Country School House

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff B did not have current certification in CPR.”

Rule 8VAC20-790-600-D-1.

Within 90 days of the date of employment or 90 days from subsidy vendor approval, all staff who work directly with children must have current certification in first aid appropriate to the ages of children in care.

“Staff B did not have certification in first aid.”

Rule 8VAC20-790-600-D-2.

Staff who work directly with children shall complete the department’s health and safety update course annually.

“Staff #2’s annual health and safety update course was overdue by one day and Staff #3’s was overdue by one month. .”

Rule 8VAC20-790-600-F.

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

“Staff #4 and Staff #5, who had both been employed for six days, did not have a completed national criminal background check. Both staff were working alone with children during the inspection.”

Rule 22.1-289.035-B-2.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #4’s TB was dated seven months prior to date of employment and Staff #5’s was dated five months prior to employment. Both staff members had been employed for six days.”

Rule 8VAC20-780-160-A.

Repeat violation

“The center must ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The four-year-old playground had peeling paint and chipped wood in multiple areas. Four wooden sections of the playground border surrounding the mulch were damaged with splintered and deteriorating wood. The handlebars on the merry-go-round and the bike cycle had peeling paint and rust. The plastic topper on the fence leading to the toddler playground is broken with sharp and protruding plastic edges.”

Rule 8VAC20-780-270-A.

Repeat violation:

“Where playground equipment is provided, resilient surfacing must comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard. The resilient surfacing under the slides, climbing ladder and around the merry-go-round and bike cycle had compacted mulch measuring only one inch in depth, which is five inches below the required standard.”

Rule 8VAC20-780-330-C.

Furnishings, equipment, and materials shall be of an appropriate size for the child using it.

“An infant/toddler feeding table appropriate for children under 24 months were being used by Child A (32 months), Child B (27 months), and Child C (30 months) during the inspection.”

Rule 8VAC20-780-430-A.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #5, who has been actively working at the center for the past six days, did not have 1 of 2 completed reference verifications on file.”

Rule 8VAC20-780-70.

All staff who work directly with children must have current certification in first aid training.

“Staff #3 had not completed certification in first aid.”

Rule 8VAC20-790-600-D-2.

REPEAT VIOLATION The center must ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

REPEAT VIOLATION: Hazardous substances must be in a locked place that prevents access by children.

“In the infant classroom, the sanitizing solution was in an unlocked cabinet, out of reach of children.”

Rule 8VAC20-780-280-B.

Cleaning and sanitizing materials must not be located above food and must be stored in areas physically separate from food.

“The cleaning and sanitizing material was stored above a bottle of baby puffs and a bag of goldfish.”

Rule 8VAC20-780-280-D.

Where playground equipment is provided, resilient surfacing must comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard.

“The resilient surfacing under the slides, climbing ladder and around the merry-go-round had compacted mulch measuring only one inch in depth, which is five inches below the required standard.”

Rule 8VAC20-780-330-B.

Toys or objects hung over an infant in a crib that are strung across the crib may not be used for infants over five months of age or infants who are able to push up on their hands and knees.

“Child A’s crib had a baby Einstein musical mobile and a toy activity arch attached and arched across the crib.”

Rule 8VAC20-780-440-N.

REPEAT VIOLATION A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1’s updated screening was due 4 months ago and Staff #4’s updated screening was due 2 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. T

“There was approximately a 1-inch section of peeling paint on the wall near the bookshelf in the Infant/Toddler classroom.”

Rule 8VAC20-780-270-A.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“A can of Clorox disinfectant wipes with warning labels, ?Keep out of reach of children,? was found on top of the diaper changing table in the Toddler classroom, within reach of children. Bottles of Clorox, Windex and other hazardous cleaning materials were stored on the floor and low open shelfs in the unlocked staff bathroom located by the Preschool classroom and playground exit door. The staff bathroom door was unlocked and does not have a safe locking method that prevents access by children.”

Rule 8VAC20-780-280-B.

In areas used by preschool age or younger children, electrical outlets shall have protective covers.

“Three uncovered outlets were within reach to children in the Infant/Toddler room.”

Rule 8VAC20-780-290-A-3.

Over-the- counter skin products shall not be kept or used beyond the expiration date of the product.

“Two diaper creams were kept in the Infant/Toddler classroom beyond the expiration date of the products. Child #2’s diaper cream expired 1.5 months ago. Child #4’s diaper cream expired 3.5 months ago.”

Rule 8VAC20-780-520-A.

Diaper ointment or creams products must be stored inaccessible to children.

“An open container with diaper creams was stored on the bottom, low shelf beneath the diaper changing table, making it accessible to children in the Infant/Toddler classroom.”

Rule 8VAC20-780-520-C.

The center is required to implement a monthly practice of an evacuation drill.

“The center did not practice a monthly evacuation drill for the month of September. The last drill was practiced in August 2024.”

Rule 8VAC20-780-550-D.

Based on record review, 1 of 3 staff did not complete the department’s health and safety update course annually as required.

“Evidence: 1.The most recent completed annual health and safety update course in the record for Staff #2 was dated 8/30/2021”

Rule 8VAC20-790-600-F.

Based on record review, 1 of 3 staff did not obtain a tuberculosis screening every two years.

“Evidence: The most recent tuberculosis screening documented in the record for Staff #3 was dated 5/26/2022.”

Rule 8VAC20-780-160-C.

Based on record review, an annual fire inspection report from the appropriate fire official having jurisdiction was not obtained annually.

“Evidence: The most current documentation of a fire inspection was dated 3/21/2023.”

Rule 8VAC20-780-260-A.

Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Potting soil was observed in the grassy area in the playground accessible to children.”

