Loudoun Montessori School

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“A bottle containing bleach was on the handwashing table in the 3 to 6 year old classroom, within reach of children.”

Rule 8VAC20-780-280-B.

Cribs, cots, rest mats, and beds must be identified for use by a specific child.

“In the pre-primary classroom, 10 rest mats were not labeled with a child’s name for individual use.”

Rule 8VAC20-780-440-B.

Disposable diapers must be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“In the pre-primary classroom, the trash can used for diaper disposal had a swinging lid and was not foot-operated.”

Rule 8VAC20-780-500-B.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #4, who has been actively working at the center for the past 13 months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #3’s updated screening was due 4.5 months ago and has not yet been completed.”

Rule 8VAC20-780-160-C.

Each center must maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #3, enrolled for forty days, was missing the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Annual approval from the health department shall be provided for meeting requirements for water supply, sewage disposal system, and food service, if applicable.

“Provider has not completed the required annual health inspection, after the first license.”

Rule 8VAC20-780-260-B.

In areas used by preschool age or younger children, electrical outlets shall have protective covers.

“Children in the preschool primary room were working on Montessori activities near six uncovered outlets that were within their reach.”

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

REPEAT VIOLATION Prescription medication may be administered if the parent has completed a written authorization from a parent or guardian.

“There was no written parent/guardian authorization to administer prescription medication to child #5.”

Rule 8VAC20-780-510-I.

When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner.

“Three food containers in the toddler room were not dated or labeled with the child’s name.”

Rule 8VAC20-780-560-G.

8VAC20-780-510-G

“Based on review of medications, one medication was not properly labeled. Evidence: An emergency medication for Child #1 was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-60-A-8

“Based on review of children with a diagnosed food allergy, a written care plan was not maintained. Evidence: Child #1 has a diagnosed food allergy. A written care plan was not found 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-8.

8VAC20-780-520-A

“Based on review of topical ointments onsite, some ointments were kept beyond the expiration date of the product. Evidence: One topical ointment in Classroom #1 expired in May 2023. A second topical ointment in classroom #1 expired in June 2023.”

Rule 8VAC20-780-520-A.

8VAC20-770-60-C-2

“Based on staff record review, one background check was not obtained within 30 days of hire. Evidence: Staff #2 was hired on 03/06/2023. Results from a Central Registry search was not found.”

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

8VAC20-780-140-A

“Based on child record review, a physical examination was not obtained within 30 days of their start date for 1 child. Evidence: Child #5 started on 01/04/2023. A physical examination was not found for this child”

Rule 8VAC20-780-140-A.

8VAC20-780-150-A

Rule 8VAC20-780-150-A.

8VAC20-780-160-A

“Based on staff record review, a TB health screening was not obtained prior to hire. Evidence: Staff #2 was hired on 03/06/2023. The TB risk assessment is dated 03/08/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Based on review of staff records, orientation training for 1 staff was not completed within the first 7 days of starting their responsibilities. Evidence: 1.Staff #2 was hired on 03/06/2023. 2.The orientation training maintained in the staff record did not include training on shaking baby syndrome, abusive head trauma, preventing and recognizing allergic reactions and playground safety procedures.”

Rule 8VAC20-780-240-B.

8VAC20-780-245-J-3

“Based on review of onsite medications, one child who has an emergency medication was not in the presence of a staff who has completed the appropriate medication training. Evidence: 1.An emergency seizure medication was found for Child #1. 2.This medication is required to be administered rectally. 3.Staff #3 stated that the additional rectal medication training has not been completed by any staff present today.”

Rule 8VAC20-780-245-J-3.

8VAC20-780-270-A

“Based on observation of the center, one area of the building was not maintained in a safe and operable manner. Evidence: The top drawer of the changing table located in the bathroom near the aftercare classroom was broken and hanging off the frame.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation of the center, hazardous substances were found in unlocked areas. Evidence: 1.The storage closet located in the bathroom near the aftercare classroom was unlocked and contained cleaning agents. 2.The storage closet located in classroom #1 was unlocked and contained cleaning agents.”

Rule 8VAC20-780-280-B.

8VAC20-780-380-A

“Based on observation of the center a daily schedule of activities was not posted. Evidence: A daily schedule of activities was not posted in all 3 classrooms.”

Rule 8VAC20-780-380-A.

8VAC20-780-40-L

Rule 8VAC20-780-40-L.

8VAC20-780-510-E

“Based on review of onsite medication, the center failed to follow their own medication policy. Evidence: 1.A signed physician medication authorization was not found for 2 emergency medications for Child #1. 2.A signed physician medication authorization was not found for Child #2?s emergency medication.”

Rule 8VAC20-780-510-E.

8VAC20-780-60-A

“Based on child record review, children’s records were found incomplete. Evidence: 1.A start date for Child #1 was not found in their record. 2.The phone numbers and addresses for Child #3?s emergency contacts were not found in their record. 3.Acknowledgement that the parent handbook was provided that included policies on communicable diseases and requirements to pick a child up ill was not found in Child #3?s record. 4.Child #1 has a diagnosed food allergy. A signed physician allergy action plan was not found in their record.”

