Country Kids Childcare Center

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The screening for Staff 1 was completed four days after hire.”

Rule 8VAC20-780-160-A.

Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member who meets the requirements of the Medication Administration Training.

“On six occasions between 08/06/2026 and 08/24/2026, Child 5 (an 8-year-old prescribed emergency Medication 2) was not in the care of a staff member who meets Medication Administration Training requirements.”

Rule 8VAC20-780-245-J-3.

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

“There were no completed reference checks on file for Staff 7.”

Rule 8VAC20-780-70.

Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“Over the Counter Skin Products 1, 2 and 3 were kept beyond the expiration date.”

Rule 8VAC20-780-520-A.

REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The records for Child 1, (enrolled 1 week), Child 2 (enrolled 2 weeks), and Child 3 (enrolled 4 days) were each missing several of the required components.”

Rule 8VAC20-780-60-A.

Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

“The Injury prevention procedures were last updated in 2023.”

Rule 8VAC20-780-40-J.

REPEAT VIOLATION Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff 4 has not yet completed this course which is overdue by 5 months, and Staff 6 and Staff 7 have not yet completed this course which is overdue by 1 month.”

Rule 8VAC20-780-240-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily heath observation of children.

“There was no staff member on duty who has obtained instruction in performing the daily health observation.”

Rule 8VAC20-780-245-L.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“The resilient surfacing (mulch) under the playground climbing equipment measured less than one inch and ground was visible.”

Rule 8VAC20-780-330-B.

The center shall implement a monthly practice evacuation drill.

“The was no documentation of a monthly practice evacuation drill for June 2025.”

Rule 8VAC20-780-550-D.

REPEAT VIOLATION Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff 4 completed the course one month late and Staff 5 completed the course two months late.”

Rule 8VAC20-780-240-A.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Staff 3, who has been employed over 10 days, was dated five days after their first day of employment. The sworn statement for Staff 4, who has been employed over 10 days, was not dated.”

Rule 22.1-289.035-B-1. From a complaint.

The center must request a search of the central registry prior to the employee’s first day of employment and the provisional hire shall not be alone with children until the results of the central registry search have been obtained as required by the Code of Virginia.

“The results of the central registry search for Staff 4, employed over 2 months, had not been obtained at the time of the inspection and Staff 4 was working alone with a group of 7 children.”

Rule 22.1-289.035-B-3. From a complaint.

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

“Disinfectant spray was observed on the counter by the sink in the older 2?s room”

Rule 8VAC20-780-280-B. From a complaint.

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

“Uncovered electrical outlets were observed in the older 2?s room and the 3?5-year-old room.”

Rule 8VAC20-780-290-A-3. From a complaint.

SYSTEMIC VIOLATION Children’s hands shall be washed with soap with running water or disposable wipes before and after eating meals or snacks.

“In the 4-year-old room, children were observed going from the carpet to table to eat lunch without washing hands or using a disposable wipe.”

Rule 8VAC20-780-500-A. From a complaint.

REPEAT VIOLATION SYSTEMIC VIOLATION At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff 6 was alone with a group of four children, ages 21 months- 2 years, and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A-1. From a complaint.

SYSTEMIC VIOLATION The center shall maintain a written record of children’s serious and minor injuries and the record shall include the required components.

“The injury record for Child 1 did not contain: staff present, date and time parent notified, future action to prevent recurrence of injury, staff and parent signatures or two staff signatures and how parent was notified.”

Rule 8VAC20-780-550-P. From a complaint.

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

“Staff 3, who has been employed over 10 days, and Staff 5, who has been employed over 3 months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70. From a complaint.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff #1 was alone with a group of ten, three-year-old children and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A. From a complaint.

The center shall maintain a written record of children’s serious and minor injuries and the record shall include the required components.

“The injury record for Child 1 did not contain time parent was notified and how parent was notified.”

Rule 8VAC20-780-550-P. From a complaint.

SECOND REPEAT VIOLATION When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“On 02/21/2025, for over 1 hour, Staff 1 was the only staff supervising 13 children, ages 4 years to 11 years. The required staff ratio for this group of children is 1:10. Two staff would be required. The center was previously cited on 11/26/2025 and 1/24/2025 for not meeting mixed age group ratio requirements.”

Rule 8VAC20-780-350-C.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At approximately 8:25 a.m. on 02/21/2025, there were 9 children present in room 1; only 6 were marked present on the hard copy attendance record and 10 marked present on the ?app? attendance record.”

Rule 8VAC20-780-80-A.

REPEAT VIOLATION Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff 2 has not yet completed this course which is overdue by 1 month”

Rule 8VAC20-780-240-A. From a complaint.

Children under 10 years of age shall always be within actual sight and sound supervision of staff.

