Holly Brook Montessori School LLC

Each staff member shall submit documentation of a negative tuberculosis (TB) screening that has been completed within 30 days prior to employment.

“Staff #1 (date of hire: 1/21/2026) has submitted a TB screening that is dated 8/11/2025.”

Rule 8VAC20-780-160-A.

The center shall obtain a subsequent tuberculosis (TB) screening from each employee every two years from the date of the initial screening.

“Staff #2 most recent TB screening is dated 2/8/2024. The screening has been expired for approximately 1 month.”

Rule 8VAC20-780-160-C.

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

“An unlocked cabinet with various cleaning materials was observed in the bathroom of the red classroom.”

Rule 8VAC20-780-280-B.

Inside areas occupied by children shall be maintained no lower than 68?F.

“The temperature in the Green room was 67?F during the inspection.”

Rule 8VAC20-780-270-C.

Written record of childrens injuries must contain all required information.

“An injury report for child #2 and an injury report for child #5 both did not include actions to prevent the injury occurring again.”

Rule 8VAC20-780-550-P.

REPEAT VIOLATION Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“The wall cabinet in the bathroom of the blue classroom contains several spray cleaning agents. The lock on the cabinet was hanging open during the inspection.”

Rule 8VAC20-780-280-B.

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

“Topical skin product for child #6 expired in May 2024, observed in the green classroom. Topical skin product for child #7 and child #8 expired in October 2022, observed in the red room.”

Rule 8VAC20-780-520-A.

Staff members shall submit the results of a follow-up tuberculosis (TB) screening at least every two years.

“Staff member #3s most recent TB screening is dated 6/21/2022.”

Rule 8VAC20-780-160-C.

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

“Various cleaners were observed in an unlocked cabinet of the bathroom in the Red classroom.”

Rule 8VAC20-780-280-B.

Electrical outlets shall have protective covers.

“An outlet next to the sink in the Blue classroom did not have an electrical outlet cover.”

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

Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills.

“There was no documentation of an emergency evacuation drill for the month of January.”

Rule 8VAC20-780-550-G.

8VAC20-780-60-A-8

“Based on record review and interview, children’s records did not contain all required information. Evidence: Child #7s records did not contain a written care plan for a diagnosed food allergy to include the steps to be taken in the event of a suspected or confirmed allergic reaction.”

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

22.1-289.058

“Based on interview, each building that was built prior to 2015 that housed a child day program was not equipped with at least one carbon monoxide detector. Evidence: A carbon monoxide detector could not be located in the facility during todays inspection. Center management confirmed that there was no documentation of a carbon monoxide detector in the facility.”

Rule 22.1-289.058.

8VAC20-780-230-B

“Based on observation, individual contractors who do not meet the staff qualifications were not within sigh and sound supervision of a staff member while in the presence of children. Evidence: At the start of the inspection, two children were observed working with a speech therapist in the hallways of the facility. Center management confirmed that the speech therapist does not meet all staff qualifications.”

Rule 8VAC20-780-230-B.

8VAC20-780-510-E

“Based on record review and interview, procedures for administering medication were not followed. Evidence: Child #8s authorization to administer medication was signed by the parent in August 2023 and expired 10 days later. No long-term authorization had been obtained from a physician. Child #8s medication log documented that the medication was administered to the child in December 2023.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-G

“Based on observation, medication was not labeled with a childs name. Evidence: An over-the-counter medication was observed in a classroom lockbox and was not labeled with a child’s name.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-P

“Based on observation, medication was not returned to a parent within 14 days of the medication authorization expiring. Evidence: Child #8s authorization to administer medication expired in August 2023. The medication was observed on-site during todays inspection.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A

“Based on record review and interview, children’s records did not contain all required information. Evidence: Child #6 and child #7s records contain an allergy action plan to be followed in case of the accidental ingestion of an allergen. The allergy care plans were not signed by a physician.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to ensure that staff have current Central Registry findings.

“Evidence: Staff #1’s record does not have documentation of a current central registry finding.”

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

Based on review of staff records, the center failed to ensure that all required orientation training is completed.

“Evidence: Staff #1’s record did not have documentation of recognizing child abuse and neglect andd the legarl requirements for reporting suspected child abuse as required.”

Rule 8VAC20-780-240-C.

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

“Evidence: In the Red Classroom the allergy list information was not kept confidential.”

Rule 8VAC20-780-40-M.

Based on observation, 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: 2 lunchboxes did not have a name or a date. I lunchbox had a name, but the wrong date. 3 lunchboxes did not have a name, but did have a date.”

Rule 8VAC20-780-560-G.

8VAC20-780-270-A

“Based on observation, the Center failed to maintain the areas of the facility in a clean, safe and operable condition. Evidence: 1. In the Green Room, behind the first door, the paint in peeling and chipping off of the wall.”

Rule 8VAC20-780-270-A.

8VAC20-780-40-M

“Based on observation, the Center did not maintain the current written list of children’s allergies, sensitivities and dietary restrictions in a confidential manner. Evidence: The list of children’s allergies, sensitivities and dietary restrictions were posted in open view in the classrooms.”

Rule 8VAC20-780-40-M.

8VAC20-780-560-G

“Based on observation, 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: There were nine lunch containers without names, ten lunch containers without dates and eight lunch containers without names or dates.”

Rule 8VAC20-780-560-G.