Middleburg Montessori School

(Repeat Violation) The Provider is required to request a check of the central registry record and the sex offender registry record from all states in which staff members have resided within the last five years prior to employment.

“The record for Staff #1 did not contain documentation that a central registry check or a sex offender registry clearance from all states where they resided within the last five years was requested prior to employment. The background checks should have been completed 5 weeks ago.”

Rule 22.1-289.035-B-4.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner

“In the YCC classroom, there were two lunch boxes from home that were stored in the children’s cubbies that were not dated.”

Rule 8VAC20-780-560-G.

(Repeat Violation) The Provider is required to request the results of a criminal history record check, a sex offender registry search, and a central registry check from all states in which staff members have resided within the last five years prior to employment.

“The record for Staff #1 did not contain documentation that a criminal history record check, a central registry check or a sex offender registry clearance from all states where they resided within the last five years was requested prior to employment 14 months ago.”

Rule 22.1-289.035-B-4.

The Center is required to obtain a criminal history background check every five years from the date of the last criminal history background check.

“The record for Staff #2 contained a subsequent fingerprint background check completed over 13 months after the due date, and Staff #3 contained a subsequent fingerprint background check completed over 14 months after the due date.”

Rule 22.1-289.036-A.

(Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“During inspection in the Children’s House classroom (ages 3-6 years old), there were 12 children present, but the written record reflected there were 11 children present.”

Rule 8VAC20-780-80-A.

The Center is required to obtain documentation of the results of a national fingerprint background check prior to date of hire.

“The record for Staff #1 did not contain documentation of a fingerprint background check that was completed prior to the date of hire.”

Rule 22.1-289.035-B-2.

For staff hired after 7/1/24, the Provider is required to request a Central Registry check prior to employment.

“The record for Staff #1 did not contain documentation that the Central Registry check had been requested prior to hire.”

Rule 22.1-289.035-B-3.

The Center is required to ensure that they receive annual approval from the health department or approvals of a plan of correction, for meeting requirements for water supply, sewage disposal system and food service if applicablle.

“The health inspection on file expired 3 months ago.”

Rule 8VAC20-780-260-A.

(Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“1)During inspection in the YCC1 classroom, there were 3 children present, but the written record reflected there were 6 children present. 2) During inspection in the YCC2 classroom, there were 8 children present, but the written record reflected there were 4 children present.”

Rule 8VAC20-780-80-A.

Based on review of 3 staff records, the center did not obtain the results of a criminal history record check from all states in which staff members have resided within the last five years prior to employment.

“Evidence: The record for Staff #1 (date of hire 7/26/23) did not contain documentation of a completed criminal history record check from all states where they resided within the last five years prior to employment.”

Rule 22.1-289.035-B-4.

8VAC20-780-350-B-3

“Based on observation, the center did not maintain the required supervision ratio of staff to children whenever children are in care. Evidence: During the inspection of the playground, the center did not maintain the required supervision ratio of 1 staff for every 8 children in the Children’s House group where the youngest child was age 2. There was 1 staff member with 15 children.”

Rule 8VAC20-780-350-B-3.

8VAC20-780-40-E

“Based on observation and staff interview, the center did not ensure they operate within the terms of the current license issued by the department. Evidence: The current license covers the age range of Birth to 6 years and 11 months. Child #1 is 7 years old.”

Rule 8VAC20-780-40-E.

Based on observation, the Center did not ensure that staff and child records were treated confidentially.

“Evidence: There were records posted at the center dated 3/28/24 and 6/25/24 that contained confidential children’s information.”

Rule 8VAC20-780-50-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

Based on review of 4 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication that requires the duration of the parent authorization be renewed after 10 workdays and written medication authorization should be given from the child’s physician and parent for a long term medication.

“Evidence: For 2 medications for Child #2, parent authorization was dated 10-8-23 and had not been renewed, and no authorization was given from the physician.”