“During the inspection, Child 1, age 5 years, was observed leaving the room, entering the adjacent room, and then entering the bathroom. Child 1 was not within sight and sound of staff.”

Rule 8VAC20-780-340-F. From a complaint.

REPEAT VIOLATION When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“On 01/24/2025, for over 10 mins, Staff 4 was supervising 13 children, ages 3 years to 11 years. The required staff ratio for this group of children was 1:10 and maximum group size was 30. Two staff would be required.”

Rule 8VAC20-780-350-C. From a complaint.

COMPLAINT RELATED Centers shall be in compliance with the center’s own policies and procedures.

“The center’s discipline policy states the following: No child shall be handled roughly in any way, including shaking, pushing, pinching, slapping, biting, kicking, or spanking. On January 15, 2025, Staff 3 roughly handled Child 3, age 3.”

Rule 8VAC20-780-40-E. From a complaint.

COMPLAINT RELATED; REPEAT VIOLATION The following actions or threats thereof are forbidden: roughly handling a child.

“On January 15, 2025, Staff 3 roughly handled Child 3, age 3”

Rule 8VAC20-780-410-1. From a complaint.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff 2, who has been employed over 90 days, has not yet completed this course.”

Rule 8VAC20-780-240-A. From a complaint.

The required ratio for children 3 years old up to school age eligible is one staff per ten children.

“Staff 1 was observed alone supervising more than 10 children (all 3 years old) for over 15 minutes.”

Rule 8VAC20-780-350-B-4. From a complaint.

COMPLAINT RELATED When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“On 11/25/2024, for over 50 mins, Staff 1 and Staff 2 were supervising 18 children, ages 16 months to 10 years. The required staff ratio for this group of children was 1:5 and maximum group size was 15. Four staff would be required.”

Rule 8VAC20-780-350-C. From a complaint.

COMPLAINT RELATED The following actions or threats thereof are forbidden: roughly handling a child.

“On November 22, 2024, Staff 1 roughly handled Child 1, age 3.”

Rule 8VAC20-780-410-1. From a complaint.

No child shall be allowed to drink or eat while walking around.

“The inspector observed a child from the toddler group drinking from a cup while walking around the room and a child from 2-year-old group drinking from a cup while walking around the room.”

Rule 8VAC20-780-560-M. From a complaint.

Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“Evidence: The resilient surfacing (mulch) under the climbing equipment with two slides measured approximate one inch. The required amount of resilient surfacing in this area is 6 inches. Children were observed using the equipment.”

Rule 8VAC20-780-330-B.

Based on record review, the center failed to implement a monthly practice evacuation drill.

“Evidence: There was not documentation that a monthly practice evacuation drill took place in April 2024 or May 2024.”

Rule 8VAC20-780-550-D.

Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

“Evidence: The record for Child 5 did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (no address for both designated people).”

Rule 8VAC20-780-60-A.

Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: The record for Staff 3 documented a hire date of 07/22/2024. The record for Staff 3 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available during the inspection.”

Rule 8VAC20-780-70.

COMPLAINT RELATED Based on review of medication, medication authorization, medication logs and discussion with staff, the center failed to ensure that the center administers drugs only to the child identified on the prescription label in accordance with the prescriber’s instructions pertaining to dosage, frequency, and manner of administration.

“Evidence: 1. Prescriber’s instructions state that Medication 1 should be administered to Child 1 at 2:00 pm daily. 2. On 6/7/2024 and 7/24/2024 Medication 1 was not administered to Child 1 in accordance with prescriber’s instructions. Child 1 was in attendance on 6/7/2024 and 7/24/2024.”

Rule 8VAC20-780-510-I. From a complaint.

REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

“Evidence: The record for Child 1 did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (no address for both designated people).”

Rule 8VAC20-780-60-A. From a complaint.

COMPLAINT RELATED REPEAT VIOLATION Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence 1. Staff 4 confirmed the hire date for Staff 1 was 02/01/2024. No eligibility letter was available for review. Staff 1 was observed working at the center on 2/8/2024. 2. Staff 2 had a documented hire date of 02/05/2024. No eligibility letter was available for review. Staff 2 was observed working at the center on 2/8/2024.”

Rule 22.1-289.035-B-2. From a complaint.

COMPLAINT RELATED REPEAT VIOLATION Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence:

“Staff 4 confirmed the hire date for Staff 1 was 02/01/2024. No sworn statement was available for review. Staff 1 was observed working at the center on 2/8/2024.”

Rule 8VAC20-770-60-B. From a complaint.

REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: Staff 3 had a documented hire date of 02/06/2024. No tuberculosis screening was available for review. Staff 3 was observed providing care to children.”

Rule 8VAC20-780-160-A. From a complaint.