Rule 8VAC20-780-280-B.

Based on observation, fall zones did not encompass sufficient area to include the child’s trajectory in the event of a fall.

“Evidence: 1.The fall zone for one outdoor play structure that includes a slide did not contain a fall zone of 6 feet around all sides as required. When facing the slide, the distance from the slide to the fence measured 5 feet, 2 inches.”

Rule 8VAC20-780-330-B.

Based on record review, 1 injury report reviewed did not contain all required information.

“Evidence: 1. The injury report for Child #5 did not contain the following required information: time of the injury , time when parents were notified, documentation on how parent was notified, any future actions to prevent recurrence of the injury. 2. The information provided for type and circumstance of the injury only stated “right face”.”

Rule 8VAC20-780-550-P.

Based on record review, 1 of 4 children’s records did not contain all required information.

“Evidence: 1.The record for Child #2 did not contain documentation of the name address and telephone number of 2 individuals to contact in an emergency if the parents cannot be reached. 2.The information for the parents was listed on the documentation requesting emergency contacts.”

Rule 8VAC20-780-60-A.

Based on record review, the child day center did not obtain fingerprint-based criminal history record checks every 5 years as required for 2 of 3 staff.

“Evidence: 1. The most recent fingerprint-based criminal history record check in the record for Staff #1 was dated 09/26/2018. 2. The most recent fingerprint-based criminal history record check in the record for Staff #2 was dated 07/23/2018.”

Rule 22.1-289.035-A.

Repeat Violation Based on observation, areas of the center inside were not maintained in a clean, safe and operable condition.

“Evidence: A vent cover, with visible peeling paint, was observed leaning against the wall in the bathroom used by children.”

Rule 8VAC20-780-270-A.

Repeat violation Based on observation, hazardous substances were not kept in a locked place that prevents access by children.

“Evidence: 1. Cleaning spray, air freshener, and hand sanitizer were observed on a shelf in the classroom area upon entering the center , accessible to children.”

Rule 8VAC20-780-280-B.

Based on record review, injury prevention procedures were not updated at least annually and based on documentation of injuries and a review of the activities and services.

“Evidence: 1. The injury prevention procedures documentation did not contain a date of completion or review. 2. The injury prevention procedures were not based on documentation of injuries and a review of activities and services provided by the center. The injury prevention procedures provided were not developed by the center.”

Rule 8VAC20-780-40-J.

Based on observation, the current written list of children’s allergies, sensitivities, and dietary restrictions was not kept confidential.

“Evidence: 1. The children’s allergy list was posted on the parent board. Confidential information was not covered.”

Rule 8VAC20-780-40-M.

Based on observation, crib sheets were not clean.

“Evidence: 1. A crib sheet in a crib occupied by a sleeping child was visibly soiled.”

Rule 8VAC20-780-450-C.

Based on observation, a diapering surface was not used only for diapering or cleaning children,

“Evidence: 1. A blanket, remote and container of wipes were observed on the diapering surface in the classroom.”

Rule 8VAC20-780-500-B.

Based on record review, 1 written record of injury did not contain all required information.

“Evidence: 1. The injury report in the record for Child #3 dated 10/23/23 did not contain the date and time parents were notified. 2. The injury report in the record for Child #3 dated 10/23/23 did not contain a second staff signature or parent signature.”

Rule 8VAC20-780-550-P.

Repeat Violation Based on the observation, food brought from home was not dated.

“Evidence: 4 of 4 lunch boxes were identified with names but not dated.”

Rule 8VAC20-780-560-G.

Based on record review, 2 of 3 children’s records reviewed did not contain all required information.

“Evidence: 1. The records for Child #1 and Child #2 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. The record for Child #1 did not indicate the date the proof of the child’s identity was viewed and the person viewing the information.”

Rule 8VAC20-780-60-A.

Based on review of attendance records and staff interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1. The daily record of attendance was not complete for the Pre-K class. 2. Staff reported the attendance had not yet been completed for the current day.”

Rule 8VAC20-780-80-A.

8VAC20-780-280-B

“Based on the review of the physical plant, the center failed to keep cleaners in a locked place. Evidence: During the inspection the inspector found cleaning wipes under a bathroom sink, latch on cabinet would not engage to keep cabinet locked. Cleaners accessible under the kitchen sink in the kitchen area, used as an area for children to eat lunch.”

Rule 8VAC20-780-280-B.

8VAC20-780-560-F

“Based on the review of the menu posted, the center has a menu that still lists catering as an option for lunch. Evidence: The center has a menu posted that is no longer correct, children bring food from home for lunch.”

Rule 8VAC20-780-560-F.

8VAC20-780-560-G

“Based on the observation during the inspection, food brought from home is not dated. Evidence: Lunch boxes are identified with names but not dated.”

Rule 8VAC20-780-560-G.

8VAC20-790-540-B-3

“Based on record review, 5 of 5 children’s records reviewed did not have all required information. Evidence: Children 1, 2, 3, 4, and 5’s record di not contain the addresses for each parent’s place of employment.”

Rule 8VAC20-790-540-B-3.

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: A rusted air return vent was observed in the front classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Medication was observed in an unlocked cabinet in the kitchen.”

Rule 8VAC20-780-510-L.

8VAC20-780-560-G

“Based on observation, food brought from home did not meet all labeling requirements. Evidence: Children’s lunches were not labeled with both the child’s name and the date.”

Rule 8VAC20-780-560-G.

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.”

Rule 22VAC40-185-130-A.

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.”

Rule 22VAC40-185-160-C.

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.”

Rule 22VAC40-185-40-G.

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.”

Rule 22VAC40-185-550-M.

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.”

Rule 22VAC40-185-60-A.