Rule 8VAC20-780-510-E.

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

“Evidence: During inspection in the Children’s House classroom (ages 2-6) in an unlocked cabinet there was a bottle of Ibuprofen medication that was stored inside a first aid kit that was unlocked.”

Rule 8VAC20-780-510-L.

Based on review of 3 child records, the provider did not ensure they had a written care plan for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: The record for Child #1 did not contain an allergy care plan for their physician diagnosed food allergy.”

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

(Repeat Violation) Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition.

Rule 8VAC20-780-270-A. From a complaint.

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

“Evidence: In the Children’s House classroom in an unlocked cabinet, there were 5 containers of shoe polish, 2 containers of wood polish, metal polish, glass polish and silver polish. All products contained warnings or cautions on their labels.”

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

Based on review of documentation and interview with staff, the center did not ensure that a written record of children’s serious and minor injuries were made the day of occurrence.

“Evidence: During inspection, written injury records were requested for Child #1 for an injury received on the playground on the week of August 14 where the child bumped their head. No written record was completed for the injury though 2 staff acknowledged the injury had occurred.”

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

Based on observation and interview with staff, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner.

“Evidence: In the NIDO classroom, 2 children had food from home that was stored in the refrigerator and was not labeled with a name and date.”

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

(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: During inspection in the NIDO classroom (ages birth-16 months), there were 4 children present, but the written record reflected there were 7 children present.”

Rule 8VAC20-780-80-A. From a complaint.

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

“At the Children’s House outside play yard, there are 2 tree branches at approximately 3 feet in height from the ground with sharp branches protruding from the tree by approximately 8 inches that could snag a child’s skin.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure that toilet chairs were emptied promptly and cleaned and sanitized after each use.

“During inspection in the restroom of the Young Children’s Community classroom, there was a toilet chair that had not been emptied.”

Rule 8VAC20-780-500-C.

Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: During inspection of the Children’s House classroom, there were 10 children present, but the written record reflected there were 8 children present.”

Rule 8VAC20-780-80-A.

Based on review of 3 staff records and interview with staff, the center did not obtain the results of a central registry check from all states in which staff members have resided within the last five years prior to employment.

“Evidence: The record for Staff #4 (date of hire 10/3/2022) did not contain documentation of a completed central registry record check from all states where they resided within the last five years prior to employment.”

Rule 22.1-289.035-B-4.

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

“Evidence: 1)On the School age playground that the Toddler classroom uses, there is a 9 inch piece of rebar standing up and protruding from the border of the garden area that could cause impalement of a child. 2)On the School age playground that the Toddler classroom uses, there is a large broken tile with sharp edges that could tear a child’s skin.”

Rule 8VAC20-780-270-A.

Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: During inspection in the NIDO classroom, there were 5 children present, but the written record reflected there were 4 children present.”

Rule 8VAC20-780-80-A.

Based on review of 4 staff records, the center did not obtain documentation of a tuberculosis (TB) test or screening for staff at the time of employment or prior to contact with children.

“Evidence: The record for Staff #3 (Date of hire 9/2/22) did not contain documentation of a tuberculosis test or screening prior to hire or contact with children.”

Rule 8VAC20-780-160-A.

Based on review of 4 staff records and staff interview, the center did not have documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: The record for Staff #3 (Date of hire 9/2/22) did not contain documentation of any references.”

Rule 8VAC20-780-70.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-40-M

“Based on observation, and an interview with staff, the facility 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, sensitivities, and dietary restrictions that is dated and kept confidential in each room or area where children are present. Evidence: there was no written list of allergies, sensitivities and dietary restrictions in the young children’s community, the children’s house, or on the playground with the children.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

“Based on review of three child records, and an interview with staff, it was determined that not all records contained all required information. Evidence: the record for child #1, with a diagnosed food allergy, did not contain a written care plan 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.”

Rule 8VAC20-780-60-A.