.

“Evidence: 1) The fingerprint-based national criminal background check in the record for Staff #1, employed 08/15/22, was conducted on 02/22/22. 2) During interview, a member of management reported the fingerprints for Staff #1 were received on 02/22/22, but Staff #1 did not begin employment until 08/15/22. Fingerprint-based national criminal background checks are required to be obtained no more than 90 days prior to employment.”

Rule 22.1-289.035-B-2.

Based on a review of five staff records, the center did not ensure that one staff had a completed sworn statement or affirmation within the required time frame.

“Evidence: 1) The record for Staff #1, employed 08/15/22, did not contain a completed sworn statement or affirmation prior to the beginning of employment. The sworn statement in the file for Staff #1, dated 02/22/22, was completed more than 90 days prior to employment. Therefore, a new sworn statement should have been obtained prior to employment.”

Rule 8VAC20-770-60-B.

Based on a review of five staff records, the center did not ensure that central registering findings were obtained within 30 days of beginning employment for one staff.

Rule 8VAC20-770-60-C-2.

Based on a review of five staff records, the center did not ensure one staff submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

“Evidence: The TB screening in the record for Staff #1, employed 08/15/22, was dated 01/28/22. The documentation should have been completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on a review of three medications and interview, the center did not ensure the medication authorization for one medication was available to staff during the entire time it was effective.

“Evidence: 1) A prescription medication was observed on site for Child #8, but the medication authorization was not available during the inspection. 2) During interview, a member of management confirmed the medication authorization was not available for review at the time of the inspection.”

Rule 8VAC20-780-510-F.

Based on a review of six staff records and interview, the center did not ensure that one out of six staff obtained fingerprint results prior to hire.

“Evidence: 1) The record for Staff #2, hired on 08/27/21, had fingerprint results that were dated 08/30/21. 2) During interview, a member of management confirmed the fingerprint results for Staff #2 were received after their hire date.”

Rule 22.1-289.035-B-2.

Based on a review of six staff records, the center did not obtain the results of a criminal history record information check, the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which one staff member had resided in the preceding five years within the required time frame.

Rule 22.1-289.035-B-4.

Based on a review of six staff records and interviews, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening that was completed within the last 30 calendar days of the date of employment.

“Evidence: 1) The TB screening in the record for Staff #1, hired on 04/13/22, was dated 02/28/22. 2) During interviews, a member of management confirmed the TB screening in the record for Staff #1 was completed more than 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A-2.

Based on a review of medications, records and interview, the center did not notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days and did not dispose of the medication that was not picked up within the required time frame.

Rule 8VAC20-780-510-P.