Montessori Academy of Virginia-Suffolk

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

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

The center is required to have an applicant or agent undergo a background checks every five years.

“The most recent criminal history search for applicant/agent #1 was overdue by approximately one year.”

Rule 22.1-289.036-A.

22.1-289.011-F

“Based on observation and interview, the licensee did not always post the documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The Results (violation notice) for the last licensing inspection were not posted in the facility at the time of the inspection. The program director present at the time of the inspection confirmed that the results were not posted in a the facility.”

Rule 22.1-289.011-F.

***REPEAT VIOLATION*** Based on a review of records and interview, the licensee did not always obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Rule 22.1-289.035-B-4.

***REPEAT VIOLATION***’ Based on a review of records and interview, the licensee was unable to demonstrate that staff always complete orientation appropriate to the age of the children in care and including the 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: Eight staff records were reviewed. The records for staff #1(employed 1/2/2024), staff #3 (employed 1/11/2024), staff #4 (employed 1/3/2024) and staff # 6 (employed 12/4/2024) did not contain documentation to demonstrate that facility specific orientation training was completed.

“The program director present during the inspection confirmed that this documentation was not present in the staff records at the time of the inspection.”

Rule 8VAC20-780-240-B.

8VAC20-780-60-A-8

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

8VAC20-780-70

Rule 8VAC20-780-70.

***REPEAT*** Based on a review of records and interview, the licensee did not always obtain, for every applicable employee, a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Rule 22.1-289.035-B-4.

Based on a review of records and interview, the licensee did not always maintain documentation that demonstrated that orientation training was completed prior to working alone with children and no later than 7 days after the date of assuming job responsibilities.

“Evidence: Nine staff records were reviewed. The record for staff #4, whose date of employment was documented as 11/6/23, did not contain documentation that orientation training had been completed. The administrator on site during the inspection was not able to locate this documentation during the inspection.”

Rule 8VAC20-780-240-B.

8VAC20-780-70

“Based on a review of records and interview, the licensee did not ensure that a record containing all required documentation is maintained for each staff member. Evidence: Nine staff records were reviewed. The record for staff #4 did not contain documentation that two references were checked for staff #4 prior to employment. The administrator on site during the inspection was not able to locate this documentation during the inspection.”

Rule 8VAC20-780-70.

Based on staff records and interview, the center did not ensure to obtain a copy of the results of a criminal history record check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years.

“Evidence: In Staff#3’s record (date of hire: 09/01/22) there was no results of a central registry finding for the state of GA. In Staff#4’s record (date of hire: 08/23/21) there was no results of a criminal and central registry findings for the state of TX. Interview with staff confirmed the out of state results were not available for review during the inspection.”

Rule 22.1-289.035-B-4.

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

“Evidence: In Children’s House 3-6 bathroom, the toilet would not flush. Interview with staff confirmed the toilet not working properly.”

Rule 8VAC20-780-270-A.

Based on a review of records and interview, the licensee did not ensure that results of a search of the central registry are obtained for each employee within 30 days of employment.

“Evidence: Seven staff records were reviewed. The record for staff #6 documented the start of employment as 9/1/2022. The central registry findings were dated 12/12/2022. Documentation shows that a second request was sent on 11/16/2022, which is 76 days after the employee began employment.”

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

8VAC20-780-420-A

Rule 8VAC20-780-420-A. From a complaint.

8VAC20-780-420-C

“Interviews with the parent of a two year old child and with the Program Director revealed that a parent requested to walk her two-year-old child to her classroom on the first day of summer camp (6/27/2022) but was not permitted to enter the facility to do so.”

Rule 8VAC20-780-420-C. From a complaint.

Based on a review pf documentation and interview, the licensee was unable to demonstrate that an Out of State Sex Offender Registry and an Out of State Criminal History Name Check were obtained for each state, other than Virginia, that any individual employee has resided in the past 5 years, prior to their 1st day of employment/service at the center.

Rule 22.1-289.035-B-4.

Based on observation and interview, the center is not equipped with at least one Carbon Monoxide detector.

“Evidence: A carbon monoxide detecter was not observed in the center during the inspection on 3/1/2022. The Program Director stated that the center was built before 2015 and she confirmed that a carbon monoxide detector was not installed in the building.”

Rule 22.1-289.058.

Based on a review of documentation and interview, the program was not able to demonstrate that results of a search of the central registry had been obtained for the applicant.

“Evidence: The application received by the department for Renewal of the program’s license listed applicant #1 as a designated applicant / licensee / registrant. However, at the inspection conducted on 3/1/2022, the program director confirmed that she was unable to locate documentation of the results of a Search of the Central Registry for Applicant #1 and was also unable to obtain this documentation from the licensee.”

Rule 8VAC20-770-40-D-1-a.

Based on a review of records and interview, the licensee was not able to demonstrate that a fire inspection had been conducted within the past 12 months.

“Evidence: The most recent fire inspection available for review at the time of the inspection on 3/1/2022 was dated 8/25/2020. The program director confirmed that she did not have documentation of a more recent inspection having been conducted.”

Rule 8VAC20-780-260-A.