Montessori Academy at Belmont Greene

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The center did not request a search of the child abuse and neglect registry from two states for Staff #13, who has been employed for more than 10 months.”

Rule 22.1-289.035-B-4.

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

“Staff #6 updated screening was due 4 months ago and Staff #8 updated screening was due 11 months ago. Updated screening documentation for both staff was not available for review.”

Rule 8VAC20-780-160-C.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“An immunization page for Child #3 (under two years of age) displayed a date that indicated that the documentation was nine months past due from being updated. An updated immunization page was not available for review.”

Rule 8VAC20-780-130-E.

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.

“The documentation of an immunization record on file for Child #5 was not signed by a medical professional.”

Rule 8VAC20-780-130-A.

Physical examinations completed by a physician shall be obtained within 30 days after the first day of attendance.

“There was no physical examination in the record of child #5, who had been enrolled for three months.”

Rule 8VAC20-780-140-A.

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

“Staff #2, and Staff #4 updated screening was due 1 month ago; and Staff #7 updated screening was due 6 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child’s physician and parent.

“The medication authorization for the medication prescribed to Child #4 did not include a signature of authorization from the child’s parent.”

Rule 8VAC20-780-510-E.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

The program is required to submit results of potable water testing to VDH.

“The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

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 #5, who had been attending for two months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

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 #5, who had been enrolled for two months.”

Rule 8VAC20-780-140-A.

The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #13 is currently working and has a TB screening that was dated 30 days after their first day of employment.”

Rule 8VAC20-780-160-A.

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

“The record for Child #5, enrolled for two months, was missing the following required components: Documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-80-B.

Based on review, 2 of 5 children files indicated that the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence - 1. On the date of inspection (07/02/2024), the following children did not have an updated immunization page on file: Child #1 (immunization page dated - 09/29/2023), and Child #2 (immunization page dated - 04/17/2023). 2. Based on the information on file, both Child #1, and Child #2 were under the age of two years on the date of inspection.”

Rule 8VAC20-780-130-E.

Based on review, 1 of 5 staff files indicated that a staff member did not submit the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the last results on file.

“Evidence - 1. On the date of inspection (07/02/2024), the TB documentation on file for Staff #3 was dated - 08/11/2021. 2. It was recorded within the staff’s record that more recent documentation had been obtained. However, that documentation was unavailable for review.”

Rule 8VAC20-780-160-C.

Based on review, 1 of 10 staff files indicated that it has been more than (2) two years from the date of the tuberculosis (TB) documentation on file at the center.

“Evidence - 1. On the date of inspection (03/15/2024), the TB documentation on file for Staff #3 had expired. 2. The date of this documentation was - 01/16/2022.”

Rule 8VAC20-780-160-C.

Based on review, 1 of 10 staff files indicated that the Virginia Department of Education - sponsored orientation course was not completed within 90 calendar days of employment.

“Evidence - 1. On the date of inspection (03/15/2024), the Virginia Pre-service training (10 hours) was not completed within 90 days of the start date for Staff #9. 2. The listed start date for Staff #9 was 01/24/2022.”

Rule 8VAC20-780-240-A.

Based on review, 1 of 10 children files indicated that a child did not have a separate record that contained all of the required information.

“Evidence - 1. On the date of inspection (03/15/2024), a child record was not available for review for Child #9. 2. An enrollment agreement was on file and dated - 02/24/2024.”

Rule 8VAC20-780-60-A.

Based on observation, 1 of 8 electrical wall outlets did not have a protective cover.

“Evidence - 1. On the date of inspection (07/19/2023), a protective cover to prevent access by the children within the early Montessori toddler room was missing from one electrical wall outlet. 2. There were (7) seven children within the room at the time of observation.”

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

Based on review, 1 of 3 medications on site had a signed medication authorization form that had expired.

“Evidence - 1. On the date of inspection (07/19/2023), a signed medication authorization form for medication prescribed for Child #6 had expired. 2. The listed dates of authorization was listed as: 09/2022 through 06/2023. Therefore, this authorization expired after 06/30/2023.”

Rule 8VAC20-780-510-E.

Based on review, 1 of 3 Administrative Files indicated that it has been more than two years from the date of the tuberculosis documentation (TB) on file at the Child Day Center.

“Evidence - 1. On the date of inspection (01/19/2023), current TB documentation was not available for review for Admin file #1. 2. This same documentation was cited during a previous inspection conducted on 07/06/2022.”

Rule 8VAC20-780-160-C.

Based on observation, a few areas inside of the center were not maintained in a safe and/or operable condition.

“Evidence - 1. On the date of inspection (01/19/2023), a blind cord observed in the early Montessori room was broken. The cord hung low enough to where is was accessible to the children in care. 2. There were two holes observed in walls within the center. One, was located in the multi-purpose room behind one of the doors. The second, was located within Room #2 above a sink attached to the wall. It appears that the hole was caused when the soap dispenser (that was previously installed) was removed.”

Rule 8VAC20-780-270-A.

Based on review, a medication observed on site was expired and had an expired medication authorization form.

“Evidence - 1. On the date of inspection (07/06/2022), the medication on site for Child #1 had an expiration date of 01/13/2022. 2. The Authorization to Administer Medication form completed and signed by the child’s parent and doctor had an expiration date of 01/04/2022. Medication had not been administered to Child #1.”

Rule 22VAC40-185-510-E.

Based on review, 1 of 6 board officer/staff files indicated that it has been more that two years since the date of the most recent tuberculosis (TB) documentation on file at the center.

“Evidence - 1. On the date of inspection (07/06/2022), the most recent TB documentation on file for Staff #1 was dated - 01/24/2017. 2. This was confirmed on the date of inspection by Staff #4.”

Rule 8VAC20-780-160-C.

Based on review and interview, 1 of 6 staff files indicated that documentation of a tuberculosis (TB) screening was not submitted at the time of employment and prior to coming into contact with children.

“Evidence - 1. On the date of inspection (01/12/2021), TB documentation was unavailable for review for Staff #3. 2. The start date for Staff #3 was listed as 08/30/2021. 3. The center’s Administrative Assistant confirmed with the LI (during an interview conducted on the date of inspection) that they have yet to receive the TB documentation from Staff #3.”

Rule 8VAC20-780-160-A-1.

Based on review, 1 of 6 staff files indicated that TB documentation was not completed within the last 30 calendar days of the date of employment.

“Evidence - 1. On the date of inspection (01/12/2022), the start date for Staff #5 was listed as 11/29/2021. 2. The TB documentation on file at the center was dated 07/30/2019.”

Rule 8VAC20-780-160-A-2.