Gloucester Montessori School

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center as a part of the staff member’s record. There was no documentation of orientation training in Staff #2 record.”

Rule 8VAC20-780-240-I.

8VAC20-780-60-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 #4, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A.

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 #5 TB was dated eight days after the date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #1 training was dated six months after date of employment.”

Rule 8VAC20-780-240-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-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 #2, who has been enrolled for three months, has a diagnosed food allergy and did not have a written care plan in their file.”

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

22.1-289.035-B-1

“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 is currently working, was dated 21 days after their first day of employment.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. The criminal background check for Staff #3, who is currently working, was dated 9 days after their first day of employment.”

Rule 22.1-289.035-B-2.

8VAC20-780-130-A

“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. Child #3, who had been attending for seven months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

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. There was no list in one of the rooms where there was a child in attendance with a known food sensitivity.”

Rule 8VAC20-780-40-M.

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the departments health and safety update course. Staff #2’s record did not have documentation of the 2023 training.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5 did not have documentation of requesting a central registry check from one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #2 had not obtained the 16 required hours in 2023.”

Rule 8VAC20-780-245-A.

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. The list in Children’s House was not dated.”

Rule 8VAC20-780-40-M.

Based on record review and staff interview the center did not ensure that staff shall obtain and submit the results of a follow-up Tuberculosis (TB) screening at least every two years.

“Evidence: The director confirmed that the TB screening for Staff #1, dated 9/20/2021, was more than two years old.”

Rule 8VAC20-780-160-C.

8VAC20-790-600-B

“Based on record review and staff interview the center did not ensure within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: The director confirmed that Staff #2 (date of hire 8/22/2022) & #3 (date of hire 8/22/2022) had not completed the preservice training.”

Rule 8VAC20-790-600-B.

8VAC20-780-160-A

“Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: The director confirmed Staff #3 (start date 8/22/2022) had no documentation of a tuberculosis screening prior to coming into contact with children.”

Rule 8VAC20-780-160-A.

Based on review of staff record and interview, in 2 of 3 records the center did not ensure to have a central registry finding within 30 days of employment or volunteer service.

“Evidence: 1. In Staff#1’s record (date of hire: 08/22/22) there was no findings found. 2. In Staff#2’s record (date of hire: 11/28/22) there was no findings found. 3. Interview with staff confirmed there was no findings for review during the inspection.”

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

Based on review of staff records, in 1 of 3 records the center did not ensure current certification in cardiopulmonary resuscitation CPR for staff as appropriate to the age of the children in care.

“Evidence: In Staff#2’s record (date of hire: 11/28/22) there was no certification of CPR found. Interview with staff confirmed the certificate was not available for review during the inspection.”

Rule 8VAC20-780-530-A-1.

Based on review of records and interview, in 1 of 3 records a current certification in first aid for staff was not found.

“Evidence: In Staff#2’s record (date of hire: 11/28/22) there was no current first aid certificate found. Interview with staff confirmed FA certificate was not available during the inspection.”

Rule 8VAC20-780-530-A-2.

Based on interview, the center did not ensure to submit and obtain fingerprinting results for all board members/agents.

“Evidence: Interview with staff confirmed the Office of Background Investigation (OBI) determination letters for all board members were not available for review.”

Rule 22.1-289.036-B-2.

Based on review of children’s record and interview, the center did not ensure each child received immunizations required before the child can attend the center.

“Evidence: In Child#4’s record (start date: 8/29/2022), there was no documentation found for immunization. Interview with staff confirmed there was no immunization documentation available for review during the inspection.”

Rule 8VAC20-780-130-A.

Based on observation, the center did not ensure all areas and equipment of the center, inside and outside, shall be maintained in a clean safe and operable condition.

“Evidence: During the inspection on September 19, 2022, there was a wooden bench observed with the seat area cracked on the playground area.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. In the Children’s House bathroom areas, there was hand soap observed on the sink with the labels “keep out of reach of children’ and “warnings”. 2. There were multiple bottles of hand sanitizer with the labels, “keep out of reach of children” and “warnings” on the sink area in the front resting room.”

Rule 8VAC20-780-280-B.

Based on observation, the center did not ensure hazardous substances are kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the Toddler’s House room, there were two bottles of water conditioner on the window sill with the labels “keep out of reach of children” and “caution”.”

Rule 22VAC40-185-280-B.

Based on review of children’s records and interview, the center did not ensure in 2 of 3 records to obtain documentation of immunizations before the child can attend the center.

“Evidence: In Child# 2’s record (start date 02/01/22) and Child#3’s record (start date 1/26/21), there was no immunization documentation found. Interview with staff confirmed the documentation for each child was not available for review during the inspection.”

Rule 8VAC20-780-130-A.

Based on review of children’s record and interview, the center did not ensure in 1 of 3 records to obtain documentation for physical examination.

“Evidence: In Child’s#2’s record (start date 2/01/22) there was no documentation of a physical examination found. Interview with staff confirmed the physical examination documentation was not available for review during the inspection.”

Rule 8VAC20-780-140-A.

Based on interview, the center did not ensure to maintain documentation of emergency evacuations.

“Evidence: Interview with staff confirmed there was no documentation of monthly emergency drills available for review during the inspection.”

Rule 8VAC20-780-550-G.

Based on review of children’s record and interview, the center did not ensure to obtain in 2 of 3 records all information for children’s record.

“Evidence: In Child#2’s record (start date:02/01/22) and Child#3’s record (start date: 01/26/21), there was no documentation of viewing proof of child’s identity and age. Interview with staff confirmed there was no documentation available for review during the inspection.”

Rule 8VAC20-780-60-A.