COMPLAINT RELATED REPEAT VIOLATION Based on record review and staff interviews, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: There was no documentation of orientation available for review for Staff 1. Staff 4 confirmed the hire date for Staff 1 was 02/01/2024. Staff 1 was observed working at the center on 2/8/2024.”

Rule 8VAC20-780-240-B. From a complaint.

COMPLAINT RELATED REPEAT VIOLATION Based on observations and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: Staff 4 confirmed there was no record available for review for Staff 1. On 2/8/2024, Staff 1 was observed working at the center.”

Rule 8VAC20-780-70. From a complaint.

Based on interview with staff, the center failed to ensure the center shall have a qualified program director or qualified back-up program director who meets one the director qualifications who shall regularly be on site at least 50% if the centers hours of operation.

“Evidence: Staff 6 confirmed no qualified program director is regularly on site. The last day of employment for the most recent qualified program director was 10/08/2023.”

Rule 8VAC20-780-200-A. From a complaint.

Based on interviews and document review, the center failed to ensure any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who has satisfactorily completed the Medication Administration Training (MAT) program.

Rule 8VAC20-780-245-J-3. From a complaint.

Based on observation, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitives and restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: There was a white board on the wall of the 2-year-old classroom. The diagnosed food allergy for Child 3 and Child 5 were listed on the board. The information on the board was visible to anyone that may enter the classroom. The information was not kept in a confidential manner.”

Rule 8VAC20-780-40-M. From a complaint.

Systemic Violation Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks and staff shall wash their hands with soap and running water before and after helping a child use the toilet.

“Evidence: 1. The children in the toddler class were observed getting up from their nap mats and going to the table for afternoon snack without washing hands or using a disposable wipe. 2. The children in the 2-year-old class were observed getting up from eating afternoon snack and going to the rug for teacher-directed activities without washing hands or using a disposable wipe. 3. Staff 2 was observed helping 3 children in the restroom without washing hands before and after helping each child.”

Rule 8VAC20-780-500-A. From a complaint.

Systemic Violation Based on document review and staff interviews, the center failed to ensure that prescription and nonprescription medication shall be given to a child only with written authorization from the parent.

“Evidence: Staff 5 verified that prescription Medication 8 was administered to Child 7 on 01/23/2024 at approximately 10:00 am and on previous days. Staff 6 verified the authorization form for prescription Medication 8 was not available for review.”

Rule 8VAC20-780-510-B. From a complaint.

Systemic Violation Based on observations, the center failed to ensure that medications shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Prescription Medication 8 was located unlocked sitting on the top of the cubby shelf in the Toddler room. Children were observed in the area and the medication was accessible.”

Rule 8VAC20-780-510-L. From a complaint.

Systemic Violation Based on staff interviews and document review, the center failed to ensure that centers shall keep a record of medications given to children which shall include all of the elements required by the standards.

“Evidence: Staff 5 verified that prescription Medication 8 was administered on 01/23/2024 at approximately 10:00 am and on previous days. Staff 5 verified they had not documented the 10:00 am 1/23/2024 dose in the medication administration log. Staff 5 and Staff 6 verified the medication administration log could not be located for review.”

Rule 8VAC20-780-510-N. From a complaint.

Based on observations and staff interviews, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: 1. In the Toddler room, there were 7 lunchboxes without a date. Staff 3 confirmed the lunchboxes were brought from home. 2. In the 2-year-old room, there were 15 lunchboxes without a date. Staff 2 confirmed the lunchboxes were brought from home.”

Rule 8VAC20-780-560-G. From a complaint.

Based on observation and record review, the center failed to ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed.

“Evidence: The authorization for Medication 5 expired on 06/28/2023. Medication 5 was observed at the center on 12/19/2023.”

Rule 8VAC20-780-510-P.

Based on observation and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Rule 8VAC20-780-80-A.

Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: Staff 3 had a hire date of 11/27/2023. There was no eligibility letter available for review. Staff 3 was observed working during the inspection.”

Rule 22.1-289.035-B-2. From a complaint.

Based on record review and interviews with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation.

“Evidence: Staff 4 confirmed the hire date for Staff 8 was 11/14/2023. The sworn statement was dated 11/16/2023.”

Rule 8VAC20-770-60-B. From a complaint.

Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

Rule 8VAC20-780-160-A. From a complaint.

Based on record review, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: Staff 3 had a hire date of 11/27/2023. Orientation was completed on 12/13/2023 which is more than 7 days of assuming job responsibilities.”

Rule 8VAC20-780-240-B. From a complaint.

Based on record review, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: 1. Staff 3 had a hire date of 11/27/2023. The record for Staff 3 contained two reference checks dated 11/28/2023. Documentation that two or more references as to character and reputation as well as competency were not checked before employment. 2. The record for Staff 8 did not contain the date of employment.”

Rule 8VAC20-780-70. From a complaint.