Rule 8VAC20-780-60-A.

8VAC20-780-130-A

“Based on review of children’s records, documentation of immunizations were not obtained before one child began care. Evidence: Child #1 began care on 4/13/21. Documentation of immunizations were dated 5/4/21.”

Rule 8VAC20-780-130-A.

8VAC20-780-160-C

“Based on review of staff records, a subsequent TB screening was not obtained for one staff. Evidence: Staff #3’s last documented TB screening was dated September 2019.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-L

“Based on review of staff records and staff interviews, a staff member with daily health observation training was not on duty. Evidence: A total of 4 staff onsite, no staff on duty had current Daily Health Observation training.”

Rule 8VAC20-780-245-L.

8VAC20-780-250-A

“Based on observation of the center, written documentation from the local building official was not obtained prior to use of one area of the building. Evidence: A newly installed wall was build enclosing the 2 year old classroom. The new construction was not approved by the local building official.”

Rule 8VAC20-780-250-A.

8VAC20-780-340-F

“Based on observation of the 2 year old class, children were not always within actual sight supervision of staff. Evidence: Staff #1 left the 2 year old classroom leaving 4 children out of sight supervision for approximately 10 seconds.”

Rule 8VAC20-780-340-F.

8VAC20-780-420-E-3

“Based on child record review, an annual review of 2 child records was not found. Evidence: Child #1 and #2’s record was not reviewed annually.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-520-C

“Based on observation of the center, topicals were accessible to children in care. Evidence: Topical ointments were found accessible to children in the bathroom located in the 2 year old classroom.”

Rule 8VAC20-780-520-C.

8VAC20-780-560-L

“Based on observation of the 2 year old class, staff did not sit with children during one meal time. Evidence: Staff #1 did not sit with the children during morning snack time.”

Rule 8VAC20-780-560-L.

8VAC20-780-90-A

“Based on child record review, a written agreement was not found in one child record. Evidence: The parent handbook acknowledgement that includes the center’s sick policy and requirement to report communicable diseases was not found in Child #1’s record.”

Rule 8VAC20-780-90-A.

8VAC20-780-160-A-1

“Based on review of staff records, one TB screening was not obtained at or prior to hire. Evidence: Staff #1 was hired on 03/01/2022. The TB screening on file was dated 03/10/2022.”

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

8VAC20-780-240-C

“Based on review of staff records, the orientation one staff received did not include all the required topics. Evidence: 1. Staff #1 was hired on 03/01/2022. The orientation training on file did not include the topics of abusive head trauma and shaken baby syndrome.”

Rule 8VAC20-780-240-C.

8VAC20-780-240-E

“Based on review of staff records, one staff did not receive required training within 30 days of hire. Evidence: Staff #1 was hired on 03/01/2022. Staff #1 has not received documented training in First Aid and CPR.”

Rule 8VAC20-780-240-E.

8VAC20-780-240-I

“Based on review of staff training, documentation of orientation training was incomplete. Evidence: Staff #1’s documented orientation training did not include the training delivery method, the entity or individual providing the training and the date the training was completed.”

Rule 8VAC20-780-240-I.

8VAC20-780-270-A

“Based on observation of the center, areas of the center was not maintained in a clean and safe manner. Evidence: The playground area located on the left side had piles of wet leaves and trash. The artificial turf was buckled and poses a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation of the physical plant, a hazardous substance was found unlocked. Evidence: A cleaning agent was found unlocked inside a bathroom which is accessible to children.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“Based on observation of the playground, resilient surfacing was not maintained. Evidence: The fall zones located under the slide and the climbing structure did not have a minimum of six inches of resilient surface maintained.”

Rule 8VAC20-780-330-B.

8VAC20-780-350-F

“Based on review of the current staffing schedule and staff statement, the center has not developed a policy for consistent staff. Evidence: The current staffing schedule does not include all groupings of children and a policy that ensures that children are cared for by consistent staff.”

Rule 8VAC20-780-350-F.

8VAC20-780-40-K

“Based on review of written procedures and documented training, required written policies were not found. Center does not have written policies for prevention of shaken baby syndrome and abusive head trauma.”

Rule 8VAC20-780-40-K.

8VAC20-780-520-C

“Based on observation of the physical plant, topical ointments were found accessible to children. Evidence: Three topical ointments were found in a plastic storage drawer inside the bathroom of the primary classroom. The storage drawer is accessible to children.”

Rule 8VAC20-780-520-C.

8VAC20-780-550-B

“Based on review of the Center’s emergency evacuation plan, the plan did not contain reunification of children with parents. Evidence: The emergency evacuation plan did not include the methods of reuniting children with their parents during a lock down or a shelter in place scenario.”

Rule 8VAC20-780-550-B.

8VAC20-780-510-E

“Based on review of medication authorizations, procedures for giving medication were not complete. Evidence: 1. The medication authorization for Child #2 was not signed by the phyysician. 2. The medication authorization for Child #1 and #2 did not include the duration of the authorization.”

Rule 8VAC20-780-510-E.