Country Day Care

8VAC20-780-260-B

Annual approval from the health department shall be provided, or approvals of a

8VAC20-780-60-A-8

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 #5, enrolled for over 16 months, has diagnosed food allergies and did not have a written care plan in their file.

8VAC20-790-600-F

Staff who work directly with children shall annually complete the department's health and safety update course. The updated training for Staff #2 was over one month late, and had not been completed.

8VAC20-780-550-O

The center shall notify the parent by the end of the day of any known minor injuries. Child #6 and Child #7 had written injury reports which indicated that the parents were notified in person one day after the date the minor injuries occurred.

8VAC20-780-520-A

REPEAT VIOLATION Over-the-counter skin products shall not be kept or used beyond the expiration date of the product. Child #5 had a diaper ointment that had expired over one month ago.

8VAC20-780-160-A

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 #1, employed for four months, had a TB screening that was dated over 6 months prior to the date of employment.

8VAC20-780-40-M

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. An undated list in the toddler room was posted by the refrigerator in plain sight.

8VAC20-780-510-L

Medication shall be kept in a locked place using a safe locking method that prevents access by children. In the infant classroom, a prescription diaper cream was kept in an unlocked bin on a shelf that was inaccessible to the children in care.

8VAC20-780-520-A

Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product. In the infant room, child #1 had a diaper cream that had expired in 2023. In the toddler room, child #2 had a diaper cream that had expired in 2017.

8VAC20-780-140-A

REPEAT VIOLATION Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2 and child #4, who had both been enrolled for over 5 months.

8VAC20-780-520-C

If diaper ointment or cream is used, written parent authorization noting any known adverse reactions shall be obtained. Child #5 did not have written parent authorization for their diaper ointment.

8VAC20-780-550-P

The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. An injury report for child #9 was missing one required signature, the date the parent was notified, and how the parent was notified.