Salem Montessori School, Inc.

8VAC20-780-160-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 #3 (employed over one week) did not have documentation of a tuberculosis screening.”

Rule 8VAC20-780-160-A.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The Notice Of Intent issued to the provider on 6/29/2026, was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A. From a complaint.

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.

“Staff were aware of a diagnosed food allergy for Child 2 (age 4 years) and the child did not have an allergy care plan. The child was served snack containing the allergen.”

Rule 8VAC20-780-60-A. From a complaint.

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. There was no documentation of requesting a sex offender check from a state for Staff #2 (employed 5 months), Staff #3 (employed 7 months) and Staff #5 (employed 9 months).”

Rule 22.1-289.035-B-4.

8VAC20-780-290-3

“REPEAT VIOLATION In areas used by preschool age or younger children, electrical outlets shall have protective covers. An uncovered outlet was within their reach of children in the Dogwood classroom.”

Rule 8VAC20-780-290-3.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 4 months ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. An uncovered outlet was within their reach of children in the Magnolia classroom.”

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

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 10:00 a.m. on 11/24/2025, there were 18 children present in the Maple classroom, but only 17 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #3 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-510-E

“The centers procedures for administering medication shall include long term prescription drug use may be allowed with written authorization from the parent. The long term medication authorization for Medication #4 did not have written authorization from the parent.”

Rule 8VAC20-780-510-E.

Based on staff record review, the center failed to ensure that no person shall be hired for compensated employment prior to the center obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

“EVIDENCE: Staff 5 has a documented employment date of 8/14/2023 and the eligibility letter was dated 9/21/2023.”

Rule 22.1-289.035-B-2.

Based on document review, the center failed to ensure staff had a TB screening every two years.

“EVIDENCE: The most recent TB screening for staff 4 was dated 9/15/2021.”

Rule 8VAC20-780-160-C.

Repeat violation

“Based on observation, the center failed to ensure that medication for a child was labeled with all required elements. EVIDENCE: Two prescription medications, a Novolog insulin pen, and Baqsimi, were in a zipper bag. Neither medication was labeled with a name, the dosage amount, and the time or times to be given. Staff 1 identified both medications as belonging to child 1.”

Rule 8VAC20-780-510-G.

Based on document review, observation, and interview, the facility failed to maintain a written record of daily attendance that documents the arrival and departure of each child in case as it occurs.

“EVIDENCE: The inspector counted 16 children in care in the Maple room. The attendance sheet showed 15 children were in care. A staff person in the classroom stated they didn’t update the attendance sheet when a child came in earlier.”

Rule 8VAC20-780-80-A.

REPEAT VIOLATION cited 8/14/2023.

“Based on staff record review, the center failed to obtain subsequent background checks on staff, due every five years. EVIDENCE: The most recent Criminal Record Fingerprint Eligibility letter for Staff 4 was dated 7/18/2018. Staff 6 showed a letter showing that fingerprints were scheduled to be done 9/19/2023.”

Rule 22.1-289.035-A.

REPEAT VIOLATION cited 8/14/2023.

“Based on staff record review and interview, the center failed to obtain a Virginia Central Registry check for a staff person within 30 days of beginning employment. EVIDENCE: Staff 1 began work on 6/21/2023 and their staff file does not have the results of a Virginia Central Registry check. Documentation in the staff file shows it was requested on 9/7/2023.”

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

Based on staff record review, the center failed to ensure that required background checks are repeated every 5 years per the Code of Virginia.

“EVIDENCE: The most recent Criminal Record Fingerprint Eligibility letter for Staff 4 was dated 7/18/2018.”

Rule 22.1-289.035-A.

Based on staff record review and interview, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

“EVIDENCE: 1. Staff 1 had a documented hire date of 6/21/2023 and there was no fingerprint letter of eligibility available for review. Staff 6 confirmed it was not in the record. 2. Staff 2 had a documented hire date of 3/17/2023 and the fingerprint letter of eligibility was dated 3/20/2023. 3. Staff 3 had a documented hire date of 2/23/2023 and the fingerprint letter of eligibility was dated2/28/2023.”

Rule 22.1-289.035-B-2.

Based on staff record review and interview, the center failed to obtain an out-of-state child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.

“EVIDENCE: Staff 2 had a documented hire date of 3/17/2023. The record contained documentation that Staff 2 had resided outside of the state within the preceding five years. There was no child abuse and neglect registry check from the state in which Staff 2 resided. Staff 6 confirmed it was not in the record.”

Rule 22.1-289.035-B-4.

Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment.

“EVIDENCE: Staff 1 had a documented hire date of 6/21/2023. Results of the Virginia Central Registry check were not available for review. Staff 6 confirmed it was not in the record.”

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

Based on staff record reviews, the center failed to obtain TB screenings for new staff prior to employment.

“EVIDENCE: 1. Staff 1 had a documented hire date of 6/21/2023. The TB screening was dated 7/3/2023. 2. Staff 2 had a documented hire date of 3/17/2023. The TB screening was dated 3/24/2023. 3. Staff 3 had a documented hire date of 2/23/2023. The TB screening was dated 2/27/2023.”

Rule 8VAC20-780-160-A.

Repeat violation

“Based on record review and interview, the facility failed to ensure that a staff person completed a minimum of 16 hours of annual training appropriate to the age of children in care. EVIDENCE: The record for Staff 4 had no documentation to support that 16 hours of training had been completed in the past year.”

Rule 8VAC20-780-245-A.

Based on observation, the center failed to have hazardous substances kept in a locked place using a safe locking method that prevents access by children.

“EVIDENCE: 1. The laundry room was unlocked and a shelf in the room had multiple containers of bleach and laundry detergent. 2. Toilet bowl cleaner, Soft Scrub, and disinfectant wipes were stored in a basket on a shelf in the unlocked children’s bathroom in the Maple room.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that medication for a child was labeled with all required elements.

“EVIDENCE: A prescription medication, EpiPen was in a plastic bag. The bag had the name of Child 4 written on it. The medication itself did not have the prescription label and was missing the child’s name, dosage amount, or the time or times to be given.”

Rule 8VAC20-780-510-G.

Based on child record review, the center failed to obtain a written allergy care plan for a 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.

“EVIDENCE: The physical exam form for Child 3, signed by the physician on 6/8/2023, shows this child is allergic to eggs and peanuts. The record for Child 3 does not have a written allergy care plan.”

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

Based on staff record review, the facility failed to have references for a staff person prior to beginning employment.

“EVIDENCE: Staff 1 had a documented hire date of 6/21/2023. References were obtained on 7/6/2023 and 7/14/2023.”

Rule 8VAC20-780-70.

Based on record review, the center failed to ensure that a staff person had a TB screening at least every two years.

“EVIDENCE: The most recent TB screening for Staff 4 is dated 12/26/2019.”

Rule 8VAC20-780-160-C.

Based on record review, the center failed to ensure that a staff person had a minimum of 16 hours of training annually.

“EVIDENCE: The record for staff 5 shows there was 3 hours of training in the past year. Management staff at the center did not locate any documentation of additional training.”

Rule 8VAC20-780-245-A.

Based on observation, the center failed to ensure that children’s food from home was labeled with names.

“EVIDENCE: Several lunchboxes in the Maple room had no names on them, or inside them. A staff person in the Maple room was unable to find names on some lunchboxes.”

Rule 8VAC20-780-560-G.

Based on observation and interviews, the center failed to have a carbon monoxide monitor, which is required for licensed child day centers built before 2015.

“EVIDENCE: 1. Public records show the building housing the center was built in 2011. The LIs did not see a carbon monoxide monitor. None of the staff at the center, when asked, were able to show the LIs where it was located.”

Rule 22.1-289.058.

Based on observation, the center failed to be maintained in a safe condition.

“EVIDENCE: 1. One of the classrooms had blind cords dangling down, which were a strangulation hazard. 2. The wood climbing/slide structure on the playground has some areas where the wood is splintering on a rung and several areas on the upper platforms.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to maintain resilient surfacing to required depths.

“EVIDENCE: 1. The wood chip resilient surfacing in the playground at the landing zones of the six foot high slides must be a minimum of 9 inches in depth. There were several slides, and the depth of the surfacing measured from ? inch to three inches.”

Rule 8VAC20-780-330-B.

Based on interview, the center failed to have a written policy regarding that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.

“EVIDENCE: 1. Management staff were unable to show such a policy to the inspectors.”

Rule 8VAC20-780-350-F.

Based on child record review, the center failed to have some required documentation in children’s records. Physicals are to be done within 30 days of the first date of attendance. Immunization records, showing children are up to date must be documented prior to attendance. Immunizations should be updated at least every six months until a child is two years old.

“EVIDENCE: 1. The record for child 2, aged three years, began attendance 10/4/2022. The most recent physical and immunizations for child 2 are dated 11/17/2020, when the child was one year old.”

Rule 8VAC20-780-60-A.