Montessori Children’s House LLC

Each child shall have a physical examination before the child’s attendance or within 30 days after the first day of attendance.

“Child #1 has been enrolled for over 2 years does not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

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

“EVIDENCE: The wooden bridge in the playground has two slats that have caved in, causing a trip hazard.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to have sufficient resilient surfacing and fall zones on playground equipment.

“EVIDENCE: The resilient surfacing (playground wood chips) measured 4 ? inches deep under the monkey bars, which were 7 feet high. Use zones around the monkey bars were less than six feet ? in some areas the use zone of the zip line was directly under the monkey bars. Use zones were not at least 6 feet around the outside perimeter of the play structure.”

Rule 8VAC20-780-330-B.

Based on observation, the center failed to ensure that a staff member’s hand touched the exterior surface of the soiled diaper storage during diaper disposal.

“EVIDENCE: Staff 4 touched the lid of the diaper trash can while opening it with their hand during a diaper change.”

Rule 8VAC20-780-500-B.

Based on observation and document review, the center failed to have medication picked up by the parent after the authorization to administer had expired.

“EVIDENCE: 1. Two medications, Allergy Relief (diphenhydramine) and AUVI-Q Auto Inject (epinephrine) were at the center for Child 3, and the authorization to administer these expired 3/2/2022. 2. Two medications, Allergy Relief (diphenhydramine) and AUVI-Q Auto Inject (epinephrine) were at the center for Child 4, and the authorization to administer these expired 9/22/2021.”

Rule 8VAC20-780-510-P.

Based on document review and interview, the facility failed to maintain a record of daily attendance that documents the arrival and departure of each child as it occurs for each group of children.

“EVIDENCE: 1. The attendance record for the infant group did not record the arrival of all children. Seven children were in care and the attendance record showed six children in care. 2. The attendance record for the early childhood group showed that there were no children in care. Of the ten children observed in the group, the written record showed that they were not in the center. Staff 5 stated she marked them all off by accident.”

Rule 8VAC20-780-80-A.

8VAC20-780-40-K

“Based on interviews with the director, the center failed to ensure that they developed a written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

Rule 8VAC20-780-40-K.