Hampton Roads International Montessori School

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. Child #2 has a diagnosed food allergy that was not listed on the classroom allergy list.”

Rule 8VAC20-780-40-M.

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. One of the foods that Child #2 has a diagnosed food allergy to was not included on the allergy action plan.”

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

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 lists in the toddler 2 and toddler 3 rooms were posted in plain sight.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-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 records for Child #3, #4, and #5, were missing the first date of attendance.”

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 #3 has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-350-O

“Based on observation and staff interview the center did not ensure the ratio for balanced-mixed-age groupings of children shall be one staff member for every 14 children. Evidence: The director confirmed that Staff #4, in the Children’s House 2 room, was alone with 18 children ages 3-6.”

Rule 8VAC20-780-350-O.

Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

“Evidence: The following inadequate fall zones were observed on the playgrounds. 1.On the playground there was a double slide that required a minimum of 6 inches of resilient surfacing, and it measured between 3 ? to 4 ? inches at the base of the slide chute. 2.On the playground there was a single slide that required a minimum of 6 inches of resilient surfacing, and it measured between 4 to 5 inches at the base of the slide chute”

Rule 8VAC20-780-330-A.

Based on measurements, observation and staff interviews, the licensee did not ensure that rest mats shall be provided for children during the designated rest period and there shall be at least 12 inches of space between occupied cots/ rest mats.

“Evidence: The following classrooms had inadequate space between the cots/ rest mats during naptime. 1.In Toddler Room #1, there were 6 cots in small room and 5 of the cots were between 2 and 4 inches apart. 2. In Toddler Room #2, there were 13 cots and 2 of the cots only had 6 inches between them.”

Rule 8VAC20-780-440-E.

Based on observation and staff interviews, the licensee did not ensure children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: In the following classrooms children did not wash their hands regrading eating. 1.In Toddler Room #1, 11 children were observed preparing for and eating lunch and they did not wash their hands prior to eating. 2. In Children’s House #1, 5 children were observed eating their lunch and after they were finished eating, they put away their items and then began to work on classroom activities. Classroom staff confirmed they did not wash their hands.”

Rule 8VAC20-780-500-A.

Based on observation and staff interviews, the licensee did not ensure that each building that was built before 2015 and that house a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector.

“Evidence: Staff #10 confirmed they do not have a carbon monoxide detector.”

Rule 22.1-289.058.

Based on a review of 9 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: The records for Staff #1 (hire date 12-5-2022), Staff #2 (hire date 11-2-2022), Staff #3 (hire date 8-8- 22) and Staff #9 (5-23-2022) did not include information indicating orientation related to prevention of shaken baby syndrome, abusive head trauma and procedures to cope with distraught children was conducted.”

Rule 8VAC20-780-240-C.

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

“Evidence: In Toddler room 2, there was a microwave oven sitting on top of a small refrigerator that measures 33 inches high. The microwave is larger in width than the refrigerator. The microwave was not secure as it easily moved when touched. The microwave measured approximately 2 feet in width and the refrigerator measured approximately 18 inches in width. The microwave was accessible to children in care and posed a tipping hazard.”

Rule 8VAC20-780-270-A.

Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma.

“Evidence: Staff #10 confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

Based on review of 9 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.

“Evidence: The records for child #1 through child #9 did not include the home addresses for both emergency contacts listed in each record. Staff #10 confirmed missing information.”

Rule 8VAC20-780-60-A.

Based on a review of 9 staff records and staff interviews, the licensee did not ensure staff records included documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering and included all required documentation.

“Evidence: The following records had inadequate reference check information. 1. The record for Staff # 1 did not include a second reference check 2. The record for Staff #2 and Staff #3 did not the date of the reference check conducted and the signature of the person who conduct the check. 3.The record for Staff #4 and #9 did not include the date the check was conducted. 4. Staff #10 confirmed the missing information”

Rule 8VAC20-780-70.

Based on review of 4 staff records and staff interviews, the licensee did not ensure any employee has obtained a central registry ( CPS ) finding within 30 days of employment.

“Evidence: The record for staff #1 date of hire 2-15-2022 did not include the results of a CPS finding.”

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

Based on review of 4 staff records and staff interviews, the licensee did not ensure employees have obtained documentation of the TB screening and it shall be submitted at the time of employment and prior to coming into contact with children.

“Evidence: The record for staff #2 includes as TB test / screening dated 11-25-2021 and documented first date for working with children is 11-22-2021.”

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

Based on review of 4 staff records and staff interviews, the licensee did not ensure employee TB screening / documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: The record for staff #4 includes a TB test / screening dated 10-26-2020 and documented first date for working with children is 08-30-2021.”

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